Dialogue Volume 15, Issue 3 2019 - Page 65

DISCIPLINE SUMMARIES terfered with the expert's ability to opine on Dr. Taniguchi’s knowledge with respect to palliative care. The lack of documentation also precluded an accurate assessment of Dr. Taniguchi’s skill; and • Dr. Taniguchi was not readily available to assess patients in a timely fashion. With respect to Dr. Taniguchi’s long-term care prac- tice, the expert opined: • It was not clear from Dr. Taniguchi’s documenta- tion in 2015 and 2016 that he was performing admission physicals, nor was it clear that he was performing annual physicals. There were a num- ber of occasions on which these physicals were not documented. Dr. Taniguchi’s extensive use of PRN orders in the order sets in some charts also sug- gested that his approach to those residents’ care was not personalized; • There was a significant improvement in Dr. Tani- guchi’s long-term care documentation after mid- 2017, with respect to his use of SOAP notes, and the documentation of admission and annual exams, and care conferences; • Dr. Taniguchi’s knowledge and skill were difficult to ascertain from his charts. However, there were instances in which Dr. Taniguchi’s charting sug- gested a lack of knowledge and/or skill; and • Dr. Taniguchi was not readily available to assess his patient load, and his lack of availability was con- cerning. His practice of attending on patients only every two weeks allowed for conditions to aggravate between visits. SECTION 25.4 ORDER On November 8, 2018, the Inquiries, Complaints and Reports Committee made an Order, requiring, among other things, that Dr. Taniguchi practise un- der the guidance of a clinical supervisor. On November 23, 2018, a clinical supervisor was approved for Dr. Taniguchi. Since that time, Dr. Taniguchi has been fully cooperative with the College, and has been meet- ing with his clinical supervisor on a regular basis to review patient charts from his palliative care practice pursuant to the s. 25.4 Order. The reports have been positive, and indicate that Dr. Taniguchi’s care has been appropriate. ORDER The Discipline Committee ordered: a reprimand; a two-month suspension; and payment to the College in the amount of $6,000 for hearing costs. 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. Taniguchi waived his right to an appeal and the Committee administered the public reprimand. DR. CHOLEMKERIL KUNCHERIA THOMAS PRACTICE LOCATION: Iroquois Falls AREA OF PRACTICE: Family Medicine (Emergency Medi- cine) HEARING INFORMATION: Agreed Statement of Fact; Ad- mission; Joint Submission on Penalty On June 19, 2019, the Discipline Committee found that Dr. Thomas committed an act of professional misconduct, in that he has engaged in an act or omis- sion relevant to the practice of medicine that would reasonably be regarded by members as disgraceful, dishonourable or unprofessional. In April 2017, the College’s Inquiries, Complaints and Reports Committee directed that Dr. Thomas attend the College to be cautioned and required that he complete a specified continuing education and remediation program (SCERP). Its provisions included: courses in medical record-keeping, safe opioid prescribing, ATLS and emergency medicine review; one-on-one instruction and self-directed learning, with written summaries in five areas; clini- cal supervision for a period of 12 months; and a practice reassessment six months upon completion of the education and remediation. Despite the assistance of the College’s Compliance Case Manager and multiple indulgences with respect to deadlines, the matter was returned to the ICRC in April 2018 for consideration due to Dr. Thomas’ fail- ure to complete the terms of the April 2017 SCERP. ISSUE 3, 2019 DIALOGUE 65