(1 of 2)
Effective November 28, 2025, Dr. Vijay Sharma must cease to practice medicine, until such time as he has a clinical supervisor approved by the College, as specified by section 2.b. (xii) and (xv.) of his Order with the College dated January 24, 2025.
(2 of 2)
As from 12:01a.m., January 25, 2025, by order of the Ontario Physicians and Surgeons Discipline Tribunal 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. Vijay Sharma.
i. Prior to commencing practice following the expiry of the period of
suspension, the registrant shall retain at his own expense a clinical
supervisor acceptable to the College (the “Clinical Supervisor”) and a
supervisor for his Ontario Health Insurance Plan (“OHIP”) billings (the
“OHIP Supervisor”) who have executed undertakings in the form
attached at Schedule “A” and Schedule “B” to the Order
Clinical Supervision
ii. For a minimum of twelve (12) months after resuming practice, the
registrant will practice only under the supervision of the Clinical
Supervisor (“Clinical Supervision”). The period of Clinical Supervision
will commence on the expiry of the period of suspension, or on the date
that the Clinical Supervisor is approved, whichever is later.
iii. For a minimum of two (2) months after resuming practice, the registrant
will practice only under High level supervision, during which time the
registrant will not be the most responsible physician (MRP) and the
Clinical Supervisor will be in the room directly observing his care of all
patients.
iv. During High level supervision, the Clinical Supervisor will provide a
report to the College once every two (2) weeks.
v. After a minimum of two (2) months of High level supervision, if the
Clinical Supervisor recommends and the College approves, the Clinical
Supervisor will meet with the registrant at his Practice Location, or
another location approved by the College, once every month for a
minimum of ten (10) additional months (“Moderate level supervision”).
vi. During Moderate level supervision, the Clinical Supervisor will review
at least fifteen (15) patient charts at every meeting, to be selected in
the sole discretion of the Clinical Supervisor, together with the
registrant’s corresponding submissions of claims to the Ontario Health
Insurance Plan (“OHIP”) and/or the Ministry of Health and Long-Term
Care (“MOHLTC”);
vii. The Clinical Supervisor will keep a log of all patients whose charts and
OHIP claims submissions were reviewed, along with patient identifiers.
viii. The Clinical Supervisor will discuss any concerns arising from the chart
and OHIP reviews with the registrant.
ix. The Clinical Supervisor will make recommendations to the registrant
for practice improvements and ongoing professional development, and
inquire with the registrant’s compliance with such recommendations.
x. During Moderate level supervision, the Clinical Supervisor will provide
a report to the College once every month, or more frequently if the
Clinical Supervisor has concerns about the registrant’s standard of
practice or conduct.
xi. Clinical Supervision will cease after a minimum of twelve (12) months,
only with College approval, in the College’s sole discretion.
xii. If, prior to completion of Clinical Supervision, the Clinical Supervisor is
unable or unwilling to continue in that role for any reason, the registrant
shall retain a new College-approved Clinical Supervisor who will sign
an undertaking in the form attached hereto as Schedule “A”. The
registrant shall cease practicing medicine until such time as he has
obtained a Clinical Supervisor acceptable to the College. If the
registrant is required to cease practice as a result of this paragraph,
this will constitute a term, condition and limitation on his certificate of
registration and such term, condition and limitation shall be included
on the public register.
Supervision - OHIP Billings
xiii. The registrant shall consent to the monitoring of his OHIP billings for a
period of 3 years following his return to practice (“OHIP Supervision”)
or on the date that the OHIP Supervisor is approved, whichever is later,
and cooperate with inspections of his practice and patient charts by the
OHIP Supervisor and College representatives for the purpose of
monitoring and enforcing his compliance with this term of the Order.
Monitoring this term shall include making enquiries of OHIP/the
MOHLTC.
xiv. The OHIP supervisor will provide a report to the College once every
three (3) months, or more frequently if the OHIP Supervisor has
concerns about the registrant’s billing practice.
xv. If, prior to completion of OHIP Supervision, the OHIP Supervisor is
unable or unwilling to continue in that role for any reason, the registrant
shall retain a new College-approved OHIP Supervisor who will sign an
undertaking in the form attached hereto as Schedule “B”. If the
registrant fails to retain an OHIP Supervisor on the terms set out within
thirty (30) days of receiving notification that his former OHIP Supervisor
is unable or unwilling to continue in that role, he shall cease practising
medicine until such time as he has obtained a OHIP Supervisor
acceptable to the College. If the registrant is required to cease practice
as a result of this paragraph, this will constitute a term, condition and
limitation on his certificate of registration and such term, condition and
limitation shall be included on the public register.
Reassessment
xvi. Approximately six (6) months after the completion of Clinical
Supervision as set out above in subparagraphs (ii) to (xii), the registrant
will submit to a reassessment of his practice (“the Reassessment”) by
an assessor or assessors selected by the College (the “Assessor”). The
Reassessment shall include a chart review of a minimum of fifteen (15)
patient charts and the corresponding OHIP billings, and may include
direct observation of the registrant’s care, interviews with the
registrant, colleagues and co-workers, feedback from patients, and any
other tools deemed necessary by the College.
xvii. The registrant will co-operate fully with the Reassessment, conducted
under the term of this Order.
xviii. The registrant acknowledges that the 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.
xix. The registrant acknowledges that the results of the Reassessment will
be provided to him and reported to the College and the Reassessment
may form the basis of further action by the College.
Reporting
xx. For a period of two years following the completion of the
Reassessment, the registrant will ensure that the chief of anesthesia,
chief of staff and/or medical director of all practice locations at which
the registrant practises, submit bi-annual reports to the College
regarding the registrant’s conduct and practice.
Monitoring
xxi. The registrant must inform the College of each and every location at
which he 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 (collectively the “Practice Location” or “Practice
Locations”), within five (5) days of this Order. Going forward, the
registrant will inform the College of any and all new Practice Locations
within five (5) days of commencing practice at that location.
xxii. The registrant will submit to, and not interfere with, unannounced
inspections of his Practice Locations and patient records by a College
representative for the purposes of monitoring his compliance with the
provisions of this Order.
xxiii. The registrant shall give his irrevocable consent to the College to make
appropriate enquiries of the MOHLTC/OHIP, NMS and/or any person
who or institution that may have relevant information, in order for the
College to monitor his compliance with the provisions of this Order and
shall promptly sign such consents as may be necessary for the College
to obtain information from these persons or institutions.
xxiv. The registrant shall consent to the sharing of information between the
Clinical Supervisor, OHIP Supervisor, Assessor and the College as any
of them deem necessary or desirable in order to fulfil their respective
obligations.
xxv. The registrant shall be responsible for any and all costs associated with
implementing the terms of this Order.
Professional Education
xxvi. The registrant will, at his own expense, participate in the PROBE Ethics
& Boundaries Program offered by the Centre for Personalized
Education for Professionals, by receiving a passing evaluation or
grade, without any condition or qualification. The registrant will
complete the PROBE program within six (6) months of the date of this
Order or, if it is not available within that timeframe, at the earliest
available opportunity. The registrant will provide proof of their
successful completion to the College, including proof of registration
and attendance and participant assessment reports, within one (1)
month of completing it.
xxvii. The registrant shall engage in individualized instruction (one-on-one)
communication coaching with an instructor acceptable to the College.
The one-on-one instructor will receive background information from the
College. The instructor will review the issues with the registrant and
assist in helping the registrant to understand how and why the identified
issues are of concern and what the registrant can do in order to try to
avoid similar situations in the future. Upon completion of the
instruction, the instructor will submit a report to the College.
xxviii. The registrant will, prior to returning to practice, satisfy the
requirements of the College’s Changing Scope of Practice and/or Re Entering Practice Policy.