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
05/06/25 19:34:43 PM

General Information

Former Name: No Former Name
Medical School: University of Nigeria, 1984
Gender: Man
Languages Spoken: ENGLISH, IGBO

Practice Information

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

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Obstetrics and Gynecology
Effective: 01 Jun 2003
Royal College of Physicians and Surgeons of Canada
Family Medicine
Effective: 05 Jun 2000
College of Family Physicians of Canada
SPECIALTY: Obstetrics and Gynecology
ISSUED ON: Effective: Jun 01 2003
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 05 2000
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, IGBO
Medical School: University of Nigeria, 1984

Practice Information

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

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Obstetrics and Gynecology
Effective: 01 Jun 2003
Royal College of Physicians and Surgeons of Canada
Family Medicine
Effective: 05 Jun 2000
College of Family Physicians of Canada
SPECIALTY: Obstetrics and Gynecology
ISSUED ON: Effective: Jun 01 2003
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 05 2000
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

No information available

Practice Conditions

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

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings (1)

Date of Decision: 11 Jul 2011
Summary of Decision:
On July, 11, 2011, the Discipline Committee found that Dr. Norbert Ifeanyi Ekeh committed an act of professional misconduct in that he failed to maintain the standard of practice of the profession.

In the practise of obstetrics and gynaecology, Dr. Ekeh failed to maintain the standard of practice of the profession in his care and treatment of multiple patients in the following respects:

a) documentation such as operative notes and discharge summaries was deficient;
b) needle tips left in patients during surgery in several cases;
c) improper use of a suction curette resulting in perforation of a patient's bowel;
d) inadequate use of sutures, and cutting on the wrong side of sutures, displaying a fundamental problem with surgical technique;
e) failure to recognize that without a proper speculum or additional assistance he would not be able to adequately perform a LEEP biopsy;
f) failure to recognize obvious vulvar and vaginal cysts in a pre-operative examination, resulting in unnecessary second surgery;
g) performing an induction of labour without indication;
h) performing operative deliveries without indication;
i) performing elective caesarean sections without adequate indication;
j) failure to administer prophylactic antibiotics for elective repeat caesarean sections;
k) failure to consider post-surgical prophylactic anticoagulation following caesarean section in the presence of risk factors for a venous thromboembolic event;
l) failure to transfuse a patient post-caesarean-section until her Hb was 52g/L and she had an altered level of consciousness;
m) transfusion of multiple patients without adequate indication;
n) failure to address significant blood loss by multiple patients during surgery;
o) failure to adequately examine a patient resulting in a failure to detect an inoperable endometrial carcinoma that would have warranted transfer to an oncology unit at a tertiary care centre;
p) failure to offer any non-surgical options such as medical therapy or uterine artery embolization before performing a hysterectomy;
q) failure to offer and adequately discuss the risks and benefits of non-surgical management of perimenopausal symptoms; and
r) performing a laparotomy on a patient before adequately investigating whether it was necessary and considering lower-risk alternatives.

Dr. Ekeh also failed to maintain the standard of practice in his care and treatment of Patient A when he failed to recognize and appropriately act on evidence of a uterine perforation in Patient A during her surgery, and when he failed to recognize and appropriately act on a serious fluid imbalance in Patient A during surgery.

The Discipline Committee ordered and directed that:

1. The Registrar impose the following terms, conditions and limitations on Dr. Ekeh's
Certificate of Registration:
a) Dr. Ekeh may practice only in an office setting and shall not engage in surgical practice, any hospital-based obstetrical/gynaecological practice or any labour and delivery practice save for the sole and limited purpose of completing an acceptable remedial program in obstetrics and gynaecology under the guidance and supervision of a preceptor acceptable to the College (the "Remedial Program"). The Remedial Program must be approved in advance by the College and shall consist of any remedial elements the College deems appropriate, including, without limitation, the following elements:

i) completion of a residency program or analogous experience;
ii) a period of high supervision during which Dr. Ekeh is restricted from being the Most Responsible Physician;
iii) direct observation of Dr. Ekeh's patient care; and
iv) clinical supervision including chart reviews, reports to the College and regular meetings with Dr. Ekeh.

b) The above term, condition and limitation on Dr. Ekeh's certificate of registration shall remain in effect until such time as Dr. Ekeh has completed the Remedial Program and the preceptor has reported to the College that Dr. Ekeh is, in all respects, ready to resume an independent surgical, hospital-based obstetrical/gynaecological and/or labour and delivery practice;

c) One year after completing the Remedial Program and resuming a surgical, hospital-based obstetrical/gynaecological and/or labour and delivery practice, or as soon as practicable thereafter, Dr. Ekeh shall undergo a re-assessment of his practice by an assessor appointed by the College and abide by any recommendations of the assessor;

2. Any costs associated with the Remedial Program, the re-assessment or any other terms of this Order shall be borne by Dr. Ekeh;

3. Dr. Ekeh pay costs to the College in the amount of $3,650.00 within thirty (30) days from the date of this Order; and

4. Dr. Ekeh appear before the panel to be reprimanded.
 
 
Reasons for Decision: Download Full Decision (PDF)
Appeal: No Appeal
Hearing Date(s): July 11, 2011

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings (1)

Date of Decision: 11 Jul 2011
Summary of Decision:
On July, 11, 2011, the Discipline Committee found that Dr. Norbert Ifeanyi Ekeh committed an act of professional misconduct in that he failed to maintain the standard of practice of the profession.

In the practise of obstetrics and gynaecology, Dr. Ekeh failed to maintain the standard of practice of the profession in his care and treatment of multiple patients in the following respects:

a) documentation such as operative notes and discharge summaries was deficient;
b) needle tips left in patients during surgery in several cases;
c) improper use of a suction curette resulting in perforation of a patient's bowel;
d) inadequate use of sutures, and cutting on the wrong side of sutures, displaying a fundamental problem with surgical technique;
e) failure to recognize that without a proper speculum or additional assistance he would not be able to adequately perform a LEEP biopsy;
f) failure to recognize obvious vulvar and vaginal cysts in a pre-operative examination, resulting in unnecessary second surgery;
g) performing an induction of labour without indication;
h) performing operative deliveries without indication;
i) performing elective caesarean sections without adequate indication;
j) failure to administer prophylactic antibiotics for elective repeat caesarean sections;
k) failure to consider post-surgical prophylactic anticoagulation following caesarean section in the presence of risk factors for a venous thromboembolic event;
l) failure to transfuse a patient post-caesarean-section until her Hb was 52g/L and she had an altered level of consciousness;
m) transfusion of multiple patients without adequate indication;
n) failure to address significant blood loss by multiple patients during surgery;
o) failure to adequately examine a patient resulting in a failure to detect an inoperable endometrial carcinoma that would have warranted transfer to an oncology unit at a tertiary care centre;
p) failure to offer any non-surgical options such as medical therapy or uterine artery embolization before performing a hysterectomy;
q) failure to offer and adequately discuss the risks and benefits of non-surgical management of perimenopausal symptoms; and
r) performing a laparotomy on a patient before adequately investigating whether it was necessary and considering lower-risk alternatives.

Dr. Ekeh also failed to maintain the standard of practice in his care and treatment of Patient A when he failed to recognize and appropriately act on evidence of a uterine perforation in Patient A during her surgery, and when he failed to recognize and appropriately act on a serious fluid imbalance in Patient A during surgery.

The Discipline Committee ordered and directed that:

1. The Registrar impose the following terms, conditions and limitations on Dr. Ekeh's
Certificate of Registration:
a) Dr. Ekeh may practice only in an office setting and shall not engage in surgical practice, any hospital-based obstetrical/gynaecological practice or any labour and delivery practice save for the sole and limited purpose of completing an acceptable remedial program in obstetrics and gynaecology under the guidance and supervision of a preceptor acceptable to the College (the "Remedial Program"). The Remedial Program must be approved in advance by the College and shall consist of any remedial elements the College deems appropriate, including, without limitation, the following elements:

i) completion of a residency program or analogous experience;
ii) a period of high supervision during which Dr. Ekeh is restricted from being the Most Responsible Physician;
iii) direct observation of Dr. Ekeh's patient care; and
iv) clinical supervision including chart reviews, reports to the College and regular meetings with Dr. Ekeh.

b) The above term, condition and limitation on Dr. Ekeh's certificate of registration shall remain in effect until such time as Dr. Ekeh has completed the Remedial Program and the preceptor has reported to the College that Dr. Ekeh is, in all respects, ready to resume an independent surgical, hospital-based obstetrical/gynaecological and/or labour and delivery practice;

c) One year after completing the Remedial Program and resuming a surgical, hospital-based obstetrical/gynaecological and/or labour and delivery practice, or as soon as practicable thereafter, Dr. Ekeh shall undergo a re-assessment of his practice by an assessor appointed by the College and abide by any recommendations of the assessor;

2. Any costs associated with the Remedial Program, the re-assessment or any other terms of this Order shall be borne by Dr. Ekeh;

3. Dr. Ekeh pay costs to the College in the amount of $3,650.00 within thirty (30) days from the date of this Order; and

4. Dr. Ekeh appear before the panel to be reprimanded.
 
 
Reasons for Decision: Download Full Decision (PDF)
Appeal: No Appeal
Hearing Date(s): July 11, 2011

Training

Medical School: University of Nigeria, 1984

Registration History

DETAILS DATE
Expired: Failure to Renew Membership Effective: 07 Sep 2011
Transfer of class of registration to: Restricted Certificate Effective: 11 Jul 2011
Arrow_iconTerms and conditions imposed on certificate by: Discipline Committee Effective: 11 Jul 2011
Transfer of class of registration to: Restricted Certificate Effective: 26 Nov 2008
Arrow_iconTerms and conditions imposed on certificate by: Member Effective: 26 Nov 2008
First certificate of registration issued: Independent Practice Certificate Effective: 04 Oct 2000
DETAILS: Expired: Failure to Renew Membership
Date: Effective: 07 Sep 2011
DETAILS: Transfer of class of registration to: Restricted Certificate
Date: Effective: 11 Jul 2011
DETAILS: Terms and conditions imposed on certificate by: Discipline Committee
Date: Effective: 11 Jul 2011
DETAILS: Transfer of class of registration to: Restricted Certificate
Date: Effective: 26 Nov 2008
DETAILS: Terms and conditions imposed on certificate by: Member
Date: Effective: 26 Nov 2008
DETAILS: First certificate of registration issued: Independent Practice Certificate
Date: Effective: 04 Oct 2000