As from August 9, 2024, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. Samuel Ko in accordance with an undertaking and consent given by Dr. Ko to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
(“Undertaking”)
of
DR. SAMUEL KO
(“Dr. Ko”)
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;
“Public Register” means the College’s register that is available to the public.
(2) I, Dr. Ko, certificate of registration number 79185, am a member of the College.
(3) I, Dr. Ko, acknowledge that the College conducted an investigation bearing File Number CAS-420790-Q4C5P6 (the “Investigation”) into whether I engaged in professional misconduct and/or am incompetent in my obstetrics and gynecological practice.
(4) I, Dr. Ko, acknowledge that, after the College receives an original copy of this Undertaking as signed by me, no further action will be taken on the Investigation.
B. UNDERTAKING
(5) I, Dr. Ko, undertake to abide by the provisions of this Undertaking, effective immediately.
(6) Practice Restrictions
(a) I, Dr. Ko, undertake that I will not engage in hospital-based obstetrics. For clarity, my obstetrical practice will be restricted to office-based obstetrics.
(7) Professional Education
(a) I, Dr. Ko, undertake to participate in and successfully complete all aspects of the detailed IEP, attached hereto as Appendix “A”, including all of the following professional education (the “Professional Education”):
(i) Review, reflection, and a written summary of the following policies and other self-study:
1. Robinson D, et.al. Guideline No. 431: Postpartum Hemorrhage and Hemorrhagic Shock [published correction appears in J Obstet Gynaecol Can. 2023 Mar 11;:] [published correction appears in J Obstet Gynaecol Can. 2023 Jun 26;:]. J Obstet Gynaecol Can. 2022;44(12):1293-1310.e1;
2. Wormer KC, Jamil RT, Bryant SB. Acute Postpartum Hemorrhage. [Updated 2023 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan;
3. Medical Records Documentation, College policy;
4. Good Practices - Physician-Team: Collaborative Care, Canadian Medical Protective Association;
(8) Medical Record-Keeping Program, University of Toronto;
(i) Clinical Communication Program, Canadian Medical Protective Association.
(b) I, Dr. Ko, undertake to provide proof to the College of my successful completion of the Professional Education, including proof of registration and attendance and participant assessment reports, within one (1) month of completing it. I acknowledge that the College will determine, in its sole discretion, whether I have successfully completed the Professional Education.
(c) I, Dr. Ko, undertake to complete this requirement within three (3) months or, if no satisfactory program is available by that time, by the first possible opportunity thereafter.
(d) I, Dr. Ko, acknowledge that a report or reports may be provided to the College regarding my progress and compliance with the Professional Education.
(e) I, Dr. Ko, acknowledge that if any of the programs 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) Monitoring
(a) I, Dr. Ko, undertake to inform the College of each and every location at which I practice, delegate, or have privileges, including, but not limited to, any hospitals, clinics, offices, and any Out-of-Hospital Premises or Independent Health Facilities with which I am affiliated, in any jurisdiction (collectively my “Practice Location” or “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. Ko, 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.
(c) I, Dr. Ko, acknowledge that I have executed the OHIP consent form, attached hereto as Appendix “B”.
C. ACKNOWLEDGEMENT
(10) I, Dr. Ko, acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.
(11) I, Dr. Ko, 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.
(12) I, Dr. Ko, 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.
(13) I, Dr. Ko, 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”).
(14) I, Dr. Ko, 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.
(15) I, Dr. Ko, acknowledge that this Undertaking constitutes terms, conditions, and limitations on my certificate of registration for the purposes of section 23 of the Code.
(16) Public Register
(a) I, Dr. Ko, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.
(b) I, Dr. Ko, acknowledge that, in addition to this Undertaking being posted in accordance with section (16)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:
A College investigation was conducted into whether Dr. Ko engaged in professional misconduct and/or is incompetent in the practice of obstetrics and gynecology. As a result of the investigation:
Dr. Ko has restricted his practice to office-based obstetrics. For clarity, Dr. Ko shall not engage in hospital-based obstetrics.
Dr. Ko will engage in professional education including in the symptoms and signs of fetal and maternal distress, the management of postpartum hemorrhage and hemorrhagic shock, medical recordkeeping, and communication with the clinical team.
D. CONSENT
(17) I, Dr. Ko, 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:
(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.
(18) I, Dr. Ko, 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.
(19) I, Dr. Ko, give my irrevocable consent to any persons who facilitate my completion of the Professional Education, and to all Chiefs of Staff, to disclose to the College, and to one another, any of the following:
(a) any information relevant to this Undertaking;
(b) any information relevant for the purposes of monitoring my compliance with this Undertaking; and/or
(c) 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.
Terms and conditions imposed on certificate by: Member
