(1 of 2)
As from January 29, 2026, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. Balpreet Singh Brar in accordance with an undertaking and consent given by Dr. Brar to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
(“Undertaking”)
of
DR. BALPREET SINGH BRAR
(“Dr. Brar”)
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. Brar, certificate of registration number 92605, am a member of the College.
(3) I, Dr. Brar, acknowledge that I entered into an undertaking with the College dated February 23, 2022 (the “February 2022 undertaking”), in which I agreed to undergo remediation and submit to a reassessment of my general surgery practice.
(4) I, Dr. Brar, acknowledge that I was unable to complete the February 2022 undertaking.
(5) I, Dr. Brar, acknowledge that this Undertaking replaces and supersedes the February 2022 undertaking.
(6) I, Dr. Brar, acknowledge that I entered into another undertaking with the College dated December 9, 2024 (the “December 2024 undertaking”), in which I agreed to restrict my practice. This Undertaking does not replace or supersede the December 2024 undertaking.
B. UNDERTAKING
(7) I, Dr. Brar, undertake to abide by the provisions of this Undertaking, effective immediately.
(8) Professional Education
(a) I, Dr. Brar, 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 of, and reflection on, the following policies and other self-study:
1. Out-of-Hospital Premises Inspection Program: Patient Selection Standard, College of Physicians and Surgeons of Ontario:
(i) Patient Selection Standard;
(ii) Procedures;
(iii) Advice to the Profession: Endoscopy;
2. Medical Records Documentation, College policy;
3. Essentials of Medical Professionalism, College policy;
4. Consent to Treatment, College policy;
5. Good Practices - Physician-patient: Informed Discharge, Canadian Medical Protective Association.
(b) I, Dr. Brar, acknowledge that the College will determine, in its sole discretion, whether I have successfully completed the Professional Education.
(c) I, Dr. Brar, undertake to complete this requirement within three (3) months.
(d) I, Dr. Brar, acknowledge that if any of the self-study resources 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) Reassessment of Practice
(a) I, Dr. Brar, undertake that, approximately six (6) months after the completion of the Professional Education set out in section (8) above, I will submit to a reassessment of my practice (“the Reassessment”) by an assessor or assessors selected by the College (the “Assessor” or “Assessors”). I acknowledge that the Reassessment will include a chart review of a minimum of ten (10) charts, and may include direct observation of my care, interviews with me, colleagues and co-workers, feedback from patients, and any other tools deemed necessary by the College.
(b) I, Dr. Brar, undertake to co-operate fully with the Reassessment, conducted under the terms of this Undertaking.
(c) I, Dr. Brar, acknowledge that the results of the Reassessment will be provided to me and reported to the College and the Reassessment may form the basis of further action by the College.
(10) Monitoring
(a) I, Dr. Brar, undertake to inform the College of each and every location at which I practise or have privileges, including, but not limited to, any hospitals, clinics, offices, and any 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. Brar, undertake that I will submit to, and not interfere with, unannounced inspections of my Practice Locations and patient records by a College representative for the purposes of monitoring my compliance with the provisions of this Undertaking.
(c) I, Dr. Brar, 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.
(d) I, Dr. Brar, acknowledge that I have executed the OHIP consent form, attached hereto as Appendix “B”.
C. ACKNOWLEDGEMENT
(11) I, Dr. Brar, acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.
(12) I, Dr. Brar, 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.
(13) I, Dr. Brar, 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.
(14) I, Dr. Brar, 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”).
(15) I, Dr. Brar, 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.
(16) I, Dr. Brar, acknowledge that this Undertaking constitutes terms, conditions, and limitations on my certificate of registration for the purposes of section 23 of the Code.
(17) Public Register
(a) I, Dr. Brar, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.
(b) I, Dr. Brar, acknowledge that, in addition to this Undertaking being posted in accordance with section (17)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:
Dr. Brar will engage in professional education in medical recordkeeping, aligning patient selection for patients undergoing procedures with the OHP standards, effective communication with patients and family regarding pre-procedural and post-procedural care, and facilitating effective patient handoffs.
Dr. Brar’s practice will be reassessed by an assessor selected by the College within six months of the completion of the professional education.
(c) I, Dr. Brar, acknowledge that this Undertaking remains in effect until the College determines its terms are satisfied.
D. CONSENT
(18) I, Dr. Brar, 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 and/or to all Assessors:
(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.
(19) I, Dr. Brar, 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.
(20) I, Dr. Brar, give my irrevocable consent to any persons who facilitate my completion of the Professional Education, and to all Chiefs of Staff and Assessors, to disclose to the College, and to one another, any of the following:
(a) any information relevant to this Undertaking;
(b) any information relevant to the Reassessment;
(c) any information relevant for the purposes of monitoring my compliance with this Undertaking; and/or
(d) 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.
(2 of 2)
As from December 9, 2024, the following is imposed as a term, condition and limitation on the certificate of registration held by Dr. Brar in accordance with an undertaking and consent given by Dr. Brar to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
(“Undertaking”)
of
DR. BALPREET SINGH BRAR
(“Dr. Brar”)
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; “OHIP” means the Ontario Health Insurance Plan;
“Ontario Physicians and Surgeons Discipline Tribunal” means the Discipline Committee established under the Code;
“Practice Location” or “Practice Locations” means each and every location at which Dr. Brar, practices, delegates, or has privileges, including, but not limited to, any hospitals, clinics, offices, and any Out-of-Hospital Premises and Independent Health Facilities with which he is affiliated, in any jurisdiction;
“Public Register” means the College’s register that is available to the public.
(2) I, Dr. Brar, certificate of registration number 92605, am a member of the College.
(3) I, Dr. Brar, acknowledge that the College conducted an investigation bearing File Number CAS-420483-Z3W5L4 (the “Investigation”) into my standard of practice in General Surgery.
(4) I, Dr. Brar, acknowledge that in response to an earlier investigation, I entered into an undertaking with the College dated February 23, 2022 (“the February 2022 undertaking”) which has not been completed. This Undertaking does not replace or supersede the February 2022 undertaking.
(5) I, Dr. Brar, acknowledge that during the Investigation, I entered into an undertaking dated July 9, 2023 (“the July 2023 undertaking”) in lieu of an Order being made by the ICRC under section 25.4 of the Code. In the July 2023 undertaking I agreed to restrict my general surgery practice. This Undertaking replaces and supersedes the July 2023 undertaking.
B. UNDERTAKING
(6) I, Dr. Brar, undertake to abide by the provisions of this Undertaking, effective immediately.
(7) Practice Restrictions
(a) I, Dr. Brar, undertake to restrict my practice to out-of-hospital upper and lower endoscopy, including polypectomies, biopsies and hemorrhoidal banding.
(8) Posting a Sign
(a) I, Dr. Brar, undertake that I shall post a sign in all waiting rooms, examination rooms and consulting rooms, in all my Practice Locations, in a clearly visible and secure location, at all times whether or not I am physically present at the Practice Location, in the form set out at Appendix “A.” If providing care in a virtual setting, I shall display the sign to the patient at the outset of the patient encounter. If the patient encounter is by telephone, I shall read the sign to the patient at the outset of the patient encounter. For further clarity, this sign shall state as follows:
“Dr. Brar’s practice is restricted to out-of-hospital upper and lower endoscopy, including polypectomies, biopsies and hemorrhoidal banding.
Further information may be found on the College of Physicians and Surgeons of Ontario website at www.cpso.on.ca.”
(b) I, Dr. Brar, undertake to post a certified translation in any language in which I provide services, of the sign described in section (8)(a) in all waiting rooms of all my Practice Locations, in a clearly visible and secure location, in the form set out at Appendix “A.”
(c) I, Dr. Brar, undertake to provide the certified translation described in section (8)(b), to the College within thirty (30) days of executing this Undertaking.
(d) I, Dr. Brar, undertake that if I elect, after the execution of this Undertaking, to provide services in any other language, I will notify the College prior to providing any such services.
(e) I, Dr. Brar, undertake to provide to the College the certified translation described in section (8)(b) prior to beginning to provide services in any language described in section (8)(d).
(9) Monitoring
(a) I, Dr. Brar, undertake to inform the College of each and every one of my 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. Brar, undertake that I will submit to, and not interfere with, unannounced inspections of my Practice Locations and patient charts by a College representative for the purposes of monitoring my compliance with the provisions of this Undertaking.
(c) I, Dr. Brar, 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.
(d) I, Dr. Brar, acknowledge that I have executed the OHIP consent form, attached hereto as Appendix “B”.
C. ACKNOWLEDGEMENT
(10) I, Dr. Brar, acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.
(11) I, Dr. Brar, 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. Brar, 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. Brar, 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. Brar, 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.
(15) I, Dr. Brar, 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. Brar, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.
(b) I, Dr. Brar, 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 Dr. Brar’s standard of practice in General Surgery. As a result of the investigation, Dr. Brar’s practice is restricted to out-of-hospital upper and lower endoscopy, including polypectomies, biopsies and hemorrhoidal banding.
Dr. Brar shall post a clearly visible sign in the waiting rooms, examination rooms and consulting rooms of all Practice Locations, which states as follows:
“Dr. Brar’s practice is restricted to out-of-hospital upper and lower endoscopy, including polypectomies, biopsies and hemorrhoidal banding.
Further information may be found on the College of Physicians and Surgeons of Ontario website at www.cpso.on.ca.”
D. CONSENT
(17) I, Dr. Brar, 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.
I, Dr. Brar, give my irrevocable consent to all Chiefs of Staff to disclose to the College, and to one another, any information relevant to this Undertaking and/or relevant for the purposes of monitoring my compliance with this undertaking.
Terms and conditions imposed on certificate by: Member