As from June 9, 2026, by order of the Ontario Physicians & Surgeons Discipline Tribunal, the following terms, conditions and limitations are imposed on the certificate of registration held by Dr. Haider Hasnain:
Clinical Supervision
(a) Prior to commencing practise, Dr. Hasnain shall retain at his own expense, a clinical supervisor acceptable to the College (the “Clinical Supervisor”) who has executed an undertaking in the form attached at Schedule “A”.
(b) Dr. Hasnain shall only practise under the supervision of the Clinical Supervisor in accordance with the College-approved Individualized Educational Plan (the “IEP”) attached hereto as Schedule “B” (“Clinical Supervision”).
(c) While under Clinical Supervision, Dr. Hasnain shall maintain a log of all prescriptions for narcotic drugs, narcotic preparations, controlled drugs, benzodiazepines and other targeted substances, and all other monitored drugs. These logs shall be submitted to the College with each Clinical Supervision report. A template log is included as Schedule “C”
(d) Clinical Supervision shall cease only on approval of the College in its sole discretion in accordance with the terms outlined in this Order.
High Level Supervision
(e) For a period of no less than two (2) months, Dr. Hasnain shall practise under high level supervision (“High Level Supervision”), during which time the Clinical Supervisor will act as the Most Responsible Physician (“MRP”).
(f) While Dr. Hasnain is under High Level Supervision (and his Clinical Supervisor is the MRP), he will not practise medicine unless his Clinical Supervisor:
(i) is onsite and available at all times;
(ii) reviews his cases and management decisions at the end of each day;
(iii) provides feedback to him on his diagnoses, documentation and treatment plans.
(g) After one (1) month of High Level Supervision, the Clinical Supervisor will send a report to the College commenting on:
(i) Dr. Hasnain’s management of patients;
(ii) procedures or presentations that Dr. Hasnain is competent to perform and/or assess;
(iii) procedures or presentations for which Dr. Hasnain needs further education, if any;
(iv) the appropriateness of Dr. Hasnain’s prescribing practices;
(v) topics reviewed with Dr. Hasnain and his success in implementing changes in practice;
(vi) review of current practice guidelines with Dr. Hasnain;
(vii) Dr. Hasnain’s quality of documentation;
(viii) Dr. Hasnain’s receptiveness to feedback and suggestions; and
(ix) all information that might assist the College in evaluating Dr. Hasnain’s standard of practice, as well as Dr. Hasnain’s participation in and compliance with the requirements set out in the Order.
(h) After two (2) months of High Level Supervision, and every additional month of High Level Supervision thereafter, the Clinical Supervisor will send a report to the College commenting on the elements in 2(g) above, and their opinion regarding whether Dr. Hasnain is ready to transition to Moderate Level Supervision.
(i) After a minimum of two (2) months of High Level Supervision, if the Clinical Supervisor is satisfied that Dr. Hasnain’s care and treatment of patients meets the standard of practice of the profession, the Clinical Supervisor may recommend to the College that Dr. Hasnain commence Moderate Level Supervision as set out below.
Moderate Level Supervision
(j) Upon the recommendation of the Clinical Supervisor and the approval of the College, in its sole discretion, Dr. Hasnain may commence moderate level supervision (“Moderate Level Supervision”).
(k) For a period of no less than four (4) months, Dr. Hasnain shall practise under
Moderate Level Supervision, during which time Dr. Hasnain will act as the MRP.
(l) During Moderate Level Supervision, the Clinical Supervisor shall be available at all times while Dr. Hasnain is practising, either on site or by telephone. For greater clarity, Dr. Hasnain shall not practise unless the Clinical Supervisor is immediately available.
(m) The Clinical Supervisor shall:
(i) directly observe a minimum of one half (1/2) day of patient encounters per week during the first month of Moderate Level Supervision;
(ii) meet with Dr. Hasnain at least weekly during the first two (2) months of Moderate Level Supervision and biweekly thereafter;
(iii) review a selection of cases at each meeting (minimum of ten (10) cases per meeting) and provide feedback to Dr. Hasnain on documentation and care. The charts reviewed should represent a variety of common conditions managed in a family practice and are to be selected in the sole discretion of the Clinical Supervisor
(iv) provide a report to the College after the completion of the first two (2) months of Moderate Level Supervision, which shall include comment on:
a. Dr. Hasnain’s management of patients;
b. procedures or presentations that Dr. Hasnain is competent to perform and/or assess;
c. procedures or presentations for which Dr. Hasnain needs further education, if any;
d. the appropriateness of Dr. Hasnain’s prescribing practices;
e. topics reviewed with Dr. Hasnain and his success in implementing changes in practice;
f. review of current practice guidelines with Dr. Hasnain;
g. Dr. Hasnain’s quality of documentation;
h. Dr. Hasnain’s receptiveness to feedback and suggestions; and
i. all information that might assist the College in evaluating Dr. Hasnain’s standard of practice, as well as Dr. Hasnain’s participation in and compliance with the requirements set out in the Order.
(v) provide a report to the College after the completion of four (4) months of Moderate Level Supervision, and every two (2) months of Moderate Level Supervision thereafter, commenting on the elements in 2(m)(iv) and their opinion regarding whether Dr. Hasnain is ready to transition to Low Level Supervision;
(vi) After a minimum of four (4) months of Moderate Level Supervision, if the Clinical Supervisor is satisfied that Dr. Hasnain’s care and treatment of patients meets the standard of practice of the profession, the Clinical Supervisor may recommend to the College that Dr. Hasnain commence Low Level Supervision as set out below.
Low Level Supervision
(n) Upon the recommendation of the Clinical Supervisor and the approval of the College, in its sole discretion, Dr. Hasnain may commence low level supervision (“Low Level Supervision”).
(o) During Low Level Supervision, the Clinical Supervisor must be available by phone or email to discuss cases, but the Clinical Supervisor need not be available in real time.
(p) For a period of no less than six (6) months, Dr. Hasnain shall practise under Low
Level Supervision, during which time Dr. Hasnain will act as the MRP.
(q) During Low Level Supervision, the Clinical Supervisor shall:
(i) Meet with Dr. Hasnain at least once every four (4) weeks, at which meetings the Clinical Supervisor will:
a. Review a minimum of fifteen (15) charts. Charts reviewed should represent a variety of common conditions managed in a family medicine practice and are to be selected in the sole discretion of Clinical Supervisor;
b. Review and comment on Dr. Hasnain’s documentation and care, and discuss any issues or concerns arising from this review with Dr. Hasnain;
c. Make recommendations to Dr. Hasnain for any practice improvements and ongoing professional development, and inquire into Dr. Hasnain’s compliance with the recommendations.
(ii) Provide a report to the College after three (3) months of Low Level Supervision which shall include comment on:
i Dr. Hasnain’s management of patients;
ii procedures or presentations that Dr. Hasnain is competent to perform and/or assess;
iii procedures or presentations for which Dr. Hasnain needs further education, if any;
iv the appropriateness of Dr. Hasnain’s prescribing practices;
v topics reviewed with Dr. Hasnain and his success in implementing changes in practice;
vi review of current practice guidelines with Dr. Hasnain;
vii Dr. Hasnain’s quality of documentation;
viii Dr. Hasnain’s receptiveness to feedback and suggestions; and
ix all information that might assist the College in evaluating Dr. Hasnain’s standard of practice, as well as Dr. Hasnain’s participation in and compliance with the requirements set out in the Order.
(iii) Provide a report to the College after six (6) months of Low Level Supervision, and every three (3) months of Low Level Supervision thereafter, commenting on the elements in 2(q)(ii) and their opinion regarding whether Dr. Hasnain is ready to transition to independent practice.
(r) After a minimum of six (6) months of Low Level Supervision, if the Clinical Supervisor is satisfied that Dr. Hasnain’s care and treatment of patients meets the standard of practice of the profession, the Clinical Supervisor may recommend to the College that Dr. Hasnain transition to independent practice.
(s) Dr. Hasnain shall continue to practise under Low Level Supervision on the terms outlined above until the College, in its sole discretion, determines it is no longer necessary.
Assessment of Practice
(t) After the Clinical Supervisor has provided the recommendation outlined in subparagraph (r) above, and upon the approval of the College, Dr. Hasnain shall undergo an assessment of his practice (the “Assessment”) by a College-appointed assessor or assessors (the “Assessor”).
(u) The Assessment shall include, at the discretion of the College, any one or more of the following: a review of Dr. Hasnain’s patient charts, direct observation of Dr. Hasnain’s practice, an interview with Dr. Hasnain, interviews with colleagues and coworkers, feedback from patients, and any other tools deemed necessary by the College. Dr. Hasnain shall abide by all recommendations made by the Assessor.
(v) The Assessor shall be provided with all information the College determines is relevant including this Order, including, but not limited to, materials related to Dr. Hasnain’s application for reinstatement and the Discipline Tribunal’s Reasons for Decision regarding reinstatement, copies of the reports of the Clinical Supervisor(s) referred to above, and the decision of the (then called) Discipline Committee of the College of Physicians and Surgeons of Ontario in Ontario (College of Physicians and Surgeons of Ontario) v. Hasnain, 2019 ONCPSD 2.
(w) The Assessor shall submit a written report to the College regarding Dr. Hasnain’s standard of practice and this report may form the basis for further action by the College.
(x) The College shall review the final assessment report of the Assessor and make a determination, in its sole discretion, as to whether Dr. Hasnain can enter independent practice. For clarity, Dr. Hasnain shall continue to practise under Clinical Supervision and shall not enter independent practice until the College, in its sole discretion, approves him to do so.
Other Elements of Clinical Supervision and Assessment
(y) Dr. Hasnain shall cooperate fully with the Clinical Supervision and abide by all recommendations of the Clinical Supervisor(s), including but not limited to, any recommended practice improvements and professional development.
(z) The Clinical Supervisor shall immediately notify the College if they are concerned that Dr. Hasnain’s practice may fall below the standard of practice of the profession, Dr. Hasnain may not be in compliance with the provisions of this Order, or Dr. Hasnain’s patients may be exposed to risk of harm or injury.
(aa) If a person who has given an undertaking in Schedule “A” to this Order is unable or unwilling to fulfill its provisions during High Level Supervision or Moderate Level Supervision Dr. Hasnain shall cease practising medicine immediately until he has obtained a Clinical Supervisor acceptable to the College, and this will constitute a term, condition, or limitation on his certificate of registration, which will be included on the College’s public register.
(bb) If a person who has given an undertaking in Schedule “A” to this Order is unable or unwilling to fulfill its provisions during Low Level Supervision, Dr. Hasnain shall, within fourteen (14) days of receiving notice of the same, ensure that he has delivered to the College an executed undertaking in the same form from a similarly qualified person who is acceptable to the College.
(cc) If Dr. Hasnain is unable to obtain a Clinical Supervisor as set out in subparagraph
(bb) of this Order within 14 days, he shall cease practising medicine until he has obtained a Clinical Supervisor acceptable to the College, and this will constitute a term, condition, or limitation on his certificate of registration, which will be included on the College’s public register.
(dd) The patient charts reviewed by the Clinical Supervisor pursuant to this Order shall be selected by the Clinical Supervisor in their sole discretion and based on the educational needs identified in the IEP and based on any concerns that may arise during the period of Clinical Supervision.
(ee) Dr. Hasnain shall consent to the disclosure and sharing of information between the Clinical Supervisor(s), the Assessor(s), and the College as any of them deem necessary or desirable in order to fulfill their respective obligations.
Professional Education
(ff) Dr. Hasnain shall participate in, and successfully complete, all aspects of the IEP, attached hereto as Schedule “B”, including but not limited to professional education stipulated in the IEP, which includes:
(i) CAMH Opioid Use Disorder Treatment Course: https://www.camh.ca/en/education/academy/continuing-education directory/opioid-use-disorder-treatment-oudt-course
(ii) Harvard Medical School Course: Annual Evaluation and Treatment of Pain Conference
(iii) Addiction Medicine and Pain Management course approved by the College of Physicians and Surgeons of Ontario
(iv) a course in pharmacotherapy approved by the College
Monitoring and Other Terms
(gg) Dr. Hasnain shall inform the College of each and every location where he practises, including but not limited to hospitals(s), clinic(s) and office(s), in any jurisdiction, within five (5) days of this Order. Going forward, he shall inform the College of any and all new Practice Locations in any jurisdiction five (5) days in advance of commencing practise at that location.
(hh) Dr. Hasnain shall cooperate, and shall not interfere with, unannounced inspections of his practice and patient records by the College and to any other activity the College deems necessary for the purpose of monitoring Dr. Hasnain’s compliance with the terms of this Order.
(ii) Dr. Hasnain shall provide the College with his irrevocable consent to make enquiries of the Ontario Health Insurance Plan, and/or any person(s) or institution(s) that may have relevant information, in order for the College to monitor his compliance with the terms of this Order.
(jj) Dr. Hasnain shall be solely responsible for any and all fees, costs, charges, expenses, etc. associated with implementing the terms of this Order.
Terms and conditions imposed on certificate by: Ontario Physicians and Surgeons Discipline Tribunal