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Roy, William Andrew

CPSO#: 23704

MEMBER STATUS
Active Member as of 22 Sep 2021
CURRENT OR PAST CPSO REGISTRATION CLASS
Restricted as of 08 Jun 2017

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: University of Toronto, 1970

Practice Information

Primary Location of Practice
The Brooklin Medical Centre
Suite 1A
5959 Anderson Street
Brooklin ON  L1M 2E9
Phone: (905) 655-3321
Fax: (905) 655-4848 Electoral District: 05

Specialties

Specialty Issued On Type
No Speciality Reported

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1970
Transfer of class of registration to: Independent Practice Certificate Effective: 30 Jun 1971
Transfer of class of certificate to: Restricted certificate Effective: 08 Jun 2017
Terms and conditions imposed on certificate by member Effective: 08 Jun 2017
Terms and conditions amended by member Effective: 19 Sep 2017
Terms and conditions amended by member Effective: 27 Oct 2017
Terms and conditions amended by member Effective: 03 Mar 2018
Terms and conditions amended by member Effective: 09 Mar 2018
Terms and conditions amended by member Effective: 17 Sep 2018
Terms and conditions amended by Discipline Committee Effective: 27 Sep 2018
Suspension of registration imposed: Discipline Committee Effective: 15 Oct 2018
Suspension of registration removed Effective: 15 Jan 2019
Terms and conditions amended by Registration Committee Effective: 06 Nov 2019
Terms and conditions amended by member Effective: 22 Sep 2021

Practice Restrictions

Imposed By Effective Date Expiry Date Status
member Effective: 22 Sep 2021 Active
 (1 of 2)

As from September 22, 2021, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. William Andrew Roy in accordance with an undertaking and consent given by Dr. Roy to the College of Physicians and Surgeons of Ontario:


UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT 
("Undertaking")

of

DR. WILLIAM ANDREW ROY
("Dr. Roy")

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. Roy, certificate of registration number 23704, am a member of the College.  

(3)	I, Dr. Roy, acknowledge that following an assessment of my practice that raised concerns about my standard of practice, the College conducted a reassessment of my general medicine practice bearing File Number 1115817 (the "Investigation").

(4)	I, Dr. Roy, acknowledge that, in addition to accepting this Undertaking, the College will also deliver a caution in person.  

B.	UNDERTAKING

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

(6)	Clinical Supervision 

(a)	I, Dr. Roy, 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. Roy, 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 orientation session with me, including to discuss the objectives for the Clinical Supervision;

(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 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. Roy, 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 10, 2021 and March 31, 2021, and concerns that may arise during the period of Clinical Supervision.

(d)	I, Dr. Roy, 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. Roy, 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. Roy, 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. Roy, 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. Roy, 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. Roy, 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)	Medical Record-Keeping Course, University of Toronto.

(ii)	any additional professional education recommended by my Clinical Supervisor.

(b)	I, Dr. Roy, 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. Roy, undertake to complete this requirement within three months or, if no satisfactory program is available by that time, by the first possible opportunity thereafter.

(d)	I, Dr. Roy, acknowledge that a report or reports may be provided to the College regarding my progress and compliance with the Professional Education.

(e)	I, Dr. Roy, acknowledge that if any of the programs listed above become unavailable, substitution requests will be reviewed by the College and the College will determine in its sole discretion whether substitution is appropriate.

(8)	Reassessment of Practice

(a)	I, Dr. Roy, undertake that, approximately three (3) 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 will include direct observation of my care and may include a chart review of a minimum of fifteen (15) charts, interviews with me, colleagues and co-workers, feedback from patients, and any other tools deemed necessary by the College.

(b)	I, Dr. Roy, undertake to co-operate fully with the Reassessment, conducted under the term of this Undertaking. 

(c)	I, Dr. Roy, 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. Roy, 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. Roy, undertake to inform the College of each and every location at which I practice, delegate, or have privileges, including, but not limited to, any hospitals, clinics, offices, and any Out-of-Hospital Premises and 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. Roy, 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. Roy, 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. Roy, acknowledge that I have executed the OHIP and NMS consent forms, attached hereto as Appendix "C" and Appendix "D", respectively. 

C.	ACKNOWLEDGEMENT

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

(11)	I, Dr. Roy, 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. Roy, 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. Roy, 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. Roy, 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. Roy, 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. Roy, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.

(b)	I, Dr. Roy, 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:

Following the result of a reassessment of Dr. Roy's general practice that raised concerns about Dr. Roy's standard of practice:

Dr. Roy will practise under the guidance of a Clinical Supervisor acceptable to the College for three (3) months. 

Dr. Roy will engage in professional education in record-keeping.

Dr. Roy's practice will be reassessed by an assessor selected by the College within three (3) months of the end of the period of Clinical Supervision.

(c)	I, Dr. Roy, acknowledge that this Undertaking remains in effect until the College determines its terms are satisfied.

D.	CONSENT

(17)	I, Dr. Roy, 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. Roy, 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. Roy, 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 September 17, 2018, the following is imposed as a term, condition and limitation on the certificate of registration held by Dr. William Andrew Roy in accordance with an undertaking and consent given by Dr. Roy to the College of Physicians and Surgeons of Ontario:

UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")

of

DR. WILLIAM ANDREW ROY
("Dr. Roy")

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. Roy, certificate of registration number 23704, am a member of the College.

(3) I, Dr. Roy, acknowledge that the College received information from the NMS and initiated an investigation bearing File Number 7215621 (the "Investigation") into whether I failed to maintain the standard of practice of the profession and/or am incompetent in my prescribing of controlled substances, including narcotics.

(4) I, Dr. Roy, acknowledge that on June 8, 2017, I entered into an Undertaking as a resolution to the Investigation.

(5) I, Dr. Roy, acknowledge that this Undertaking replaces my June 8, 2017 Undertaking.

B. UNDERTAKING

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

(7) Resignation of Prescribing Privileges

(a) I, Dr. Roy, acknowledge that I have executed the Prescribing Resignation Letter to Health Canada, which is attached hereto as Schedule "A" (the "Resignation Letter").

(b) I, Dr. Roy, consent to the College sending the Resignation Letter to Health Canada on my behalf.

(c) I, Dr. Roy, undertake that 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. Roy, undertake to immediately refer all patients to whom I am prescribing any of the substances described in section (c), above, to other physicians for assessment and care.

(e) I, Dr. Roy, undertake to keep a log of all patients referred to other physicians pursuant to section (7)(d), above (the "Log"). I,
Dr. Roy, undertake to include in the Log the name of each patient referred, the name of the physician referred to, and the date of referral.

(8) I, Dr. Roy, undertake that I will return any supplies of the substances referred to in section (7)(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 8-12, "Prescribing Drugs."

(9) I, Dr. Roy, undertake to inform the College of each and every location that I practise or have privileges, including, but not limited to, any hospitals, clinics and offices, 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.

(10) Posting a Sign

(a) I, Dr. Roy, undertake that 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. Roy 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. Roy, 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. Roy, undertake to provide the certified translation described in section (7)(b), to the College within thirty (30) days
of executing this Undertaking.

(d) I, Dr. Roy, 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. Roy, undertake to provide to the College the certified translation described in section (10)(c) prior to beginning to
provide services in any language described in section (10)(d).

C. ACKNOWLEDGEMENT

(11) I, Dr. Roy, acknowledge that all schedules attached to or referred to in this Undertaking form part of this Undertaking.

(12) I, Dr. Roy, 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.

(13) I, Dr. Roy, 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.

(14) I, Dr. Roy, 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").

(15) I, Dr. Roy, 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.

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

(17) Public Register

(a) I, Dr. Roy, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.

(b) I, Dr. Roy, acknowledge that, in addition to this Undertaking being posted in accordance with section (17)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:

Dr. Roy has agreed not to 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.

Dr. Roy 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. Roy 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

D. CONSENT

(18) I, Dr. Roy, undertake that I will submit to, and not interfere with, unannounced inspections of my Practice Locations and patient charts by the College and to any other activity the College deems necessary in order to monitor my compliance with the provisions of this Undertaking.

(19) I, Dr. Roy, give my irrevocable consent to the College to make appropriate enquiries of OHIP, NMS, and 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.

(20) I, Dr. Roy, acknowledge that I have executed the OHIP and NMS consent forms, attached hereto as Schedule "F" and Schedule "G", respectively.

(21) I, Dr. Roy, 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 any information arising from the monitoring of my compliance with this Undertaking.

Previous Hearings

Committee: Discipline
Decision Date: 27 Sep 2018
Summary:

On September 27, 2018, the Discipline Committee found that Dr. William Andrew Roy committed an act of professional misconduct, in that he has engaged in conduct or 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. Roy is a General Practitioner, practising in Toronto. He obtained his Independent Practice Certificate in 1971.

The College received information from the Narcotics Monitoring System (NMS) identifying Dr. Roy as having prescribed, in 2015, eight or more patients at least 650 oral morphine equivalents (OMEs) per day and issued at least one prescription exceeding 20,000 OMEs. This prescribing exceeds the recommended watchful dose of 200 OMEs per day as set out in The Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain (v 5.6, April 30, 2010). In total, 19 patients were flagged by the NMS.

The College retained an expert, a family physician certified by the College of Family Physicians of Canada, to review this matter. The expert concluded that Dr. Roy failed to meet the standard of practice of the profession in 13 of the 20 charts reviewed and noted that:

- the main areas of concern are his prescriptions for very high doses of opioids, often in combination with high doses of benzodiazepines, poor record keeping with respect to opioid prescribing, and lack of monitoring of patients with prescriptions for high doses of opioids.
- Dr. Roy displayed a lack of knowledge in 2 charts as evident in situations where he indicated that he prescribed two different long-acting opioids as one did not appear to be effective, and where a patient was currently using intravenous street drugs, but he felt that the patient would still require prescription opioids for his pain.
- Dr. Roy displayed a lack of skill in 5 charts as evident by his management of patients who demonstrated inappropriate behaviour or features of misuse.
- Dr. Roy displayed a lack of judgment in 10 of the charts reviewed, which was evident in the management of patients who were prescribed high doses of opioids and benzodiazepines without adequate monitoring for safety and effectiveness.

The expert concluded that in 7 of the 20 charts reviewed, Dr. Roy exposed patients to a potential risk of harm due to the extremely high doses of opioids that were prescribed in combination with high doses of benzodiazepines and by not monitoring the patients closely enough to ensure that they were taking the medications safely.

Disgraceful Dishonourable or Unprofessional Conduct

As a resolution, Dr. Roy entered into an undertaking with the College in June of 2017, requiring, among other things, that Dr. Roy practise under the guidance of a clinical supervisor acceptable to the College. If unable to obtain a clinical supervisor, Dr. Roy is required to cease to prescribe narcotic drugs, narcotic preparations, controlled drugs, benzodiazepines and other targeted substances, and all other monitored drugs.

Dr. Roy obtained a clinical supervisor on July 19, 2017. However, on August 29, 2017, due to a potential conflict of interest, Dr. Roy was notified that this clinical supervisor was no longer suitable. Dr. Roy was provided with fourteen days to obtain a new clinical supervisor.

Dr. Roy did not propose a suitable supervisor within the time limit set out in the undertaking. He was reminded on September 12, 2017, that, in accordance with the terms of the undertaking, he would have to cease prescribing by the end of the day, unless a supervisor was proposed and approved. Following a request by Dr. Roy’s counsel, an extension was provided until September 15, 2017.

Dr. Roy was unable to find a suitable clinical supervisor by the extended deadline. In accordance with the terms of the undertaking, and the terms, conditions and limitations on his certificate of registration effective September 19, 2017, Dr. Roy was required to cease prescribing narcotic drugs, narcotic preparations, controlled drugs, benzodiazepines and other targeted substances, and all other monitored drugs until such time as he has obtained a clinical supervisor acceptable to the College. This restriction appeared on the public register.

On October 13, 2017, another clinical supervisor was approved. On October 18, 2017, the clinical supervisor wrote to the College, noting that Dr. Roy had stated in their initial meeting earlier that day that he had continued to prescribe controlled substances during the period of time when he did not have a supervisor.

College Compliance Case Managers selected 13 patient names from Dr. Roy's prescribing log and obtained copies of the prescriptions and physician's notes from the corresponding charts. NMS data was obtained with respect to the 13 patients, which demonstrates that Dr. Roy continued to prescribe monitored drugs between the period of September 19, 2017 and October 18, 2017.

Disposition

On September 27, 2018, the Discipline Committee ordered and directed that:

- the Registrar suspend Dr. Roy’s certificate of registration for a period of three (3) months, commencing October 15, 2018.
- Dr. Roy participate in and successfully complete one-on-one individualized educational instruction in ethics with an instructor approved by the College, and provide proof thereof to the College within six (6) months of the date of this Order.
- Dr. Roy appear before the panel to be reprimanded.
- Dr. Roy pay to the College its costs of this proceeding in the amount of $10,180 within thirty (30) days from the date of this Order.


Decision: Download Full Decision (PDF)
Hearing Date(s): September 27, 2018

Concerns

Source: Member
Active Date: September 22, 2021
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. William Andrew Roy to the College of Physicians and Surgeons of Ontario, effective September 22, 2021:

Following the result of a reassessment of Dr. Roy’s general practice that raised concerns about Dr. Roy’s standard of practice:

Dr. Roy will practise under the guidance of a Clinical Supervisor acceptable to the College for three (3) months.

Dr. Roy will engage in professional education in record-keeping.

Dr. Roy’s practice will be reassessed by an assessor selected by the College within three (3) months of the end of the period of Clinical Supervision.

 

Source: Inquiries, Complaints and Reports Committee
Active Date: August 11, 2021
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: June 25, 2021
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: Member
Active Date: September 17, 2018
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. William Andrew Roy to the College of Physicians and Surgeons of Ontario, effective September 17, 2018:

Dr. Roy has agreed not to 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.

Dr. Roy 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. Roy 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

 

Source: Inquiries, Complaints and Reports Committee
Active Date: July 5, 2017
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)