Smithies, Mila

 As from April 2nd, 2024, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. Mila Smithies in accordance with an undertaking and consent given by Dr. Smithies to the College of Physicians and Surgeons of Ontario:

UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")

of

DR. MILA SMITHIES
("Dr. Smithies")

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 Tribunal" means the Ontario Physicians and Surgeons Discipline Tribunal of the College;
"ICR Committee" means the Inquiries, Complaints and Reports Committee of the College;
"OHIP" means the Ontario Health Insurance Plan;
"Ontario Physicians and Surgeons Discipline Tribunal" means the Discipline Committee established under the Code;

"Public Register" means the College's register that is available to the public. 
(2)	I, Dr. Smithies, certificate of registration number 99497, am a member of the College.
(3)	I, Dr. Smithies, acknowledge that the College has received information regarding my amniocentesis practice.   
B.	UNDERTAKING
(4)	I, Dr. Smithies, undertake to abide by the provisions of this Undertaking, effective immediately ("Effective Date").

(5)	Practice Restrictions
(a)	I, Dr. Smithies, undertake that I will no longer perform amniocentesis.
(b)	I, Dr. Smithies, undertake that if I wish to resume performing amniocentesis, I will not do so until I have obtained the approval of the College through its change of scope process, including by completing and submitting for consideration the relevant application for changing my scope of practice in compliance with the College's policy on Ensuring Competence: Changing Scope of Practice and/or Re-entering Practice, or any College policy regarding physicians' changing the scope of their practice in effect at the relevant time. 

(6)	Monitoring 
(a)	I, Dr. Smithies, 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. Smithies, 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. Smithies, give my irrevocable consent to the College to make appropriate enquiries of OHIP, and/or any person 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. Smithies, acknowledge that I have executed the OHIP consent form, attached hereto as Appendix "A".

C.	ACKNOWLEDGEMENT
(7)	I, Dr. Smithies, acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.
(8)	I, Dr. Smithies, 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. 
(9)	I, Dr. Smithies, 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.
(10)	I, Dr. Smithies, 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").
(11)	I, Dr. Smithies, 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 Tribunal.
(12)	I, Dr. Smithies, acknowledge that this Undertaking constitutes terms, conditions, and limitations on my certificate of registration for the purposes of section 23 of the Code. 

(13)	Public Register
(a)	I, Dr. Smithies, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.
(b)	I, Dr. Smithies, acknowledge that, in addition to this Undertaking being posted in accordance with section (13)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:
Dr. Smithies has agreed not to perform amniocentesis.

D.	CONSENT
(14)	I, Dr. Smithies, 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.
(15)	I, Dr. Smithies, give my irrevocable consent to all Chiefs of Staff to disclose to the College, and to one another, any information relevant to this Undertaking and/or relevant for the purposes of monitoring my compliance with this undertaking.