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Practice Restrictions

Practice restrictions are conditions or limitations placed on a regulated health professional’s certificate of registration that constrain how, where, or in what circumstances they may practise. They can be imposed by a College’s complaints committee on an interim basis to protect the public during an investigation, or by a discipline tribunal as part of a penalty following a finding of professional misconduct or incompetence.

Restrictions can take many forms, including a prohibition on performing certain procedures, a requirement to practise under supervision or with a chaperone, limits on prescribing, mandatory monitoring or reporting, and education or remediation conditions. They are a public-protection tool rather than a form of compensation, and they appear on the public register so that patients and employers are aware of them.

Posts tagged Practice Restrictions analyze Ontario decisions in which conditions or limitations were placed on a physician’s or other professional’s certificate of registration.

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Composite card pairing the National Post "NP" mark on a yellow panel with the title "Waivers Exist. But Medicine? Paul Cahill on the Hart suspension in the National Post" on Paul Cahill's navy brand panel.

Asking Patients to Waive the Right to Sue: Commentary in the National Post

National Post coverage of Dr. Michael Hart, the London, Ontario physician suspended for six months over his ketamine prescribing and for asking patients to sign away their right to sue him or complain to the College. Paul Cahill comments on why that document is an alarm bell, how it differs from an ordinary surgical consent form, and where a College proceeding ends and a civil claim begins.

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Navy title card reading "CPSO v Hart: Ketamine prescribing, a no-complaints release, and a suspension" from paulcahill.ca

CPSO v Hart: Ketamine Prescribing, a No-Complaints Release, and a Six-Month Suspension

A physician’s practice was found deficient across assessment, consent, prescribing, monitoring, record keeping and OHIP billing, on the evidence of two complainants and 34 further charts reviewed by two independent assessors. Patients were also asked to sign a form promising not to sue him and not to complain to the College. A look at what the Tribunal did with that, and why a discipline finding is not compensation.

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Navy title card reading "CPSO v Konasiewicz, Case Comment" with the line "A patient death, deficient technique, and a suspension," from paulcahill.ca

CPSO v Konasiewicz: A Patient Death, Deficient Technique, and a Suspension

A neurosurgeon practising pain medicine was suspended for six months after the tribunal found his chronic pain care fell below the standard of practice, his treatment of a patient who died after nerve blocks was deficient, and he breached a College order restricting his injections. A look at why a patient death led to remediation rather than revocation, and where the discipline process ends and a civil claim begins.

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