As from May 23, 2018, the following is imposed as a term, condition and
limitation on the certificate of registration held by Dr. Adham A. Sayed-Ali
in accordance with an undertaking and consent given by Dr. Sayed-Ali to the
College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. ADHAM AHMED SAYED-ALI
("Dr. Sayed-Ali")
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;
"OHIP" means the Ontario Health Insurance Plan;
"Public Register" means the College's register that is available to the
public;
"QAC" means the Quality Assurance Committee of the College.
(2) I, Dr. Sayed-Ali, certificate of registration number 82355, am a member
of the College. I acknowledge that concerns have been identified with
respect to my medical recordkeeping. I am aware of the College's concern
about protecting the public.
(3) I, Dr. Sayed-Ali, acknowledge that I am not currently practising medicine
in Ontario.
B. UNDERTAKING
(4) I, Dr. Sayed-Ali, undertake to abide by the provisions of this
Undertaking, effective upon the date this Undertaking is approved by the
QAC ("Effective Date").
(5) I, Dr. Sayed-Ali, undertake to provide a minimum of forty-five (45) days'
notice to the College of my intent to return to the practice of medicine
in Ontario.
(6) I, Dr. Sayed-Ali, undertake that upon my return to the practice of
medicine in Ontario, I shall, at minimum, submit to an assessment of my
practice within six (6) months).
(7) I, Dr. Sayed-Ali, undertake that upon signing this Undertaking, I shall
forward a request to the General Manager of OHIP that my billing number
be deactivated for services rendered after the date I cease to practise
medicine in Ontario.
(8) I, Dr. Sayed-Ali, undertake to abide by the College's Policy on Practice
Management Considerations for Physicians Who Cease to Practise, Take an
Extended Leave of Absence or Close Their Practice Due to Relocation, a
copy of which is attached hereto as Appendix "A".
C. ACKNOWLEDGEMENTS
(9) I, Dr. Sayed-Ali, acknowledge that all appendices attached to or referred
to in this Undertaking form part of this Undertaking.
(10) I, Dr. Sayed-Ali, 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.
(11) I, Dr. Sayed-Ali, 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.
(12) I, Dr. Sayed-Ali, 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 any one or more of the following:
consideration by the QAC, an investigation by the College, or further
action by the College, including a referral of specified allegations to
the Discipline Committee.
(13) I, Dr. Sayed-Ali, acknowledge that this Undertaking constitutes terms,
conditions, and limitations on my certificate of registration for the
purposes of section 23 of the Code.
(14) Public Register
(a) I, Dr. Sayed-Ali, acknowledge that, during the time period that
this Undertaking remains in effect, this Undertaking shall be
posted on the Public Register.
(b) I, Dr. Sayed-Ali, acknowledge that, in addition to this Undertaking
being posted in accordance with section (14)(a) above, the
following summary shall be posted on the Public Register during the
time period that this Undertaking remains in effect:
Concerns have been identified with respect to Dr. Sayed-Ali's
medical recordkeeping. As a result, Dr. Sayed-Ali's practice
was ordered to be reassessed. Dr. Sayed-Ali is not currently
practicing medicine in Ontario. Dr. Sayed-Ali will provide
45 days' notice to the College of his intent to return to the
practice of medicine in Ontario and submit to an assessment
of his practice within six months of his return.
D. CONSENT
(15) I, Dr. Sayed-Ali, 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.
(16) I, Dr. Sayed-Ali, acknowledge that I have executed the OHIP consent form,
attached hereto as Appendix "B" and that the consent forms part of this
Undertaking.
Terms and conditions imposed on certificate by: Member
