Kostovic, Biljana

 
As from February 20, 2019, the following are imposed as terms, conditions and
limitations on the certificate of registration held by Dr. Biljana Kostovic, in
accordance with an undertaking and consent given by Dr. Kostovic to the College
of Physicians and Surgeons of Ontario:

UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT 
("Undertaking")
                  
of
                  
DR. BILJANA KOSTOVIC
("Dr. Kostovic)
                  
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; 
                  
"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.  Kostovic,  certificate  of  registration   number  92720,  am  a
member  of  the College.  I acknowledge that the College  has concerns
with respect  to my care and treatment of patients  in my  Emergency
Medicine/ Urgent  Care  practice.    I  am  aware  of  the  College 's
concern  about protecting  the public.

B.    UNDERTAKING

(3)   I, Dr. Kostovic, undertake to abide by the provisions of this
Undertaking, effective upon the date this Undertaking is approved by the
QAC ("Effective Date").

(4)   Practice Restrictions

I, Dr. Kostovic,  undertake   that  I will  not practise  Emergency
Medicine/Urgent Care  in any jurisdiction until each and every one of the
following conditions have been met:
                  
                  
(a)   I provide a minimum of forty-five (45) days' notice to the College
 of my intent to return to the practice of Emergency Medicine/
Urgent Care;
                  
(b)   I   provide  the  College with proof that I am participating in a
program of continuing professional development that meets the
requirements for continuing professional development of the Royal
College  of Physicians  and Surgeons  of Canada,  the College  of
Family Physicians of Canada, or an organization  that has been
approved by the College for that purpose that meets the
requirements for continuing professional development set by the
Royal College of Physicians and Surgeons  of Canada or the College
of Family Physicians of Canada; and
                  
(c)   The College approves my return to the practice of Emergency
Medicine/Urgent Care.
                  
(5)   I , Dr. Kostovic, agree that if the College has approved  my return to
the practice of Emergency Medicine/Urgent   Care,  pursuant  to  the
terms  of  this  Undertaking,  I    will  participate  in  the education
and  remediation,  as set out  in the Individualized Education  Plan
(IEP) attached as Appendix "A" to this Undertaking.  I agree that this
will include obtaining and practising under a clinical supervisor
acceptable to the College for a period of at least twelve (12) months.  I
acknowledge  that  I   will  participate  in the education  and
remediation  set out  in the IEP if  I intend to return to an Emergency
Medicine/Urgent Care practice prior to May 2020.

(6)   I, Dr. Kostovic, agree that if I  intend to return to an Emergency
Medicine/Urgent Care practice after  May 2020,  I will apply  to the
College  under the  Policy  relating to changing  scope of practice
and/or  re-entry to practice that is in effect  at the time of my
application  (currently, Ensuring Competence:  Changing  Scope  of
Practice  and /or  Re-entering  Practice).  I further agree to abide by
all of the terms of any education program required by the College in
order to return to an Emergency Medicine/Urgent Care practice.

C.    ACKNOWLEDGEMENTS

(7)   I, Dr. Kostovic, acknowledge and agree that I practise in Interventional
Pain Management. I further acknowledge that I am bound by the College's
Policy entitled Ensuring Competence: Changing Scope of Practice and /or
Re-entering Practice.

(8)   I, Dr. Kostovic, acknowledge that all appendices attached to or referred
to in this Undertaking form part of this Undertaking.

(9)   I, Dr.  Kostovic,  acknowledge that  in  considering my  request  to
return  to  the  practice  of Emergency Medicine/Urgent Care, the College
may, among other things:

(a)   request that I agree to specified terms, conditions  or limitations
being placed upon my certificate of registration; and
                  
(b)   request that I  enter into an appropriate assessment and /or
monitoring agreement with the College.
                  
(10)  I, Dr. Kostovic, 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.  Kostovic,   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.  Kostovic,  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 of the College.

(13)  I, Dr. Kostovic, acknowledge that this Undertaking constitutes terms,
 conditions, and limitations on my certificate of registration for the
 purposes of section 23 of the Code. 

(14)  Public Register

(a)   I, Dr. Kostovic, acknowledge that, during the time period that this
Undertaking remains in effect, this Undertaking shall  be posted on
the Public Register.
                  
(b)   I, Dr.  Kostovic,   acknowledge that,  in  addition   to  this
Undertaking  being  posted  in accordance with  subsection 14(a)
above,  the following summary shall  be posted on the Public
Register  during  the time period that this Undertaking remains  in
effect:
                  
Dr.  Kostovic has ceased to practise Emergency Medicine and
Urgent Care in all jurisdictions.
                  
D.    CONSENT

(15)  I, Dr.  Kostovic,  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.

(16)  I, Dr.  Kostovic, acknowledge that I have executed the OHIP consent form,
attached hereto as Appendix "B" and that the consent forms part of this
Undertaking.