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James, Stephen Rose

CPSO#: 92083

MEMBER STATUS
Active Member as of 15 Oct 2016
CPSO REGISTRATION CLASS
Restricted as of 10 Sep 2009
Flag: Indicates a concern or additional information

Summary

Former Name: No Former Name

Gender: Male

Languages Spoken: English, Spanish

Education:Universidad Iberoamericana(UNIBE), 2001

Practice Information

Primary Location of Practice
CPM
6400 Millcreek Drive, Unit #9
Mississauga ON  L5N 3E7
Phone: 9052881045
Fax: 905.858.2144 Electoral District: 05

Additional Practice Location(s)

CPM
425-1200 Markham Road
Scarborough ON  M1H 2Y9
Canada
Phone: 4164387080
Fax: 416.438.7072
County: City of Toronto
Electoral District: 10

CPM
123 Edward Street, Unit #1118
Toronto ON  M5G 1E2
Canada
Phone: 4165937700
Fax: 416.593.7702
County: City of Toronto
Electoral District: 10

Apollo Cannnabis Clinic
240 Duncan Mill Road, Unit 201
North York
Toronto ON  M3B 3S6
Canada
Phone: (416) 840-5991
Fax: (647) 729-4766
County: City of Toronto
Electoral District: 10

Apollo Cannnabis Clinic
240 Duncan Mill Road, Unit 201
North York ON  M3B 3S6
Canada
Phone: (416) 840-5991
Fax: (647) 729-4766
County: City of Toronto
Electoral District: 10

Apollo Cannabis Clinic
2352 Yonge Street, 2nd Floor
Toronto ON  M4P 2E6
Canada
Phone: (416) 840-5991
Fax: (647) 729-4766
County: City of Toronto
Electoral District: 10

National Cannabinoid Clinics
4125 Lawrence Avenue East, suite 20
Scarborough ON  M1E 2S2
Canada
Phone: 416-751-0090
Fax: 416-751-0995
County: City of Toronto
Electoral District: 10

National Cannbinoid Clinics
716 The Queensway South
Keswick ON  L4P 4C9
Canada
Phone: 905-535-2393
Fax: 416-751-0995
County: Regional Municipality of York
Electoral District: 05

Professional Corporation Information


Corporation Name: Stephen R. James Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Mar 26 2010

Shareholders:
Dr. S. James ( CPSO# 92083 )

Business Address:
Suite 9
6400 Millcreek Drive
Mississauga ON  L5N 3E7
Phone Number: (905) 288-1045

Business Address:
Suite 425
1200 Markham Road
Scarborough ON  M1H 2Y9

Business Address:
Suite 1118
123 Edward Street
Toronto ON  M5G 1E2

Business Address:
Suite 201
240 Duncan Mill Road
Toronto ON  M3B 3S6

Business Address:
2nd Floor
2352 Yonge Street
Toronto ON  M4P 2E6

Business Address:
National Cannabinoid Clinics
Suite 20
4125 Lawrence Avenue East
Scarborough ON  M1E 2S2
Phone Number: (416) 751-0090

Business Address:
National Cannabinoid Clinics
716 The Queensway South
Keswick ON  L4P 4C9
Phone Number: (905) 535-2393

Specialties

Specialty Issued On Type
Anesthesiology Effective: 10 Sep 2009 CPSO Recognized Specialist

Registration History

Action Issue Date
First certificate of registration issued: Restricted certificate Effective: 10 Sep 2009
Terms and conditions imposed on certificate by Registration Committee Effective: 10 Sep 2009
Expiry date attached to certificate of registration. Expiry Date: 09 Mar 2011
Terms and conditions amended by Registration Committee Effective: 22 Mar 2011
Terms and conditions amended by Registration Committee Effective: 17 Nov 2011
Terms and conditions amended by Registration Committee Effective: 17 May 2012
Expiry date removed from certificate of registration. Effective: 17 May 2012
Terms and conditions amended by member Effective: 08 Oct 2014
Terms and conditions amended by Discipline Committee Effective: 14 Dec 2015
Suspension of registration imposed: Discipline Committee Effective: 15 Dec 2015
Suspension of registration removed Effective: 15 Oct 2016

Practice Restrictions Flag: indicates a concern or additional information

Imposed By Effective Date Expiry Date Status
Discipline Committee Effective: 14 Dec 2015 Active
             As from 11:59 p.m., December 15, 2015, by order of the Discipline Committee of
            the College of Physicians and Surgeons of Ontario, the following terms,
            conditions and limitations are imposed on the certificate of registration held
            by Dr. Stephen Rose James:

                  a.    Dr. James be prohibited from holding the position of Medical
                        Director in any facility;
                  
                  b.    Dr. James shall perform all injections in the presence of a
                        regulated health professional who observes each injection and who
                        contemporaneously signs and dates the patient record confirming
                        he/she has observed the injection.  Dr. James shall provide the
                        College with a list of regulated health professionals with whom he
                        works and provide copies of their signatures within seven (7) days
                        of the date of this Order, and within fourteen (14) days of
                        employing any additional regulated health professional thereafter;
                  
                  c.    If Dr. James becomes aware that a patient developed an infection
                        following a procedure that he performed, Dr. James shall, within 7
                        days of date on which he became aware, report the infection to the
                        College;
                  
                  d.    Dr. James shall complete the next available medical record keeping
                        course approved by the College and provide proof of successful
                        completion within three (3) weeks thereof; 
                  
                  e.    Dr. James shall successfully complete individualized education in
                        communication, approved by the College at the instructor's earliest
                        availability and provide proof of successful completion within
                        three (3) weeks thereof.  The course will involve a series of
                        one-on-one sessions with a College-approved instructor (the
                        "Instructor"), incorporating principles of guided reflection,
                        tailored feedback, and other modalities customized to the specific
                        needs of Dr. James as assessed by the Instructor.  The Instructor
                        will make reports to the College regarding Dr. James' progress and
                        compliance; 
                  
                  f.    Dr. James shall successfully complete individualized instruction in
                        ethics approved by the College at the instructor's earliest
                        availability and provide proof of successful completion within
                        three (3) weeks thereof. The instruction will involve a series of
                        one-on-one sessions with a College-approved instructor (the
                        "Instructor"), incorporating principles of guided reflection,
                        tailored feedback, and other modalities customized to the specific
                        needs of Dr. James as assessed by the Instructor.  The Instructor
                        will make reports to the College regarding Dr. James' progress and
                        compliance; 
                  
                  g.    Dr. James shall retain a clinical supervisor, approved by the
                        College, who will sign an undertaking in the form attached hereto
                        as Schedule "A" (the "Supervisor") no later than 30 days prior to
                        Dr. James' return to practice after the suspension referred to in
                        paragraph 4 above.  Dr. James shall practice under the guidance of
                        the Supervisor for a period of period of twelve (12) months.  Dr.
                        James shall meet with the supervisor monthly to discuss any
                        concerns arising from patient care, including infection prevention,
                        control and treatment. 
                  
                  h.    Dr. James shall engage a preceptor acceptable to the College to
                        provide education in the indications and treatment for infection in
                        Interventional Pain Medicine for a minimum period of (4) four
                        hours.  The preceptorship shall be completed within (3) months of
                        Dr. James' return to practice after the end of the suspension
                        referred to in paragraph 4 above, and the preceptor shall confirm
                        such completion in writing to the College; 
                  
                  i.    Dr. James shall be subject to a reassessment of his practice
                        including an observation of his sterile technique, within six (6)
                        months of his return to practice after the end of the suspension
                        referred to in paragraph 4 above, and shall be subject to periodic
                        assessments (announced and/or unannounced) thereafter at the
                        discretion of the College, including a reassessment following the
                        completion of supervision described in paragraph g above.  Dr.
                        James shall abide by the recommendations of the assessors;
                  
                  j.    Dr. James shall cooperate with unannounced inspections of his
                        practice and patient records by a College representative for the
                        purposes of monitoring his compliance with the provisions of this
                        Order and his infection control practices; and
                  
                  k.    Dr. James shall be solely responsible for payment of all fees,
                        costs, charges, expenses, etc. arising from the implementation of
                        any of the provisions of this Order.
                  
                  
            As from December 14, 2015, the following is imposed as a term, condition and
            limitation on the certificate of registration held by Dr. Stephen Rose James,
            in accordance with an undertaking and consent given by Dr. James to the College
            of Physicians and Surgeons of Ontario:

                        UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
                                          ("Undertaking")
                  
                                                of
                  
                                    DR. STEPHEN ROSE JAMES 
                                          ("Dr. James")
                  
                                                to
                  
                        COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
                                          (the "College")
                                                                                     

            A.    UNDERTAKING

            (1)   I, Dr. James, undertake that, effective immediately, I will ensure that I
                  follow all the recommended and required infection control practices
                  (designated as "recommended" and "always" respectively) for the specified
                  procedures as set out in the attached Appendix "A". 

            (2)   I, Dr. James, acknowledge that this undertaking (including Appendix "A")
                  shall be provided to all assessors appointed by the College, and shall be
                  relied upon by the College, including when conducting compliance and
                  monitoring activities associated with the Order of the Discipline
                  Committee dated December 15, 2015. 

            (3)   I, Dr. James, acknowledge that this entire Undertaking constitutes terms,
                  conditions, and limitations on my certificate of registration for the
                  purposes of section 23 of the Code. I understand that this Undertaking
                  shall be information on the College's Register that is available to the
                  public during the time period that the Undertaking remains in effect.




            Effective September 10, 2009:

            Dr. Stephen Rose James may practise medicine independently in Anaesthesia
            limited to Pain Management, only.

Previous Hearings Flag: indicates a concern or additional information

Committee: Discipline
Decision Date: 16 Nov 2015
Summary:

On November 16, 2015, the Discipline Committee found that Dr. Stephen Rose James committed an act of 
professional misconduct in that he failed to maintain the standard of practice of the profession and he 
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. 
The Committee also found Dr. James is incompetent. 
 
Dr. James is an anaesthesiologist practising in pain management. His practice at the time relevant to these 
proceedings was at the Rothbart Centre for Pain Care (the “Clinic”).  
 
Specifically, the findings of professional misconduct relate to his care and treatment, including his 
infection control practices, of: Patients A to F as well as the additional seven (Patients T to Z) identified by 
Toronto Public Health (TPH).  
 
In addition, he engaged in disgraceful, dishonourable and unprofessional conduct including by: 
-Providing an Interview Prep document to nursing staff at the Clinic in order to influence the nurses’ 
responses to the College investigation;   
-Misrepresenting the purpose of the Interview Prep Document to the College;  
-Misstating the steps he took when learning of Patient A and Patient B’s complications caused by his 
inadequate Infection Prevention and Control (IPAC) procedures; and 
-Failing to make himself available, and communicating inappropriately through his nursing staff, when 
Patient E suffered complications.  
 
On October 8, 2014, after allegations had been referred to the Discipline Committee, Dr. James executed 
an undertaking with the College agreeing to co-operate with specific infection control guidelines provided 
to him and to submit to unannounced inspections by the College to ensure his infection control practices 
were acceptable.  
        
On about November 30, 2012 and December 10, 2012, the College received information from TPH 
relating to a suspected meningitis outbreak connected to Dr. James at the Clinic. On the basis of that 
information, the Inquiries, Complaints and Reports Committee (ICRC) commenced an investigation into 
Dr. James’ practice. 
        
Toronto Public Health Investigation 
In November 2012, TPH received information that three different patients were hospitalized with either 
staph aureus or meningitis infections from epidural injections administered by Dr. James. As a result of 
these infections,  Dr. L, Associate Medical Officer of Health for the City of Toronto Health Unit, and Ms 
M, Communicable Disease Manager, TPH, attended Dr. James’ clinic. At that time, Dr. L made a verbal 
order requiring that Dr. James not perform any procedures and that no one change or touch anything in 
Room 11 or use it in any way. (Room 11 was Dr. James’ procedure room. All of his non-X-ray guided 
procedures were performed in that room; no other doctor used that room). In December 2012, Ms M re-
attended at the Clinic to continue the TPH investigation. Dr. James was served with a written order to 
immediately cease performing any medical procedures that involve penetration of an instrument into a 
sterile site, and that he not enter Room 11.  
 
As a result of their visits to the Clinic, TPH noted the following:  
-The patient’s sterile field was not covered; 
-A non-sterile gauze was used after a procedure to wipe the ooze from the patient’s back; 
-Dr. James’ gloves were too big; 
-Dr. James used a mask but the nose was not pinched; 
-Dr. James did not always allow the Betadine, the antiseptic used to wipe the patients’ skin, to dry for long 
enough before he started a procedure;  
-After Dr. James used an alcohol-based hand rub (“ABHR”) (Purell), and prior to donning sterile gloves, 
he touched many surfaces  
-Dr. James opened sterile items onto a non-sterile field into a sterile container; and 
-Dr. James’ wedding band was not removed during the procedure. 
                  
On December 7, 2012, at the request of TPH, Public Health Ontario attended the Clinic with a 
representative from TPH to conduct a review of IPAC practices within the Clinic. At that visit, Dr. James 
offered to provide a mock demonstration of a typical epidural procedure. The audit team observed the 
following issues that required immediate attention:  
-Dr. James applied and removed his mask without performing hand hygiene;  
-Dr. James’ hand hygiene ABHR lasted less than 5 seconds; 
-Dr. James stated that he does not wait for the skin prep to dry before inserting the needle; 
-Abundant supplies (including unwrapped gauze pads) stored on the counter are subject to contamination; 
and 
-Dr. James’ mask was not adjusted at the bridge of his nose. 
 
Based on the information obtained by TPH, and a review of the literature regarding complications 
following epidural steroid injections, TPH concluded that nine (9) patients developed serious infections 
after receiving an epidural steroid injection performed by Dr. James at the Clinic. TPH’s view regarding 
the cause of these infections is that Dr. James was colonized with staph aureus, and due to breaches in 
IPAC, transmission of staph aureus occurred from Dr. James to his patients.  
 
The patients revealed in the TPH investigation suffered serious complications. Parts of their disease 
courses are described here: 
  i.   Regarding Patient T, she received lumbar injections from Dr. James commencing in 2012. 
       Following her last injection in October 2012, Patient T was admitted to hospital, vomiting and 
       incoherent. She was diagnosed with bacterial meningitis.  
  ii.  Regarding Patient U, she received lumbar injections from Dr. James commencing in 2011. In 
       October 2012, she received 3 lumbar/thoracic epidural injections. In late October or early 
       November, Patient U began suffering from headaches, nausea, vomiting, confusion, blurred vision, 
       tremors. In November, she notified the Clinic that she was suffering persistent headaches. Shortly 
       after she was admitted to hospital and diagnosed with meningitis.  
 iii.  Regarding Patient V, she received lumbar injections from Dr. James commencing in 2010. 
       Following a lumbar injection in July 2012, she developed fever and sought attention at the 
       Emergency Department.  She was discharged with negative blood and urine cultures.  She 
       subsequently sought treatment from her family physician complaining of pain, fever and difficulty 
       urinating.  She received additional injections from Dr. James on two occasions in August of 2012. 
       In September 2012, she suffered a stroke and on investigation, it was discovered that many sites on 
       her spine were infected with abscesses requiring hospitalization and the insertion of a PICC line.   
 iv.   Regarding Patient W, he received lumbar injections from Dr. James in September and October 
       2012. Shortly after his injection in October 2012, Patient W experienced back pain and fever and 
       went to the hospital, but an MRI revealed no abscesses. In November 2012 he was admitted to 
       hospital with on-going fever and increasing weakness. A lumbar epidural abscess was found and 
       an emergency laminectomy was performed.  
  v.   Regarding Patient X, he received lumbar injections from Dr. James commencing in 2012. 
       Following his last injection in November 2012, Patient X developed a fever and was hallucinating. 
       He was admitted to hospital where he was diagnosed with an epidural abscess and staph aureus 
      infection requiring evacuation and spinal decompression. Patient X required further surgical 
      intervention.   
 vi.  Regarding Patient Z, she received lumbar injections from Dr. James commencing in 2012. After 
      her third injection in September 2012, Patient Z experienced increasing back paid and developed a 
      fever. She was admitted to hospital with two epidural abscesses and sepsis. 
 
The College retained Dr. N, to provide an opinion regarding Dr. James’ infection control procedures. Dr. 
N was asked to opine on Dr. James’ practices prior to TPH intervention largely on the basis of the 
information gathered by TPH. In a report dated December 20, 2013, he opined, among other things that 
Dr. James practices prior to their revision fell below the standard of infection control practice expected of a 
physician performing such procedures and concluded that these breaches were of a major nature and 
resulted in an uncommon serious outbreak. 
 
The College also received several public complaints from patients who suffered serious complications: 
   i) Regarding Patient A, Dr. James administered lumbar steroid injections in August, September and 
      October, 2012. At the October appointment, Patient A states that she noticed that Dr. James did 
       not wear sterile gloves or a mask; and stated that she did not have iodine put on her back like 
       previous times; her procedure felt rushed. She felt unwell soon after the October appointment. By 
       November, Patient A felt extremely confused, weak, and lethargic, and had a fever. Patient A was 
       admitted to hospital and found to have a staph aureus infection. She was diagnosed with 
       meningitis and an epidural abscess precisely where the injection had taken place.  
 
       In addition, Dr. James made inaccurate statements to the College during their investigation about 
       advising Patient A’s attending physician to obtain a neurological consultation. 
 
   ii) Regarding Patient B, her first consultation and treatment with Dr. James occurred in June 2012 to 
       treat debilitating back pain. He proceeded to administer a lumbar steroid injection to Patient B that 
       day and again in July and August 2012. In September 2012, Patient B was taken to the hospital 
       with fever, confusion and lower back pain. Patient B spent several days in the emergency, and was 
       ultimately admitted to as an in-patient. The working diagnosis in respect of Patient B was an 
       epidural abscess secondary to direct skin infection from the epidural injections. It was confirmed 
       that Patient B had a positive blood culture for staph aureus.  
        
       In addition, Dr. James made inaccurate statements to the College during their investigation about 
       his interactions with the hospital.  
 
       Regarding both Patients A and B, the College retained Dr. O to provide an opinion in respect of 
       the care and treatment provided by Dr. James. He opined: 
             In summary, it is my opinion that Dr. James has demonstrated a lack of knowledge, lack 
             of judgment and lack of skill in providing care to [Patient B] and [Patient A]…. His non 
             adherence to appropriate aseptic technique in the invasive procedures provided has led to 
             significant complications and morbidity. 
 
   iii) Regarding Patient C, she was treated by Dr. James seven times between April and August 2012 for 
       management of lower back pain. Dr. James administered epidural steroid injections to Patient C. 
       In or around July 2012, Patient C started to experience increasing pain and decreasing stability on 
       her feet. She reported these concerns to Dr. James, and on two occasions sought treatment at 
       emergency. Patient C continued to see Dr. James throughout that summer. After the epidural 
       injections failed to alleviate Patient C’s pain, Dr. James administered bilateral diagnostic lumbar 
       facet blocks in July 2012. In August 2012, he performed a left rhizotomy on Patient C. At this 
   appointment he provided Patient C with a note to take to her family doctor recommending a 
   neurosurgery consult and recommending that her family physician request an MRI. He engaged in 
    no further follow up with Patient C. 
     
    Patient C obtained was diagnosed with a serious spinal infection. A sensitive strain of staph aureus 
    was recovered from the surgical specimen and the infection was believed to be the direct result of 
    steroid injections.  
     
    Dr. O opined, among other things that, Dr. James failed to appreciate the patient’s progressive 
    symptoms, failed to realize that the symptoms could be signs of an infection in a high risk patient.  
    He also failed to adequately document the patients progressive symptoms, failed to correctly 
    diagnosis/work up possible complications of treatments he provided, failed to adequately inquire 
    about the patients ER visits and failed to organize appropriate timely work up of the patient’s 
    symptoms.   
               
iv) Regarding Patient D, she was seen by Dr. James for injections on a regular basis for treatment of 
   chronic back pain commencing in 2010. In October 2011, Dr. James administered a lumbar 
    epidural injection. Less than two weeks after receiving the epidural injection, Patient D began to 
    experience symptoms of fever, increasing confusion, neck pain, nausea, vomiting and occipital 
    headaches. She was admitted to hospital. The suspected etiology was an infection secondary to 
    epidural injections received from Dr. James.  
               
    Patient D was readmitted to the hospital in November 2011 for a twelve day period. Her headache, 
    nausea and vomiting continued. An MRI demonstrated an epidural fluid collection with a 
    diagnosis of a likely enlarging epidural abscess. Patient D required extensive surgical 
    laminectomies.  
               
v)  Regarding Patient E, Dr. James treated her for pain in her right elbow. In January 2012, Dr. James 
    injected her elbow with cortisone and performed a caudal epidural injection the same day. Soon 
    after the injection, Patient E’s right arm became painful and red. She began calling the Clinic to 
    get an appointment with Dr. James so that he could look at her arm. Subsequently, Patient E 
    attended at the clinic, and asked that someone look at her red and swollen elbow. After she waited 
    for about an hour and a half, Dr. James saw her, told her it was likely nothing and gave her a 
    prescription for antibiotics and told her to follow up in two weeks. 
     
    Patient E’s arm remained very painful, swollen and red. In March 2012, Dr. James immediately 
    sent her to the Emergency Department. Patient E was found to have a post-injection abscess and a 
    heavy growth of staph aureus and was referred for both orthopedic and plastic surgery consults.  
               
    Dr. O opined that it is below standard of care to not offer urgent follow up for a potential infection 
    after a procedure, even if there is no fever.  
               
vi) Regarding Patient F, in May 2012 he received a lumbar epidural injection for lower back pain 
   from Dr. James. Less than two weeks later Patient F developed a high fever, delirium and 
    increasing back pain while out of the country. Patient F was admitted to hospital in the United 
    States, critically ill. He was found to have an epidural abscess and sepsis (staph aureus 
    bacteremia), requiring ICU admission, intubation and neurosurgical evacuation together with hemi 
    laminectomies. The likely etiology of the epidural abscess was believed to be the epidural 
    injection.  
               
On December 15, 2015, the Discipline Committee ordered and directed that: 
- Dr. James appear before the panel to be reprimanded. 
- the Registrar suspend Dr. James’ certificate of registration for a period of ten (10) months, 
effective immediately.  
- the Registrar to impose the following terms, conditions and limitations on Dr. James’ certificate 
of registration: 
  a. Dr. James be prohibited from holding the position of Medical Director in any facility; 
  b. Dr. James shall perform all injections in the presence of a regulated health professional who 
    observes each injection and who contemporaneously signs and dates the patient record 
    confirming he/she has observed the injection.  Dr. James shall provide the College with a list 
    of regulated health professionals with whom he works and provide copies of their signatures 
    within seven (7) days of the date of this Order, and within fourteen (14) days of employing 
    any additional regulated health professional thereafter; 
  c. If Dr. James becomes aware that a patient developed an infection following a procedure that 
    he performed, Dr. James shall, within 7 days of date on which he became aware, report the 
    infection to the College; 
  d. Dr. James shall complete the next available medical record keeping course approved by the 
    College and provide proof of successful completion within three (3) weeks thereof;  
  e. Dr. James shall successfully complete individualized education in communication, approved 
    by the College at the instructor’s earliest availability and provide proof of successful 
    completion within three (3) weeks thereof.  The course will involve a series of one-on-one 
    sessions with a College-approved instructor (the “Instructor”), incorporating principles of 
    guided reflection, tailored feedback, and other modalities customized to the specific needs of 
    Dr. James as assessed by the Instructor.  The Instructor will make reports to the College 
    regarding Dr. James’ progress and compliance;  
  f. Dr. James shall successfully complete individualized instruction in ethics approved by the 
    College at the instructor’s earliest availability and provide proof of successful completion 
    within three (3) weeks thereof. The instruction will involve a series of one-on-one sessions 
    with a College-approved instructor (the “Instructor”), incorporating principles of guided 
    reflection, tailored feedback, and other modalities customized to the specific needs of Dr. 
    James as assessed by the Instructor.  The Instructor will make reports to the College regarding 
    Dr. James’ progress and compliance;  
  g. Dr. James shall retain a clinical supervisor, approved by the College, who will sign an 
    undertaking in the form attached hereto as Schedule “A” (the “Supervisor”) no later than 30 
    days prior to Dr. James’ return to practice after the suspension referred to in paragraph 4 
    above.  Dr. James shall practice under the guidance of the Supervisor for a period of period of 
    twelve (12) months.  Dr. James shall meet with the supervisor monthly to discuss any 
    concerns arising from patient care, including infection prevention, control and treatment.   
  h. Dr. James shall engage a preceptor acceptable to the College to provide education in the 
    indications and treatment for infection in Interventional Pain Medicine for a minimum period 
    of (4) four hours.  The preceptorship shall be completed within (3) months of Dr. James’ 
    return to practice after the end of the suspension referred to in paragraph 4 above, and the 
    preceptor shall confirm such completion in writing to the College;  
  i. Dr. James shall be subject to a reassessment of his practice including an observation of his 
    sterile technique, within six (6) months of his return to practice after the end of the 
    suspension referred to in paragraph 4 above, and shall be subject to periodic assessments 
    (announced and/or unannounced) thereafter at the discretion of the College, including a 
    reassessment following the completion of supervision described in paragraph g above.  Dr. 
    James shall abide by the recommendations of the assessors; 
 j. Dr. James shall cooperate with unannounced inspections of his practice and patient records 
   by a College representative for the purposes of monitoring his compliance with the provisions 
   of this Order and his infection control practices; and 
k. Dr. James shall be solely responsible for payment of all fees, costs, charges, expenses, etc. 
   arising from the implementation of any of the provisions of this Order. 
- Dr. James pay costs to the College in the amount of $4,460.00 within thirty (30) days of the 
 date of this Order. 


Decision: Download Full Decision (PDF)
Appeal: No Appeal
Hearing Date(s): November 16 and December 15, 2015