CPSO - Doctor Details

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: McGill University Faculty of Medicine an, 1991

Practice Information

Primary Location of Practice

Practice Address Not Available

Professional Corporation Information

Corporation Name: Dr. Jeffrey R.H. Matheson Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Dec 21 2005

Shareholders:
Dr. J. Matheson ( CPSO# 63625 )

Business Address:
1st Floor
555 Kingston Road West
Ajax ON L1S 6M1
Phone Number: (905) 477-4677

Specialties

Specialty	Issued On	Type
No Speciality Reported

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 15 Jun 1991
Expired: Terms and conditions of certificate of registration	Expiry: 14 Jun 1992
Subsequent certificate of registration Issued: Independent Practice Certificate	Effective: 19 Jun 1992
Transfer of class of certificate to: Restricted certificate	Effective: 28 May 2015
Terms and conditions imposed on certificate by member	Effective: 28 May 2015
Terms and conditions amended by member	Effective: 16 Feb 2016
Terms and conditions amended by Discipline Committee	Effective: 01 May 2017
Terms and conditions amended by Discipline Committee	Effective: 01 May 2017
Suspension of registration removed	Effective: 01 Sep 2017
Terms and conditions amended by member	Effective: 11 Aug 2020
Suspension of registration imposed: Inquiries, Complaints and Reports Committee	Effective: 28 Apr 2021
Suspension of registration imposed: Discipline Committee	Effective: 14 Jun 2022
Suspension of registration removed	Effective: 14 Mar 2023

Practice Restrictions

Imposed By	Effective Date	Expiry Date	Status
Discipline Committee	Effective: 14 Mar 2023		Active

 (1 of 3)

As from June 14, 2022 by order of the Ontario Physicians and Surgeons Discipline Tribunal, the following terms, conditions and limitations are imposed on the certificate of registration held by Dr. Jeffrey Rice Holmes Matheson: 

a. Dr. Matheson shall not communicate to his patients advice or recommendations that are contrary to directives and/or guidelines issued by the provincial government or public health authorities regarding public health measures related to COVID-19.

(2 of 3)

As from August 11, 2020, the following terms, conditions and limitations are
imposed on the certificate of registration held by Dr. Jeffrey Rice Holmes
Matheson, in accordance with an undertaking and consent Dr. Matheson has given
to the College of Physicians and Surgeons of Ontario:

UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")

of

DR. JEFFREY RICE HOLMES MATHESON 
("Dr. Matheson")

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 the Discipline Committee of the College;
                  
"NMS" means the Drug Program Services Branch, the Narcotics Monitoring
 System implemented under the Narcotics Safety and Awareness Act, 2010;
                  
"OHIP" means the Ontario Health Insurance Plan;
                  
"Public Register" means the College's register that is available to the
public.
                  
(2)   I, Dr. Matheson certificate of registration number 63625, am a member of
the College.  

(3)   I, Dr. Matheson acknowledge that the College conducted an investigation
bearing File Number 1104153 (the "Investigation") into whether I engaged
in professional misconduct and/or am incompetent in my
complementary/alternative medicine practice.

(4)   I, Dr. Matheson acknowledge that, after the College receives an original
copy of this Undertaking as signed by me, no further action will be taken
on the Investigation. 

B.    UNDERTAKING

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

(6)   Practice Restriction

(a)   I, Dr. Matheson undertake that I shall not prescribe any
complementary/alternative medications or treatments on the basis of
an assessment performed by someone else that was conducted outside
of the province of Ontario.
                  
(7)   Monitoring 

(a)   I, Dr. Matheson 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. Matheson 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.
                  
(c)   I, Dr. Matheson give my irrevocable consent to the College to make
appropriate enquiries of OHIP, NMS 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. Matheson acknowledge that I have executed the OHIP and NMS
 consent forms, attached hereto as Appendix "A" and Appendix "B",
respectively.
                  
C.    ACKNOWLEDGEMENT

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

(9)   I, Dr. Matheson 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. 

(10)  I, Dr. Matheson 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.

(11)  I, Dr. Matheson 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").

(12)  I, Dr. Matheson 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.

(13)  I, Dr. Matheson 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. Matheson acknowledge that, during the time period that this
Undertaking remains in effect, this Undertaking shall be posted on
the Public Register.
                  
(b)   I, Dr. Matheson acknowledge that, in addition to this Undertaking
being posted in accordance with section (14)(a) above, the
following summary shall be posted on the Public Register during the
time period that this Undertaking remains in effect:
                  
A College investigation was conducted into whether Dr. Matheson
engaged in professional misconduct and/or was incompetent in the
practice of complementary/alternative medicine. As a result of the
investigation, Dr. Matheson must not prescribe
complementary/alternative medications or treatments to patients on
the basis of an assessment conducted by someone else outside the
province of Ontario.
                  
D.    CONSENT

(15)  I, Dr. Matheson 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.

(3 of 3)

As from 12:01 a.m., May 1, 2017, by order of the Discipline Committee of the
College of Physicians and Surgeons of Ontario, the following term, condition
and limitation is imposed on the certificate of registration held by Dr.
Jeffrey Rice Holmes Matheson:

Prescribing Privileges 

(1)   Dr. Matheson shall not issue new prescriptions or renew existing
prescriptions for any of the following substances:

(a)   Narcotic Drugs (from the Narcotic Control Regulations made under
the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
                  
(b)   Narcotic Preparations (from the Narcotic Control Regulations made
under the Controlled Drugs and Substances Act, S.C., 1996, c. 19); 
                  
(c)   Controlled Drugs (from Part G of the Food and Drug Regulations
 under the Food and Drugs Act, S.C., 1985, c. F-27); 
                  
(d)   Benzodiazepines and Other Targeted Substances (from the
Benzodiazepines and Other Targeted Substances Regulations made
under the Controlled Drugs and Substances Act., S.C., 1996, c. 19);
or (A summary of the above-named drugs [from Appendix I to the
Compendium of Pharmaceuticals and Specialties] is attached hereto
as Schedule "A"; and the current regulatory lists are attached
hereto as Schedule "B"); and
                  
(e)   All other Monitored Drugs (as defined under the Narcotics Safety
and Awareness Act, 2010, S.O. 2010, c. 22 as noted in Schedule
"C"); and as amended from time to time.
                  
Posting a Sign     

(2)   Dr. Matheson shall post a sign in the waiting room(s) of his office, in a
clearly visible and secure location, in the form set out at Schedule "D".

For further clarity, this sign shall state as follows: "Dr. Matheson
shall not prescribe Narcotic Drugs, Narcotic Preparations, Controlled
Drugs, Benzodiazepines and Other Targeted Substances, or any other
Monitored Drugs. Further information may be found on the College of
Physicians and Surgeons of Ontario website at www.cpso.on.ca". 

(3)   Dr. Matheson shall post a certified translation in any language in which
he provides services, of the sign described in paragraph 5.(2) above, in
the waiting room(s) of his office.

(4)   Dr. Matheson shall provide the certified translation(s) described in
paragraph 5.(3), to the College within thirty (30) days of this Order. 

(5)   Should Dr. Matheson elect to provide services in any other language(s),
he must notify the College prior to providing any such services. 

(6)   Dr. Matheson shall provide to the College the certified translation(s)
described in paragraph 5.(4) prior to beginning to provide services in
the language(s) described in paragraph 5.(5). 

Coursework

(7)  At his own expense, Dr. Matheson shall participate in and successfully
complete, within 6 months of the date of this Order, the following
programs: 

a)    Medical Record Keeping;
                  
b)    Opioid Prescribing; and
                  
c)    Individualized instruction in medical ethics satisfactory to the
College, with an instructor selected by the College.
                  
Compliance

(8)   Dr. Matheson must inform the College of each and every location that he
practises or has privileges, including, but not limited to, hospital(s),
clinic(s) and office(s), in any jurisdiction (collectively the "Practice
Location(s)"), within five (5) days of commencing practice at that
location.

(9)   Dr. Matheson shall be solely responsible for payment of all fees, costs,
charges, expenses, etc. arising from the implementation of any of the
terms of this Order. 

(10)  Dr. Matheson shall co-operate with unannounced inspections of his
Practice Location(s) and patient charts by the College and to any other
activity the College deems necessary in order to monitor his compliance
with the terms of this Order. 

(11)  Dr. Matheson shall provide his irrevocable consent to the College to make
appropriate enquiries of the Ontario Health Insurance Plan ("OHIP"), the
Drug Program Services Branch, the Narcotics Monitoring System ("NMS")
implemented under the Narcotics Safety and Awareness Act, 2010 and any
person or institution that may have relevant information, in order for
the College to monitor his compliance with the terms of this Order. 

(12)  Dr. Matheson acknowledges that the College may provide this Order to any
Chief(s) of Staff, or a colleague with similar responsibilities, at any
Practice Location where he practices or has privileges ("Chief(s) of
Staff"), or other person or individual as necessary for the
implementation of this Order and shall consent to the College providing
to said Chief(s) of Staff, person or organization with any information
the College has that led to this Order and/or any information arising
from the monitoring of his compliance with this Order.

Previous Hearings

Committee: Ontario Physicians and Surgeons Discipline Tribunal
Decision Date: 14 Jun 2022
Summary:

The Ontario Physicians and Surgeons Discipline Tribunal found that Dr. Matheson contravened a term, condition or limitation on his certificate of registration and engaged in disgraceful, dishonourable or unprofessional conduct. He did so by breaching his undertaking to the College, signed March 3, 2021, that he would wear a surgical mask during all in-person encounters and require his staff to do the same while at work; failing to abide by COVID-19 public health directives about mask wearing; and giving patients information on COVID-19 that was inconsistent with public health and College directives.

The Tribunal ordered that:

Dr. Matheson attend before the panel to be reprimanded;
the Registrar suspend Dr. Matheson’s certificate of registration for nine months commencing immediately;
the Registrar place the following terms, conditions and limitations on Dr. Matheson’s certificate of registration effective immediately:

i. Dr. Matheson shall not communicate to his patients advice or recommendations that are contrary to directives and/or guidelines issued by the provincial government or public health authorities regarding public health measures related to COVID-19.

Dr. Matheson pay the College costs in the amount of $6,000.00 by July 14, 2022.

More detail can be found in the reasons for decision linked below. The exhibits, including the Agreed Statement of Facts, can be obtained by contacting the Tribunal Office at [email protected].

Decision: Download Full Decision (PDF)
Hearing Date(s): 2022-06-14

Committee: Discipline
Decision Date: 01 May 2017
Summary:

On May 1, 2017, the Discipline Committee found that Dr. Jeffrey Rice Holmes Matheson committed an act of professional misconduct in that he has failed to maintain the standard of practice of the profession and in that he has engaged in an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable, or unprofessional.

Dr. Matheson is a family physician practising in Ajax. Beginning in 2002, Dr. Matheson developed a specialty in Chronic Pain Management.

PRESCIBING PRACTICES

During the period from July, 2013 to October, 2014, the College received four telephone calls from four pharmacists raising concerns about Dr. Matheson’s prescribing practices.

The College retained an expert to review Dr. Matheson’s opioid prescribing. The expert concluded that Dr. Matheson did not meet the expected standard of practice as outlined in the Canadian Guidelines either at the level of primary care physicians, or at a reasonably higher standard of physicians, like Dr. Matheson, holding themselves out as a specialist in the field. The experts concerns included that:
- Dr. Matheson consistently demonstrated a lack of understanding of the expectations outlined in the Canadian guidelines with respect to instituting opioid therapy, following up, changing from one opioid to another and the medical implications of high-dose opioids.
- Dr. Matheson consistently demonstrated an almost cavalier approach to switching opioids, most often increasing the total daily morphine equivalent, by as much as 30% rather than allowing for incomplete tolerance and decreasing by 30 – 50%, all the time with no documentation of discussion around the driving or fall risk.
- Dr. Matheson’s greatest failure of judgment is perhaps his complete lack of adherence to and recognition of the importance of the fundamental importance of the Canadian guidelines to an opioid practice. That he would initiate a specialty pain practice in October 2013, 3 years after the Canadian guidelines were published in large volumes without adequately tracing this process, all shows a significant lack of judgment to the point of negligence causing harm.
- Dr. Matheson’s prescribing of opioids and failure to follow any standards of care beyond opioid agreements is nothing short of reckless…there is a risk to both his clients health and that of the public at large.

As a result of concerns raised by the College and its expert during the investigation, Dr.Matheson voluntarily ceased prescribing narcotics and controlled substances on March 16, 2015.On May 28, 2015, Dr. Matheson signed a formal interim undertaking to cease prescribing narcotics and controlled substances.

OUT OF HOSPITAL PREMISES

Dr. Matheson was a medical director of premises that were subject to the inspection / assessment regime at the College under regulation. Pursuant to the regulation, no person may perform procedures as defined in the regulation, in premises, unless the College “passes” the premises or passes it with conditions that allow procedures to be performed.

On September 9, 2014, the College’s Out of Hospital Premises Inspection Program received notice that Dr. Matheson’s premises was intending to move in December 2014 and advised Dr.Matheson that the premises must be assessed prior to becoming operational.

The new premises were inspected on February 2, 2015. Dr. Matheson was provided with the Inspection Assessment Report, which noted some deficiencies, and was asked twice to submit feedback for consideration by the Premises Inspection Committee. Although Dr. Matheson was given deadlines on both of those occasions, he did not respond.

On June 11, 2015, Dr. Matheson’s premises were subject to an unannounced visit by the Premises Inspection Program. During the inspection, Dr. Matheson acknowledged that he had been performing “Level 2” procedures at the premises since February.

On June 19, 2015, Dr. Matheson’s premises received a grade of “Fail”. The Premises Inspection Committee informed Dr. Matheson of its concern that there was a risk to patient health and safety as Dr. Matheson performed procedures at this premises without the approval of the Committee. The Committee further informed Dr. Matheson that he failed, by act or omission, to comply with any duty or requirement under the regulation.

On May 1, 2017, the Discipline Committee ordered and directed on the matter of penalty and costs that:
- the Registrar suspend Dr. Matheson’s certificate of registration for four (4) months commencing May 1, 2017;
- Dr. Matheson appear before the panel to be reprimanded;
- the Registrar impose the following terms, conditions and limitations on Dr. Matheson’s Certificate of Registration:

Prescribing Privileges
(1) Dr. Matheson shall not issue new prescriptions or renew existing prescriptions for any of the following substances:
(a) Narcotic Drugs (from the Narcotic Control Regulations made under the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
(b) Narcotic Preparations (from the Narcotic Control Regulations made under the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
(c) Controlled Drugs (from Part G of the Food and Drug Regulations under the Food and Drugs Act, S.C., 1985, c. F-27);
(d) Benzodiazepines and Other Targeted Substances (from the Benzodiazepines and Other Targeted Substances Regulations made under
the Controlled Drugs and Substances Act., S.C., 1996, c. 19); or (A summary of the above-named drugs [from Appendix I to the Compendium of Pharmaceuticals and Specialties] is attached hereto as Schedule “A”; and the current regulatory lists are attached hereto as Schedule “B”); and
(e) All other Monitored Drugs (as defined under the Narcotics Safety and Awareness Act, 2010, S.O. 2010, c. 22 as noted in Schedule “C”); and as amended from time to time.
Posting a Sign
(2) Dr. Matheson shall post a sign in the waiting room(s) of his office, in a clearly visible and secure location, in the form set out at Schedule “D”. For further clarity, this sign shall state as follows: "Dr. Matheson shall not prescribe Narcotic Drugs, Narcotic Preparations, Controlled Drugs, Benzodiazepines and Other Targeted Substances, or any other Monitored Drugs. Further information may be found on the College of Physicians and Surgeons of Ontario website at www.cpso.on.ca".
(3) Dr. Matheson shall post a certified translation in any language in which he provides services, of the sign described in paragraph 5.(2) above, in the waiting room(s) of his office.
(4) Dr. Matheson shall provide the certified translation(s) described in paragraph 5.(3), to the College within thirty (30) days of this Order.
(5) Should Dr. Matheson elect to provide services in any other language(s), he must notify the College prior to providing any such services.
(6) Dr. Matheson shall provide to the College the certified translation(s) described in paragraph 5.(4) prior to beginning to provide services in the language(s) described in paragraph 5.(5).
Coursework
(7) At his own expense, Dr. Matheson shall participate in and successfully complete, within 6 months of the date of this Order, the following programs:
a) Medical Record Keeping;
b) Opioid Prescribing; and
c) Individualized instruction in medical ethics satisfactory to the College, with an instructor selected by the College.
Compliance
(8) Dr. Matheson must inform the College of each and every location that he practises or has privileges, including, but not limited to, hospital(s), clinic(s) and office(s),in any jurisdiction (collectively the "Practice Location(s)"), within five (5) days of commencing practice at that location.
(9) Dr. Matheson shall be solely responsible for payment of all fees, costs, charges, expenses, etc. arising from the implementation of any of the terms of this Order.
(10) Dr. Matheson shall co-operate with unannounced inspections of his Practice Location(s) and patient charts by the College and to any other activity the College deems necessary in order to monitor his compliance with the terms of this Order.
(11) Dr. Matheson shall provide his irrevocable consent to the College to make appropriate enquiries of the Ontario Health Insurance Plan ("OHIP"), the Drug Program Services Branch, the Narcotics Monitoring System ("NMS") implemented under the Narcotics Safety and Awareness Act, 2010 and any person or institution that may have relevant information, in order for the College to monitor his compliance with the terms of this Order.
(12) Dr. Matheson acknowledges that the College may provide this Order to any Chief(s) of Staff, or a colleague with similar responsibilities, at any Practice Location where he practices or has privileges ("Chief(s) of Staff"), or other person or individual as necessary for the implementation of this Order and shall consent to the College providing to said Chief(s) of Staff, person or organization with any information the College has that led to this Order and/or any information arising from the monitoring of his compliance with this Order.
- Dr. Matheson pay costs to the College in the amount of $6,663.60 within thirty (30) days of the date this Order becomes final.

Decision: Download Full Decision (PDF)
Hearing Date(s): Hearing: May 1, 2017

Concerns

Source: Member
Active Date: August 11, 2020
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Jeffrey Rice Holmes Matheson to the College of Physicians and Surgeons of Ontario, effective August 11, 2020:

A College investigation was conducted into whether Dr. Matheson engaged in professional misconduct and/or was incompetent in the practice of complementary/alternative medicine. As a result of the investigation, Dr. Matheson must not prescribe complementary/alternative medications or treatments to patients on the basis of an assessment conducted by someone else outside the province of Ontario.

Source: Inquiries, Complaints and Reports Committee
Active Date: November 20, 2019
Expiry Date:
Summary:
Caution-in-Person:

A summary of a decision of the Inquiries, Complaints and Reports Committee in which the disposition includes a "caution-in-person" is required by the College by-laws to be posted on the register, along with a note if the decision has been appealed. A “caution-in-person” disposition requires the physician to attend at the College and be verbally cautioned by a panel of the Committee. The summary will be removed from the register if the decision is overturned on appeal or review. Note that this requirement only applies to decisions arising out of a complaint dated on or after January 1, 2015 or if there was no complaint, the first appointment of investigators dated on or after January 1, 2015.
Download Full Document (PDF)

Source: Inquiries, Complaints and Reports Committee
Active Date: December 5, 2018
Expiry Date:
Summary:
Caution-in-Person:

A summary of a decision of the Inquiries, Complaints and Reports Committee in which the disposition includes a "caution-in-person" is required by the College by-laws to be posted on the register, along with a note if the decision has been appealed. A “caution-in-person” disposition requires the physician to attend at the College and be verbally cautioned by a panel of the Committee. The summary will be removed from the register if the decision is overturned on appeal or review. Note that this requirement only applies to decisions arising out of a complaint dated on or after January 1, 2015 or if there was no complaint, the first appointment of investigators dated on or after January 1, 2015.

See PDF for the summary of a decision made against this member in which the disposition includes a caution-in-person.
Download Full Document (PDF)

Source: Member
Active Date: February 16, 2016
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Jeffrey Rice Holmes Matheson to the College of Physicians and Surgeons of Ontario, effective February 16, 2016:

Dr. Matheson is the subject of a referral to the Discipline Committee into allegations that he has failed to maintain the standard of practice, is incompetent and has engaged in disgraceful, dishonourable or unprofessional conduct in his pain management practice. As a result of the referral:

•Dr. Matheson must co-operate with unannounced inspections of his practice to ensure compliance with the out of hospital premises regulation and with his previous undertaking not to prescribe narcotics or controlled drugs, which remains in full force and effect.

Matheson, Jeffrey Rice Holmes

CPSO#: 63625