Dialogue Volume 15, Issue 3 2019 - Page 62

DISCIPLINE SUMMARIES As part of an investigation into whether Dr. Shenava failed to maintain the standard of practice, the College retained a psychiatrist to review 22 of Dr. Sheneva’s charts. The expert found that in all 22 charts he reviewed, Dr. Shenava failed to maintain the standard of practice in his clinical documenta- tion, clinical care and the management of boundaries and transference enactments. The breadth and depth of the deficiencies noted by the expert was extremely disturbing to the Commit- tee. Dr. Shenava’s clinical documentation and clinical care fell well below the standard of practice of the profession. ORDER The Discipline Committee ordered: the revocation of Dr. Shenava’s certificate of registration; a reprimand, and payment to the College of hearing costs in the amount of $6,000. For complete details of the Order, please see the full decision at www.cpso.on.ca. Select Find a Doctor and enter the doctor’s name. DR. JEFFREY SCOTT SLOKA PRACTICE LOCATION: Kitchener AREA OF PRACTICE: Neurology HEARING INFORMATION: Statement of Uncontested Facts and Plea of No Contest; Joint Submission on Penalty On April 30, 2019, the Discipline Committee found that Dr. Sloka committed an act of professional misconduct, in that he has engaged in sexual abuse of a patient and has engaged in an act or omission relevant to the practice of medicine that would reasonably be regarded by members as disgraceful, dishonourable or unprofessional. Patient A was a teenager living in a group home when she was referred to Dr. Sloka for assessment regarding seizures. Dr. Sloka required Patient A to undergo a skin examination and neurological assess- ments in the nude at her first medical appointment with him. While certain skin lesions can be a marker of syndromes causing epilepsy, any skin examination 62 DIALOGUE ISSUE 3, 2019 would require appropriate draping. Patient B was referred to Dr. Sloka regarding a seizure disorder. Dr. Sloka required Patient B to take off her gown and stand naked for a skin examination, during which he cupped and moved her breasts. As advised by an expert retained by the College to re- view this matter, it was not clinically appropriate for Dr. Sloka to touch Patient B’s breasts. Patient C was referred to Dr. Sloka for a consulta- tion after she began to feel tingling from the waist down. At her first appointment, Dr. Sloka told her he would examine her breasts and ‘check for lumps.’ He exposed and squeezed both of her breasts. He did not chart a breast examination. She told her family after the appointment that the doctor had ‘felt her up.’ She wanted to see another neurologist but returned to Dr. Sloka because she could not find another physician. Patient D was referred to Dr. Sloka while a univer- sity student for management of her seizure disorder. At a number of appointments Dr. Sloka examined her skin all over, removing her gown himself. He would move and squeeze her breasts. He also touched her vagina and rectum on a total of three to four oc- casions. As opined by an expert neurologist retained by the College to review this matter, Dr. Sloka’s conduct towards Patient D described above was not clinically indicated. There was no clinical rationale for the invasive physical maneuvers involving Pa- tient D’s vagina and rectum. Nor were repeated skin examinations, the lack of draping, or the touching of Patient D’s breasts clinically appropriate. Dr. Sloka agreed to undertake not to apply or reapply to practise medicine in Ontario or any other jurisdiction. ORDER The Committee ordered revocation of Dr. Sloka’s certificate of registration, a reprimand, payment of $6,000 in hearing costs, and posting of security in the amount of $64,240 to reimburse the College for funding for therapy or counselling to the patients. For complete details of the Order, please see the full decision at www.cpso.on.ca. Select Find a Doctor and enter the doctor’s name. At the conclusion of the hearing, Dr. Sloka’s counsel waived his right to appeal and the Committee adminis- tered the public reprimand.