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
24/01/25 22:13:47 PM

General Information

Former Name: No Former Name
Medical School: Dalhousie University Faculty of Medicine, 1963
Gender: No Information Available
Languages Spoken: ENGLISH, HEBREW, YIDDISH

Practice Information

Primary Business Location: 254 Viewmount Avenue
Toronto Ontario M6B 1V2
Business Email: No Information Available
Phone: (416) 929-3287
Fax: (416) 929-5832
Address: 10 Strawberry Lane
Little Current Ontario P0P 1K0
Phone: (705) 368-1896
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Psychiatry
Effective: 03 Dec 1968
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Psychiatry
ISSUED ON: Effective: Dec 03 1968
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Sol Goldstein Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 17 Mar 2021

General Information

Former Name: No Former Name
Gender: No Information Available
Languages Spoken: ENGLISH, HEBREW, YIDDISH
Medical School: Dalhousie University Faculty of Medicine, 1963

Practice Information

Primary Business Location: 254 Viewmount Avenue
Toronto Ontario M6B 1V2
Business Email: No Information Available
Phone: (416) 929-3287
Fax: (416) 929-5832
Address: 10 Strawberry Lane
Little Current Ontario P0P 1K0
Phone: (705) 368-1896
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Psychiatry
Effective: 03 Dec 1968
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Psychiatry
ISSUED ON: Effective: Dec 03 1968
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Sol Goldstein Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 17 Mar 2021

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Discipline Committee
19 Jun 2019
Restricted
IMPOSED BY: Discipline Committee
EFFECTIVE DATE: Jun 19 2019
EXPIRY DATE:
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.
VIEW DETAILS chevron-down icon
(1 of 2)

As from 12:00 p.m., June 19, 2019, 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. Sol
Julian Goldstein:

a. Dr. Goldstein shall comply with the College Policy #2-07 "Practice
Management Considerations for Physicians Who Cease to Practise,
Take an Extended Leave of Absence or Close Their Practice Due to
Relocation", a copy of which is attached at Schedule "A" to this
Order;
PROBE Program

b. Dr. Goldstein shall participate in and unconditionally pass the
PROBE Ethics & Boundaries Program offered by the Centre for
Personalized Education for Professionals, with a report or reports
to be provided by the provider to the College regarding Dr.
Goldstein's progress and compliance. Dr. Goldstein shall complete
this requirement within six (6 months) of the date of this Order.

Clinical Supervision

c. Within twenty (20) days of this Order, Dr. Goldstein shall retain a
College-approved clinical supervisor or supervisors (the "Clinical
Supervisor") with respect to his psychiatry practice, who has
signed an undertaking in the form attached hereto as Schedule "B".

d. For a period of twelve (12) months commencing on the date that Dr.
Goldstein resumes practice following the suspension of his
certificate of registration, Dr. Goldstein may practise psychiatry
only under the supervision of the Clinical Supervisor ("Clinical
Supervision"), who shall facilitate the education program set out
in the Individualized Education Plan ("IEP"), attached hereto as
Schedule "C"; as follows:

e. For an initial period of two (2) months, Dr. Goldstein will meet
with the Clinical Supervisor every week, at which meetings the
Clinical Supervisor will:

i. review a minimum fifteen (15) of Dr. Goldstein's patient
records, to be selected at the sole discretion of the
Clinical Supervisor, and the associated OHIP claims
submissions or planned OHIP claims submissions, and discuss
any issues or concerns arising from this review with Dr.
Goldstein;
ii. make recommendations to Dr. Goldstein for practice
improvements and ongoing professional development, and
inquire into Dr. Goldstein's compliance with the
recommendations; and
iii. keep a log of all patient charts reviewed along with patient
identifiers.

f. After the initial period of two (2) months, if the Clinical
Supervisor is satisfied that Dr. Goldstein's patient records and
associated OHIP billings reflect the knowledge, skills and judgment
necessary for Dr. Goldstein to practise in a less highly supervised
environment, the Clinical Supervisor may recommend to the College
that supervision be reduced for the balance of the Clinical
Supervision period of twelve (12) months.

g. Upon the recommendation of the Clinical Supervisor and approval of
the College of a reduction in supervision, Dr. Goldstein will meet
with the Clinical Supervisor every month, at which meetings the
Clinical Supervisor will:

i. review a minimum fifteen (15) of Dr. Goldstein's patient
records, to be selected at the sole discretion of the
Clinical Supervisor, and the associated OHIP claims
submissions or planned OHIP claims submissions, and discuss
any issues or concerns arising from this review with Dr.
Goldstein;
ii. make recommendations to Dr. Goldstein for practice
improvements and ongoing professional development, and
inquire into Dr. Goldstein's compliance with the
recommendations; and
iii. keep a log of all patient charts reviewed along with patient
identifiers.

Other Elements of Clinical Supervision

h. Throughout the period of Clinical Supervision, Dr. Goldstein shall
abide by all recommendations of his Clinical Supervisor regarding
his recordkeeping and OHIP billing, practice improvements, and
ongoing professional development.

i. The Clinical Supervisor shall submit written reports to the College
at least once every month, or more frequently if the Clinical
Supervisor has concerns about Dr. Goldstein's standard of practice.

j. If a person who has given an undertaking in Schedule "A" to this
Order is unable or unwilling to continue to fulfill its provisions,
Dr. Goldstein shall, within twenty (20) days of receiving notice of
the same, ensure that an executed undertaking is delivered to the
College in the same form from a similarly qualified person who is
acceptable to the College.

k. If Dr. Goldstein is unable to obtain a Clinical Supervisor as set
out in this Order, he shall cease practising medicine until he has
obtained a Clinical Supervisor acceptable to the College.

l. If Dr. Goldstein is required to cease to practise medicine as a
result of section (5)(k) above, this will constitute a term,
condition or limitation on his certificate of registration and that
term, condition or limitation will be included on the public
register.

Reassessment of Practice

m. Approximately six (6) months after the completion of Clinical
Supervision, Dr. Goldstein shall undergo a reassessment of practice
by a College-appointed assessor (the "Assessor"). The
re-assessment shall include a review of Dr. Goldstein's patient
charts and associated OHIP claims submissions or planned OHIP
claims submissions. The results of the re-assessment shall be
reported to the College.

n. Dr. Goldstein shall consent to such sharing of information among
the Assessor, the Clinical Supervisor, and the College, as any of
them deem necessary or desirable in order to fulfill their
respective obligations.

Monitoring

o. Dr. Goldstein shall inform the College of each and every location
where he practises, in any jurisdiction (his "Practice
Location(s)") within fifteen (15) days of this Order and shall
inform the College of any and all new Practice Locations within
fifteen (15) days of commencing practice at that location.

p. Dr. Goldstein shall cooperate with unannounced inspections of his
practice, patient charts and OHIP claims submissions by a College
representative(s) for the purpose of monitoring and enforcing his
compliance with the terms of this Order.

q. Dr. Goldstein shall consent to the College's making appropriate
enquiries of the Ontario Health Insurance Plan and/or any person or
institution that may have relevant information, in order for the
College to monitor and enforce his compliance with the terms of
this Order.

r. Dr. Goldstein shall be responsible for any and all costs associated
with implementing the terms of this Order.

(2 of 2)

As from April 16, 2019, the following are imposed as terms, conditions and
limitations on the certificate of registration held by Dr. Sol Julian
Goldstein, in accordance with an undertaking and consent given by Dr. Goldstein
to the College of Physicians and Surgeons of Ontario:

UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")

of

DR. SOL JULIAN GOLDSTEIN
("Dr. Goldstein")

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;

"ICR Committee" means the Inquiries, Complaints and Reports Committee of
the College;

"OHIP" means the Ontario Health Insurance Plan;

"Public Register" means the College's register that is available to the
public.

(2) I, Dr. Goldstein, certificate of registration number 21457, am a member
of the College.

(3) I, Dr. Goldstein, acknowledge that on April 16, 2018, the ICR Committee
directed me to participate in a Specified Continuing Education and
Remediation Program (the "SCERP") in resolution of investigations bearing
File Numbers 461983, 461987, 461996 and 462001 (the "Investigations")
into whether I engaged in professional misconduct and/or am incompetent
in my psychiatry practice.

(4) I, Dr. Goldstein, acknowledge that I am entering into this Undertaking in
lieu of completing the SCERP.

B. UNDERTAKING

(5) I, Dr. Goldstein, undertake to abide by the provisions of this
Undertaking, upon the date this Undertaking is approved by the ICR
Committee "Effective Date".

(6) Practice Restriction

(a) I, Dr. Goldstein, undertake that:

(i) I will not conduct any new assessments of, nor provide
treatment to, individuals who I believe have been subject to
or have engaged in parental alienation;

(ii) I will not provide opinion evidence about parental alienation
to any third party, whether orally or in writing, in regards
to individuals I have assessed or treated, except as required
by law, in which case I will advise the relevant parties, in
advance of providing such opinion evidence, to consult the
College's Public Register;

(iii) I will inform any individuals whom I am currently assessing
and/or treating who I believe have been subject to or have
engaged in parental alienation, that I can no longer be
involved in their assessment and/or treatment and that I
cannot provide opinion evidence about parental alienation to
any third party. I will comply with the College's Policy on
Ending the Physician-Patient Relationship. In any event, I
will not provide any further services to these individuals
after sixty (60) days from the date upon which I sign this
Undertaking;

(iv) I will, in the opening meeting or phone call with counsel
and/or the parties in any new custody/access assessment,
address the issue of whether the case in question has
elements of parental alienation. If so, I will promptly
inform counsel and/or the parties that I cannot be involved
in the assessment;

(v) If, during any on-going custody/access assessment, I have
reasonable grounds to believe that any individual who I am
assessing has been subject to or has engaged in parental
alienation, I will immediately discontinue the assessment and
I will promptly inform counsel and/or the parties that I
cannot be involved in the assessment and that I cannot
provide opinion evidence about parental alienation to any
third party;

(vi) I will, in the opening meeting with any individual seeking
treatment, address whether the issue(s) for which the
individual is seeking treatment has elements of parental
alienation. If so, I will promptly inform the individual
that I cannot be involved in his or her treatment;

(vii) If, during on-going treatment, I have reasonable grounds to
believe that any patient who I am treating has been subject
to or has engaged in parental alienation, I will immediately
discontinue treatment and end the physician-patient
relationship in accordance with the College's Policy on
Ending the Physician-Patient Relationship. I will also inform
the patient that I cannot provide opinion evidence about
parental alienation to any third party.

(7) Professional Education

(a) I, Dr. Goldstein, undertake to participate in and successfully
complete all aspects of the detailed IEP, attached hereto as
Appendix "A", including all of the following professional education
(the "Professional Education"):

(i) Register for and attend the Association of Family and
Conciliation Courts 56th Annual Conference "The Future of
Family Justice: International Innovations":
https://www.afccnet.org/Conferences-Training/AFCC-Conferences/ctl/ViewConference/ConferenceID/158/mid/615;

(ii) Review and prepare written summaries of the following
resources:

a. College policy #4-12, Medical Records;
b. College policy #7-12, Medical Expert: Reports and
Testimony;
c. Association of Family and Conciliation Courts: Model
Standards of Practice for Child Custody Evaluation.

(b) I, Dr. Goldstein, undertake to provide proof to the College of my
successful completion of the Professional Education set out at
Section 7(1)(i), including proof of registration and attendance and
any 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. Goldstein, undertake to complete the requirement set out at
Section 7(a)(ii) byJuly 1, 2019.

(8) Monitoring

(a) I, Dr. Goldstein, undertake to inform the College of each and every
location that I practise or have privileges, including, but not
limited to, any hospitals, clinics, offices, and any 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. Goldstein, 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. Goldstein, give my irrevocable consent to the College to
make appropriate enquiries of OHIP 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. Goldstein, acknowledge that I have executed the OHIP consent
form attached hereto as Appendix "B".

C. ACKNOWLEDGEMENT

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

(10) I, Dr. Goldstein, 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.

(11) I, Dr. Goldstein, 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.

(12) I, Dr. Goldstein, 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").

(13) I, Dr. Goldstein, 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.

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

(15) Public Register

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

(b) I, Dr. Goldstein, acknowledge that, in addition to this Undertaking
being posted in accordance with section (15)(a) above, the
following summary shall be posted on the Public Register during the
time period that this Undertaking remains in effect:

College investigations were conducted into whether Dr.
Goldstein engaged in professional misconduct and/or is
incompetent in his psychiatry practice. As a result of the
investigations:

Dr. Goldstein will engage in professional education in
medical record-keeping and child custody and access
assessments.

Dr. Goldstein will not conduct any new assessments of,
nor provide treatment to, individuals who have been
subject to or have engaged in parental alienation.

Dr. Goldstein will not provide opinion evidence about
parental alienation to any third party, whether orally
or in writing, in regards to individuals he has
assessed or treated, except as required by law, in
which case Dr. Goldstein will advise the relevant
parties, in advance of providing such opinion evidence,
to consult the College's Public Register.

Dr. Goldstein will terminate his professional
relationship with any individuals who he is currently
assessing and/or treating who have been subject to or
have engaged in parental alienation.

Dr. Goldstein will have in place a process to screen
incoming assessments and patients for elements of
parental alienation and to terminate assessments and/or
patients where elements of parental alienation become
apparent after the professional relationship has
commenced.

D. CONSENT

(16) I, Dr. Goldstein, 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.

(17) I, Dr. Goldstein, give my irrevocable consent to any persons who
facilitate my completion of the Professional Education and to all Chiefs
of Staff, to disclose to the College, and to one another, any of the
following:

(a) any information relevant to this Undertaking;

(b) any information relevant for the purposes of monitoring my
compliance with this Undertaking; and/or

(c) any information which comes to their attention in the course of
providing the Professional Education and which they reasonably
believes indicates a potential risk of harm to my patients.

VIEW DETAILS chevron-down icon
(1 of 2)

As from 12:00 p.m., June 19, 2019, 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. Sol
Julian Goldstein:

a. Dr. Goldstein shall comply with the College Policy #2-07 "Practice
Management Considerations for Physicians Who Cease to Practise,
Take an Extended Leave of Absence or Close Their Practice Due to
Relocation", a copy of which is attached at Schedule "A" to this
Order;
PROBE Program

b. Dr. Goldstein shall participate in and unconditionally pass the
PROBE Ethics & Boundaries Program offered by the Centre for
Personalized Education for Professionals, with a report or reports
to be provided by the provider to the College regarding Dr.
Goldstein's progress and compliance. Dr. Goldstein shall complete
this requirement within six (6 months) of the date of this Order.

Clinical Supervision

c. Within twenty (20) days of this Order, Dr. Goldstein shall retain a
College-approved clinical supervisor or supervisors (the "Clinical
Supervisor") with respect to his psychiatry practice, who has
signed an undertaking in the form attached hereto as Schedule "B".

d. For a period of twelve (12) months commencing on the date that Dr.
Goldstein resumes practice following the suspension of his
certificate of registration, Dr. Goldstein may practise psychiatry
only under the supervision of the Clinical Supervisor ("Clinical
Supervision"), who shall facilitate the education program set out
in the Individualized Education Plan ("IEP"), attached hereto as
Schedule "C"; as follows:

e. For an initial period of two (2) months, Dr. Goldstein will meet
with the Clinical Supervisor every week, at which meetings the
Clinical Supervisor will:

i. review a minimum fifteen (15) of Dr. Goldstein's patient
records, to be selected at the sole discretion of the
Clinical Supervisor, and the associated OHIP claims
submissions or planned OHIP claims submissions, and discuss
any issues or concerns arising from this review with Dr.
Goldstein;
ii. make recommendations to Dr. Goldstein for practice
improvements and ongoing professional development, and
inquire into Dr. Goldstein's compliance with the
recommendations; and
iii. keep a log of all patient charts reviewed along with patient
identifiers.

f. After the initial period of two (2) months, if the Clinical
Supervisor is satisfied that Dr. Goldstein's patient records and
associated OHIP billings reflect the knowledge, skills and judgment
necessary for Dr. Goldstein to practise in a less highly supervised
environment, the Clinical Supervisor may recommend to the College
that supervision be reduced for the balance of the Clinical
Supervision period of twelve (12) months.

g. Upon the recommendation of the Clinical Supervisor and approval of
the College of a reduction in supervision, Dr. Goldstein will meet
with the Clinical Supervisor every month, at which meetings the
Clinical Supervisor will:

i. review a minimum fifteen (15) of Dr. Goldstein's patient
records, to be selected at the sole discretion of the
Clinical Supervisor, and the associated OHIP claims
submissions or planned OHIP claims submissions, and discuss
any issues or concerns arising from this review with Dr.
Goldstein;
ii. make recommendations to Dr. Goldstein for practice
improvements and ongoing professional development, and
inquire into Dr. Goldstein's compliance with the
recommendations; and
iii. keep a log of all patient charts reviewed along with patient
identifiers.

Other Elements of Clinical Supervision

h. Throughout the period of Clinical Supervision, Dr. Goldstein shall
abide by all recommendations of his Clinical Supervisor regarding
his recordkeeping and OHIP billing, practice improvements, and
ongoing professional development.

i. The Clinical Supervisor shall submit written reports to the College
at least once every month, or more frequently if the Clinical
Supervisor has concerns about Dr. Goldstein's standard of practice.

j. If a person who has given an undertaking in Schedule "A" to this
Order is unable or unwilling to continue to fulfill its provisions,
Dr. Goldstein shall, within twenty (20) days of receiving notice of
the same, ensure that an executed undertaking is delivered to the
College in the same form from a similarly qualified person who is
acceptable to the College.

k. If Dr. Goldstein is unable to obtain a Clinical Supervisor as set
out in this Order, he shall cease practising medicine until he has
obtained a Clinical Supervisor acceptable to the College.

l. If Dr. Goldstein is required to cease to practise medicine as a
result of section (5)(k) above, this will constitute a term,
condition or limitation on his certificate of registration and that
term, condition or limitation will be included on the public
register.

Reassessment of Practice

m. Approximately six (6) months after the completion of Clinical
Supervision, Dr. Goldstein shall undergo a reassessment of practice
by a College-appointed assessor (the "Assessor"). The
re-assessment shall include a review of Dr. Goldstein's patient
charts and associated OHIP claims submissions or planned OHIP
claims submissions. The results of the re-assessment shall be
reported to the College.

n. Dr. Goldstein shall consent to such sharing of information among
the Assessor, the Clinical Supervisor, and the College, as any of
them deem necessary or desirable in order to fulfill their
respective obligations.

Monitoring

o. Dr. Goldstein shall inform the College of each and every location
where he practises, in any jurisdiction (his "Practice
Location(s)") within fifteen (15) days of this Order and shall
inform the College of any and all new Practice Locations within
fifteen (15) days of commencing practice at that location.

p. Dr. Goldstein shall cooperate with unannounced inspections of his
practice, patient charts and OHIP claims submissions by a College
representative(s) for the purpose of monitoring and enforcing his
compliance with the terms of this Order.

q. Dr. Goldstein shall consent to the College's making appropriate
enquiries of the Ontario Health Insurance Plan and/or any person or
institution that may have relevant information, in order for the
College to monitor and enforce his compliance with the terms of
this Order.

r. Dr. Goldstein shall be responsible for any and all costs associated
with implementing the terms of this Order.

(2 of 2)

As from April 16, 2019, the following are imposed as terms, conditions and
limitations on the certificate of registration held by Dr. Sol Julian
Goldstein, in accordance with an undertaking and consent given by Dr. Goldstein
to the College of Physicians and Surgeons of Ontario:

UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")

of

DR. SOL JULIAN GOLDSTEIN
("Dr. Goldstein")

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;

"ICR Committee" means the Inquiries, Complaints and Reports Committee of
the College;

"OHIP" means the Ontario Health Insurance Plan;

"Public Register" means the College's register that is available to the
public.

(2) I, Dr. Goldstein, certificate of registration number 21457, am a member
of the College.

(3) I, Dr. Goldstein, acknowledge that on April 16, 2018, the ICR Committee
directed me to participate in a Specified Continuing Education and
Remediation Program (the "SCERP") in resolution of investigations bearing
File Numbers 461983, 461987, 461996 and 462001 (the "Investigations")
into whether I engaged in professional misconduct and/or am incompetent
in my psychiatry practice.

(4) I, Dr. Goldstein, acknowledge that I am entering into this Undertaking in
lieu of completing the SCERP.

B. UNDERTAKING

(5) I, Dr. Goldstein, undertake to abide by the provisions of this
Undertaking, upon the date this Undertaking is approved by the ICR
Committee "Effective Date".

(6) Practice Restriction

(a) I, Dr. Goldstein, undertake that:

(i) I will not conduct any new assessments of, nor provide
treatment to, individuals who I believe have been subject to
or have engaged in parental alienation;

(ii) I will not provide opinion evidence about parental alienation
to any third party, whether orally or in writing, in regards
to individuals I have assessed or treated, except as required
by law, in which case I will advise the relevant parties, in
advance of providing such opinion evidence, to consult the
College's Public Register;

(iii) I will inform any individuals whom I am currently assessing
and/or treating who I believe have been subject to or have
engaged in parental alienation, that I can no longer be
involved in their assessment and/or treatment and that I
cannot provide opinion evidence about parental alienation to
any third party. I will comply with the College's Policy on
Ending the Physician-Patient Relationship. In any event, I
will not provide any further services to these individuals
after sixty (60) days from the date upon which I sign this
Undertaking;

(iv) I will, in the opening meeting or phone call with counsel
and/or the parties in any new custody/access assessment,
address the issue of whether the case in question has
elements of parental alienation. If so, I will promptly
inform counsel and/or the parties that I cannot be involved
in the assessment;

(v) If, during any on-going custody/access assessment, I have
reasonable grounds to believe that any individual who I am
assessing has been subject to or has engaged in parental
alienation, I will immediately discontinue the assessment and
I will promptly inform counsel and/or the parties that I
cannot be involved in the assessment and that I cannot
provide opinion evidence about parental alienation to any
third party;

(vi) I will, in the opening meeting with any individual seeking
treatment, address whether the issue(s) for which the
individual is seeking treatment has elements of parental
alienation. If so, I will promptly inform the individual
that I cannot be involved in his or her treatment;

(vii) If, during on-going treatment, I have reasonable grounds to
believe that any patient who I am treating has been subject
to or has engaged in parental alienation, I will immediately
discontinue treatment and end the physician-patient
relationship in accordance with the College's Policy on
Ending the Physician-Patient Relationship. I will also inform
the patient that I cannot provide opinion evidence about
parental alienation to any third party.

(7) Professional Education

(a) I, Dr. Goldstein, undertake to participate in and successfully
complete all aspects of the detailed IEP, attached hereto as
Appendix "A", including all of the following professional education
(the "Professional Education"):

(i) Register for and attend the Association of Family and
Conciliation Courts 56th Annual Conference "The Future of
Family Justice: International Innovations":
https://www.afccnet.org/Conferences-Training/AFCC-Conferences/ctl/ViewConference/ConferenceID/158/mid/615;

(ii) Review and prepare written summaries of the following
resources:

a. College policy #4-12, Medical Records;
b. College policy #7-12, Medical Expert: Reports and
Testimony;
c. Association of Family and Conciliation Courts: Model
Standards of Practice for Child Custody Evaluation.

(b) I, Dr. Goldstein, undertake to provide proof to the College of my
successful completion of the Professional Education set out at
Section 7(1)(i), including proof of registration and attendance and
any 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. Goldstein, undertake to complete the requirement set out at
Section 7(a)(ii) byJuly 1, 2019.

(8) Monitoring

(a) I, Dr. Goldstein, undertake to inform the College of each and every
location that I practise or have privileges, including, but not
limited to, any hospitals, clinics, offices, and any 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. Goldstein, 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. Goldstein, give my irrevocable consent to the College to
make appropriate enquiries of OHIP 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. Goldstein, acknowledge that I have executed the OHIP consent
form attached hereto as Appendix "B".

C. ACKNOWLEDGEMENT

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

(10) I, Dr. Goldstein, 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.

(11) I, Dr. Goldstein, 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.

(12) I, Dr. Goldstein, 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").

(13) I, Dr. Goldstein, 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.

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

(15) Public Register

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

(b) I, Dr. Goldstein, acknowledge that, in addition to this Undertaking
being posted in accordance with section (15)(a) above, the
following summary shall be posted on the Public Register during the
time period that this Undertaking remains in effect:

College investigations were conducted into whether Dr.
Goldstein engaged in professional misconduct and/or is
incompetent in his psychiatry practice. As a result of the
investigations:

Dr. Goldstein will engage in professional education in
medical record-keeping and child custody and access
assessments.

Dr. Goldstein will not conduct any new assessments of,
nor provide treatment to, individuals who have been
subject to or have engaged in parental alienation.

Dr. Goldstein will not provide opinion evidence about
parental alienation to any third party, whether orally
or in writing, in regards to individuals he has
assessed or treated, except as required by law, in
which case Dr. Goldstein will advise the relevant
parties, in advance of providing such opinion evidence,
to consult the College's Public Register.

Dr. Goldstein will terminate his professional
relationship with any individuals who he is currently
assessing and/or treating who have been subject to or
have engaged in parental alienation.

Dr. Goldstein will have in place a process to screen
incoming assessments and patients for elements of
parental alienation and to terminate assessments and/or
patients where elements of parental alienation become
apparent after the professional relationship has
commenced.

D. CONSENT

(16) I, Dr. Goldstein, 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.

(17) I, Dr. Goldstein, give my irrevocable consent to any persons who
facilitate my completion of the Professional Education and to all Chiefs
of Staff, to disclose to the College, and to one another, any of the
following:

(a) any information relevant to this Undertaking;

(b) any information relevant for the purposes of monitoring my
compliance with this Undertaking; and/or

(c) any information which comes to their attention in the course of
providing the Professional Education and which they reasonably
believes indicates a potential risk of harm to my patients.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings (1)

Date of Decision: 19 Jun 2019
Summary of Decision:
On June 19th, 2019, the Discipline Committee found that Dr. Goldstein committed an act of professional misconduct in that he has engaged in 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, and that he failed to maintain the standard of practice of the profession.

Background

Dr. Goldstein is an 80-year-old psychiatrist practicing in Toronto, Ontario, who received his certificate of registration authorizing independent practice in 1968.

On the basis of information received from the Health Services Branch of the Ontario Ministry of Health and Long-Term Care (the “Ministry”) identifying concerns with Dr. Goldstein’s recordkeeping and billing practices, as well as other information, the College commenced an investigation under section 75(1)(a) of the Health Professions Procedural Code to obtain a broader view of Dr. Goldstein’s psychiatry practice.

Investigation of Dr. Goldstein’s Practice
The College retained Dr. Ahmed Boachie (“Dr. Boachie”), a psychiatrist and Assistant Professor in the Department of Psychiatry at the University of Toronto, to opine on Dr. Goldstein’s psychiatry practice including his documentation and billing practices. Dr. Boachie reviewed 24 patient charts, the associated OHIP billing for 21 patients, and certain other information.

Dr. Boachie opined that Dr. Goldstein’s documentation practices fell below the standard of practice of the profession in all 24 of the charts reviewed. In particular, he noted that:
There is a clear pattern for concern regarding Dr. Goldstein’s assessment, documentation, and billing practices. It is practically ubiquitous that:
a) Notes are handwritten and difficult to decipher...;

b) Notes are very short, or sometimes there is no note at all, but only a date and time period for the appointment; and

c) Although Dr. Goldstein can clearly assess and formulate mental health disorders, as is evident when he writes letters regarding patients for insurance or legal purposes, there are no assessment notes or formulations written in the chart notes. Nor are there treatment plans.

These practices would make it very difficult for another psychiatrist to take over care of one of Dr.Goldstein’s patients, should he be unavailable to them. These documentation practices do not meet minimum standards of care.

Dr. Boachie also opined that Dr. Goldstein’s billing practices failed to meet the standard of practice of the profession. He noted: With regard to billing practices, there were numerous cases in which dates of treatment that were billed to OHIP did not have corresponding dates and/or chart notes in the patients’ files. In some cases, billing dates were not in sequence, not even roughly in sequence, but all over the place. These concerns require further investigation.

Dr. Boachie interviewed Dr. Goldstein and submitted a further report following that interview.

He noted that:
Dr. Goldstein appeared to have a very good memory of events when prompted, but because of inadequate documentation there were still certain cases where we could not get a clear idea why many decisions were made. He could also not give any appropriate explanation for the discrepancies in OHIP billing described in my first report.

Dr. Boachie, in his reports, raised certain issues with regard to Dr. Goldstein’s patient charts in assessments conducted for use in family court or in cases of family conflict. As Dr. Boachie did not practice in this area, the College retained Dr. Anthony Pignatiello, the Associate Psychiatrist-in-Chief at the Hospital for Sick Children, to review certain patient records previously reviewed by Dr. Boachie. Dr. Pignatiello reviewed five patient charts and interviewed Dr. Goldstein.

As with Dr. Boachie, Dr. Pignatiello’s review identified issues related to Dr. Goldstein’s documentation and billing. In particular, in his report Dr. Pignatiello commented: The patient files of Dr. Goldstein reviewed were consistently very disorganized, unclear, vague, often times with scant information provided. In some sections dates of service were identified; however, no content was written. Two of the files had beginning elements of an assessment note whereas with others there was no evidence of any assessment.

There was no clear approach to an impression, formulation or clear management plan, nor was there any periodic review of the service provided or further plans of action… There was also unclear documentation required for billing purposes Dr. Goldstein’s inadequate documentation and billing as set out in the reports of Dr. Boachie
and Dr. Pignatiello is unprofessional.

Relevant History
On August 27, 1999, the General Manager of the Ontario Health Insurance Plan (“OHIP”), based on the recommendation of the Medical Review Committee of the College (the “MRC”), directed Dr. Goldstein to reimburse OHIP for billing in the amount of $54,705.49.

Plea of No Contest
Dr. Goldstein does not contest the above facts. Dr. Goldstein does not contest that these facts constitute professional misconduct, in that:
a) he engaged in 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, under paragraph 1(1)33 of O. Reg. 856/93; and

b) he failed to maintain the standard of practice of the profession in his care of patients, under paragraph 1(1)2 of Ontario Regulation 856/93 made under the Medicine Act, 1991.

Agreed Statement of Facts Relevant to Penalty
In 2013, the Health Services Branch of the Ontario Ministry of Health and Long-Term Care (the“Ministry”) requested repayment by Dr. Goldstein of certain OHIP claims in the amount of $10,740, comprising those claims without any corresponding patient record for the encounter billed, and those claims where the records were created months after the patient encounter.

Dr. Goldstein repaid approximately $7,500, comprising only those claims without any corresponding patient record for the encounter billed.

Disposition

The Discipline Committee ordered that:

- Dr. Goldstein attend before the panel to be reprimanded.

- The Registrar suspend Dr. Goldstein’s certificate of registration for a period of three (3) months, commencing from June 27, 2019 at 12:01am.

- The Registrar place the following terms, conditions and limitations on Dr. Goldstein’s certificate of registration:

a. Dr. Goldstein shall comply with the College Policy #2-07 “Practice Management Considerations for Physicians Who Cease to Practise, Take an Extended Leave of Absence or Close Their Practice Due to Relocation”, a copy of which is attached at Schedule “A” to this Order;

PROBE Program

b. Dr. Goldstein shall participate in and unconditionally pass the PROBE Ethics & Boundaries Program offered by the Centre for Personalized Education for Professionals, with a report or reports to be provided by the provider to the
College regarding Dr. Goldstein’s progress and compliance. Dr. Goldstein shall complete this requirement within six (6 months) of the date of this Order.

Clinical Supervision

c. Within twenty (20) days of this Order, Dr. Goldstein shall retain a College- approved clinical supervisor or supervisors (the “Clinical Supervisor”) with respect to his psychiatry practice, who has signed an undertaking in the form attached hereto as Schedule “B”.

d. For a period of twelve (12) months commencing on the date that Dr. Goldstein resumes practice following the suspension of his certificate of registration, Dr. Goldstein may practise psychiatry only under the supervision of the Clinical Supervisor (“Clinical Supervision”), who shall facilitate the education program set out in the Individualized Education Plan (“IEP”), attached hereto as Schedule “C”; as follows:

e. For an initial period of two (2) months, Dr. Goldstein will meet with the Clinical Supervisor every week, at which meetings the Clinical Supervisor will:
i. review a minimum fifteen (15) of Dr. Goldstein’s patient records, to be selected at the sole discretion of the Clinical Supervisor, and the associated OHIP claims submissions or planned OHIP claims submissions, and discuss any issues or concerns arising from this review with Dr. Goldstein;

ii. make recommendations to Dr. Goldstein for practice improvements and ongoing professional development, and inquire into Dr. Goldstein’s compliance with the recommendations; and

iii. keep a log of all patient charts reviewed along with patient identifiers.

f. After the initial period of two (2) months, if the Clinical Supervisor is satisfied that Dr. Goldstein’s patient records and associated OHIP billings reflect the knowledge, skills and judgment necessary for Dr. Goldstein to practise in a less highly supervised environment, the Clinical Supervisor may recommend to the College that supervision be reduced for the balance of the Clinical Supervision period of twelve (12) months.

g. Upon the recommendation of the Clinical Supervisor and approval of the College of a reduction in supervision, Dr. Goldstein will meet with the Clinical Supervisor every month, at which meetings the Clinical Supervisor will:

i. review a minimum fifteen (15) of Dr. Goldstein’s patient records, to be selected at the sole discretion of the Clinical Supervisor, and the associated OHIP claims submissions or planned OHIP claims submissions, and discuss any issues or concerns arising from this review with Dr. Goldstein;

ii. make recommendations to Dr. Goldstein for practice improvements and ongoing professional development, and inquire into Dr. Goldstein’s compliance with the recommendations; and

iii. keep a log of all patient charts reviewed along with patient identifiers. 

Other Elements of Clinical Supervision

h. Throughout the period of Clinical Supervision, Dr. Goldstein shall abide by all recommendations of his Clinical Supervisor regarding his recordkeeping and OHIP billing, practice improvements, and ongoing professional development.

i. The Clinical Supervisor shall submit written reports to the College at least once every month, or more frequently if the Clinical Supervisor has concerns about Dr. Goldstein’s standard of practice.

j. If a person who has given an undertaking in Schedule “A” to this Order is unable or unwilling to continue to fulfill its provisions, Dr. Goldstein shall, within twenty (20) days of receiving notice of the same, ensure that an executed undertaking is delivered to the College in the same form from a similarly qualified person who is acceptable to the College.

k. If Dr. Goldstein is unable to obtain a Clinical Supervisor as set out in this Order, he shall cease practising medicine until he has obtained a Clinical Supervisor acceptable to the College.

l. If Dr. Goldstein is required to cease to practise medicine as a result of section (5)(k) above, this will constitute a term, condition or limitation on his certificate of registration and that term, condition or limitation will be included on the public register.

Reassessment of Practice

m. Approximately six (6) months after the completion of Clinical Supervision, Dr. Goldstein shall undergo a reassessment of practice by a College-appointed assessor (the “Assessor”). The re-assessment shall include a review of Dr. Goldstein’s patient charts and associated OHIP claims submissions or planned OHIP claims submissions. The results of the re-assessment shall be reported to the College.

n. Dr. Goldstein shall consent to such sharing of information among the Assessor, the Clinical Supervisor, and the College, as any of them deem necessary or desirable in order to fulfill their respective obligations.

Monitoring

o. Dr. Goldstein shall inform the College of each and every location where he practises, in any jurisdiction (his “Practice Location(s)”) within fifteen (15) days of this Order and shall inform the College of any and all new Practice Locations within fifteen (15) days of commencing practice a t that location.

p. Dr. Goldstein shall cooperate with unannounced inspections of his practice, patient charts and OHIP claims submissions by a College representative(s) for the purpose of monitoring and enforcing his compliance with the terms of this Order.

q. Dr. Goldstein shall consent to the College’s making appropriate enquiries of the Ontario Health Insurance Plan and/or any person or institution that may have relevant information, in order for the College to monitor and enforce his compliance with the terms of this Order.

r. Dr. Goldstein shall be responsible for any and all costs associated with implementing the terms of this Order.

- Dr. Goldstein pay costs to the College in the amount of $6,000.00 within 30 days of the date of this Order.
 
 
Reasons for Decision: Download Full Decision (PDF)
Hearing Date(s): June 19, 2019 at 9:00 a.m.

Other Notifications (2)

Source: Member
Effective Date: 16 Apr 2019
Summary:
Summary of the Undertaking given by Dr. Sol Julian Goldstein to the College of Physicians and Surgeons of Ontario, effective April 16, 2019:

College investigations were conducted into whether Dr. Goldstein engaged in professional misconduct and/or is incompetent in his psychiatry practice. As a result of the investigations:

Dr. Goldstein will engage in professional education in medical record-keeping and child custody and access assessments.

Dr. Goldstein will not conduct any new assessments of, nor provide treatment to, individuals who have been subject to or have engaged in parental alienation.

Dr. Goldstein will not provide opinion evidence about parental alienation to any third party, whether orally or in writing, in regards to individuals he has assessed or treated, except as required by law, in which case Dr. Goldstein will advise the relevant parties, in advance of providing such opinion evidence, to consult the College’s Public Register.

Dr. Goldstein will terminate his professional relationship with any individuals who he is currently assessing and/or treating who have been subject to or have engaged in parental alienation.

Dr. Goldstein will have in place a process to screen incoming assessments and patients for elements of parental alienation and to terminate assessments and/or patients where elements of parental alienation become apparent after the professional relationship has commenced. 


Source: Inquiries, Complaints and Reports Committee
Effective Date: 16 Apr 2018
Summary:
Specified Continuing Education and Remediation Program:

A summary of a decision of the Inquiries, Complaints and Reports Committee in which the disposition includes a Specified Continuing Education and Remediation Program (“SCERP”) is required by the College By-laws to be posted on the register, along with a note if the decision has been appealed. A SCERP is one of the dispositions that the College’s Inquiries, Complaints and Reports Committee may make in connection with a matter before it, and this disposition requires the member to complete an education and remediation program specified for the member. A note will also be posted when all the elements of the SCERP have been completed. 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 SCERP:

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings (1)

Date of Decision: 19 Jun 2019
Summary of Decision:
On June 19th, 2019, the Discipline Committee found that Dr. Goldstein committed an act of professional misconduct in that he has engaged in 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, and that he failed to maintain the standard of practice of the profession.

Background

Dr. Goldstein is an 80-year-old psychiatrist practicing in Toronto, Ontario, who received his certificate of registration authorizing independent practice in 1968.

On the basis of information received from the Health Services Branch of the Ontario Ministry of Health and Long-Term Care (the “Ministry”) identifying concerns with Dr. Goldstein’s recordkeeping and billing practices, as well as other information, the College commenced an investigation under section 75(1)(a) of the Health Professions Procedural Code to obtain a broader view of Dr. Goldstein’s psychiatry practice.

Investigation of Dr. Goldstein’s Practice
The College retained Dr. Ahmed Boachie (“Dr. Boachie”), a psychiatrist and Assistant Professor in the Department of Psychiatry at the University of Toronto, to opine on Dr. Goldstein’s psychiatry practice including his documentation and billing practices. Dr. Boachie reviewed 24 patient charts, the associated OHIP billing for 21 patients, and certain other information.

Dr. Boachie opined that Dr. Goldstein’s documentation practices fell below the standard of practice of the profession in all 24 of the charts reviewed. In particular, he noted that:
There is a clear pattern for concern regarding Dr. Goldstein’s assessment, documentation, and billing practices. It is practically ubiquitous that:
a) Notes are handwritten and difficult to decipher...;

b) Notes are very short, or sometimes there is no note at all, but only a date and time period for the appointment; and

c) Although Dr. Goldstein can clearly assess and formulate mental health disorders, as is evident when he writes letters regarding patients for insurance or legal purposes, there are no assessment notes or formulations written in the chart notes. Nor are there treatment plans.

These practices would make it very difficult for another psychiatrist to take over care of one of Dr.Goldstein’s patients, should he be unavailable to them. These documentation practices do not meet minimum standards of care.

Dr. Boachie also opined that Dr. Goldstein’s billing practices failed to meet the standard of practice of the profession. He noted: With regard to billing practices, there were numerous cases in which dates of treatment that were billed to OHIP did not have corresponding dates and/or chart notes in the patients’ files. In some cases, billing dates were not in sequence, not even roughly in sequence, but all over the place. These concerns require further investigation.

Dr. Boachie interviewed Dr. Goldstein and submitted a further report following that interview.

He noted that:
Dr. Goldstein appeared to have a very good memory of events when prompted, but because of inadequate documentation there were still certain cases where we could not get a clear idea why many decisions were made. He could also not give any appropriate explanation for the discrepancies in OHIP billing described in my first report.

Dr. Boachie, in his reports, raised certain issues with regard to Dr. Goldstein’s patient charts in assessments conducted for use in family court or in cases of family conflict. As Dr. Boachie did not practice in this area, the College retained Dr. Anthony Pignatiello, the Associate Psychiatrist-in-Chief at the Hospital for Sick Children, to review certain patient records previously reviewed by Dr. Boachie. Dr. Pignatiello reviewed five patient charts and interviewed Dr. Goldstein.

As with Dr. Boachie, Dr. Pignatiello’s review identified issues related to Dr. Goldstein’s documentation and billing. In particular, in his report Dr. Pignatiello commented: The patient files of Dr. Goldstein reviewed were consistently very disorganized, unclear, vague, often times with scant information provided. In some sections dates of service were identified; however, no content was written. Two of the files had beginning elements of an assessment note whereas with others there was no evidence of any assessment.

There was no clear approach to an impression, formulation or clear management plan, nor was there any periodic review of the service provided or further plans of action… There was also unclear documentation required for billing purposes Dr. Goldstein’s inadequate documentation and billing as set out in the reports of Dr. Boachie
and Dr. Pignatiello is unprofessional.

Relevant History
On August 27, 1999, the General Manager of the Ontario Health Insurance Plan (“OHIP”), based on the recommendation of the Medical Review Committee of the College (the “MRC”), directed Dr. Goldstein to reimburse OHIP for billing in the amount of $54,705.49.

Plea of No Contest
Dr. Goldstein does not contest the above facts. Dr. Goldstein does not contest that these facts constitute professional misconduct, in that:
a) he engaged in 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, under paragraph 1(1)33 of O. Reg. 856/93; and

b) he failed to maintain the standard of practice of the profession in his care of patients, under paragraph 1(1)2 of Ontario Regulation 856/93 made under the Medicine Act, 1991.

Agreed Statement of Facts Relevant to Penalty
In 2013, the Health Services Branch of the Ontario Ministry of Health and Long-Term Care (the“Ministry”) requested repayment by Dr. Goldstein of certain OHIP claims in the amount of $10,740, comprising those claims without any corresponding patient record for the encounter billed, and those claims where the records were created months after the patient encounter.

Dr. Goldstein repaid approximately $7,500, comprising only those claims without any corresponding patient record for the encounter billed.

Disposition

The Discipline Committee ordered that:

- Dr. Goldstein attend before the panel to be reprimanded.

- The Registrar suspend Dr. Goldstein’s certificate of registration for a period of three (3) months, commencing from June 27, 2019 at 12:01am.

- The Registrar place the following terms, conditions and limitations on Dr. Goldstein’s certificate of registration:

a. Dr. Goldstein shall comply with the College Policy #2-07 “Practice Management Considerations for Physicians Who Cease to Practise, Take an Extended Leave of Absence or Close Their Practice Due to Relocation”, a copy of which is attached at Schedule “A” to this Order;

PROBE Program

b. Dr. Goldstein shall participate in and unconditionally pass the PROBE Ethics & Boundaries Program offered by the Centre for Personalized Education for Professionals, with a report or reports to be provided by the provider to the
College regarding Dr. Goldstein’s progress and compliance. Dr. Goldstein shall complete this requirement within six (6 months) of the date of this Order.

Clinical Supervision

c. Within twenty (20) days of this Order, Dr. Goldstein shall retain a College- approved clinical supervisor or supervisors (the “Clinical Supervisor”) with respect to his psychiatry practice, who has signed an undertaking in the form attached hereto as Schedule “B”.

d. For a period of twelve (12) months commencing on the date that Dr. Goldstein resumes practice following the suspension of his certificate of registration, Dr. Goldstein may practise psychiatry only under the supervision of the Clinical Supervisor (“Clinical Supervision”), who shall facilitate the education program set out in the Individualized Education Plan (“IEP”), attached hereto as Schedule “C”; as follows:

e. For an initial period of two (2) months, Dr. Goldstein will meet with the Clinical Supervisor every week, at which meetings the Clinical Supervisor will:
i. review a minimum fifteen (15) of Dr. Goldstein’s patient records, to be selected at the sole discretion of the Clinical Supervisor, and the associated OHIP claims submissions or planned OHIP claims submissions, and discuss any issues or concerns arising from this review with Dr. Goldstein;

ii. make recommendations to Dr. Goldstein for practice improvements and ongoing professional development, and inquire into Dr. Goldstein’s compliance with the recommendations; and

iii. keep a log of all patient charts reviewed along with patient identifiers.

f. After the initial period of two (2) months, if the Clinical Supervisor is satisfied that Dr. Goldstein’s patient records and associated OHIP billings reflect the knowledge, skills and judgment necessary for Dr. Goldstein to practise in a less highly supervised environment, the Clinical Supervisor may recommend to the College that supervision be reduced for the balance of the Clinical Supervision period of twelve (12) months.

g. Upon the recommendation of the Clinical Supervisor and approval of the College of a reduction in supervision, Dr. Goldstein will meet with the Clinical Supervisor every month, at which meetings the Clinical Supervisor will:

i. review a minimum fifteen (15) of Dr. Goldstein’s patient records, to be selected at the sole discretion of the Clinical Supervisor, and the associated OHIP claims submissions or planned OHIP claims submissions, and discuss any issues or concerns arising from this review with Dr. Goldstein;

ii. make recommendations to Dr. Goldstein for practice improvements and ongoing professional development, and inquire into Dr. Goldstein’s compliance with the recommendations; and

iii. keep a log of all patient charts reviewed along with patient identifiers. 

Other Elements of Clinical Supervision

h. Throughout the period of Clinical Supervision, Dr. Goldstein shall abide by all recommendations of his Clinical Supervisor regarding his recordkeeping and OHIP billing, practice improvements, and ongoing professional development.

i. The Clinical Supervisor shall submit written reports to the College at least once every month, or more frequently if the Clinical Supervisor has concerns about Dr. Goldstein’s standard of practice.

j. If a person who has given an undertaking in Schedule “A” to this Order is unable or unwilling to continue to fulfill its provisions, Dr. Goldstein shall, within twenty (20) days of receiving notice of the same, ensure that an executed undertaking is delivered to the College in the same form from a similarly qualified person who is acceptable to the College.

k. If Dr. Goldstein is unable to obtain a Clinical Supervisor as set out in this Order, he shall cease practising medicine until he has obtained a Clinical Supervisor acceptable to the College.

l. If Dr. Goldstein is required to cease to practise medicine as a result of section (5)(k) above, this will constitute a term, condition or limitation on his certificate of registration and that term, condition or limitation will be included on the public register.

Reassessment of Practice

m. Approximately six (6) months after the completion of Clinical Supervision, Dr. Goldstein shall undergo a reassessment of practice by a College-appointed assessor (the “Assessor”). The re-assessment shall include a review of Dr. Goldstein’s patient charts and associated OHIP claims submissions or planned OHIP claims submissions. The results of the re-assessment shall be reported to the College.

n. Dr. Goldstein shall consent to such sharing of information among the Assessor, the Clinical Supervisor, and the College, as any of them deem necessary or desirable in order to fulfill their respective obligations.

Monitoring

o. Dr. Goldstein shall inform the College of each and every location where he practises, in any jurisdiction (his “Practice Location(s)”) within fifteen (15) days of this Order and shall inform the College of any and all new Practice Locations within fifteen (15) days of commencing practice a t that location.

p. Dr. Goldstein shall cooperate with unannounced inspections of his practice, patient charts and OHIP claims submissions by a College representative(s) for the purpose of monitoring and enforcing his compliance with the terms of this Order.

q. Dr. Goldstein shall consent to the College’s making appropriate enquiries of the Ontario Health Insurance Plan and/or any person or institution that may have relevant information, in order for the College to monitor and enforce his compliance with the terms of this Order.

r. Dr. Goldstein shall be responsible for any and all costs associated with implementing the terms of this Order.

- Dr. Goldstein pay costs to the College in the amount of $6,000.00 within 30 days of the date of this Order.
 
 
Reasons for Decision: Download Full Decision (PDF)
Hearing Date(s): June 19, 2019 at 9:00 a.m.

Other Notifications (2)

Source: Member
Effective Date: 16 Apr 2019
Summary:
Summary of the Undertaking given by Dr. Sol Julian Goldstein to the College of Physicians and Surgeons of Ontario, effective April 16, 2019:

College investigations were conducted into whether Dr. Goldstein engaged in professional misconduct and/or is incompetent in his psychiatry practice. As a result of the investigations:

Dr. Goldstein will engage in professional education in medical record-keeping and child custody and access assessments.

Dr. Goldstein will not conduct any new assessments of, nor provide treatment to, individuals who have been subject to or have engaged in parental alienation.

Dr. Goldstein will not provide opinion evidence about parental alienation to any third party, whether orally or in writing, in regards to individuals he has assessed or treated, except as required by law, in which case Dr. Goldstein will advise the relevant parties, in advance of providing such opinion evidence, to consult the College’s Public Register.

Dr. Goldstein will terminate his professional relationship with any individuals who he is currently assessing and/or treating who have been subject to or have engaged in parental alienation.

Dr. Goldstein will have in place a process to screen incoming assessments and patients for elements of parental alienation and to terminate assessments and/or patients where elements of parental alienation become apparent after the professional relationship has commenced. 


Source: Inquiries, Complaints and Reports Committee
Effective Date: 16 Apr 2018
Summary:
Specified Continuing Education and Remediation Program:

A summary of a decision of the Inquiries, Complaints and Reports Committee in which the disposition includes a Specified Continuing Education and Remediation Program (“SCERP”) is required by the College By-laws to be posted on the register, along with a note if the decision has been appealed. A SCERP is one of the dispositions that the College’s Inquiries, Complaints and Reports Committee may make in connection with a matter before it, and this disposition requires the member to complete an education and remediation program specified for the member. A note will also be posted when all the elements of the SCERP have been completed. 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 SCERP:

Training

Medical School: Dalhousie University Faculty of Medicine, 1963

Registration History

DETAILS DATE
Suspension of registration removed. Effective: 27 Sep 2019
Suspension of registration imposed: Discipline Committee Effective: 27 Jun 2019
Terms and conditions amended by Discipline Committee. Effective: 19 Jun 2019
Transfer of class of registration to: Restricted Certificate Effective: 16 Apr 2019
First certificate of registration issued: Independent Practice Certificate Effective: 03 Jul 1968
DETAILS: Suspension of registration removed.
Date: Effective: 27 Sep 2019

DETAILS: Suspension of registration imposed: Discipline Committee
Date: Effective: 27 Jun 2019

DETAILS: Terms and conditions amended by Discipline Committee.
Date: Effective: 19 Jun 2019

DETAILS: Transfer of class of registration to: Restricted Certificate
Date: Effective: 16 Apr 2019
DETAILS: Terms and conditions imposed on certificate by: Member
Date: Effective: 16 Apr 2019

DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 03 Jul 1968