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
07/11/24 16:01:03 PM

General Information

Former Name: No Former Name
Medical School: University of Leeds School of Medicine, 1963
Gender: Man
Languages Spoken: ENGLISH, PERSIAN

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Neurology
Effective: 18 Nov 1970
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Neurology
ISSUED ON: Effective: Nov 18 1970
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: PDAC
10 - 4646 Dufferin Street
Toronto ON M3H 5S4
Date Received: 26 Oct 2017

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Ayoob Mossanen Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 17 Jan 2018

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, PERSIAN
Medical School: University of Leeds School of Medicine, 1963

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Neurology
Effective: 18 Nov 1970
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Neurology
ISSUED ON: Effective: Nov 18 1970
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: PDAC
10 - 4646 Dufferin Street
Toronto ON M3H 5S4
Date Received: 26 Oct 2017

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Ayoob Mossanen Medicine Professional Corporation
Certificate of Authorization Status: Inactive End Date: 17 Jan 2018

Practice Conditions

This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise medicine.
This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise medicine.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings (1)

Date of Decision: 10 Aug 2018
Summary of Decision:
On August 10, 2018, the Discipline Committee found that Dr. Ayoob Mossanen 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 in that he has contravened a term, condition or limitation on his certificate of registration.

Allegations referred by Notices of Hearing dated November 23, 2016, November 15, 2017, and March 20, 2018 were dealt with in one hearing.

Dr. Mossanen received his certificate of registration authorizing independent practice from the College in 1970; he holds RCPSC certification in neurology and practised at the Clinic in Toronto, until his resignation on October 26, 2017.

Patient A

In the fall of 2006, Patient A sustained injuries in a motor vehicle accident. Dr. Mossanen was retained by Patient A’s legal counsel to conduct an independent medical examination. Patient A attended Dr. Mossanen’s office in the fall of 2007. She reported headache, neck pain, mid and lower back pain and lower abdominal pain. Patient A was in her mid-30s.

After interviewing Patient A, Dr. Mossanen instructed her to remove her top and provided her with a gown. Patient A followed his instructions. Dr. Mossanen examined Patient A’s nervous system, cranial nerves, motor system, gait, neck, back, facet joints, shoulders, lower extremities, sacro-iliac joint and lower abdominal area. Dr. Mossanen’s examination included straight leg raising (including hip flexion), and bending each of Patient A’s knees toward the chest. In examining Patient A’s fundi, Dr. Mossanen placed his face very close to hers. She could feel his breath. Patient A recalls Dr. Mossanen touched her face.

Dr. Mossanen asked Patient A to remove her pants. Patient A was upset and cold and did not wish to remove her pants. As Patient A recalled, Dr. Mossanen assisted her in removing her pants during the course of the examination. Without an adequate explanation to Patient A, Dr. Mossanen manipulated Patient A’s legs as part of his examination. In doing so, he came close to Patient A’s symphysis pubis, causing her discomfort. Without an adequate explanation, Dr. Mossanen palpated Patient A’s lower abdomen, including near her symphysis pubis. To do so, Dr. Mossanen rolled down Patient A’s underwear exposing her lower abdomen and the upper part of her pubic area. Patient A became increasingly upset and uncomfortable, and was crying extensively. She found Dr. Mossanen sharp and impatient and did not understand why he was palpating her near her pelvic area, and why he was pushing and pulling on her legs, as part of his examination. She forced her legs shut.

Dr. Mossanen terminated the IME and advised Patient A he could not complete the examination. Dr. Mossanen failed to explain to Patient A the steps of his examination, failed to explain that he would be palpating a sensitive area of her anatomy, and failed to obtain Patient A’s informed consent, causing Patient A considerable distress. Dr. Mossanen failed to show adequate sensitivity and respect for Patient A’s comfort, which was unprofessional.

In November 2015, Patient A complained to the College regarding her experience with Dr. Mossanen.

Patient B

In the fall of 2016, Patient B sustained injuries in a motor vehicle accident. Dr. Mossanen was retained by Patient B’s legal counsel to provide an IME. Patient B attended Dr. Mossanen’s office in the summer of 2017. She reported neck pain, chest pain, interscapular, lower and whole back pain, right groin pain, post-nose fracture, vague cracking sensation in the toes without any pain, right and left upper extremity stiffness and intermittent tingling of the hands and feet. Patient B was in her mid-30s at the time.

Dr. Mossanen’s physical examination included investigation of Patient B’s nervous system (including cranial nerves, fundi and visual fields, and hearing), musculoskeletal, motor, and sensory systems as well as an examination of the left and right side of her groin. As part of the examination of Patient B’s cranial nerves, Dr. Mossanen examined Patient B’s eyes. This involved coming in very close to Patient B’s face, which made Patient B very uncomfortable. Dr. Mossanen failed to adequately explain the steps of his examination and the purpose of his examination, making Patient B uncomfortable. Further to Patient B’s complaint of right groin pain, without an adequate explanation to Patient B, Dr. Mossanen palpated Patient B’s right and left inguinal ligament. Without an adequate explanation to Patient B, the examination was performed with Patient B’s pubic hair and the top of her vulva exposed. In palpating the area, Dr. Mossanen incidentally touched the area of Patient B’s pubic bone. The examination caused Patient B considerable distress.

At the time of Patient B’s IME, Dr. Mossanen was required to have a College-approved practice monitor present during the entirety of the encounter. The practice monitor, a registered nurse, who observed Dr. Mossanen’s entire examination of Patient B, did not consider any touching inappropriate.

Dr. Mossanen failed to explain the steps of his examination, failed to explain that he would be palpating a sensitive area of Patient B’s anatomy, and failed to obtain her informed consent, causing Patient B considerable distress. Dr. Mossanen failed to show adequate sensitivity and respect for Patient B’s comfort which was unprofessional.

Breach of the Section 37 Order
On January 6, 2017, the Inquiries Complaints and Reports Committee made an Order prohibiting Dr. Mossanen from engaging in professional encounters with female patients of any age, unless the patient encounter took place in the presence of an approved practice monitor. Dr. Mossanen was required to ensure that the practice monitor remained in the examination room or consultation room and carefully observed all physical examinations. The terms of the Order required, among other things, that:
- Dr. Mossanen ensure that each patient scheduled for an appointment with him was directly notified, prior to the appointment, of the details of the practice restriction
- Dr. Mossanen ensure that each practice monitor maintain a patient log of all in-person professional encounters with female patients and that
-Dr. Mossanen ensure the practice monitor submit the original Log to the College on a monthly basis.

Dr. Mossanen contravened the terms, conditions and limitations on his certificate of registration by failing to notify several of his patients, including Patient B, that he was required to have a practice monitor present for all professional encounters with female patients, and by failing to ensure that all three College–approved practice monitors submitted their patient logs to the College on a monthly basis as required.

2018 Undertaking
On August 7, 2018, Dr. Mossanen entered into an Undertaking with the College, wherein he acknowledged that he resigned from the College and undertook not to apply or re-apply for registration as a physician to practise medicine in Ontario or any other jurisdiction.

Disposition

On August 10, 2018, the Discipline Committee ordered and directed that:
- Dr. Mossanen attend before the panel to be reprimanded.
- Dr. Mossanen pay costs to the College in the amount of $6,000.00 within thirty (30) days from the date this Order becomes final, or in accordance with a payment plan approved by the College.
Reasons for Decision: Download Full Decision (PDF)
Hearing Date(s): August 10, 2018

Other Notifications (1)

Source: Member
Effective Date: 07 Aug 2018
Summary:
Summary of the Undertaking given by Dr. Ayoob Mossanen to the College of Physicians and Surgeons of Ontario, effective August 7, 2018:

Allegations of professional misconduct against Dr. Mossanen were referred to the Discipline Committee. Dr. Mossanen resigned from the College and has agreed never to apply or reapply for registration as a physician in Ontario or any other jurisdiction. 

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings (1)

Date of Decision: 10 Aug 2018
Summary of Decision:
On August 10, 2018, the Discipline Committee found that Dr. Ayoob Mossanen 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 in that he has contravened a term, condition or limitation on his certificate of registration.

Allegations referred by Notices of Hearing dated November 23, 2016, November 15, 2017, and March 20, 2018 were dealt with in one hearing.

Dr. Mossanen received his certificate of registration authorizing independent practice from the College in 1970; he holds RCPSC certification in neurology and practised at the Clinic in Toronto, until his resignation on October 26, 2017.

Patient A

In the fall of 2006, Patient A sustained injuries in a motor vehicle accident. Dr. Mossanen was retained by Patient A’s legal counsel to conduct an independent medical examination. Patient A attended Dr. Mossanen’s office in the fall of 2007. She reported headache, neck pain, mid and lower back pain and lower abdominal pain. Patient A was in her mid-30s.

After interviewing Patient A, Dr. Mossanen instructed her to remove her top and provided her with a gown. Patient A followed his instructions. Dr. Mossanen examined Patient A’s nervous system, cranial nerves, motor system, gait, neck, back, facet joints, shoulders, lower extremities, sacro-iliac joint and lower abdominal area. Dr. Mossanen’s examination included straight leg raising (including hip flexion), and bending each of Patient A’s knees toward the chest. In examining Patient A’s fundi, Dr. Mossanen placed his face very close to hers. She could feel his breath. Patient A recalls Dr. Mossanen touched her face.

Dr. Mossanen asked Patient A to remove her pants. Patient A was upset and cold and did not wish to remove her pants. As Patient A recalled, Dr. Mossanen assisted her in removing her pants during the course of the examination. Without an adequate explanation to Patient A, Dr. Mossanen manipulated Patient A’s legs as part of his examination. In doing so, he came close to Patient A’s symphysis pubis, causing her discomfort. Without an adequate explanation, Dr. Mossanen palpated Patient A’s lower abdomen, including near her symphysis pubis. To do so, Dr. Mossanen rolled down Patient A’s underwear exposing her lower abdomen and the upper part of her pubic area. Patient A became increasingly upset and uncomfortable, and was crying extensively. She found Dr. Mossanen sharp and impatient and did not understand why he was palpating her near her pelvic area, and why he was pushing and pulling on her legs, as part of his examination. She forced her legs shut.

Dr. Mossanen terminated the IME and advised Patient A he could not complete the examination. Dr. Mossanen failed to explain to Patient A the steps of his examination, failed to explain that he would be palpating a sensitive area of her anatomy, and failed to obtain Patient A’s informed consent, causing Patient A considerable distress. Dr. Mossanen failed to show adequate sensitivity and respect for Patient A’s comfort, which was unprofessional.

In November 2015, Patient A complained to the College regarding her experience with Dr. Mossanen.

Patient B

In the fall of 2016, Patient B sustained injuries in a motor vehicle accident. Dr. Mossanen was retained by Patient B’s legal counsel to provide an IME. Patient B attended Dr. Mossanen’s office in the summer of 2017. She reported neck pain, chest pain, interscapular, lower and whole back pain, right groin pain, post-nose fracture, vague cracking sensation in the toes without any pain, right and left upper extremity stiffness and intermittent tingling of the hands and feet. Patient B was in her mid-30s at the time.

Dr. Mossanen’s physical examination included investigation of Patient B’s nervous system (including cranial nerves, fundi and visual fields, and hearing), musculoskeletal, motor, and sensory systems as well as an examination of the left and right side of her groin. As part of the examination of Patient B’s cranial nerves, Dr. Mossanen examined Patient B’s eyes. This involved coming in very close to Patient B’s face, which made Patient B very uncomfortable. Dr. Mossanen failed to adequately explain the steps of his examination and the purpose of his examination, making Patient B uncomfortable. Further to Patient B’s complaint of right groin pain, without an adequate explanation to Patient B, Dr. Mossanen palpated Patient B’s right and left inguinal ligament. Without an adequate explanation to Patient B, the examination was performed with Patient B’s pubic hair and the top of her vulva exposed. In palpating the area, Dr. Mossanen incidentally touched the area of Patient B’s pubic bone. The examination caused Patient B considerable distress.

At the time of Patient B’s IME, Dr. Mossanen was required to have a College-approved practice monitor present during the entirety of the encounter. The practice monitor, a registered nurse, who observed Dr. Mossanen’s entire examination of Patient B, did not consider any touching inappropriate.

Dr. Mossanen failed to explain the steps of his examination, failed to explain that he would be palpating a sensitive area of Patient B’s anatomy, and failed to obtain her informed consent, causing Patient B considerable distress. Dr. Mossanen failed to show adequate sensitivity and respect for Patient B’s comfort which was unprofessional.

Breach of the Section 37 Order
On January 6, 2017, the Inquiries Complaints and Reports Committee made an Order prohibiting Dr. Mossanen from engaging in professional encounters with female patients of any age, unless the patient encounter took place in the presence of an approved practice monitor. Dr. Mossanen was required to ensure that the practice monitor remained in the examination room or consultation room and carefully observed all physical examinations. The terms of the Order required, among other things, that:
- Dr. Mossanen ensure that each patient scheduled for an appointment with him was directly notified, prior to the appointment, of the details of the practice restriction
- Dr. Mossanen ensure that each practice monitor maintain a patient log of all in-person professional encounters with female patients and that
-Dr. Mossanen ensure the practice monitor submit the original Log to the College on a monthly basis.

Dr. Mossanen contravened the terms, conditions and limitations on his certificate of registration by failing to notify several of his patients, including Patient B, that he was required to have a practice monitor present for all professional encounters with female patients, and by failing to ensure that all three College–approved practice monitors submitted their patient logs to the College on a monthly basis as required.

2018 Undertaking
On August 7, 2018, Dr. Mossanen entered into an Undertaking with the College, wherein he acknowledged that he resigned from the College and undertook not to apply or re-apply for registration as a physician to practise medicine in Ontario or any other jurisdiction.

Disposition

On August 10, 2018, the Discipline Committee ordered and directed that:
- Dr. Mossanen attend before the panel to be reprimanded.
- Dr. Mossanen pay costs to the College in the amount of $6,000.00 within thirty (30) days from the date this Order becomes final, or in accordance with a payment plan approved by the College.
Reasons for Decision: Download Full Decision (PDF)
Hearing Date(s): August 10, 2018

Other Notifications (1)

Source: Member
Effective Date: 07 Aug 2018
Summary:
Summary of the Undertaking given by Dr. Ayoob Mossanen to the College of Physicians and Surgeons of Ontario, effective August 7, 2018:

Allegations of professional misconduct against Dr. Mossanen were referred to the Discipline Committee. Dr. Mossanen resigned from the College and has agreed never to apply or reapply for registration as a physician in Ontario or any other jurisdiction. 

Training

Medical School: University of Leeds School of Medicine, 1963

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 26 Oct 2017
Transfer of class of registration to: Restricted Certificate Effective: 06 Jan 2017
Transfer of class of registration to: Independent Practice Certificate Effective: 26 Nov 1970
Subsequent certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1969
Expired: Terms and conditions of certificate of registration Effective: 31 Dec 1968
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1966
DETAILS: Expired: Resigned from membership.
Date: Effective: 26 Oct 2017

DETAILS: Transfer of class of registration to: Restricted Certificate
Date: Effective: 06 Jan 2017
DETAILS: Terms and conditions imposed on certificate by: Inquiries, Complaints and Reports Committee
Date: Effective: 06 Jan 2017

DETAILS: Transfer of class of registration to: Independent Practice Certificate
Date: Effective: 26 Nov 1970

DETAILS: Subsequent certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 1969

DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 31 Dec 1968

DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 1966