Monday, October 6, 2014

Provincial, state medical regulators must report doctors to police

Boards in Alberta, various American states would have had to report Mississauga doctor who sexually abused female patients to authorities

A sign posted at the office of Dr. Sastri Maharajh informs visitors that he is no longer permitted to see female patients.
LUCAS OLENIUK / TORONTO STAR Order this photo
 
A sign posted at the office of Dr. Sastri Maharajh informs visitors that he is no longer permitted to see female patients. 

If a Mississauga doctor had been practising in Alberta when he put his mouth or cheek on the breasts of more than 10 female patients, the province’s medical regulator would have had to report it to the minister of justice and the solicitor general.
Had he been working in some American states, medical regulators would be required to notify authorities that one of their members may have committed a crime.
But in Ontario, the decision to go to the police about Dr. Sastri Maharajh, who told regulators he had put his mouth on or rested his cheek against the breasts of as many as 13 patients, is at the discretion of the medical regulator.
Kathryn Clarke, spokeswoman for the College of Physicians and Surgeons of Ontario, won’t say if the collage has contacted police about Maharajh, who was disciplined for professional misconduct by the medical regulator last summer.
Peel police said they would launch an investigation if the college lodged a complaint. Maharajh’s name was not in their records as of Tuesday.
Maharajh was found guilty of professional misconduct and suspended for eight months before returning to work in July, ordered to treat male patients only at a Mississauga walk-in clinic.
His case has raised questions about whether Ontario’s decades-old Regulated Health Professions Act should be updated to compel the college to contact police if it knows about potential criminal behaviour.
Ontario Health Minister Dr. Eric Hoskins said the legislation will not be reviewed despite criticism from experts, including NDP health critic France GĂ©linas, who said the college should “absolutely” be mandated to contact police in instances of sexual abuse.
Deliberately touching a woman’s breast without consent is sexual assault, no matter if it happens in a doctor’s office or on the street, said Toronto lawyer Peter Rosenthal, adding it’s a criminal offence.
Still, few provincial and state medical regulators must by law report a doctor suspected of committing a criminal offence to police.
Alberta’s Health Professions Act compels the province’s College of Physicians and Surgeons hearing tribunals to send a copy of the written decision to the justice minister and solicitor general if there are reasonable grounds to believe the doctor has committed a criminal offence. The minister then decides if the case should be turned over to police.
Texas, Iowa and Nevada medical regulators are governed by a state law ordering board members, employees and agents to report to police any information found while investigating a physician that suggests a crime may have been committed.
Jarrett Schneider, communications officer for the Texas Medical Board, said there must be substantial evidence to merit bringing the information to police, but co-ordinating with authorities usually begins early in a preliminary investigation.
Reporting criminal offences is in line with the board’s directive to maintain public safety, Schneider said.
“The board’s mission is first and foremost to protect the public, so (the legislation) strikes to the core of that.”
Other medical regulators have an internal mandate to always contact police if investigators believe a doctor may have committed a crime.
Duane Houdek, executive secretary of the North Dakota Board of Medical Examiners, said although state laws don’t stipulate mandatory reporting to police, the board chooses to do so.
“If it’s a crime against society, it’s something that shouldn’t be shielded by confidentiality laws.”
Laura Armstrong can be reached at 416-869-4068 or lauraarmstrong@thestar.ca .


Source: http://www.thestar.com/news/gta/2014/10/01/provincial_state_medical_regulators_must_report_doctors_to_police.html
 

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