Sunday, January 4, 2015

Ontario’s medical watchdog asks: What would you want to know about your MD?

The College of Physicians and Surgeons wants to hear from patients about what information should be disclosed about a doctor’s troubled history.

Dr. Carol Leet is the president of the College of Physicians and Surgeons of Ontario, which is looking at how to improve the transparency of disciplinary actions applied to doctors in the province.
DW Dorken 

Dr. Carol Leet is the president of the College of Physicians and Surgeons of Ontario, which is looking at how to improve the transparency of disciplinary actions applied to doctors in the province. 

If your doctor has been cautioned by Ontario’s medical watchdog for doing something wrong, would you want to know? How about if your doctor has been charged with committing a crime or ordered to take remedial education?
The College of Physicians and Surgeons of Ontario kicked off a public consultation last week about giving patients more information about their doctors.

The CPSO’s new president, Dr. Carol Leet, said the regulatory body is seeking input from Ontarians about how much information they need to make decisions about choosing doctors.

“Transparency is a priority for the college, and it is something that we have been working on steadily for the last two years or more,” said Leet, former chair of the CPSO’s inquiries, complaints and reports committee.

One proposal under consideration is posting oral cautions on its website. Oral cautions involve requiring doctors who have run into some sort of trouble to appear before a panel of physicians. They are questioned about what went wrong, with the aim of ensuring that mistakes won’t be repeated.

Some 88 physicians were called in for oral cautions in 2012. The action is typically prompted by complaints, investigations and poor outcomes suffered by patients.

Earlier this year, the Star reported that Humber River Hospital’s chief of staff, Dr. Jack Barkin, had been quietly cautioned by the college over the treatment he provided to a 91-year-old patient who died after being under his care.
The patient had undergone a minor elective surgical procedure even though his heart was beating irregularly.

Barkin went on medical leave soon after being cautioned and did not seek reappointment to the position of chief of staff.

The CPSO is also seeking public input on whether its online register should reveal whether doctors have been:

  • Ordered to upgrade their education because of serious care or conduct concerns.
  • Charged with an offence under the Criminal Code or Health Insurance Act.
  • Disciplined by a medical watchdog in other jurisdictions, or even if they are simply licensed to practice in other jurisdictions.

  • Opinions can be emailed to transparencyproject@cpso.on.ca , posted on the college’s website, or mailed to the CPSO at 80 College St., Toronto M5G 2E2.
    Medical negligence lawyer Paul Harte said he is pleased to see the college is endeavouring to be more transparent, but would like it to go even further by, for example, posting online whether physicians have received written cautions or been subjects of complaints.

    Meantime, the college’s governing council earlier this month approved placing criminal findings of guilt and bail conditions on its public register. Leet said that information should appear early next year.

    Source: http://www.thestar.com/life/health_wellness/2014/12/17/ontarios_medical_watchdog_asks_what_would_you_want_to_know_about_your_md.html
     

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