As from October 24, 2018, the following is imposed as a term, condition and
limitation on the certificate of registration held by Dr. Ronald Bjorndahl
Sorensen, in accordance with an undertaking and consent given by Dr. Sorensen
to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. RONALD BJORNDAHL SORENSEN
("Dr. Sorensen")
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. Sorensen, certificate of registration number 30034, am a member of
the College.
(3) I, Dr. Sorensen, acknowledge that the College conducted an investigation
bearing File Number 7215506 into whether I engaged in professional
misconduct and/or am incompetent in my urology practice.
B. UNDERTAKING
(4) I, Dr. Sorensen, undertake to abide by the provisions of this
Undertaking, effective immediately.
(5) Clinical Supervision
(a) I, Dr. Sorensen, undertake to practise under the guidance of a
clinical supervisor or clinical supervisors acceptable to the
College (the "Clinical Supervisor" or "Clinical Supervisors"), for
twelve (12) months ("Clinical Supervision").
(b) I, Dr. Sorensen, 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) Pre-operatively review with me any cases in which I propose
to perform GreenLight Laser Prostatectomy, in order to
determine whether the procedure is in the Clinical
Supervisor's view warranted and, if so, provide approval to
me to proceed with the approved procedure, which approval
shall be noted in the patient chart and in the Log (define
below);
(ii) Observe me in the course of all GreenLight Laser
Prostatectomies which I perform;
(iii) Facilitate the education program set out in the
Individualized Education Plan ("IEP"), attached hereto as
Appendix "B";
(iv) Review the materials provided by the College and have an
initial meeting to discuss practice improvement
recommendations;
(v) Meet with me at my Practice Location, or another location
approved by the College, once every two (2) months;
(vi) Review at least ten (10) of my patient charts at every
meeting;
(vii) Discuss any concerns arising from the chart reviews,
observations, and pre-operative reviews;
(viii)Make recommendations to me for practice improvements and
ongoing professional development and inquire into my
compliance with the recommendations;
(ix) 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
(x) Submit written reports to the College at least once every two
(2) months, or more frequently if the Clinical Supervisor has
concerns about my standard of practice.
(c) I, Dr. Sorensen, 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", as well as
the areas of concern identified in the reports of the medical
inspector received on September 15, 2017, October 13, 2017, and
November 23, 2017, and concerns that may arise during the period of
Clinical Supervision.
(d) I, Dr. Sorensen, 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. Sorensen, undertake to ensure that Appendix "A" to this
Undertaking is signed and delivered to the College within thirty
(30) days of the date I sign this Undertaking.
(f) I, Dr. Sorensen, 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. Sorensen, 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. Sorensen, 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. Sorensen, undertake to participate in and successfully
complete all aspects of the detailed IEP, attached hereto as
Appendix "B", including review and preparation of a two to four
(2-4) page or approximately two thousand (2000) word summary of the
College's policies on consent and medical records, with reference
to current standards of practice, how they apply to my situation,
and how I have made or plan to make changes to my practice. I
undertake to submit these to the College within three months of the
date on which I sign this Undertaking
(7) Reassessment of Practice
(a) I, Dr. Sorensen, 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, 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 may include a chart review,
direct observation of my care, interviews with colleagues and
co-workers, feedback from patients and any other tools deemed
necessary by the College.
(b) I, Dr. Sorensen, undertake to co-operate fully with the
Reassessment, conducted under the term of this Undertaking.
(c) I, Dr. Sorensen, 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. Sorensen, 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. Sorensen, undertake to inform the College of each and every
location where 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. Sorensen, 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. Sorensen, 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. Sorensen, acknowledge that I have executed the OHIP consent
form, attached hereto as Appendix "C".
(e) I, Dr. Sorensen, undertake that during the course of Clinical
Supervision, I will maintain a log of GreenLight Laser
Prostatectomies (the "Log"), indicating the date and time when
approval was received or denied from my Clinical Supervisor to
perform the procedure, the date of the procedure if performed, and
patient identifying information.
(f) I, Dr. Sorensen, undertake to provide a copy of the Log to the
College once every two (2) months during the course of Clinical
Supervision, and to maintain the original Log for inspection by the
College and review by the Clinical Supervisor.
C. ACKNOWLEDGEMENT
(9) I, Dr. Sorensen, acknowledge that all appendices attached to or referred
to in this Undertaking form part of this Undertaking.
(10) I, Dr. Sorensen, 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. Sorensen, 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. Sorensen, 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. Sorensen, 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. Sorensen, 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. Sorensen, acknowledge that, during the time period that this
Undertaking remains in effect, this Undertaking shall be posted on
the Public Register.
(b) I, Dr. Sorensen, 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:
A College investigation was conducted into whether Dr. Sorensen
engaged in professional misconduct and/or is incompetent in the
practice of urology. As a result of the investigation:
Dr. Sorensen will practise under the guidance of a Clinical
Supervisor acceptable to the College for twelve months.
During Clinical Supervision, Dr. Sorensen will
pre-operatively review any cases where he proposes to perform
GreenLight Laser Prostatectomy with his Clinical Supervisor,
get approval from his Clinical Supervisor before performing
the procedure, and perform the procedure while observed by
the Clinical Supervisor.
Dr. Sorensen's practice will be reassessed by an assessor
selected by the College within six months of the end of the
period of Clinical Supervision.
(c) I, Dr. Sorensen, acknowledge that this Undertaking remains in
effect until the College determines its terms are satisfied.
D. CONSENT
(16) I, Dr. Sorensen, 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. Sorensen, 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. Sorensen, give my irrevocable consent to anyone who facilitates 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
believes indicates a potential risk of harm to my patients.