THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
27/04/25 05:50:51 AM

General Information

Former Name: No Former Name
Medical School: Dalhousie University Faculty of Medicine, 2022
Gender: Man
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: 800 Commissioners Road East
Victoria Hospital
Emergency Medicine
London Ontario N6A 5W9
Business Email: No Information Available
Phone: 2268210903
Fax: No Information Available

Specialties

No Specialty Reported

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH
Medical School: Dalhousie University Faculty of Medicine, 2022

Practice Information

Primary Business Location: 800 Commissioners Road East
Victoria Hospital
Emergency Medicine
London Ontario N6A 5W9
Business Email: No Information Available
Phone: 2268210903
Fax: No Information Available

Specialties

No Specialty Reported

Hospital Privileges

No information available

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Registration Committee
27 Feb 2025
30 Jun 2025
Restricted
IMPOSED BY: Registration Committee
EFFECTIVE DATE: Feb 27 2025
EXPIRY DATE: Jun 30 2025
STATUS: Restricted
A physician who has a restricted licence must follow specific terms and conditions in their practice.
A physician who has a restricted licence must follow specific terms and conditions in their practice.
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Practice Within the Postgraduate Medical Education Program

(1) Dr. JAKOB MATTHIAS DOMM shall practise medicine as required by the postgraduate medical education program in which Dr. DOMM is enrolled at Western University.

(2) In Dr. DOMM’s practice in the postgraduate medical education program, Dr. DOMM shall prescribe drugs only for in-patients or out-patients of a clinical teaching unit that is formally affiliated with the department where Dr. DOMM is properly practising medicine and to which postgraduate trainees are regularly assigned by the department as part of its program of postgraduate medical education.

(3) In Dr. DOMM’s practice in the postgraduate medical education program, Dr. DOMM shall not charge a fee for medical services.

Practice Outside the Postgraduate Medical Education Program

(4) Dr. DOMM may practise Emergency Consult and to the extent of his employment at Four Counties Health Services Corporation Newbury, while under supervision coordinated by a supervisor acceptable to the College.

(5) In Dr. DOMM’s practice specified in paragraph (4), Dr. DOMM may not charge a fee for medical services.

Expiry of Certificate

(6) This certificate of registration expires, and Dr. DOMM must thereupon cease all practice both in and outside the postgraduate medical education program, on the earlier of the following times:

(a) when Dr. DOMM is no longer enrolled in a program of postgraduate medical education program provided by a medical school in Ontario, or

(b) when Dr. DOMM no longer holds Canadian citizenship, permanent resident status or a valid employment authorization under the Immigration Act (Canada).

Termination of Practice Outside the Postgraduate Medical Education Program

(7) This certificate automatically converts to a regular Postgraduate Education certificate and Dr. DOMM must immediately cease all practice outside the postgraduate medical education program if any one of the following occurs:

(a) the supervisor identified in paragraph (4) notifies the College of any concerns regarding Dr. DOMM’s practice, including but not limited to concerns regarding knowledge, skill, judgment or attitude;

(b) the supervisor is no longer able or willing to continue to supervise Dr. DOMM’s practice;

(c) the Postgraduate Dean informs the College that the medical school’s approval for Dr. DOMM to engage in practice outside the postgraduate medical education program has been withdrawn;

(d) when Dr. DOMM’s employment as specified in paragraph (4) ceases; or

(e) if Dr. DOMM takes a leave of absence, or transfers to another program, from the postgraduate education program specified in paragraph (1).

Resumption of Practice Outside the Postgraduate Medical Education Program

(8) In the event of conversion to a regular Postgraduate Education certificate under paragraph (7) or expiry of the certificate under paragraph (7), Dr. DOMM may not resume any practice outside the postgraduate medical education program under the restricted registration for residents policy until Dr. DOMM applies for a new certificate of registration and obtains approval by the Registration Committee.
VIEW DETAILS chevron-down icon
Practice Within the Postgraduate Medical Education Program

(1) Dr. JAKOB MATTHIAS DOMM shall practise medicine as required by the postgraduate medical education program in which Dr. DOMM is enrolled at Western University.

(2) In Dr. DOMM’s practice in the postgraduate medical education program, Dr. DOMM shall prescribe drugs only for in-patients or out-patients of a clinical teaching unit that is formally affiliated with the department where Dr. DOMM is properly practising medicine and to which postgraduate trainees are regularly assigned by the department as part of its program of postgraduate medical education.

(3) In Dr. DOMM’s practice in the postgraduate medical education program, Dr. DOMM shall not charge a fee for medical services.

Practice Outside the Postgraduate Medical Education Program

(4) Dr. DOMM may practise Emergency Consult and to the extent of his employment at Four Counties Health Services Corporation Newbury, while under supervision coordinated by a supervisor acceptable to the College.

(5) In Dr. DOMM’s practice specified in paragraph (4), Dr. DOMM may not charge a fee for medical services.

Expiry of Certificate

(6) This certificate of registration expires, and Dr. DOMM must thereupon cease all practice both in and outside the postgraduate medical education program, on the earlier of the following times:

(a) when Dr. DOMM is no longer enrolled in a program of postgraduate medical education program provided by a medical school in Ontario, or

(b) when Dr. DOMM no longer holds Canadian citizenship, permanent resident status or a valid employment authorization under the Immigration Act (Canada).

Termination of Practice Outside the Postgraduate Medical Education Program

(7) This certificate automatically converts to a regular Postgraduate Education certificate and Dr. DOMM must immediately cease all practice outside the postgraduate medical education program if any one of the following occurs:

(a) the supervisor identified in paragraph (4) notifies the College of any concerns regarding Dr. DOMM’s practice, including but not limited to concerns regarding knowledge, skill, judgment or attitude;

(b) the supervisor is no longer able or willing to continue to supervise Dr. DOMM’s practice;

(c) the Postgraduate Dean informs the College that the medical school’s approval for Dr. DOMM to engage in practice outside the postgraduate medical education program has been withdrawn;

(d) when Dr. DOMM’s employment as specified in paragraph (4) ceases; or

(e) if Dr. DOMM takes a leave of absence, or transfers to another program, from the postgraduate education program specified in paragraph (1).

Resumption of Practice Outside the Postgraduate Medical Education Program

(8) In the event of conversion to a regular Postgraduate Education certificate under paragraph (7) or expiry of the certificate under paragraph (7), Dr. DOMM may not resume any practice outside the postgraduate medical education program under the restricted registration for residents policy until Dr. DOMM applies for a new certificate of registration and obtains approval by the Registration Committee.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Dalhousie University Faculty of Medicine, 2022
Ontario Postgraduate Training:
SPECIALTY DATE UNIVERSITY
PostGrad Yr 3 - Emergency Medicine
30 Jul 2024 to 30 Jun 2025
Western University
PostGrad Yr 2 - Emergency Medicine
01 Jul 2024 to 29 Jul 2024
Western University
PostGrad Yr 2 - Emergency Medicine
01 Aug 2023 to 30 Jun 2024
Western University
PostGrad Yr 1 - Emergency Medicine
01 Jul 2023 to 31 Jul 2023
Western University
PostGrad Yr 1 - Emergency Medicine
02 Aug 2022 to 30 Jun 2023
Western University
SPECIALTY: PostGrad Yr 3 - Emergency Medicine
DATE: 30 Jul 2024 to 30 Jun 2025
UNIVERSITY: Western University
SPECIALTY: PostGrad Yr 2 - Emergency Medicine
DATE: 01 Jul 2024 to 29 Jul 2024
UNIVERSITY: Western University
SPECIALTY: PostGrad Yr 2 - Emergency Medicine
DATE: 01 Aug 2023 to 30 Jun 2024
UNIVERSITY: Western University
SPECIALTY: PostGrad Yr 1 - Emergency Medicine
DATE: 01 Jul 2023 to 31 Jul 2023
UNIVERSITY: Western University
SPECIALTY: PostGrad Yr 1 - Emergency Medicine
DATE: 02 Aug 2022 to 30 Jun 2023
UNIVERSITY: Western University

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Restricted Certificate Effective: 27 Feb 2025
Arrow_iconTerms and conditions imposed on certificate by: Registration Committee Effective: 27 Feb 2025
Arrow_iconExpiry date attached to certificate of registration. Expiry: 30 Jun 2025
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2022
DETAILS: Subsequent certificate of registration issued: Restricted Certificate
Date: Effective: 27 Feb 2025
DETAILS: Terms and conditions imposed on certificate by: Registration Committee
Date: Effective: 27 Feb 2025
DETAILS: Expiry date attached to certificate of registration by Registration Committee.
Date: Expiry: 30 Jun 2025
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2022