As from February 20, 2019, the following are imposed as terms, conditions and
limitations on the certificate of registration held by Dr. Biljana Kostovic, in
accordance with an undertaking and consent given by Dr. Kostovic to the College
of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. BILJANA KOSTOVIC
("Dr. Kostovic)
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. Kostovic, certificate of registration number 92720, am a
member of the College. I acknowledge that the College has concerns
with respect to my care and treatment of patients in my Emergency
Medicine/ Urgent Care practice. I am aware of the College 's
concern about protecting the public.
B. UNDERTAKING
(3) I, Dr. Kostovic, undertake to abide by the provisions of this
Undertaking, effective upon the date this Undertaking is approved by the
QAC ("Effective Date").
(4) Practice Restrictions
I, Dr. Kostovic, undertake that I will not practise Emergency
Medicine/Urgent Care in any jurisdiction until each and every one of the
following conditions have been met:
(a) I provide a minimum of forty-five (45) days' notice to the College
of my intent to return to the practice of Emergency Medicine/
Urgent Care;
(b) I provide the College with proof that I am participating in a
program of continuing professional development that meets the
requirements for continuing professional development of the Royal
College of Physicians and Surgeons of Canada, the College of
Family Physicians of Canada, or an organization that has been
approved by the College for that purpose that meets the
requirements for continuing professional development set by the
Royal College of Physicians and Surgeons of Canada or the College
of Family Physicians of Canada; and
(c) The College approves my return to the practice of Emergency
Medicine/Urgent Care.
(5) I , Dr. Kostovic, agree that if the College has approved my return to
the practice of Emergency Medicine/Urgent Care, pursuant to the
terms of this Undertaking, I will participate in the education
and remediation, as set out in the Individualized Education Plan
(IEP) attached as Appendix "A" to this Undertaking. I agree that this
will include obtaining and practising under a clinical supervisor
acceptable to the College for a period of at least twelve (12) months. I
acknowledge that I will participate in the education and
remediation set out in the IEP if I intend to return to an Emergency
Medicine/Urgent Care practice prior to May 2020.
(6) I, Dr. Kostovic, agree that if I intend to return to an Emergency
Medicine/Urgent Care practice after May 2020, I will apply to the
College under the Policy relating to changing scope of practice
and/or re-entry to practice that is in effect at the time of my
application (currently, Ensuring Competence: Changing Scope of
Practice and /or Re-entering Practice). I further agree to abide by
all of the terms of any education program required by the College in
order to return to an Emergency Medicine/Urgent Care practice.
C. ACKNOWLEDGEMENTS
(7) I, Dr. Kostovic, acknowledge and agree that I practise in Interventional
Pain Management. I further acknowledge that I am bound by the College's
Policy entitled Ensuring Competence: Changing Scope of Practice and /or
Re-entering Practice.
(8) I, Dr. Kostovic, acknowledge that all appendices attached to or referred
to in this Undertaking form part of this Undertaking.
(9) I, Dr. Kostovic, acknowledge that in considering my request to
return to the practice of Emergency Medicine/Urgent Care, the College
may, among other things:
(a) request that I agree to specified terms, conditions or limitations
being placed upon my certificate of registration; and
(b) request that I enter into an appropriate assessment and /or
monitoring agreement with the College.
(10) I, Dr. Kostovic, 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. Kostovic, 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. Kostovic, 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 of the College.
(13) I, Dr. Kostovic, 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. Kostovic, acknowledge that, during the time period that this
Undertaking remains in effect, this Undertaking shall be posted on
the Public Register.
(b) I, Dr. Kostovic, acknowledge that, in addition to this
Undertaking being posted in accordance with subsection 14(a)
above, the following summary shall be posted on the Public
Register during the time period that this Undertaking remains in
effect:
Dr. Kostovic has ceased to practise Emergency Medicine and
Urgent Care in all jurisdictions.
D. CONSENT
(15) I, Dr. Kostovic, 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. Kostovic, 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
