As from 11:59 p.m., December 31, 2013, by order of the Fitness to Practise
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. Dariusz Piotr Piatek:
* Dr. Piatek shall not engage in the practice of medicine unless he meets
the following conditions:
(a) Within 90 days of this Order, Dr. Piatek shall retain a qualified
psychiatrist or psychologist with expertise in treatment of
personality disorders and delusional disorder and acceptable to the
College ("Psychiatric Monitor");
(b) Dr. Piatek will consent to the College providing the Psychiatric
Monitor with the Decision and Reasons of the Committee on
incapacity dated April 18, 2013; the Decision and Reasons of the
Committee regarding the disposition including the Order; the report
of Dr. Hill (exhibit #52); and the reports of Dr. Donald Young, Dr.
Brian Hoffman, Dr. Gary Rodin and Dr. Hy Bloom. As part of the
Undertaking described below, the Psychiatric Monitor shall be
required to read and review all of the foregoing;
(c) The Psychiatric Monitor shall execute an Undertaking with the
College in a form satisfactory to the College which, among other
things, shall require the Psychiatric Monitor to :
(i) Provide written reports to the College every three months;
and
(ii) If the psychiatric monitor determines that Dr. Piatek's
condition may affect his care of patients, that he has failed
to attend for appointments, or that he is not in compliance
with this Order, the psychiatric monitor shall make an
immediate report to the College.
(d) Dr. Piatek shall attend his Psychiatric Monitor for active
psychotherapy at least once weekly, focussing on treatment of his
condition and management of associated behaviors;
(e) The Psychiatric Monitor may request any information of Dr. Piatek
or the College that the Psychiatric Monitor deems necessary or
desirable for the monitor to fulfill his or her obligations,
including such information that may be necessary for the
Psychiatric Monitor to verify statements of Dr. Piatek. Dr. Piatek
shall cooperate with the Psychiatric Monitor in this regard.
(f) Within 90 days of the Order, Dr. Piatek shall retain a clinical
monitor ("Clinical Monitor") who is acceptable to the College;
(g) Dr. Piatek will consent to the College providing the Clinical
Monitor with the Decision and Reasons of the Committee on
incapacity dated April 18, 2013; the Decision and Reasons of the
Committee regarding the disposition including the Order; the report
of Dr. Hill (exhibit #52); and the reports of Dr. Donald Young, Dr.
Brian Hoffman, Dr. Gary Rodin and Dr. Hy Bloom. As part of the
Undertaking described below, the Clinical Monitor shall be required
to read and review all of the foregoing;
(h) The Clinical Monitor will execute an Undertaking with the College in a
form satisfactory to the College which, among other things, shall require
the Clinical Monitor to report to the College immediately if Dr. Piatek's
patient care or record keeping represents a risk to his patients;
(i) Once every two weeks, the Clinical Monitor shall: (i) attend Dr. Piatek's
practice to observe Dr. Piatek's care and treatment of two or more
patients selected in accordance with the Clinical Monitor's discretion;
and (ii) review at least ten patient records randomly selected by the
Clinical Monitor;
(j) The Clinical Monitor shall provide reports to the College once every
three months in respect of Dr. Piatek's patient care and record keeping;
(k) The Clinical Monitor may request any information of Dr. Piatek or the
College that the Clinical Monitor deems necessary or desirable for the
monitor to fulfill his or her obligations, including such information
that may be necessary for the Clinical Monitor to verify statements of
Dr. Piatek. Dr. Piatek shall cooperate with the Clinical Monitor in this
regard.
(l) Dr. Piatek shall consent to the disclosure by his Clinical Monitor to the
College, and by the College to his Clinical Monitor, of all information
the Clinical Monitor or the College deems necessary or desirable in order
to fulfill the Clinical Monitor's Undertaking and to monitor Dr. Piatek's
compliance with the Order.
(m) The reports of Dr. Piatek's Clinical Monitor shall be provided by the
College to the Psychiatric Monitor. The Psychiatric Monitor may request
any further information from the Clinical Monitor or from the College
that the Psychiatric Monitor deems necessary or desirable in order to
permit the Psychiatric Monitor to perform the terms of the Undertaking;
(n) Dr. Piatek shall abide by all recommendations of his Clinical Monitor
with respect to practice improvements and education;
(o) If the Psychiatric Monitor or the Clinical Monitor who has given the
Undertaking is unwilling or unable to continue to fulfil its terms, Dr.
Piatek shall cease to practise immediately until such time as he has
retained another Psychiatric Monitor or Clinical Monitor acceptable to
the College;
(p) Dr. Piatek shall be solely responsible for all fees, costs and expenses
associated with the terms of this Order;
(q) This Order shall take effect 90 days after the date of the Order. The
terms of the current Order under s. 62 of the Code shall remain in force
until the terms of this Order take effect; and
(r) The clinical monitoring and the psychiatric monitoring described in this
Order are to be for an indefinite period.