(1 of 2)
As from May 31, 2020, the following terms, conditions and limitations are
imposed on the certificate of registration held by Dr. Mathura Pandian
Ravindran, in accordance with an undertaking and consent Dr. Ravindran has
given to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. MATHURA PANDIAN RAVINDRAN
("Dr. Ravindran")
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.
(2) I, Dr. Ravindran, certificate of registration number 92043, am a member
of the College.
(3) I, Dr. Ravindran, acknowledge that I was the subject of a public
complaint and underwent remediation and a reassessment of my practice.
Following the reassessment, I entered into an undertaking dated October
4, 2018 (the "October 4, 2018 Undertaking") to engage in further
remediation and another reassessment. The reassessment report
subsequently received by the College raised concerns about my standard of
practice in family medicine.
(4) I, Dr. Ravindran, acknowledge that I will continue to be bound by the
October 4, 2018 Undertaking after I sign this Undertaking.
B. UNDERTAKING
(5) I, Dr. Ravindran, undertake to abide by the provisions of this
Undertaking, effective immediately.
(6) Clinical Supervision
(a) I, Dr. Ravindran, undertake to practise under the guidance of a
clinical supervisor or clinical supervisors acceptable to the
College (the "Clinical Supervisor" or "Clinical Supervisors"), for
at least seven (7) months ("Clinical Supervision").
(b) I, Dr. Ravindran, 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 week for a minimum of
four (4) weeks ("High Level"). I, Dr. Ravindran, acknowledge
that I will be the most responsible physician during the
period of High Level Clinical Supervision;
(iv) After a minimum of four (4) weeks of High Level Clinical
Supervision, if my Clinical Supervisor recommends and the
College approves a reduction in the level of supervision, my
Clinical Supervisor will meet with me at my Practice
Location, or another location approved by the College, once
every two weeks for a minimum of three (3) months ("Moderate
Level");
(v) After a minimum of three (3) months of Moderate Level
Clinical Supervision, if my Clinical Supervisor recommends
and the College approves a reduction in the level of
supervision, my Clinical Supervisor will meet with me at my
Practice Location, or another location approved by the
College, once every month for a further three (3) months
("Low Level");
(vi) During the period of High Level Clinical Supervision,
directly observe three (3) patient encounters at every
meeting, in addition to reviewing charts as noted in (vii)
below;
(vii) Review at least fifteen (15) of my patient charts at every
meeting;
(viii)Discuss any concerns arising from the chart reviews;
(ix) Make recommendations to me for practice improvements and
ongoing professional development and inquire into my
compliance with the recommendations;
(x) 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
(xi) Submit written reports to the College at least: once every
week during the period of High Level Clinical Supervision,
once every month during the period of Moderate Level Clinical
Supervision, and then once at the end of Low Level Clinical
Supervision, or more frequently if the Clinical Supervisor
has concerns about my standard of practice.
(c) I, Dr. Ravindran, 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 report of the assessor
dated February 1, 2020, and concerns that may arise during the
period of Clinical Supervision.
(d) I, Dr. Ravindran, 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. Ravindran, 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. Ravindran, 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. Ravindran, undertake that if I am unable to obtain a
Clinical Supervisor on the provisions set out under sections (6)(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. Ravindran, acknowledge that if I am required to cease
practise as a result of section (6)(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.
(7) Professional Education
(a) I, Dr. Ravindran, 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) OntarioMDI4C Program;
(ii) Documentation: Charting Medical Records eLearning Module,
CMPA;
(iii) Documentation II: Principles of Medical Record Keeping
eLearning Module, CMPA;
(iv) Medical Record-Keeping Course, University of Toronto;
(v) Review, reflection and written summary of:
1. Rourke Baby Record 2017 Edition and use of Rourke
chart;
2. Antibiotic Stewardship, Choosing Wisely Canada;
3. Family Medicine, Choosing Wisely Canada;
4. 2018 Diabetes Guideline, Diabetes Canada;
5. 2018 Hypertension Prevention and Treatment Guidelines,
Hypertension Canada;
6. Medical Records Documentation, CPSO;
7. Medical Records Management, CPSO;
(vi) any additional professional education recommended by my
Clinical Supervisor.
(b) I, Dr. Ravindran, 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. Ravindran, undertake to complete this requirement within
four (4) months or, in respect of the courses, if no satisfactory
program is available by that time, by the first possible
opportunity thereafter.
(d) I, Dr. Ravindran, acknowledge that a report or reports may be
provided to the College regarding my progress and compliance with
the Professional Education.
(8) Reassessment of Practice
(a) I, Dr. Ravindran, undertake that, approximately six (6) months
after the completion of the Clinical Supervision set out in section
(6) above and Appendix "A" to this Undertaking, and the completion
of the Professional Education set out in section (7) 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 may include a
chart review of a minimum of fifteen (15) charts, direct
observation of my care, interviews with me, colleagues and
co-workers, feedback from patients, and any other tools deemed
necessary by the College.
(b) I, Dr. Ravindran, undertake to co-operate fully with the
Reassessment, conducted under the term of this Undertaking.
(c) I, Dr. Ravindran, 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. Ravindran, 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.
(9) Monitoring
(a) I, Dr. Ravindran, 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. Ravindran, 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. Ravindran, 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. Ravindran, acknowledge that I have executed the OHIP consent
form, attached hereto as Appendix "C".
C. ACKNOWLEDGEMENT
(10) I, Dr. Ravindran, acknowledge that all appendices attached to or referred
to in this Undertaking form part of this Undertaking.
(11) I, Dr. Ravindran, 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.
(12) I, Dr. Ravindran, 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.
(13) I, Dr. Ravindran, 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").
(14) I, Dr. Ravindran, 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.
(15) I, Dr. Ravindran, acknowledge that this Undertaking constitutes terms,
conditions, and limitations on my certificate of registration for the
purposes of section 23 of the Code.
(16) Public Register
(a) I, Dr. Ravindran, acknowledge that, during the time period that
this Undertaking remains in effect, this Undertaking shall be
posted on the Public Register.
(b) I, Dr. Ravindran, acknowledge that, in addition to this Undertaking
being posted in accordance with section (16)(a) above, the
following summary shall be posted on the Public Register during the
time period that this Undertaking remains in effect:
Dr. Ravindran was the subject of a public complaint and
underwent remediation and a reassessment of his practice.
Following the reassessment, he entered into an undertaking to
engage in further remediation and another reassessment. The
reassessment report subsequently received by the College
raised concerns about his standard of practice in family
medicine. As a result:
Dr. Ravindran will practise under the guidance of a Clinical
Supervisor acceptable to the College for 7 months.
Dr. Ravindran will engage in professional education in family
medicine and medical recordkeeping.
Dr. Ravindran'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. Ravindran, acknowledge that this Undertaking remains in
effect until the College determines its terms are satisfied.
D. CONSENT
(17) I, Dr. Ravindran, 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.
(18) I, Dr. Ravindran, 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.
(19) I, Dr. Ravindran, 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.
(2 of 2)
As from October 4, 2018, the following is imposed as a term, condition and
limitation on the certificate of registration held by Dr. Mathura Pandian
Ravindran in accordance with an undertaking and consent given by Dr. Ravindran
to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. MATHURA PANDIAN RAVINDRAN
("Dr. Ravindran")
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;
"NMS" means the Drug Program Services Branch, the Narcotics Monitoring
System implemented under the Narcotics Safety and Awareness Act, 2010,
S.O. 2010, c. 22, as amended;
"OHIP" means the Ontario Health Insurance Plan;
"Public Register" means the College's register that is available to the
public.
(2) I, Dr. Ravindran, certificate of registration number 92043, am a member
of the College.
(3) I, Dr. Ravindran, acknowledge that following the College investigation
bearing File Number 97785, I was required to complete a Specified
Continuing Education or Remediation Program. The reassessment report
subsequently received by the College raised concerns about my standard of
practice in family medicine.
B. UNDERTAKING
(4) I, Dr. Ravindran, undertake to abide by the provisions of this
Undertaking, effective
immediately.
(5) Resignation of Prescribing Privileges
(a) I, Dr. Ravindran, acknowledge that I have executed the Prescribing
Resignation Letter to Health Canada, effective January 1, 2019,
which is attached hereto as Schedule "A" (the "Resignation
Letter").
(b) I, Dr. Ravindran, consent to the College sending the Resignation
Letter to Health Canada on my behalf.
(c) I, Dr. Ravindran, undertake that, effective January 1, 2019, I will
not issue new prescriptions or renew existing prescriptions for or
administer any of the following substances:
(i) Narcotic Drugs (from the Narcotic Control Regulations made
under the Controlled Drugs and Substances Act, S.C., 1996, c.
19);
(ii) Narcotic Preparations (from the Narcotic Control Regulations
made under the Controlled Drugs and Substances Act, S.C.,
1996, c. 19);
(iii) Controlled Drugs (from Part G of the Food and Drug
Regulations under the Food and Drugs Act, S.C., 1985, c.
F-27);
(iv) 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);
(A summary of the above-named drugs [from Appendix I to the
Compendium of Pharmaceuticals and Specialties] is attached
hereto as Schedule "B"; and the current regulatory lists are
attached hereto as Schedule "C")
(v) All other Monitored Drugs (as defined under the Narcotics
Safety and Awareness Act, 2010, S.O. 2010, c. 22 as noted in
Schedule "D");
and as amended from time to time.
(d) I, Dr. Ravindran, undertake to immediately:
(i) provide notice to patients that I will be resigning my
prescribing privileges effective January 1, 2019;
(ii) begin the process of referring all patients to whom I am
prescribing any of the substances described in section
(5)(c), above, to other physicians for assessments and care;
and
(iii) not accept any new patients who are currently requiring
prescriptions for any of the substances described in section
(5)(c), above.
(e) I, Dr. Ravindran, undertake to keep a log of all patients referred
to other physicians pursuant to section (5)(d), above (the "Log").
I, Dr. Ravindran, undertake to include in the Log the name of each
patient referred, the name of the physician referred to, and the
date of referral.
(6) I, Dr. Ravindran, undertake that effective January 1, 2019, I will return
any supplies of the substances referred to in section (5)(c) above that
are presently in my possession, in any place, to a pharmacy in a safe and
secure manner, as stipulated in the College's Policy Number 7-16,
"Prescribing Drugs."
(7) Posting a Sign
(a) I, Dr. Ravindran, undertake that effective January 1, 2019, I shall
post a sign in all waiting rooms and in each examination and
consulting room, in all my Practice Locations, in a clearly visible
and secure location, in the form set out at Schedule "E." For
further clarity, this sign shall state as follows:
IMPORTANT NOTICE
Dr. Ravindran has agreed not to prescribe or administer any of the
following:
Narcotic Drugs
Narcotic Preparations
Controlled Drugs
Benzodiazepines and Other Targeted Substances
All other Monitored Drugs
Further information may be found on the College of Physicians and
Surgeons of Ontario website at www.cpso.on.ca
(b) I, Dr. Ravindran, undertake to post a certified translation in any
language in which I provide services, of the sign described in
section (7)(a) above, in all waiting rooms and in each examination
and consulting room, in all my Practice Locations, in a clearly
visible and secure location, in the form set out at Schedule "E."
(c) I, Dr. Ravindran, undertake to provide the certified translation
described in section (7)(b), to the College by January 1, 2019.
(d) I, Dr. Ravindran, undertake that if I elect, after the execution of
this Undertaking, to provide services in any other language, I will
notify the College prior to providing any such services.
(e) I, Dr. Ravindran, undertake to provide to the College the certified
translation described in section (7)(c) prior to beginning to
provide services in any language described in section (7)(d).
(8) Clinical Supervision
(a) I, Dr. Ravindran, undertake to practise under the guidance of a
clinical supervisor or clinical supervisors acceptable to the
College (the "Clinical Supervisor" or "Clinical Supervisors"), for
six (6) months on the terms set out below (the "Clinical
Supervision").
(b) I, Dr. Ravindran, undertake to meet with my Clinical Supervisor at
least once every two (2) weeks for a minimum of the first two (2)
months of Clinical Supervision.
(c) I, Dr. Ravindran, acknowledge that at the first four (4) meetings,
the Clinical Supervisor will directly observe at least five (5)
patient encounters.
(d) After a minimum of two (2) months of Clinical Supervision, upon the
recommendation of the Clinical Supervisor and approval by the
College, I, Dr. Ravindran, undertake to meet with my Clinical
Supervisor at least once every month for the remainder of the
period of Clinical Supervision.
(e) I, Dr. Ravindran, acknowledge that if approval is not provided by
the College, I will continue to meet with my supervisor once every
two (2) weeks as set out in section (8)(b) above.
(f) I, Dr. Ravindran, acknowledge that I have reviewed the Clinical
Supervisor's undertaking, attached hereto as Appendix "F", 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 "G";
(ii) Review the materials provided by the College and have an
initial meeting to discuss practice improvement
recommendations;
(iii) Meet with me at my Practice Location, or another location
approved by the College, once every two (2) weeks for at
least the first two (2) months, and monthly thereafter upon
recommendation of the Clinical Supervisor and approval of the
College;
(iv) Directly observe at least five (5) patient encounters at the
first four (4)
meetings;
(v) Review at least ten (10) to fifteen (15) of my patient charts
at every meeting, including the charts for all direct
observation patient encounters;
(vi) Discuss any concerns arising from the chart reviews;
(vii) Make recommendations to me for practice improvements and
ongoing professional development and inquire into my
compliance with the recommendations;
(viii)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
(ix) Submit written reports to the College at least once every
month, or more frequently if the Clinical Supervisor has
concerns about my standard of practice.
(g) I, Dr. Ravindran, 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 "G", as well as
the areas of concern identified in the report of the assessor dated
July 14, 2017, and concerns that may arise during the period of
Clinical Supervision.
(h) I, Dr. Ravindran , undertake to cooperate fully with the Clinical
Supervision of my practice, conducted under the term of this
Undertaking and Appendix "F" 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.
(i) I, Dr. Ravindran, undertake to ensure that Appendix "F" to this
Undertaking is signed and delivered to the College within thirty
(30) days of the date I execute this Undertaking.
(j) I, Dr. Ravindran, undertake that if a person who has given an
undertaking in Appendix "F" 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.
(k) I, Dr. Ravindran, undertake that if I am unable to obtain a
Clinical Supervisor on the provisions set out under sections (8)(i)
and/or (j) above, I will cease practising medicine until such time
as I have obtained a Clinical Supervisor acceptable to the College.
(l) I, Dr. Ravindran, acknowledge that if I am required to cease
practise as a result of section (8)(k) 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.
(9) Professional Education
(a) I, Dr. Ravindran, undertake to participate in and successfully
complete all aspects of the detailed IEP, attached hereto as
Appendix "G", including all of the following professional education
(the "Professional Education"):
(i) CMPAe-moduleDocumentation1:Charting Medical Records:
https://www.cmpa-acpm.ca/serve/elas/DocumentationCharting/docume
ntation_charting-e.html?id=website; and
(ii) CMPA e-module Documentation 2: Principles of Medical Record
Keeping:
https://www.cmpa-acpm.ca/serve/elas/DocumentationPrinciples/documentation_principles-e.html?id=website
(b) I, Dr. Ravindran, undertake to provide proof to the College of my
successful completion of the Professional Education 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. Ravindran, undertake to complete this requirement by January
1, 2019.
(d) I, Dr. Ravindran, acknowledge that a report or reports may be
provided to the College regarding my progress and compliance with
the Professional Education.
(10) Reassessment of Practice
(a) I, Dr. Ravindran, undertake that, approximately six (6) months
after the completion of the Clinical Supervision set out in section
(8) above and Appendix "F" 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. Ravindran, undertake to co-operate fully with the
Reassessment, conducted under the term of this Undertaking.
(c) I, Dr. Ravindran, 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. Ravindran, 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.
(11) Monitoring
(a) I, Dr. Ravindran, undertake to inform the College of each and every
location that 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. Ravindran, 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. Ravindran, 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. Ravindran, acknowledge that I have executed the OHIP and NMS
consent forms, attached hereto as Appendix "H" and Appendix "I",
respectively.
C. ACKNOWLEDGEMENT
(12) I, Dr. Ravindran, acknowledge that all schedules attached to or referred
to in this
Undertaking form part of this Undertaking.
(13) I, Dr. Ravindran, 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.
(14) I, Dr. Ravindran, 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.
(15) I, Dr. Ravindran, 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").
(16) I, Dr. Ravindran, 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.
(17) I, Dr. Ravindran, acknowledge that this Undertaking constitutes terms,
conditions, and limitations on my certificate of registration for the
purposes of section 23 of the Code.
(18) Public Register
(a) I, Dr. Ravindran, acknowledge that, during the time period that
this Undertaking remains in effect, this Undertaking shall be
posted on the Public Register.
(b) I, Dr. Ravindran, acknowledge that, in addition to this Undertaking
being posted in accordance with section (18)(a) above, the
following summary shall be posted on the Public Register during the
time period that this Undertaking remains in effect:
Following a College investigation, Dr. Ravindran was required
to complete a Specified Continuing Education or Remediation
Program. The reassessment report subsequently received by the
College raised concerns about his standard of practice in
family medicine. As a result of the reassessment:
Effective January 1, 2019, Dr. Ravindran must not issue
new prescriptions or renew existing prescriptions for
or administer any of the following substances:
(i) Narcotic Drugs (from the Narcotic Control
Regulations made under the Controlled Drugs and
Substances Act, S.C., 1996, c. 19);
(ii) Narcotic Preparations (from the Narcotic Control
Regulations made under the Controlled Drugs and
Substances Act, S.C., 1996, c. 19);
(iii) Controlled Drugs (from Part G of the Food and
Drug Regulations under the Food and Drugs Act,
S.C., 1985, c. F-27);
(iv) 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);
(v) All other Monitored Drugs (as defined under the
Narcotics Safety and Awareness Act, 2010, S.O.
2010, c. 22);
and as amended from time to time.
Effective January 1, 2019, Dr. Ravindran must post a
clearly visible sign in the waiting rooms and each
examination and consulting room, in all Practice
Locations, which states as follows:
IMPORTANT NOTICE
Dr. Ravindran has agreed not to prescribe or administer
any of the
following:
Narcotic Drugs
Narcotic Preparations
Controlled Drugs
Benzodiazepines and Other Targeted Substances
All other Monitored Drugs
Further information may be found on the College of
Physicians and Surgeons of Ontario website at
www.cpso.on.ca
Dr. Ravindran's practice will be supervised by a
Clinical Supervisor acceptable to the College for a
minimum of six (6) months.
Dr. Ravindran will engage in professional education in
medical record-keeping.
Following the professional education and period of
supervision, Dr. Ravindran's practice will be
re-assessed by an assessor selected by the College.
D. CONSENT
(21) I, Dr. Ravindran, 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.
(22) I, Dr. Ravindran, give my irrevocable consent to the College to provide
all Chief(s) 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.
(23) I, Dr. Ravindran, give my irrevocable consent to any person 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 information:
(a) relevant to this Undertaking;
(b) relevant to the provisions of the Clinical Supervisor's undertaking
set out at Schedule "F";
(c) relevant to the Reassessment;
(d) relevant for the purposes of monitoring my compliance with this
Undertaking; and/or
(e) which comes to his or her attention in the course of providing the
Professional Education and which he or she reasonably believes
indicates a potential risk of harm to my patients.