As from 11:59 p.m., December 15, 2015, by order of the Discipline Committee 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. Stephen Rose James:
a. Dr. James be prohibited from holding the position of Medical
Director in any facility;
b. Dr. James shall perform all injections in the presence of a
regulated health professional who observes each injection and who
contemporaneously signs and dates the patient record confirming
he/she has observed the injection. Dr. James shall provide the
College with a list of regulated health professionals with whom he
works and provide copies of their signatures within seven (7) days
of the date of this Order, and within fourteen (14) days of
employing any additional regulated health professional thereafter;
c. If Dr. James becomes aware that a patient developed an infection
following a procedure that he performed, Dr. James shall, within 7
days of date on which he became aware, report the infection to the
College;
d. Dr. James shall complete the next available medical record keeping
course approved by the College and provide proof of successful
completion within three (3) weeks thereof;
e. Dr. James shall successfully complete individualized education in
communication, approved by the College at the instructor's earliest
availability and provide proof of successful completion within
three (3) weeks thereof. The course will involve a series of
one-on-one sessions with a College-approved instructor (the
"Instructor"), incorporating principles of guided reflection,
tailored feedback, and other modalities customized to the specific
needs of Dr. James as assessed by the Instructor. The Instructor
will make reports to the College regarding Dr. James' progress and
compliance;
f. Dr. James shall successfully complete individualized instruction in
ethics approved by the College at the instructor's earliest
availability and provide proof of successful completion within
three (3) weeks thereof. The instruction will involve a series of
one-on-one sessions with a College-approved instructor (the
"Instructor"), incorporating principles of guided reflection,
tailored feedback, and other modalities customized to the specific
needs of Dr. James as assessed by the Instructor. The Instructor
will make reports to the College regarding Dr. James' progress and
compliance;
g. Dr. James shall retain a clinical supervisor, approved by the
College, who will sign an undertaking in the form attached hereto
as Schedule "A" (the "Supervisor") no later than 30 days prior to
Dr. James' return to practice after the suspension referred to in
paragraph 4 above. Dr. James shall practice under the guidance of
the Supervisor for a period of period of twelve (12) months. Dr.
James shall meet with the supervisor monthly to discuss any
concerns arising from patient care, including infection prevention,
control and treatment.
h. Dr. James shall engage a preceptor acceptable to the College to
provide education in the indications and treatment for infection in
Interventional Pain Medicine for a minimum period of (4) four
hours. The preceptorship shall be completed within (3) months of
Dr. James' return to practice after the end of the suspension
referred to in paragraph 4 above, and the preceptor shall confirm
such completion in writing to the College;
i. Dr. James shall be subject to a reassessment of his practice
including an observation of his sterile technique, within six (6)
months of his return to practice after the end of the suspension
referred to in paragraph 4 above, and shall be subject to periodic
assessments (announced and/or unannounced) thereafter at the
discretion of the College, including a reassessment following the
completion of supervision described in paragraph g above. Dr.
James shall abide by the recommendations of the assessors;
j. Dr. James shall cooperate with unannounced inspections of his
practice and patient records by a College representative for the
purposes of monitoring his compliance with the provisions of this
Order and his infection control practices; and
k. Dr. James shall be solely responsible for payment of all fees,
costs, charges, expenses, etc. arising from the implementation of
any of the provisions of this Order.
As from December 14, 2015, the following is imposed as a term, condition and
limitation on the certificate of registration held by Dr. Stephen Rose James,
in accordance with an undertaking and consent given by Dr. James to the College
of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. STEPHEN ROSE JAMES
("Dr. James")
to
COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
(the "College")
A. UNDERTAKING
(1) I, Dr. James, undertake that, effective immediately, I will ensure that I
follow all the recommended and required infection control practices
(designated as "recommended" and "always" respectively) for the specified
procedures as set out in the attached Appendix "A".
(2) I, Dr. James, acknowledge that this undertaking (including Appendix "A")
shall be provided to all assessors appointed by the College, and shall be
relied upon by the College, including when conducting compliance and
monitoring activities associated with the Order of the Discipline
Committee dated December 15, 2015.
(3) I, Dr. James, acknowledge that this entire Undertaking constitutes terms,
conditions, and limitations on my certificate of registration for the
purposes of section 23 of the Code. I understand that this Undertaking
shall be information on the College's Register that is available to the
public during the time period that the Undertaking remains in effect.
Effective September 10, 2009:
Dr. Stephen Rose James may practise medicine independently in Anaesthesia
limited to Pain Management, only.
Terms and conditions imposed on certificate by: Registration Committee