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 06:02:13 AM

General Information

Former Name: No Former Name
Medical School: University of Ottawa, 1973
Gender: Man
Languages Spoken: ENGLISH, UKRAINIAN

Practice Information

Primary Business Location: 2150 Robertson Road
Ottawa Ontario K2H 5Z2
Business Email: No Information Available
Phone: 613-482-0118
Fax: No Information Available

Specialties

No Specialty Reported

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Baranick-Robertson Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 22 Jun 2010
Shareholders:
Dr. P. Baranick (CPSO#: 31037 ) Dr. S. Robertson (CPSO#: 31308 )

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, UKRAINIAN
Medical School: University of Ottawa, 1973

Practice Information

Primary Business Location: 2150 Robertson Road
Ottawa Ontario K2H 5Z2
Business Email: No Information Available
Phone: 613-482-0118
Fax: No Information Available

Specialties

No Specialty Reported

Hospital Privileges

No information available

Professional Corporation Information

Corporation Name: Baranick-Robertson Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 22 Jun 2010
Shareholders:
Dr. P. Baranick (CPSO#: 31037 ) Dr. S. Robertson (CPSO#: 31308 )

Practice Conditions

IMPOSED BY EFFECTIVE DATE EXPIRY DATE STATUS
Discipline Committee
20 Sep 2024
Restricted
IMPOSED BY: Discipline Committee
EFFECTIVE DATE: Sep 20 2024
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 3)

As from September 20th, 2024, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. Peter Paul Baranick in accordance with an undertaking and consent given by Dr. Baranick to the College of Physicians and Surgeons of Ontario:

UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
(“Undertaking”)

of

DR. PETER PAUL BARANICK
(“Dr. Baranick”)

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;
“Discipline Tribunal” means the Ontario Physicians and Surgeons Discipline Tribunal of the College;
“ICRC” means the Inquiries, Complaints and Reports Committee of the College;
“IEP” means Individualized Education Plan;
“OHIP” means the Ontario Health Insurance Plan;
“Ontario Physicians and Surgeons Discipline Tribunal” means the Discipline Committee established under the Code;
“Practice Location” or “Practice Locations” means each and every location at which Dr. Baranick practices, delegates, or has privileges, including, but not limited to, any hospitals, clinics, offices, and any Out-of-Hospital Premises or Independent Health Facilities with which he is affiliated, in any jurisdiction;
“Public Register” means the College’s register that is available to the public.
(2) I, Dr. Baranick, certificate of registration number 31037, am a member of the College.
(3) I, Dr. Baranick, acknowledge that following two public complaints, the College conducted investigations bearing File Numbers CAS-458980-S7Z9F5 and CAS-458450-K0W3D9 (the “Investigations”) into my general medicine practice.
(4) I, Dr. Baranick, acknowledge that I entered into an undertaking dated June 1, 2015 (“the June 2015 undertaking”) and am the subject of a Discipline Order dated June 12, 2017 (“the June 2017 Order”). This Undertaking does not supersede or replace the June 2015 undertaking or June 2017 Order, which remain in effect and impose additional restrictions on my practice.
(5) I, Dr. Baranick, acknowledge that, in addition to accepting this Undertaking, the College will also deliver a caution in person in connection with the investigation bearing File Number CAS-458450-K0W3D9.

B. UNDERTAKING
(6) I, Dr. Baranick, undertake to abide by the provisions of this Undertaking, effective immediately.

(7) Clinical Supervision

(a) I, Dr. Baranick, undertake to practise under the guidance of a clinical supervisor or clinical supervisors acceptable to the College (the “Clinical Supervisor” or “Clinical Supervisors”), for at least seven (7) months (“Clinical Supervision”). Clinical Supervision shall cease only upon approval from the College.
(b) I, Dr. Baranick, undertake to remain free of any conflict of interest with the Clinical Supervisor.
(c) I, Dr. Baranick, acknowledge that I have reviewed the Clinical Supervisor’s undertaking, attached hereto as Appendix “A”, and understand what is required of the Clinical Supervisor. The Clinical Supervisor will, at minimum:
(i) Facilitate the education program set out in the IEP, attached hereto as Appendix “B”;
(ii) Review the materials provided by the College and have an orientation session with me, including to discuss the objectives for the Clinical Supervision;
(iii) Meet with me at my Practice Location, or another location approved by the College, once every week for a minimum of four (4) weeks (“High Level Supervision”);
(iv) During High Level Supervision, directly observe three (3) patient encounters at every meeting;
(v) After a minimum of four (4) weeks of High Level Supervision, and direct observation of a minimum of twelve (12) patient encounters, if my Clinical Supervisor recommends and the College approves a reduction in the level of supervision, my Clinical Supervisor will meet with me at my Practice Location, or another location approved by the College, once every two (2) weeks for a minimum of three (3) months (“Moderate Level Supervision”);
(vi) After a minimum of three (3) months of Moderate Level Supervision, if my Clinical Supervisor recommends and the College approves a reduction in the level of supervision, my Clinical Supervisor will meet with me at my Practice Location, or another location approved by the College, once every month for a further three (3) months (“Low Level Supervision”), and until the College approves the end of Clinical Supervision;
(vii) Review at least fifteen (15) of my patient charts at every meeting;
(viii) Discuss any concerns arising from the direct observation and chart reviews;
(ix) Make recommendations to me for practice improvements and ongoing professional development and inquire into my compliance with the recommendations;
(x) Perform any other duties, such as reviewing other documents or conducting interviews with staff or colleagues, that the Clinical Supervisor deems necessary to my Clinical Supervision;
(xi) Submit written reports to the College at least once every week for four (4) weeks during High Level Supervision, or until the College approves a reduction in the level of supervision to Moderate Level Supervision, once every month for three (3) months during Moderate Level Supervision, or until the College approves a reduction in the level of supervision to Low Level Supervision, and then once at the end of supervision, or more frequently if the Clinical Supervisor has concerns about my standard of practice; and
(xii) Remain free of any conflict of interest with me.
(d) I, Dr. Baranick, acknowledge that the charts reviewed shall be selected by the Clinical Supervisor based on the educational needs identified in the IEP, attached hereto as Appendix “B”, and concerns that may arise during the period of Clinical Supervision.
(e) I, Dr. Baranick, undertake to cooperate fully with the Clinical Supervision of my practice, conducted under the term of this Undertaking and Appendix “A” to this Undertaking, and to abide by the recommendations of my Clinical Supervisor, including but not limited to, any recommended practice improvements and ongoing professional development.
(f) I, Dr. Baranick, undertake to ensure that Appendix “A” to this Undertaking is signed and delivered to the College within thirty (30) days of the date I execute this Undertaking.
(g) I, Dr. Baranick, undertake that if a person who has given an undertaking in Appendix “A” to this Undertaking is unable or unwilling to continue to fulfill its provisions, I shall, within twenty (20) days of receiving notice of same, obtain an executed undertaking in the same form from a similarly qualified person who is acceptable to the College and ensure that it is delivered to the College within that time.
(h) I, Dr. Baranick, undertake that if I am unable to obtain a Clinical Supervisor on the provisions set out under sections (7)(f) and/or (g) above, I will cease practising medicine until such time as I have obtained a Clinical Supervisor acceptable to the College.
(i) I, Dr. Baranick, acknowledge that if I am required to cease practise as a result of section (7)(h) above this will constitute a term, condition or limitation on my certificate of registration and that term, condition or limitation will be included on the public register.

(8) Professional Education

(a) I, Dr. Baranick, undertake to participate in and successfully complete all aspects of the detailed IEP, attached hereto as Appendix “B”, including all of the following professional education (the “Professional Education”):
(i) Review, reflection, written summary, and discussion with my Clinical Supervisor of the following policies and other self-study:
1. Barton JJS. Approach to the patient with dizziness. In: Wilterdink JL, ed. UpToDate. UpToDate; 2022;
2. Furman JM, Barton JJS. Evaluation of the patient with vertigo. In: Wilterdink JL, ed. UpToDate. UpToDate; 2022;
3. Rabi DM, et al. Hypertension Canada's 2020 Comprehensive Guidelines for the Prevention, Diagnosis, Risk Assessment, and Treatment of Hypertension in Adults and Children. Can J Cardiol. 2020;36(5):596-624;
4. Borthwick M, et al. Preliminary management of acute onset right sided abdominal pain in women. BMJ. 2022 Feb 8;376:e068020;
5. Sokol D. Listening to patients is not enough. BMJ. 2017;357:j2670;
(ii) Review, reflection, and discussion with my Clinical Supervisor of the following policies and other self-study:
1. 2020 Hypertension Highlights, Hypertension Canada;
2. Infographic: Abdominal pain in a young woman;
(iii) any additional professional education recommended by my Clinical Supervisor.
(b) I, Dr. Baranick, acknowledge that the College will determine, in its sole discretion, whether I have successfully completed the Professional Education.
(c) I, Dr. Baranick, undertake to complete this requirement within three (3) months.
(d) I, Dr. Baranick, acknowledge that a report or reports may be provided to the College regarding my progress and compliance with the Professional Education.
(e) I, Dr. Baranick, acknowledge that if any of the self-study resources listed above become unavailable, substitution requests will be reviewed by the College and the College will determine in its sole discretion whether substitution is appropriate.

(9) Reassessment of Practice

(a) I, Dr. Baranick, undertake that, approximately six (6) months after the completion of the Clinical Supervision set out in section (7) above and Appendix “A” to this Undertaking, and the completion of the Professional Education set out in section (8) above, I will submit to a reassessment of my practice (“the Reassessment”) by an assessor or assessors selected by the College (the “Assessor” or “Assessors”). I acknowledge that the Reassessment may include a chart review of a minimum of fifteen (15) charts, direct observation of my care, interviews with me, colleagues and co-workers, feedback from patients, and any other tools deemed necessary by the College.
(b) I, Dr. Baranick, undertake to co-operate fully with the Reassessment, conducted under the term of this Undertaking.
(c) I, Dr. Baranick, acknowledge that my Clinical Supervisor may receive and review the findings of the Assessor, and may discuss with the Assessor any issues or concerns arising from the Reassessment.
(d) I, Dr. Baranick, acknowledge that the results of the Reassessment will be provided to me and reported to the College and the Reassessment may form the basis of further action by the College.
(10) Monitoring
(a) I, Dr. Baranick, undertake to inform the College of each and every one of my 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. Baranick, 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. Baranick, 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. Baranick, acknowledge that I have executed the OHIP consent form, attached hereto as Appendix “C”.

C. ACKNOWLEDGEMENT

(11) I, Dr. Baranick, acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.
(12) I, Dr. Baranick, 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.
(13) I, Dr. Baranick, 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.
(14) I, Dr. Baranick, 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”).
(15) I, Dr. Baranick, 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 Tribunal of the College.
(16) I, Dr. Baranick, acknowledge that this Undertaking constitutes terms, conditions, and limitations on my certificate of registration for the purposes of section 23 of the Code.

(17) Public Register

(a) I, Dr. Baranick, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.
(b) I, Dr. Baranick, acknowledge that, in addition to this Undertaking being posted in accordance with section (17)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:
Following two public complaints, College investigations were conducted into Dr. Baranick’s general medicine practice. As a result of the investigations:
Dr. Baranick will practise under the guidance of a Clinical Supervisor acceptable to the College for seven months.
Dr. Baranick will engage in professional education in performing fulsome patient examinations, considering differential diagnoses, communicating with patients, assessment and management of dizziness, vertigo, and hypertension and improving the assessment and management of abdominal pain in young women.
Dr. Baranick’s practice will be reassessed by an assessor selected by the College within six months of the end of the period of Clinical Supervision and the completion of the professional education.
(c) I, Dr. Baranick, acknowledge that this Undertaking remains in effect until the College determines its terms are satisfied.

D. CONSENT

(18) I, Dr. Baranick, give my irrevocable consent to the College to provide the following information to any person who requires this information for the purposes of facilitating my completion of the Professional Education, and to all Clinical Supervisors and/or Assessors:
(a) any information the College has that led to the circumstances of my entering into this Undertaking;
(b) any information arising from any investigation into, or assessment of, my practice; and
(c) any information arising from the monitoring of my compliance with this Undertaking.
(19) I, Dr. Baranick, 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.
(20) I, Dr. Baranick, give my irrevocable consent to any persons who facilitate my completion of the Professional Education, and to all Clinical Supervisors, Chiefs of Staff and Assessors, to disclose to the College, and to one another, any of the following:
(a) any information relevant to this Undertaking;
(b) any information relevant to the provisions of the Clinical Supervisor’s undertaking set out at Appendix “A” to this Undertaking;
(c) any information relevant to the Reassessment;
(d) any information relevant for the purposes of monitoring my compliance with this Undertaking; and/or
(e) any information which comes to their attention in the course of providing the Professional Education and which they reasonably believe indicates a potential risk of harm to my patients.

(2 of 3)

As from 1:30 p.m., June 12, 2017, 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. Peter Paul Baranick:

(b) Dr. Baranick shall limit his practice to no more than six (6) patients
per hour;

Clinical Supervision

(j) Dr. Baranick shall co-operate with unannounced inspections and shall
consent to the monitoring of his OHIP billings of his Practice by a
College representative(s), for the purpose of monitoring and enforcing
his compliance with the terms of this Order;

(k) Dr. Baranick shall inform the College of each and every location that he
practises or has privileges, including, but not limited to, hospital(s),
clinic(s) and office(s), in any jurisdiction 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; and

(3 of 3)

As from September 23, 2015, the following terms, conditions and limitations are imposed on the certificate of registration held by Dr. Peter Paul Baranick in accordance with an undertaking and consent Dr. Baranick has provided to the College of Physicians and Surgeons of Ontario:

Dr. Baranick is prohibited from prescribing the following drugs, substances and
preparations set out in the corresponding regulations, as amended from time to
time, and summarized as follows:

(i) Narcotic Drugs (from the Narcotic Control Regulations made under
the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
(ii) Narcotic Preparations (from the Narcotic Control Regulations made
under the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
(iii) Controlled Drugs (from Part G of the Food and Drug Regulations
under the Food and Drugs Act, S.C., 1985, c. F-27);
(iv) Benzodiazepines and Other Targeted Substances (from the
Benzodiazepines and Other Targeted Substances Regulations made
under the Controlled Drugs and Substances Act., S.C., 1996, c. 19);
or
(v) All other Monitored Drugs (as defined under the Narcotics Safety
and Awareness Act, 2010, S.O. 2010, c. 22); and as amended from time to time.

Dr. Baranick shall post a clearly visible sign in the waiting rooms of all his
Practice Locations, which states as follows: "Dr. Baranick must not prescribe
Narcotic Drugs, Narcotic Preparations, Controlled Drugs, Benzodiazepines and
Other Targeted Substances, and/or all other Monitored Drugs. Further
information may be found on the College of Physicians and Surgeons of Ontario
website at www.cpso.on.ca". The sign shall be translated into any language(s)
in which Dr. Baranick provides services, posted in the waiting rooms of all his
Practice Locations, in a clearly visible location.
VIEW DETAILS chevron-down icon
(1 of 3)

As from September 20th, 2024, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. Peter Paul Baranick in accordance with an undertaking and consent given by Dr. Baranick to the College of Physicians and Surgeons of Ontario:

UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
(“Undertaking”)

of

DR. PETER PAUL BARANICK
(“Dr. Baranick”)

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;
“Discipline Tribunal” means the Ontario Physicians and Surgeons Discipline Tribunal of the College;
“ICRC” means the Inquiries, Complaints and Reports Committee of the College;
“IEP” means Individualized Education Plan;
“OHIP” means the Ontario Health Insurance Plan;
“Ontario Physicians and Surgeons Discipline Tribunal” means the Discipline Committee established under the Code;
“Practice Location” or “Practice Locations” means each and every location at which Dr. Baranick practices, delegates, or has privileges, including, but not limited to, any hospitals, clinics, offices, and any Out-of-Hospital Premises or Independent Health Facilities with which he is affiliated, in any jurisdiction;
“Public Register” means the College’s register that is available to the public.
(2) I, Dr. Baranick, certificate of registration number 31037, am a member of the College.
(3) I, Dr. Baranick, acknowledge that following two public complaints, the College conducted investigations bearing File Numbers CAS-458980-S7Z9F5 and CAS-458450-K0W3D9 (the “Investigations”) into my general medicine practice.
(4) I, Dr. Baranick, acknowledge that I entered into an undertaking dated June 1, 2015 (“the June 2015 undertaking”) and am the subject of a Discipline Order dated June 12, 2017 (“the June 2017 Order”). This Undertaking does not supersede or replace the June 2015 undertaking or June 2017 Order, which remain in effect and impose additional restrictions on my practice.
(5) I, Dr. Baranick, acknowledge that, in addition to accepting this Undertaking, the College will also deliver a caution in person in connection with the investigation bearing File Number CAS-458450-K0W3D9.

B. UNDERTAKING
(6) I, Dr. Baranick, undertake to abide by the provisions of this Undertaking, effective immediately.

(7) Clinical Supervision

(a) I, Dr. Baranick, undertake to practise under the guidance of a clinical supervisor or clinical supervisors acceptable to the College (the “Clinical Supervisor” or “Clinical Supervisors”), for at least seven (7) months (“Clinical Supervision”). Clinical Supervision shall cease only upon approval from the College.
(b) I, Dr. Baranick, undertake to remain free of any conflict of interest with the Clinical Supervisor.
(c) I, Dr. Baranick, acknowledge that I have reviewed the Clinical Supervisor’s undertaking, attached hereto as Appendix “A”, and understand what is required of the Clinical Supervisor. The Clinical Supervisor will, at minimum:
(i) Facilitate the education program set out in the IEP, attached hereto as Appendix “B”;
(ii) Review the materials provided by the College and have an orientation session with me, including to discuss the objectives for the Clinical Supervision;
(iii) Meet with me at my Practice Location, or another location approved by the College, once every week for a minimum of four (4) weeks (“High Level Supervision”);
(iv) During High Level Supervision, directly observe three (3) patient encounters at every meeting;
(v) After a minimum of four (4) weeks of High Level Supervision, and direct observation of a minimum of twelve (12) patient encounters, if my Clinical Supervisor recommends and the College approves a reduction in the level of supervision, my Clinical Supervisor will meet with me at my Practice Location, or another location approved by the College, once every two (2) weeks for a minimum of three (3) months (“Moderate Level Supervision”);
(vi) After a minimum of three (3) months of Moderate Level Supervision, if my Clinical Supervisor recommends and the College approves a reduction in the level of supervision, my Clinical Supervisor will meet with me at my Practice Location, or another location approved by the College, once every month for a further three (3) months (“Low Level Supervision”), and until the College approves the end of Clinical Supervision;
(vii) Review at least fifteen (15) of my patient charts at every meeting;
(viii) Discuss any concerns arising from the direct observation and chart reviews;
(ix) Make recommendations to me for practice improvements and ongoing professional development and inquire into my compliance with the recommendations;
(x) Perform any other duties, such as reviewing other documents or conducting interviews with staff or colleagues, that the Clinical Supervisor deems necessary to my Clinical Supervision;
(xi) Submit written reports to the College at least once every week for four (4) weeks during High Level Supervision, or until the College approves a reduction in the level of supervision to Moderate Level Supervision, once every month for three (3) months during Moderate Level Supervision, or until the College approves a reduction in the level of supervision to Low Level Supervision, and then once at the end of supervision, or more frequently if the Clinical Supervisor has concerns about my standard of practice; and
(xii) Remain free of any conflict of interest with me.
(d) I, Dr. Baranick, acknowledge that the charts reviewed shall be selected by the Clinical Supervisor based on the educational needs identified in the IEP, attached hereto as Appendix “B”, and concerns that may arise during the period of Clinical Supervision.
(e) I, Dr. Baranick, undertake to cooperate fully with the Clinical Supervision of my practice, conducted under the term of this Undertaking and Appendix “A” to this Undertaking, and to abide by the recommendations of my Clinical Supervisor, including but not limited to, any recommended practice improvements and ongoing professional development.
(f) I, Dr. Baranick, undertake to ensure that Appendix “A” to this Undertaking is signed and delivered to the College within thirty (30) days of the date I execute this Undertaking.
(g) I, Dr. Baranick, undertake that if a person who has given an undertaking in Appendix “A” to this Undertaking is unable or unwilling to continue to fulfill its provisions, I shall, within twenty (20) days of receiving notice of same, obtain an executed undertaking in the same form from a similarly qualified person who is acceptable to the College and ensure that it is delivered to the College within that time.
(h) I, Dr. Baranick, undertake that if I am unable to obtain a Clinical Supervisor on the provisions set out under sections (7)(f) and/or (g) above, I will cease practising medicine until such time as I have obtained a Clinical Supervisor acceptable to the College.
(i) I, Dr. Baranick, acknowledge that if I am required to cease practise as a result of section (7)(h) above this will constitute a term, condition or limitation on my certificate of registration and that term, condition or limitation will be included on the public register.

(8) Professional Education

(a) I, Dr. Baranick, undertake to participate in and successfully complete all aspects of the detailed IEP, attached hereto as Appendix “B”, including all of the following professional education (the “Professional Education”):
(i) Review, reflection, written summary, and discussion with my Clinical Supervisor of the following policies and other self-study:
1. Barton JJS. Approach to the patient with dizziness. In: Wilterdink JL, ed. UpToDate. UpToDate; 2022;
2. Furman JM, Barton JJS. Evaluation of the patient with vertigo. In: Wilterdink JL, ed. UpToDate. UpToDate; 2022;
3. Rabi DM, et al. Hypertension Canada's 2020 Comprehensive Guidelines for the Prevention, Diagnosis, Risk Assessment, and Treatment of Hypertension in Adults and Children. Can J Cardiol. 2020;36(5):596-624;
4. Borthwick M, et al. Preliminary management of acute onset right sided abdominal pain in women. BMJ. 2022 Feb 8;376:e068020;
5. Sokol D. Listening to patients is not enough. BMJ. 2017;357:j2670;
(ii) Review, reflection, and discussion with my Clinical Supervisor of the following policies and other self-study:
1. 2020 Hypertension Highlights, Hypertension Canada;
2. Infographic: Abdominal pain in a young woman;
(iii) any additional professional education recommended by my Clinical Supervisor.
(b) I, Dr. Baranick, acknowledge that the College will determine, in its sole discretion, whether I have successfully completed the Professional Education.
(c) I, Dr. Baranick, undertake to complete this requirement within three (3) months.
(d) I, Dr. Baranick, acknowledge that a report or reports may be provided to the College regarding my progress and compliance with the Professional Education.
(e) I, Dr. Baranick, acknowledge that if any of the self-study resources listed above become unavailable, substitution requests will be reviewed by the College and the College will determine in its sole discretion whether substitution is appropriate.

(9) Reassessment of Practice

(a) I, Dr. Baranick, undertake that, approximately six (6) months after the completion of the Clinical Supervision set out in section (7) above and Appendix “A” to this Undertaking, and the completion of the Professional Education set out in section (8) above, I will submit to a reassessment of my practice (“the Reassessment”) by an assessor or assessors selected by the College (the “Assessor” or “Assessors”). I acknowledge that the Reassessment may include a chart review of a minimum of fifteen (15) charts, direct observation of my care, interviews with me, colleagues and co-workers, feedback from patients, and any other tools deemed necessary by the College.
(b) I, Dr. Baranick, undertake to co-operate fully with the Reassessment, conducted under the term of this Undertaking.
(c) I, Dr. Baranick, acknowledge that my Clinical Supervisor may receive and review the findings of the Assessor, and may discuss with the Assessor any issues or concerns arising from the Reassessment.
(d) I, Dr. Baranick, acknowledge that the results of the Reassessment will be provided to me and reported to the College and the Reassessment may form the basis of further action by the College.
(10) Monitoring
(a) I, Dr. Baranick, undertake to inform the College of each and every one of my 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. Baranick, 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. Baranick, 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. Baranick, acknowledge that I have executed the OHIP consent form, attached hereto as Appendix “C”.

C. ACKNOWLEDGEMENT

(11) I, Dr. Baranick, acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.
(12) I, Dr. Baranick, 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.
(13) I, Dr. Baranick, 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.
(14) I, Dr. Baranick, 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”).
(15) I, Dr. Baranick, 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 Tribunal of the College.
(16) I, Dr. Baranick, acknowledge that this Undertaking constitutes terms, conditions, and limitations on my certificate of registration for the purposes of section 23 of the Code.

(17) Public Register

(a) I, Dr. Baranick, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.
(b) I, Dr. Baranick, acknowledge that, in addition to this Undertaking being posted in accordance with section (17)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:
Following two public complaints, College investigations were conducted into Dr. Baranick’s general medicine practice. As a result of the investigations:
Dr. Baranick will practise under the guidance of a Clinical Supervisor acceptable to the College for seven months.
Dr. Baranick will engage in professional education in performing fulsome patient examinations, considering differential diagnoses, communicating with patients, assessment and management of dizziness, vertigo, and hypertension and improving the assessment and management of abdominal pain in young women.
Dr. Baranick’s practice will be reassessed by an assessor selected by the College within six months of the end of the period of Clinical Supervision and the completion of the professional education.
(c) I, Dr. Baranick, acknowledge that this Undertaking remains in effect until the College determines its terms are satisfied.

D. CONSENT

(18) I, Dr. Baranick, give my irrevocable consent to the College to provide the following information to any person who requires this information for the purposes of facilitating my completion of the Professional Education, and to all Clinical Supervisors and/or Assessors:
(a) any information the College has that led to the circumstances of my entering into this Undertaking;
(b) any information arising from any investigation into, or assessment of, my practice; and
(c) any information arising from the monitoring of my compliance with this Undertaking.
(19) I, Dr. Baranick, 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.
(20) I, Dr. Baranick, give my irrevocable consent to any persons who facilitate my completion of the Professional Education, and to all Clinical Supervisors, Chiefs of Staff and Assessors, to disclose to the College, and to one another, any of the following:
(a) any information relevant to this Undertaking;
(b) any information relevant to the provisions of the Clinical Supervisor’s undertaking set out at Appendix “A” to this Undertaking;
(c) any information relevant to the Reassessment;
(d) any information relevant for the purposes of monitoring my compliance with this Undertaking; and/or
(e) any information which comes to their attention in the course of providing the Professional Education and which they reasonably believe indicates a potential risk of harm to my patients.

(2 of 3)

As from 1:30 p.m., June 12, 2017, 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. Peter Paul Baranick:

(b) Dr. Baranick shall limit his practice to no more than six (6) patients
per hour;

Clinical Supervision

(j) Dr. Baranick shall co-operate with unannounced inspections and shall
consent to the monitoring of his OHIP billings of his Practice by a
College representative(s), for the purpose of monitoring and enforcing
his compliance with the terms of this Order;

(k) Dr. Baranick shall inform the College of each and every location that he
practises or has privileges, including, but not limited to, hospital(s),
clinic(s) and office(s), in any jurisdiction 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; and

(3 of 3)

As from September 23, 2015, the following terms, conditions and limitations are imposed on the certificate of registration held by Dr. Peter Paul Baranick in accordance with an undertaking and consent Dr. Baranick has provided to the College of Physicians and Surgeons of Ontario:

Dr. Baranick is prohibited from prescribing the following drugs, substances and
preparations set out in the corresponding regulations, as amended from time to
time, and summarized as follows:

(i) Narcotic Drugs (from the Narcotic Control Regulations made under
the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
(ii) Narcotic Preparations (from the Narcotic Control Regulations made
under the Controlled Drugs and Substances Act, S.C., 1996, c. 19);
(iii) Controlled Drugs (from Part G of the Food and Drug Regulations
under the Food and Drugs Act, S.C., 1985, c. F-27);
(iv) Benzodiazepines and Other Targeted Substances (from the
Benzodiazepines and Other Targeted Substances Regulations made
under the Controlled Drugs and Substances Act., S.C., 1996, c. 19);
or
(v) All other Monitored Drugs (as defined under the Narcotics Safety
and Awareness Act, 2010, S.O. 2010, c. 22); and as amended from time to time.

Dr. Baranick shall post a clearly visible sign in the waiting rooms of all his
Practice Locations, which states as follows: "Dr. Baranick must not prescribe
Narcotic Drugs, Narcotic Preparations, Controlled Drugs, Benzodiazepines and
Other Targeted Substances, and/or all other Monitored Drugs. Further
information may be found on the College of Physicians and Surgeons of Ontario
website at www.cpso.on.ca". The sign shall be translated into any language(s)
in which Dr. Baranick provides services, posted in the waiting rooms of all his
Practice Locations, in a clearly visible location.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings (2)

Date of Decision: 30 Jan 2019
Summary of Decision:
On January 30, 2019, on the basis of an Agreed Statement of Facts and Admission, the Discipline Committee found that Dr. Baranick committed an act of professional misconduct, in that he has engaged in conduct or an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable or unprofessional.

AGREED STATEMENT OF FACTS AND ADMISSION

Dr. Peter Paul Baranick is a 73 year-old physician who received his certificate of registration authorizing independent practice on August 3, 1979. At the relevant time, Dr. Baranick practised in Ottawa, Ontario.

In May 2015, the Inquiries, Complaints and Reports Committee considered a report of a Registrar’s Investigation into Dr. Baranick’s practice relating to his prescribing. In September 2015, Dr. Baranick signed an undertaking stating, among other things, that he:

- Will not issue new prescriptions or renew existing prescriptions for narcotic drugs, narcotic preparations, controlled drugs, benzodiazepines and other targeted substances, and all other monitored drugs; and

- Shall post a sign in the waiting rooms of all of his practice locations advising of his prescribing restriction.

Dr. Baranick practises at various locations of the Appletree Medical Clinics in Ottawa. On October 2017, College staff attended Appletree Clinic A and noted that the signs were not posted. Clinic staff advised that Dr. Baranick was not working there currently and that the sign was posted whenever Dr. Baranick was working there. College staff were advised that he was currently working at Appletree Clinic B. College staff then proceeded to Appletree Clinic B and noted that signs were posted. Dr. Baranick was working at this location and spoke with College staff. He advised that signs were posted when he came into the office to work.

In December 2017, the College sent a letter to Dr. Baranick’s counsel requesting that Dr. Baranick post his prescribing restriction signs in the waiting rooms of all practice locations. By letter dated December 2017, Dr. Baranick’s counsel indicated that having the signs posted when Dr. Baranick is not working at a particular location “falls outside the spirit and intent of his undertaking” and that there is no value in posting the signs if he is not present as it would cause confusion amongst patients.

In December 2017, the College sent a letter to Dr. Baranick’s counsel requesting that he comply with his undertaking and post the required signage at all locations regardless of whether he is working there that day or not.

In January 2018, Dr. Baranick’s counsel advised that Dr. Baranick had posted his prescribing restrictions signs at all practice locations. In January 2018, Dr. Baranick’s counsel was advised that no further action would be taken as the College was advised that the signs were posted at all locations.
 
In February 2018, College staff attended Appletree Clinic C. Clinic staff advised that Dr. Baranick did not work there and therefore the sign was not posted. College staff was told that Dr. Baranick was working at Appletree Clinic A. College staff attended Appletree Clinic A and did not see the required sign posted. Appletree Clinic A staff advised that Dr. Baranick would be working later that day and that the sign would be posted when he starts to work. College staff advised the clinic staff that the sign is required to be posted at all times and the clinic staff person said she would post the sign.

In February 2018, College staff attended Appletree Clinic A and Appletree Clinic D. The required signs were posted at both these locations. College staff also attended Appletree Clinic B, where signs were not posted.

By letter dated March 2018, Dr. Baranick’s counsel requested a variance of section 5(a) of his undertaking, stating that Dr. Baranick should only be required to post his sign where he is physically present on any given day.

In April 2018, the College sent a letter to Dr. Baranick’s counsel advising that despite previous reassurances, recent compliance visits in February showed inconsistent practices at the various Appletree Clinics where the required signage was not posted. The College reiterated that the signs are expected to be up at all of Dr. Baranick’s practice locations at all times. The College also advised that if the ICRC accepted the proposed wording, an amended undertaking would be provided for signature.

The variance to the undertaking requested by Dr. Baranick was not granted by the College.

In January 2018, the College received data from the Narcotics Monitoring System for the period of June 2016 to December 2017 related to Dr. Baranick’s prescribing.

In January 2018, the College contacted the pharmacies identified in Dr. Baranick’s Narcotics Monitoring System data. The College requested copies of four prescriptions from the pharmacies where the pharmacist advised that Dr. Baranick wrote the prescription after he had signed his undertaking.

The College received three prescriptions signed by Dr. Baranick and dated November 2015, January 2017, and December 2017. Each of the prescriptions was for a testosterone medication that Dr. Baranick was prohibited from prescribing pursuant to the September 2015 Undertaking.

In February 2018, Dr. Baranick’s counsel advised that Dr. Baranick did not initiate the prescriptions, but did refill them. He wanted to reassure the College that this was an honest mistake and that he never intended to breach his undertaking. To prevent this from occurring again, he had reviewed his undertaking and the lists of drugs and substances he is restricted from prescribing.

Dr. Baranick admits the facts specified above and admits that, based on these facts, he has engaged in conduct or an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable or unprofessional, contrary to paragraph 1(1)33 of O. Reg. 856/93.

AGREED STATEMENT OF FACTS RELEVANT TO PENALTY

Dr. Baranick entered into the September 2015 Undertaking as a result of a College investigation into his prescribing practices.

As a result of the investigation, the Inquiries, Complaints and Reports Committee of the College (“the ICRC”) accepted Dr. Baranick’s September 2015 Undertaking to give up his narcotics prescribing privileges and required Dr. Baranick to attend at the College to be cautioned in person.

Dr. Baranick’s Discipline History
On June 12, 2017, the Discipline Committee found that Dr. Baranick had failed to meet the standard of practice of the profession. The discipline hearing arose out of a reassessment of Dr. Baranick’s practice pursuant to an Undertaking with the College that Dr. Baranick signed on July 10, 2013 (the “July 2013 Undertaking”). The College’s assessor opined that Dr. Baranick failed to meet the standard of practice of the profession with respect to his record-keeping, assessment and management of community acquired infections, infant care, and chronic illness such as arthritis, diabetes and hypercholesterolemia. Dr. Baranick admitted the allegations.

The Discipline Committee accepted a joint submission on penalty and ordered a reprimand, a 2- month suspension of Dr. Baranick’s certificate of registration, and terms, conditions and limitations on Dr. Baranick’s certificate of registration, including that he complete a comprehensive Continuing Medical Education program focusing on the areas of concern raised by the assessor, that he continue to limit his practice to no more than six patients per hour, and that he undergo a six-month period of clinical supervision followed by a re-assessment of his practice. The Discipline Committee also ordered that Dr. Baranick pay costs to the College at the tariff rate.

The reassessment of Dr. Baranick’s practice took place in November and December 2018. The College's assessor reviewed twenty patient charts and conducted a telephone interview with Dr. Baranick. The College's assessor concluded that for all twenty patient charts reviewed, Dr. Baranick had met the standard of care of the profession and had displayed appropriate knowledge, skills and judgment.

DISPOSITION

The Discipline Committee ordered that:

- The Registrar suspend Dr. Baranick’s certificate of registration for a period of 1 month, commencing immediately.
- Dr. Baranick appear before the panel to be reprimanded.
- Dr. Baranick to 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): January 30, 2019 1:00 p.m . start
Date of Decision: 12 Jun 2017
Summary of Decision:
On June 12, 2017, the Discipline Committee found that Dr. Baranick committed an act of professional misconduct in that he has failed to maintain the standard of practice of the profession.

Dr. Baranick is a family physician practising at Appletree Medical walk-in Clinics in Ottawa. He obtained his medical degree from the University of Ottawa in 1973 and has held an independent practice certificate with this College from 1979 to 1982 and from 1989 to present.

2012 Practice Re-Assessment

On February 15, 2010, Dr. Baranick signed an Undertaking with the College to practice under Clinical Supervision, to successfully complete Medical Record-Keeping and Ethics courses, and to undergo a re-inspection of his practice.

The College retained an independent medical expert to conduct the re-assessment of Dr. Baranick’s practice pursuant to the 2010 Undertaking. The medical expert indicated that although Dr. Baranick is an experienced clinician who has worked in primary patient care for most of his career, he has recently made the transition from working in the Emergency Department of a hospital to seeing unscheduled patients in a number of ambulatory clinics.

The medical expert reported that Dr. Baranick admitted that he sees too many patients during his shifts, and this may be one factor that has resulted in poor notations on the charts of his patients.

The medical expert noted that Dr. Baranick recently took one of the College’s courses on record- keeping and should be familiar with the College’s guidelines. In addition, the medical expert was surprised that Dr. Baranick did not seem familiar with “SOAP” format advocated by the College, and that he rarely uses that format to help him structure his patient assessments.

The medical expert concluded that Dr. Baranick fails to meet the standard of practice of a competent practitioner in his care of patients. Specifically, he found that beyond charting issues:

- Dr. Baranick's care displays a lack of medical knowledge of clinical conditions commonly seen in the walk-in setting, including upper respiratory tract infections, eye and ear problems, genito-urinary conditions and asthma. This hampers Dr. Baranick’s abilities to appropriately assess patients and to effectively manage their problems. 
- Dr.Baranick’s assessment of ocular problems exemplifies that in some instances Dr. Baranick’s care displays a lack of skill.
- Dr. Baranick’s care displays a lack of judgment in management of patients requesting repeats of prescription drugs, with the potential to expose such patients to harm.

The medical expert recommended that:

- Dr. Baranick make efforts to limit the number of patients seen during his shifts, that he make efforts to identify areas of clinical weakness in addition to those identified during the medical expert’s reassessment process, and that he take steps to increase his medical knowledge.
- Dr. Baranick’s practice be supervised by a clinician whose practice is more closely aligned with that of Dr. Baranick and that his practice be subsequently reassessed.

2013 Practice Assessment

On April 17, 2013 the Inquiries, Complaints and Reports Committee considered the expert’s report and directed another Undertaking for Dr. Baranick to restrict his practice to no more than 6 patients per hour, to complete the Comprehensive Family Practice Review (CFPR) course, to practice under supervision of a Clinical Supervisor, and to undergo a comprehensive practice reassessment.

An independent medical expert who conducted the comprehensive practice assessment opined that although Dr. Baranick is an experienced physician who has undergone reassessment and remediation of his practice in previous years, he still fails to meet the standard of practice of the profession in his record keeping due to legibility concerns and in not providing enough detail about some presenting complaints. Also, Dr. Baranick does not meet the standard of practice of the profession in assessing and managing community acquired infections, infant care, and chronic illness, such as arthritis, diabetes, and hypercholesterolemia. The medical expert concluded that Dr. Baranick demonstrates a lack of knowledge, skill, and judgment in these areas which have a potential to cause harm.

On June 12, 2017, the Committee ordered and directed that:

- The Registrar suspend Dr. Baranick’s certificate of registration for a period of two (2) months effective immediately.
- The Registrar to impose the following terms, conditions and limitations on Dr. Baranick’s certificate of registration:
(a) Dr. Baranick shall, within six (6) months of the end of the period of the suspension, complete a comprehensive Continuing Medical Education (CME) program acceptable to the College focusing on the areas of concern raised in the report of the College assessor dated March 30, 2016;
(b) Dr. Baranick shall limit his practice to no more than six (6) patients per hour; Clinical Supervision
(c) Within sixty (60) days of the date of this Order, Dr. Baranick shall obtain a clinical supervisor acceptable to the College, who will supervise Dr. Baranick for a period of six (6) months, and who will sign an undertaking in the form attached to this Order as Appendix A (“Clinical Supervisor”);
(d) The Clinical Supervision shall be at a moderate level for six (6) months, commencing on the date following the expiry of the suspension of Dr. Baranick’s certificate of registration. The Clinical Supervisor will meet with Dr. Baranick bi-weekly and review a minimum of ten (10) of Dr. Baranick’s patient charts, discuss Dr. Baranick’s patient care, treatment plan and follow-up, identify any concerns regarding the care, treatment plan and follow-up and make recommendations for improvement;
(e) Within three (3) months after the completion of the Clinical Supervision, Dr. Baranick will submit to a reassessment of his practice (the “Reassessment”) by an assessor or assessors selected by the College (the “Assessor(s)”). The Reassessment may include a chart review, direct observation of Dr. Baranick’s care, interviews with colleagues and co-workers, feedback from patients and any other tools deemed necessary by the College. Dr. Baranick shall abide by all recommendations made by the Assessor(s), and the results of the Reassessment will be reported to the College and may form the basis of further action by the College; 
(f) Dr. Baranick shall cooperate fully with the Clinical Supervision and abide by all recommendations of his Clinical Supervisor(s) with respect to practice improvements and education;
(g) Dr. Baranick shall consent to the disclosure by the Clinical Supervisor to the College, and by the College to his Clinical Supervisor, of all information the Clinical Supervisor or the College deems necessary or desirable in order to fulfill the Clinical Supervisor’s undertaking and to monitor Dr. Baranick’s compliance with this Order. 
This shall include, without limitation, providing the Clinical Supervisor with any reports of any assessments of Dr. Baranick’s practice in the College’s possession;
(h) If a Clinical Supervisor who has given an undertaking in Schedule “A” to this Order is unable or unwilling to continue to fulfill its terms, Dr. Baranick shall, within twenty (20) days of receiving notice of same, obtain an executed undertaking in the same form from a similarly qualified person who is acceptable to the College and ensure that it is delivered to the College within that time;
(i) If Dr. Baranick is unable to obtain a Clinical Supervisor in accordance with paragraphs 4(b) or 4(g) of this Order, he shall cease practising medicine until such time as he has done so, and the fact that he has will constitute a term, condition or limitation on his certificate of registration until that time;
(j) Dr. Baranick shall co-operate with unannounced inspections and shall consent to the monitoring of his OHIP billings of his Practice by a College representative(s), for the purpose of monitoring and enforcing his compliance with the terms of this Order;
(k) Dr. Baranick shall inform the College of each and every location that he practises or has privileges, including, but not limited to, hospital(s), clinic(s) and office(s), in any jurisdiction 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; and
(l) Dr. Baranick shall be responsible for any and all costs associated with implementing the terms of this Order.
- Dr. Baranick attend before the panel to be reprimanded.
- Dr. Baranick pay to the College costs in the amount of $5,500.00, within thirty (30) days of the date of this Order.
Reasons for Decision: Download Full Decision (PDF)
Hearing Date(s): June 12, 2017

Other Notifications (3)

Source: Member
Effective Date: 20 Sep 2024
Summary:
Summary of the Undertaking given by Dr. Peter Paul Baranick to the College of Physicians and Surgeons of Ontario, effective September 20th, 2024:
 
Following two public complaints, College investigations were conducted into Dr. Baranick’s general medicine practice. As a result of the investigations:

Dr. Baranick will practise under the guidance of a Clinical Supervisor acceptable to the College for seven months.

Dr. Baranick will engage in professional education in performing fulsome patient examinations, considering differential diagnoses, communicating with patients, assessment and management of dizziness, vertigo, and hypertension and improving the assessment and management of abdominal pain in young women.

Dr. Baranick’s practice will be reassessed by an assessor selected by the College within six months of the end of the period of Clinical Supervision and the completion of the professional education.
 

Source: Inquiries, Complaints and Reports Committee
Effective Date: 24 Jul 2024
Summary:

Caution-in-Person:

 


A summary of a decision of the Inquiries, Complaints and Reports Committee in which the disposition includes a "caution-in-person" is required by the College by-laws to be posted on the register, along with a note if the decision has been appealed. A “caution-in-person” disposition requires the physician to attend at the College and be verbally cautioned by a panel of the Committee. 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 Caution-in-Person:


Download Full Document (PDF)
Source: Inquiries, Complaints and Reports Committee
Effective Date: 08 Mar 2017
Summary:
Caution-in-Person:
               
A summary of a decision of the Inquiries, Complaints and Reports Committee in which the disposition includes a "caution-in-person" is required by the College by-laws to be posted on the register, along with a note if the decision has been appealed.  A “caution-in-person” disposition requires the physician to attend at the College and be verbally cautioned by a panel of the Committee.  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 Caution-in-Person:

Download Full Document (PDF)

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings (2)

Date of Decision: 30 Jan 2019
Summary of Decision:
On January 30, 2019, on the basis of an Agreed Statement of Facts and Admission, the Discipline Committee found that Dr. Baranick committed an act of professional misconduct, in that he has engaged in conduct or an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable or unprofessional.

AGREED STATEMENT OF FACTS AND ADMISSION

Dr. Peter Paul Baranick is a 73 year-old physician who received his certificate of registration authorizing independent practice on August 3, 1979. At the relevant time, Dr. Baranick practised in Ottawa, Ontario.

In May 2015, the Inquiries, Complaints and Reports Committee considered a report of a Registrar’s Investigation into Dr. Baranick’s practice relating to his prescribing. In September 2015, Dr. Baranick signed an undertaking stating, among other things, that he:

- Will not issue new prescriptions or renew existing prescriptions for narcotic drugs, narcotic preparations, controlled drugs, benzodiazepines and other targeted substances, and all other monitored drugs; and

- Shall post a sign in the waiting rooms of all of his practice locations advising of his prescribing restriction.

Dr. Baranick practises at various locations of the Appletree Medical Clinics in Ottawa. On October 2017, College staff attended Appletree Clinic A and noted that the signs were not posted. Clinic staff advised that Dr. Baranick was not working there currently and that the sign was posted whenever Dr. Baranick was working there. College staff were advised that he was currently working at Appletree Clinic B. College staff then proceeded to Appletree Clinic B and noted that signs were posted. Dr. Baranick was working at this location and spoke with College staff. He advised that signs were posted when he came into the office to work.

In December 2017, the College sent a letter to Dr. Baranick’s counsel requesting that Dr. Baranick post his prescribing restriction signs in the waiting rooms of all practice locations. By letter dated December 2017, Dr. Baranick’s counsel indicated that having the signs posted when Dr. Baranick is not working at a particular location “falls outside the spirit and intent of his undertaking” and that there is no value in posting the signs if he is not present as it would cause confusion amongst patients.

In December 2017, the College sent a letter to Dr. Baranick’s counsel requesting that he comply with his undertaking and post the required signage at all locations regardless of whether he is working there that day or not.

In January 2018, Dr. Baranick’s counsel advised that Dr. Baranick had posted his prescribing restrictions signs at all practice locations. In January 2018, Dr. Baranick’s counsel was advised that no further action would be taken as the College was advised that the signs were posted at all locations.
 
In February 2018, College staff attended Appletree Clinic C. Clinic staff advised that Dr. Baranick did not work there and therefore the sign was not posted. College staff was told that Dr. Baranick was working at Appletree Clinic A. College staff attended Appletree Clinic A and did not see the required sign posted. Appletree Clinic A staff advised that Dr. Baranick would be working later that day and that the sign would be posted when he starts to work. College staff advised the clinic staff that the sign is required to be posted at all times and the clinic staff person said she would post the sign.

In February 2018, College staff attended Appletree Clinic A and Appletree Clinic D. The required signs were posted at both these locations. College staff also attended Appletree Clinic B, where signs were not posted.

By letter dated March 2018, Dr. Baranick’s counsel requested a variance of section 5(a) of his undertaking, stating that Dr. Baranick should only be required to post his sign where he is physically present on any given day.

In April 2018, the College sent a letter to Dr. Baranick’s counsel advising that despite previous reassurances, recent compliance visits in February showed inconsistent practices at the various Appletree Clinics where the required signage was not posted. The College reiterated that the signs are expected to be up at all of Dr. Baranick’s practice locations at all times. The College also advised that if the ICRC accepted the proposed wording, an amended undertaking would be provided for signature.

The variance to the undertaking requested by Dr. Baranick was not granted by the College.

In January 2018, the College received data from the Narcotics Monitoring System for the period of June 2016 to December 2017 related to Dr. Baranick’s prescribing.

In January 2018, the College contacted the pharmacies identified in Dr. Baranick’s Narcotics Monitoring System data. The College requested copies of four prescriptions from the pharmacies where the pharmacist advised that Dr. Baranick wrote the prescription after he had signed his undertaking.

The College received three prescriptions signed by Dr. Baranick and dated November 2015, January 2017, and December 2017. Each of the prescriptions was for a testosterone medication that Dr. Baranick was prohibited from prescribing pursuant to the September 2015 Undertaking.

In February 2018, Dr. Baranick’s counsel advised that Dr. Baranick did not initiate the prescriptions, but did refill them. He wanted to reassure the College that this was an honest mistake and that he never intended to breach his undertaking. To prevent this from occurring again, he had reviewed his undertaking and the lists of drugs and substances he is restricted from prescribing.

Dr. Baranick admits the facts specified above and admits that, based on these facts, he has engaged in conduct or an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable or unprofessional, contrary to paragraph 1(1)33 of O. Reg. 856/93.

AGREED STATEMENT OF FACTS RELEVANT TO PENALTY

Dr. Baranick entered into the September 2015 Undertaking as a result of a College investigation into his prescribing practices.

As a result of the investigation, the Inquiries, Complaints and Reports Committee of the College (“the ICRC”) accepted Dr. Baranick’s September 2015 Undertaking to give up his narcotics prescribing privileges and required Dr. Baranick to attend at the College to be cautioned in person.

Dr. Baranick’s Discipline History
On June 12, 2017, the Discipline Committee found that Dr. Baranick had failed to meet the standard of practice of the profession. The discipline hearing arose out of a reassessment of Dr. Baranick’s practice pursuant to an Undertaking with the College that Dr. Baranick signed on July 10, 2013 (the “July 2013 Undertaking”). The College’s assessor opined that Dr. Baranick failed to meet the standard of practice of the profession with respect to his record-keeping, assessment and management of community acquired infections, infant care, and chronic illness such as arthritis, diabetes and hypercholesterolemia. Dr. Baranick admitted the allegations.

The Discipline Committee accepted a joint submission on penalty and ordered a reprimand, a 2- month suspension of Dr. Baranick’s certificate of registration, and terms, conditions and limitations on Dr. Baranick’s certificate of registration, including that he complete a comprehensive Continuing Medical Education program focusing on the areas of concern raised by the assessor, that he continue to limit his practice to no more than six patients per hour, and that he undergo a six-month period of clinical supervision followed by a re-assessment of his practice. The Discipline Committee also ordered that Dr. Baranick pay costs to the College at the tariff rate.

The reassessment of Dr. Baranick’s practice took place in November and December 2018. The College's assessor reviewed twenty patient charts and conducted a telephone interview with Dr. Baranick. The College's assessor concluded that for all twenty patient charts reviewed, Dr. Baranick had met the standard of care of the profession and had displayed appropriate knowledge, skills and judgment.

DISPOSITION

The Discipline Committee ordered that:

- The Registrar suspend Dr. Baranick’s certificate of registration for a period of 1 month, commencing immediately.
- Dr. Baranick appear before the panel to be reprimanded.
- Dr. Baranick to 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): January 30, 2019 1:00 p.m . start
Date of Decision: 12 Jun 2017
Summary of Decision:
On June 12, 2017, the Discipline Committee found that Dr. Baranick committed an act of professional misconduct in that he has failed to maintain the standard of practice of the profession.

Dr. Baranick is a family physician practising at Appletree Medical walk-in Clinics in Ottawa. He obtained his medical degree from the University of Ottawa in 1973 and has held an independent practice certificate with this College from 1979 to 1982 and from 1989 to present.

2012 Practice Re-Assessment

On February 15, 2010, Dr. Baranick signed an Undertaking with the College to practice under Clinical Supervision, to successfully complete Medical Record-Keeping and Ethics courses, and to undergo a re-inspection of his practice.

The College retained an independent medical expert to conduct the re-assessment of Dr. Baranick’s practice pursuant to the 2010 Undertaking. The medical expert indicated that although Dr. Baranick is an experienced clinician who has worked in primary patient care for most of his career, he has recently made the transition from working in the Emergency Department of a hospital to seeing unscheduled patients in a number of ambulatory clinics.

The medical expert reported that Dr. Baranick admitted that he sees too many patients during his shifts, and this may be one factor that has resulted in poor notations on the charts of his patients.

The medical expert noted that Dr. Baranick recently took one of the College’s courses on record- keeping and should be familiar with the College’s guidelines. In addition, the medical expert was surprised that Dr. Baranick did not seem familiar with “SOAP” format advocated by the College, and that he rarely uses that format to help him structure his patient assessments.

The medical expert concluded that Dr. Baranick fails to meet the standard of practice of a competent practitioner in his care of patients. Specifically, he found that beyond charting issues:

- Dr. Baranick's care displays a lack of medical knowledge of clinical conditions commonly seen in the walk-in setting, including upper respiratory tract infections, eye and ear problems, genito-urinary conditions and asthma. This hampers Dr. Baranick’s abilities to appropriately assess patients and to effectively manage their problems. 
- Dr.Baranick’s assessment of ocular problems exemplifies that in some instances Dr. Baranick’s care displays a lack of skill.
- Dr. Baranick’s care displays a lack of judgment in management of patients requesting repeats of prescription drugs, with the potential to expose such patients to harm.

The medical expert recommended that:

- Dr. Baranick make efforts to limit the number of patients seen during his shifts, that he make efforts to identify areas of clinical weakness in addition to those identified during the medical expert’s reassessment process, and that he take steps to increase his medical knowledge.
- Dr. Baranick’s practice be supervised by a clinician whose practice is more closely aligned with that of Dr. Baranick and that his practice be subsequently reassessed.

2013 Practice Assessment

On April 17, 2013 the Inquiries, Complaints and Reports Committee considered the expert’s report and directed another Undertaking for Dr. Baranick to restrict his practice to no more than 6 patients per hour, to complete the Comprehensive Family Practice Review (CFPR) course, to practice under supervision of a Clinical Supervisor, and to undergo a comprehensive practice reassessment.

An independent medical expert who conducted the comprehensive practice assessment opined that although Dr. Baranick is an experienced physician who has undergone reassessment and remediation of his practice in previous years, he still fails to meet the standard of practice of the profession in his record keeping due to legibility concerns and in not providing enough detail about some presenting complaints. Also, Dr. Baranick does not meet the standard of practice of the profession in assessing and managing community acquired infections, infant care, and chronic illness, such as arthritis, diabetes, and hypercholesterolemia. The medical expert concluded that Dr. Baranick demonstrates a lack of knowledge, skill, and judgment in these areas which have a potential to cause harm.

On June 12, 2017, the Committee ordered and directed that:

- The Registrar suspend Dr. Baranick’s certificate of registration for a period of two (2) months effective immediately.
- The Registrar to impose the following terms, conditions and limitations on Dr. Baranick’s certificate of registration:
(a) Dr. Baranick shall, within six (6) months of the end of the period of the suspension, complete a comprehensive Continuing Medical Education (CME) program acceptable to the College focusing on the areas of concern raised in the report of the College assessor dated March 30, 2016;
(b) Dr. Baranick shall limit his practice to no more than six (6) patients per hour; Clinical Supervision
(c) Within sixty (60) days of the date of this Order, Dr. Baranick shall obtain a clinical supervisor acceptable to the College, who will supervise Dr. Baranick for a period of six (6) months, and who will sign an undertaking in the form attached to this Order as Appendix A (“Clinical Supervisor”);
(d) The Clinical Supervision shall be at a moderate level for six (6) months, commencing on the date following the expiry of the suspension of Dr. Baranick’s certificate of registration. The Clinical Supervisor will meet with Dr. Baranick bi-weekly and review a minimum of ten (10) of Dr. Baranick’s patient charts, discuss Dr. Baranick’s patient care, treatment plan and follow-up, identify any concerns regarding the care, treatment plan and follow-up and make recommendations for improvement;
(e) Within three (3) months after the completion of the Clinical Supervision, Dr. Baranick will submit to a reassessment of his practice (the “Reassessment”) by an assessor or assessors selected by the College (the “Assessor(s)”). The Reassessment may include a chart review, direct observation of Dr. Baranick’s care, interviews with colleagues and co-workers, feedback from patients and any other tools deemed necessary by the College. Dr. Baranick shall abide by all recommendations made by the Assessor(s), and the results of the Reassessment will be reported to the College and may form the basis of further action by the College; 
(f) Dr. Baranick shall cooperate fully with the Clinical Supervision and abide by all recommendations of his Clinical Supervisor(s) with respect to practice improvements and education;
(g) Dr. Baranick shall consent to the disclosure by the Clinical Supervisor to the College, and by the College to his Clinical Supervisor, of all information the Clinical Supervisor or the College deems necessary or desirable in order to fulfill the Clinical Supervisor’s undertaking and to monitor Dr. Baranick’s compliance with this Order. 
This shall include, without limitation, providing the Clinical Supervisor with any reports of any assessments of Dr. Baranick’s practice in the College’s possession;
(h) If a Clinical Supervisor who has given an undertaking in Schedule “A” to this Order is unable or unwilling to continue to fulfill its terms, Dr. Baranick shall, within twenty (20) days of receiving notice of same, obtain an executed undertaking in the same form from a similarly qualified person who is acceptable to the College and ensure that it is delivered to the College within that time;
(i) If Dr. Baranick is unable to obtain a Clinical Supervisor in accordance with paragraphs 4(b) or 4(g) of this Order, he shall cease practising medicine until such time as he has done so, and the fact that he has will constitute a term, condition or limitation on his certificate of registration until that time;
(j) Dr. Baranick shall co-operate with unannounced inspections and shall consent to the monitoring of his OHIP billings of his Practice by a College representative(s), for the purpose of monitoring and enforcing his compliance with the terms of this Order;
(k) Dr. Baranick shall inform the College of each and every location that he practises or has privileges, including, but not limited to, hospital(s), clinic(s) and office(s), in any jurisdiction 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; and
(l) Dr. Baranick shall be responsible for any and all costs associated with implementing the terms of this Order.
- Dr. Baranick attend before the panel to be reprimanded.
- Dr. Baranick pay to the College costs in the amount of $5,500.00, within thirty (30) days of the date of this Order.
Reasons for Decision: Download Full Decision (PDF)
Hearing Date(s): June 12, 2017

Other Notifications (3)

Source: Member
Effective Date: 20 Sep 2024
Summary:
Summary of the Undertaking given by Dr. Peter Paul Baranick to the College of Physicians and Surgeons of Ontario, effective September 20th, 2024:
 
Following two public complaints, College investigations were conducted into Dr. Baranick’s general medicine practice. As a result of the investigations:

Dr. Baranick will practise under the guidance of a Clinical Supervisor acceptable to the College for seven months.

Dr. Baranick will engage in professional education in performing fulsome patient examinations, considering differential diagnoses, communicating with patients, assessment and management of dizziness, vertigo, and hypertension and improving the assessment and management of abdominal pain in young women.

Dr. Baranick’s practice will be reassessed by an assessor selected by the College within six months of the end of the period of Clinical Supervision and the completion of the professional education.
 

Source: Inquiries, Complaints and Reports Committee
Effective Date: 24 Jul 2024
Summary:

Caution-in-Person:

 


A summary of a decision of the Inquiries, Complaints and Reports Committee in which the disposition includes a "caution-in-person" is required by the College by-laws to be posted on the register, along with a note if the decision has been appealed. A “caution-in-person” disposition requires the physician to attend at the College and be verbally cautioned by a panel of the Committee. 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 Caution-in-Person:


Download Full Document (PDF)
Source: Inquiries, Complaints and Reports Committee
Effective Date: 08 Mar 2017
Summary:
Caution-in-Person:
               
A summary of a decision of the Inquiries, Complaints and Reports Committee in which the disposition includes a "caution-in-person" is required by the College by-laws to be posted on the register, along with a note if the decision has been appealed.  A “caution-in-person” disposition requires the physician to attend at the College and be verbally cautioned by a panel of the Committee.  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 Caution-in-Person:

Download Full Document (PDF)

Training

Medical School: University of Ottawa, 1973

Registration History

DETAILS DATE
Suspension of registration removed. Effective: 20 Sep 2024
Terms and conditions amended by Member. Effective: 20 Sep 2024
Suspension of registration removed. Effective: 28 Feb 2019
Suspension of registration imposed: Discipline Committee Effective: 30 Jan 2019
Suspension of registration removed. Effective: 12 Aug 2017
Suspension of registration imposed: Discipline Committee Effective: 12 Jun 2017
Terms and conditions amended by Discipline Committee. Effective: 12 Jun 2017
Terms and conditions amended by Member. Effective: 12 Oct 2016
Terms and conditions amended by Member. Effective: 23 Sep 2015
Transfer of class of registration to: Restricted Certificate Effective: 05 Jan 2015
Arrow_iconTerms and conditions imposed on certificate by: Member Effective: 05 Jan 2015
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 17 Jun 1989
Expired: Resigned from membership. Effective: 04 Mar 1982
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 03 Aug 1979
Expired: Terms and conditions of certificate of registration Effective: 30 Jun 1978
First certificate of registration issued: Postgraduate Education Certificate Effective: 15 Jun 1973
DETAILS: Suspension of registration removed.
Date: Effective: 20 Sep 2024
DETAILS: Terms and conditions amended by Member.
Date: Effective: 20 Sep 2024
DETAILS: Suspension of registration removed.
Date: Effective: 28 Feb 2019
DETAILS: Suspension of registration imposed: Discipline Committee
Date: Effective: 30 Jan 2019
DETAILS: Suspension of registration removed.
Date: Effective: 12 Aug 2017
DETAILS: Suspension of registration imposed: Discipline Committee
Date: Effective: 12 Jun 2017
DETAILS: Terms and conditions amended by Discipline Committee.
Date: Effective: 12 Jun 2017
DETAILS: Terms and conditions amended by Member.
Date: Effective: 12 Oct 2016
DETAILS: Terms and conditions amended by Member.
Date: Effective: 23 Sep 2015
DETAILS: Transfer of class of registration to: Restricted Certificate
Date: Effective: 05 Jan 2015
DETAILS: Terms and conditions imposed on certificate by: Member
Date: Effective: 05 Jan 2015
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 17 Jun 1989
DETAILS: Expired: Resigned from membership.
Date: Effective: 04 Mar 1982
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 03 Aug 1979
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 30 Jun 1978
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 15 Jun 1973