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Engle, Fredric Melvin

CPSO#: 25686

MEMBER STATUS
Active Member as of 20 Jun 1973
CPSO REGISTRATION CLASS
Restricted as of 08 Oct 2019

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education:University of Alberta, 1969

Practice Information

Primary Location of Practice
Suite 3-335
700 University Avenue
Toronto ON  M5G 1Z5
Phone: (416) 586-5252
Fax: (416) 586-8612 Electoral District: 10

Hospital Privileges

Hospital Location
Mount Sinai Hospital Toronto
University Health Network,Toronto General Hospital Site Toronto
Women's College Hospital Toronto

Specialties

Specialty Issued On Type
Obstetrics and Gynecology Effective:01 Jan 1974 RCPSC Specialist

Registration History

Action Issue Date
First certificate of registration issued: Independent Practice Certificate Effective: 20 Jun 1973
Transfer of class of certificate to: Restricted certificate Effective: 08 Oct 2019
Terms and conditions imposed on certificate by member Effective: 08 Oct 2019

Practice Restrictions

Imposed By Effective Date Expiry Date Status
member Effective: 08 Oct 2019 Active
             As from October 8, 2019, the following are imposed as terms, conditions and
            limitations on the certificate of registration held by Dr. Fredric Melvin
            Engle, in accordance with an undertaking and consent given by Dr. Engle to the
            College of Physicians and Surgeons of Ontario:

                        UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
                                          ("Undertaking") 
                  
                                                of
                  
                                    DR. FREDRIC MELVIN ENGLE
                                          ("Dr. Engle") 
                  
                                                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;
                  
                  "ICR Committee" means the Inquiries, Complaints and Reports Committee of
                  the College; "OHIP" means the Ontario Health Insurance Plan;
                  
                  "Public Register" means the College's register that is available to the
                  public.
                  
            (2)   I, Dr. Engle, certificate of registration number 25686, am a member of
                  the College.

            (3)   I, Dr. Engle, acknowledge that following a public complaint, the College
                  conducted an investigation bearing File Number 1108172 (the
                  "Investigation") into my obstetrics and gynecology practice.

            B.    UNDERTAKING

            (4)   I, Dr. Engle, undertake to abide by the provisions of this Undertaking,
                  effective immediately.

            (5)   Clinical Supervision

                  (a)   I, Dr. Engle, undertake to practise under the guidance of a
                        clinical supervisor or clinical supervisors acceptable to the
                        College (the "Clinical Supervisor" or "Clinical Supervisors"), for
                        three (3) months ("Clinical Supervision").
                  
                  (b)   I, Dr. Engle, acknowledge that I have reviewed the Clinical
                        Supervisor's undertaking, attached hereto as Appendix "A", and
                        understand what is required of the Clinical Supervisor. The
                        Clinical Supervisor will, at minimum:

                        (i)   Facilitate the education program set out in the
                              Individualized Education Plan ("IEP"), attached hereto as
                              Appendix "B";
                  
                        (ii)  Review the materials provided by the College and have an
                              initial meeting to discuss the objectives for the Clinical
                              Supervision and practice improvement recommendations;
                  
                        (iii) Meet with me at my Practice Location, or another location
                              approved by the College, once every month;
                  
                        (iv)  Review at least fifteen (15) of my patient charts at every
                              meeting;
                  
                        (v)   Discuss any concerns arising from the chart reviews;
                  
                        (vi)  Make recommendations to me for practice improvements and
                              ongoing professional development and inquire into my
                              compliance with the recommendations;
                  
                        (vii) Perform any other duties, such as reviewing other documents
                              or conducting interviews with staff or colleagues, that the
                              Clinical Supervisor deems necessary to my Clinical
                              Supervision; and
                  
                        (viii)Submit one (1) written report to the College at the end of
                              three (3) months, or more frequently if the Clinical
                              Supervisor has concerns about my standard of practice.
                  
                  (c)   I, Dr. Engle, acknowledge that the charts reviewed shall be
                        selected by the Clinical Supervisor based on the educational needs
                        identified in the IEP, attached hereto as Appendix "B", and
                        concerns that may arise during the period of Clinical Supervision.
                  
                  (d)   I, Dr. Engle, undertake to cooperate fully with the Clinical
                        Supervision of my practice, conducted under the term of this
                        Undertaking and Appendix "A" to this Undertaking, and to abide by
                        the recommendations of my Clinical Supervisor, including but not
                        limited to, any recommended practice improvements and ongoing
                        professional development.
                  
                  (e)   I, Dr. Engle, undertake to ensure that Appendix "A" to this
                        Undertaking is signed and delivered to the College within thirty
                        (30) days of the date I execute this Undertaking.
                  
                  (f)   I, Dr. Engle, undertake that if a person who has given an
                        undertaking in Appendix "A" to this Undertaking is unable or
                        unwilling to continue to fulfill its provisions, I shall, within
                        twenty (20) days of receiving notice of same, obtain an executed
                        undertaking in the same form from a similarly qualified person who
                        is acceptable to the College and ensure that it is delivered to the
                        College within that time.

                  (g)   I, Dr. Engle, undertake that if I am unable to obtain a Clinical
                        Supervisor on the provisions set out under sections (5)(e) and/or
                        (f) above, I will cease practising medicine until such time as I
                        have obtained a Clinical Supervisor acceptable to the College.
                  
                  (h)   I, Dr. Engle, acknowledge that if I am required to cease practise
                        as a result of section (5)(g) above this will constitute a term,
                        condition or limitation on my certificate of registration and that
                        term, condition or limitation will be included on the public
                        register.
                  
            (6)   Professional Education

                  (a)   I, Dr. Engle, undertake to participate in and successfully complete
                        all aspects of the detailed IEP, attached hereto as Appendix "B",
                        including all of the following professional education (the
                        "Professional Education"):
                  
                        (i)   University of Toronto Medical Record Keeping Course;
                  
                        (ii)  Workshop: Test Results Follow-Up (CMPA);
                  
                        (iii) Review and reflection of the CPSO Medical Records Policy;
                  
                        (iv)  Review, reflection and written summary of:
                  
                              1.    CPSO Test Results Management Policy;
                  
                              2.    Ontario Cervical Screening Guidelines; and
                  
                        (v)   any additional professional education recommended by my
                              Clinical Supervisor.
                  
                  (b)   I, Dr. Engle, undertake to provide proof to the College of my
                        successful completion of the Professional Education, including
                        proof of registration and attendance and participant assessment
                        reports, within one (1) month of completing it. I acknowledge that
                        the College will determine, in its sole discretion, whether I have
                        successfully completed the Professional Education.
                  
                  (c)   I, Dr. Engle, undertake to complete the course requirement by the
                        first possible opportunity and the self-study component within
                        three (3) months of the date I sign this Undertaking.
                  
                  (d)   I, Dr. Engle, acknowledge that a report or reports may be provided
                        to the College regarding my progress and compliance with the
                        Professional Education.
                  
            (7)   Reassessment of Practice

                  (a)   I, Dr. Engle, undertake that, approximately six (6) months after
                        the completion of the Clinical Supervision set out in section (5)
                        above and Appendix "A" to this Undertaking, and the completion of
                        the Professional Education set out in   section (6) above, I will
                        submit to a reassessment of my practice ("the Reassessment") by an
                        assessor or assessors selected by the College (the "Assessor" or
                        "Assessors"). I acknowledge that the Reassessment shall include a
                        chart review of a minimum of 15 charts and may include an interview
                        with me and/or any other tools deemed necessary by the College.
                  (b)   I, Dr. Engle, undertake to co-operate fully with the Reassessment,
                        conducted under the term of this Undertaking.
                  
                  (c)   I, Dr. Engle, acknowledge that my Clinical Supervisor may receive
                        and review the findings of the Assessor, and may discuss with the
                        Assessor any issues or concerns arising from the Reassessment.
                  
                  (d)   I, Dr. Engle, acknowledge that the results of the Reassessment will
                        be provided to me and reported to the College and the Reassessment
                        may form the basis of further action by the College.
                  
            (8)   Monitoring

                  (a)   I, Dr. Engle, undertake to inform the College of each and every
                        location at which I practise or have privileges, including, but not
                        limited to, any hospitals, clinics, offices, and any Independent
                        Health Facilities with which I am affiliated, in any jurisdiction
                        (collectively my "Practice Location" or "Practice Locations"),
                        within five (5) days of executing this 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.
                  
                  (b)   I, Dr. Engle, undertake that I will submit to, and not interfere
                        with, unannounced inspections of my Practice Locations and patient
                        records by a College representative for the purposes of monitoring
                        my compliance with the provisions of this Undertaking.
                  
                  (c)   I, Dr. Engle, 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.
                  
                  (d)   I, Dr. Engle, acknowledge that I have executed the OHIP consent
                        form, attached hereto as Appendix "C".
                  
            C.    ACKNOWLEDGEMENT

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

            (10)  I, Dr. Engle, 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. Engle, 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. Engle, acknowledge that the College will provide this Undertaking
                  to any Chief of Staff, or a colleague with similar responsibilities, at
                  any Practice Location ("Chief of Staff" or "Chiefs of Staff").

            (13)  I, Dr. Engle, 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 a referral of specified allegations to
                  the Discipline Committee of the College.

            (14)  I, Dr. Engle, 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. Engle, acknowledge that, during the time period that this
                        Undertaking remains in effect, this Undertaking shall be posted on
                        the Public Register.
                  
                  (b)   I, Dr. Engle, 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:
                  
                              Following a public complaint, a College investigation was
                              conducted into Dr. Engle's obstetrics and gynecology
                              practice. As a result of the investigation:
                  
                              Dr. Engle will practise under the guidance of a Clinical
                              Supervisor acceptable to the College for 3 months.
                  
                              Dr. Engle will engage in professional education in medical
                              record keeping, test results management, and cervical
                              screening guidelines.
                  
                              Dr. Engle's practice will be reassessed by an assessor
                              selected by the College within 6 months of the end of the
                              period of Clinical Supervision and Professional Education.
                  
                  (c)   I, Dr. Engle, acknowledge that this Undertaking remains in effect
                        until the College determines its terms are satisfied.

            D.    CONSENT

            (16)  I, Dr. Engle, give my irrevocable consent to the College to provide the
                  following information to any person who requires this information for the
                  purposes of facilitating my completion of the Professional Education and
                  to all Clinical Supervisors, and/or Assessors:

                  (a)   any information the College has that led to the circumstances of my
                        entering into this Undertaking;
                  
                  (b)   any information arising from any investigation into, or assessment
                        of, my practice; and
                  
                  (c)   any information arising from the monitoring of my compliance with
                        this Undertaking.
                  
            (17)  I, Dr. Engle, give my irrevocable consent to the College to provide all
                  Chiefs of Staff with any information the College has that led to the
                  circumstances of my entering into this Undertaking and/or any information
                  arising from the monitoring of my compliance with this Undertaking.

            (18)  I, Dr. Engle, give my irrevocable consent to any persons who facilitate
                  my completion of the Professional Education, and to all Clinical
                  Supervisors, Chiefs of Staff and Assessors, to disclose to the College,
                  and to one another, any of the following:

                  (a)   any information relevant to this Undertaking;
                  
                  (b)   any information relevant to the provisions of the Clinical
                        Supervisor's undertaking set out at Appendix "A" to this
                        Undertaking;
                  
                  (c)   any information relevant to the Reassessment;
                  
                  (d)   any information relevant for the purposes of monitoring my
                        compliance with this Undertaking; and/or
                  
                  (e)   any information which comes to their attention in the course of
                        providing the Professional Education and which they reasonably
                        believe indicates a potential risk of harm to my patients.

Concerns

Source: Member
Active Date: October 8, 2019
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Fredric Melvin Engle to the College of Physicians and Surgeons of Ontario, effective October 8, 2019:

Following a public complaint, a College investigation was conducted into Dr. Engle’s obstetrics and gynecology practice. As a result of the investigation:

Dr. Engle will practise under the guidance of a Clinical Supervisor acceptable to the College for 3 months.

Dr. Engle will engage in professional education in medical record keeping, test results management, and cervical screening guidelines.

Dr. Engle’s practice will be reassessed by an assessor selected by the College within 6 months of the end of the period of Clinical Supervision and Professional Education.