As from March 18, 2026, the following is imposed as a term, condition and limitation on the certificate of registration held by Dr. Paul Gibbons Gomez in accordance with an undertaking and consent given by Dr. Gibbons Gomez to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
(“Undertaking”)
of
DR. PAUL GIBBONS GOMEZ
(“Dr. Gibbons Gomez”)
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”;
“NMS” means the Drug Program Services Branch, the Narcotics Monitoring System implemented under the Narcotics Safety and Awareness Act, 2010;
“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. Gibbons Gomez practises, 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. Gibbons Gomez, certificate of registration number 94483, am a member of the College.
(3) I, Dr. Gibbons Gomez, acknowledge that following a public complaint, the College conducted an investigation bearing File Number CAS-500963-T2Y4R3 (the “Investigation”) into my care of a patient in my emergency medicine practice.
(4) I, Dr. Gibbons Gomez, acknowledge that, in addition to accepting this Undertaking, the ICRC will also require me to appear before a panel of the ICRC to be cautioned.
B. UNDERTAKING
(5) I, Dr. Gibbons Gomez, undertake to abide by the provisions of this Undertaking, effective immediately.
(6) Clinical Supervision
(a) I, Dr. Gibbons Gomez, undertake to practise under the guidance of a clinical supervisor or clinical supervisors acceptable to the College (the “Clinical Supervisor” or “Clinical Supervisors”), for three (3) months (“Clinical Supervision”).
(b) I, Dr. Gibbons Gomez, undertake to remain free of any conflict of interest with the Clinical Supervisor.
(c) I, Dr. Gibbons Gomez, acknowledge that I have reviewed the Clinical Supervisor’s undertaking, attached hereto as Appendix “A”, and understand what is required of the Clinical Supervisor. The Clinical Supervisor will, at minimum:
(i) Facilitate the education program set out in the IEP, attached hereto as Appendix “B”;
(ii) Review the materials provided by the College and have an orientation session with me, including to discuss the objectives for the Clinical Supervision;
(iii) Meet with me at my Practice Location, or another location approved by the College, once every month;
(iv) Review at least fifteen (15) of my patient charts at every meeting;
(v) Discuss any concerns arising from the chart reviews;
(vi) Make recommendations to me for practice improvements and ongoing professional development and inquire into my compliance with the recommendations;
(vii) Perform any other duties, such as reviewing other documents or conducting interviews with staff or colleagues, that the Clinical Supervisor deems necessary to my Clinical Supervision;
(viii) Submit a written report to the College at least once at the end of the three (3) months of Clinical Supervision, or more frequently if the Clinical Supervisor has concerns about my standard of practice; and
(ix) Remain free of any conflict of interest with me.
(d) I, Dr. Gibbons Gomez, acknowledge that the charts reviewed shall be selected by the Clinical Supervisor based on the educational needs identified in the IEP, attached hereto as Appendix “B”, and concerns that may arise during the period of Clinical Supervision.
(e) I, Dr. Gibbons Gomez, undertake to cooperate fully with the Clinical Supervision of my practice, conducted under the terms of this Undertaking and Appendix “A” to this Undertaking, and to abide by the recommendations of my Clinical Supervisor, including but not limited to, any recommended practice improvements and ongoing professional development.
(f) I, Dr. Gibbons Gomez, undertake to ensure that Appendix “A” to this Undertaking is signed and delivered to the College within thirty (30) days of the date I execute this Undertaking.
(g) I, Dr. Gibbons Gomez, undertake that if a person who has given an undertaking in Appendix “A” to this Undertaking is unable or unwilling to continue to fulfill its provisions, I shall, within twenty (20) days of receiving notice of same, obtain an executed undertaking in the same form from a similarly qualified person who is acceptable to the College and ensure that it is delivered to the College within that time.
(h) I, Dr. Gibbons Gomez, undertake that if I am unable to obtain a Clinical Supervisor on the provisions set out under sections (6)(f) and/or (g) above, I will cease practising medicine until such time as I have obtained a Clinical Supervisor acceptable to the College.
(i) I, Dr. Gibbons Gomez, acknowledge that if I am required to cease practise as a result of section (6)(h) above this will constitute a term, condition or limitation on my certificate of registration and that term, condition or limitation will be included on the public register.
(7) Professional Education
(a) I, Dr. Gibbons Gomez, undertake to participate in and successfully complete all aspects of the detailed IEP, attached hereto as Appendix “B”, including all of the following professional education (the “Professional Education”):
(i) Medical Record-Keeping Workshop, University of Toronto;
(ii) Opioid Use Disorder Treatment (OUDT) Course, Centre for Addiction & Mental Health;
(iii) Emergency medicine: Optimizing your documentation, Canadian Medical Protective Association;
(iv) Review, reflection, and discussion with my Clinical Supervisor of the following policies and other self-study:
1. Medical Records Documentation, College policy;
2. Diabetes Canada Clinical Practice Guidelines Expert Committee, Goguen J, Gilbert J. Hyperglycemic Emergencies in Adults. Can J Diabetes. 2018;42 Suppl 1:S109-S114;
3. Rockey DC. Etiology of upper gastrointestinal bleeding in adults. In: Connor RF, ed. UpToDate. UpToDate; 2025;
4. Saltzman JR, Gralnek IM. Approach to acute upper gastrointestinal bleeding in adults. In: Connor RF, ed. UpToDate. UpToDate; 2025;
5. EM:RAP: Emergency Medicine: Reviews and Perspectives (Diabetic ketoacidosis (DKA) and Upper GI bleeding CorePendium chapters);
(v) any additional professional education recommended by my Clinical Supervisor.
(b) I, Dr. Gibbons Gomez, 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. Gibbons Gomez, undertake to complete this requirement by within three (3) months, or, if no satisfactory program is available by that time, by the first possible opportunity thereafter.
(d) I, Dr. Gibbons Gomez, acknowledge that a report or reports may be provided to the College regarding my progress and compliance with the Professional Education.
(e) I, Dr. Gibbons Gomez, acknowledge that if any of the programs and/or 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.
(8) Reassessment of Practice
(a) I, Dr. Gibbons Gomez, undertake that, approximately six (6) months after the completion of the Clinical Supervision set out in section (6) above and Appendix “A” to this Undertaking, and the completion of the Professional Education set out in section (7) 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 fifteen (15) 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. Gibbons Gomez, undertake to co-operate fully with the Reassessment, conducted under the terms of this Undertaking.
(c) I, Dr. Gibbons Gomez, acknowledge that my Clinical Supervisor may receive and review the findings of the Assessor, and may discuss with the Assessor any issues or concerns arising from the Reassessment.
(d) I, Dr. Gibbons Gomez, 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.
(9) Monitoring
(a) I, Dr. Gibbons Gomez, 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. Gibbons Gomez, 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. Gibbons Gomez, give my irrevocable consent to the College to make appropriate enquiries of OHIP, NMS 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. Gibbons Gomez, acknowledge that I have executed the OHIP and NMS consent forms, attached hereto as Appendix “C” and Appendix “D”, respectively.
C. ACKNOWLEDGEMENT
(10) I, Dr. Gibbons Gomez, acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.
(11) I, Dr. Gibbons Gomez, 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. Gibbons Gomez, 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. Gibbons Gomez, 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. Gibbons Gomez, 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. Gibbons Gomez, 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. Gibbons Gomez, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.
(b) I, Dr. Gibbons Gomez, 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:
Following a public complaint, a College investigation was conducted into Dr. Gibbons Gomez’s care of a patient in his emergency medicine practice. As a result of the investigation:
Dr. Gibbons Gomez will practise under the guidance of a Clinical Supervisor acceptable to the College for 3 months.
Dr. Gibbons Gomez will engage in professional education medical record-keeping and the evaluation and management of patients presenting with upper gastrointestinal (GI) bleeds, diabetic ketoacidosis, and/or opioid withdrawal.
Dr. Gibbons Gomez’s practice will be reassessed by an assessor selected by the College within 6 months of the end of the period of Clinical Supervision and the completion of the professional education.
(c) I, Dr. Gibbons Gomez, acknowledge that this Undertaking remains in effect until the College determines its terms are satisfied.
D. CONSENT
(17) I, Dr. Gibbons Gomez, 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 to all Clinical Supervisors, and/or 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.
(18) I, Dr. Gibbons Gomez, 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. Gibbons Gomez, give my irrevocable consent to any persons who facilitate my completion of the Professional Education, and to all Clinical Supervisors, 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 provisions of the Clinical Supervisor’s undertaking set out at Appendix “A” to this Undertaking;
(c) any information relevant to the Reassessment;
(d) any information relevant for the purposes of monitoring my compliance with this Undertaking; and/or
(e) 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