As from May 24 2017, the following is imposed as a term, condition and
limitation on the certificate of registration held by Dr. Milagros Ferreria
Saraza, in accordance with an undertaking and consent given by Dr. Saraza to
the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. MILAGROS FERRERIA SARAZA
("Dr. Saraza")
to
COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
(the "College")
A. PREAMBLE
(1) In this Undertaking:
"Code" means the Health Professions Procedural Code, which is Schedule 2
to the Regulated Health Professions Act, 1991, S.O. 1991, c. 18, as
amended;
"Discipline Committee" means Discipline Committee of the College;
"OHIP" means the Ontario Health Insurance Plan;
"Public Register" means the College's register that is available to the
public;
"QAC" means the Quality Assurance Committee of the College.
(2) I, Dr. Saraza, certificate of registration number 29199, am a member of
the College. I acknowledge that as a result of concerns regarding my
knowledge, skill and judgment, I signed an undertaking with the College
on October 24, 2016 (the "2016 Undertaking") by which I was to practise
under the guidance of a clinical supervisor pending my resignation from
the College on June 1, 2017. I understand and agree that the present
undertaking (the "2017 Undertaking") replaces the 2016 Undertaking and
that I will be released from the 2016 Undertaking effective the date I
sign and return to the College the 2017 Undertaking.
(3) I, Dr. Saraza, understand and agree that the 2017 Undertaking does not in
any way preclude any future assessment, including a peer and practice
assessment, of my practice under the College's quality assurance program.
B. UNDERTAKING
(4) I, Dr. Saraza, undertake to abide by the provisions of this Undertaking,
effective immediately.
(5) Practice Restrictions
(a) I, Dr. Saraza, undertake that I will cease to provide care or
treatment to any individual who is under the age of eighteen (18)
years.
(b) I, Dr. Saraza, undertake that I will cease to accept any new
patients or otherwise provide care or treatment to any individuals
other than those patients with whom I have an existing
doctor-patient relationship and who are part of my practice at the
time that I sign this 2017 Undertaking (my "Existing Patients").
(6) I, Dr. Saraza, undertake to inform the College of each and every location
that I practise or have privileges, including, but not limited to,
hospital(s), clinic(s) and office(s), in any jurisdiction (collectively
my "Practice Location(s)"), within five (5) days of executing this 2017
Undertaking. Going forward, I further undertake to inform the College of
any and all new Practice Locations within five (5) days of commencing
practice at that location.
(7) I, Dr. Saraza, undertake that I will submit to, and not interfere with,
unannounced inspections of my Practice Locations and patient charts by a
College representative for the purposes of monitoring my compliance with
the provisions of this Undertaking.
(8) I, Dr. Saraza, undertake to provide the College with the names and OHIP
numbers of all of my Existing Patients within five (5) days of executing
this 2017 Undertaking.
(9) I, Dr. Saraza, undertake to post a sign at each and every one of my
Practice Location(s), in the form at Appendix "A."
C. ACKNOWLEDGEMENT
(10) I, Dr. Saraza, acknowledge and undertake that I shall be solely
responsible for payment of all fees, costs, charges, expenses, etc.
arising from the implementation of any of the provisions of this
Undertaking.
(11) I, Dr. Saraza, acknowledge that I have read and understand the provisions
of this Undertaking and that I have obtained independent legal counsel in
reviewing and executing this Undertaking, or have waived my right to do
so.
(12) I, Dr. Saraza, acknowledge that the College will provide this Undertaking
to any Chief of Staff, Medical Director, or a colleague with similar
responsibilities, at any Practice Location ("Chief(s) of Staff").
(13) I, Dr. Saraza, acknowledge that a breach by me of any provision of this
Undertaking may constitute an act of professional misconduct and/or
incompetence, and may result in any one or more of the following:
consideration by the QAC, an investigation by the College, or further
action by the College, including a referral of specified allegations to
the Discipline Committee.
(14) I, Dr. Saraza, acknowledge that this Undertaking constitutes terms,
conditions, and limitations on my certificate of registration for the
purposes of section 23 of the Code.
(15) Public Register
(a) I, Dr. Saraza, acknowledge that, during the time period that this
Undertaking remains in effect, this Undertaking shall be posted on
the Public Register.
(b) I, Dr. Saraza, acknowledge that, in addition to this Undertaking
being posted in accordance with section (15)(a) above, the
following summary shall be posted on the Public Register during the
time period that this Undertaking remains in effect:
Concerns were identified with respect to Dr. Saraza's
knowledge, skill and judgment. As a result:
- Dr. Saraza will not provide care or treatment to any
individual who is under eighteen (18) years of age.
- Dr. Saraza will not accept any new patients or
otherwise provide care or treatment to any individuals
other than those patients with whom she had an existing
doctor-patient relationship on the date of her
undertaking to the College.
D. CONSENT
(16) I, Dr. Saraza, give my irrevocable consent to the College to make
appropriate enquiries of OHIP and/or any person who or institution that
may have relevant information, in order for the College to monitor my
compliance with the provisions of this Undertaking.
(17) I, Dr. Saraza, acknowledge that I have executed the OHIP consent form,
attached hereto as Appendix "B" and that the consent forms part of this
Undertaking.
(18) I, Dr. Saraza, give my irrevocable consent to the College to provide all
Chief(s) of Staff with any information arising from the monitoring of my
compliance with this Undertaking.
(19) I, Dr. Saraza, give my irrevocable consent to any Chief of Staff to
disclose to the College, and to one another, all information relevant to
this Undertaking and/or relevant for the purposes of monitoring my
compliance with this Undertaking.