As from April 17, 2019, the following terms, conditions and limitations are
imposed on the certificate of registration held by Dr. Charlotte Kathleen
Taylor in accordance with an undertaking and consent Dr. Taylor has given to
the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. CHARLOTTE KATHLEEN TAYLOR
("Dr. Taylor")
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;
"ICR Committee" means the Inquiries, Complaints and Reports Committee of
the College;
"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;
"Public Register" means the College's register that is available to the
public.
(2) I, Dr. Taylor, certificate of registration number 98754, am a member of
the College.
(3) I, Dr. Taylor, acknowledge that the College conducted an investigation
bearing File Number 7216662 (the "Investigation") into whether I engaged
in professional misconduct and/or am incompetent in my family practice.
B. UNDERTAKING
(4) I, Dr. Taylor, undertake to abide by the provisions of this Undertaking,
effective immediately.
(5) Clinical Supervision
(a) I, Dr. Taylor, 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. Taylor, 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
Individualized Education Plan ("IEP"), attached hereto as
Appendix "B";
(ii) Review the materials provided by the College and have an
initial meeting to discuss practice improvement
recommendations;
(iii) Meet with me at my Practice Location, or another location
approved by the College, once every month;
(iv) Review at least twenty (20) 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; and
(viii)Submit written reports to the College at least once every
month, or more frequently if the Clinical Supervisor has
concerns about my standard of practice.
(c) I, Dr. Taylor, 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", as well as
the areas of concern identified in the report of the medical
inspector dated October 17, 2018, and concerns that may arise
during the period of Clinical Supervision.
(d) I, Dr. Taylor, undertake to cooperate fully with the Clinical
Supervision of my practice, conducted under the term 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.
(e) I, Dr. Taylor, 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.
(f) I, Dr. Taylor, 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.
(g) I, Dr. Taylor, undertake that if I am unable to obtain a Clinical
Supervisor on the provisions set out under sections (5)(e) and/or
(f) above, I will cease practising medicine until such time as I
have obtained a Clinical Supervisor acceptable to the College.
(h) I, Dr. Taylor, acknowledge that if I am required to cease practise
as a result of section (5)(g) 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.
(6) Professional Education
(a) I, Dr. Taylor, 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) a review and written summary of the following policies and
guidelines:
1. College Policy: Medical Records
2. Cancer Care Ontario Screening Guidelines on breast,
colon and cervical carcinoma; and
(ii) review and discuss with my Clinical Supervisor the following
resources:
1. Canadian Guideline for Safe and Effective Use of
Opioids for Chronic Non-Cancer Pain
2. College Policy: Prescribing Drugs
3. Centre for Effective Practice - Management of Chronic
Non-Cancer Pain tools
4. Clinical Practice Guideline on the management of
diabetes mellitus in Canada
5. Canadian Cardiovascular Society Clinical Practice
Guideline on management of dyslipidemias
6. Choosing Wisely Canada - recommendations for family
physicians; and
(iii) the following programs:
1. University of Toronto Safe Opioid Prescribing Course
(all three webinars and in-person workshop)
2. University of Toronto Medical Recordkeeping Course
3. CMPA e-learning modules: Documentation and
Documentation II; and
(iv) any additional professional education recommended by my
Clinical Supervisor.
(b) I, Dr. Taylor, 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. Taylor, undertake to complete this requirement by July 30,
2019 or, if no satisfactory program is available by that time, by
the first possible opportunity thereafter.
(d) I, Dr. Taylor, acknowledge that a report or reports may be provided
to the College regarding my progress and compliance with the
Professional Education.
(7) Reassessment of Practice
(a) I, Dr. Taylor, undertake that, approximately six (6) months after
the completion of the Clinical Supervision set out in section (5)
above and Appendix "A" to this Undertaking, 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 may include a chart review,
direct observation of my care, interviews with colleagues and
co-workers, feedback from patients and any other tools deemed
necessary by the College.
(b) I, Dr. Taylor, undertake to co-operate fully with the Reassessment,
conducted under the term of this Undertaking.
(c) I, Dr. Taylor, 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. Taylor, 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.
(8) Monitoring
(a) I, Dr. Taylor, 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. Taylor, 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. Taylor, 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. Taylor, acknowledge that I have executed the OHIP and NMS
consent forms, attached hereto as Appendix "C" and Appendix "D",
respectively.
C. ACKNOWLEDGEMENT
(9) I, Dr. Taylor, acknowledge that all appendices attached to or referred to
in this Undertaking form part of this Undertaking.
(10) I, Dr. Taylor, 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. Taylor, 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. Taylor, 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").
(13) I, Dr. Taylor, 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 Committee of the College.
(14) I, Dr. Taylor, acknowledge that this Undertaking constitutes terms,
conditions, and limitations on my certificate of registration for the
purposes of section 23 of the Code.
(15) Public Register
(a) I, Dr. Taylor, acknowledge that, during the time period that this
Undertaking remains in effect, this Undertaking shall be posted on
the Public Register.
(b) I, Dr. Taylor, acknowledge that, in addition to this Undertaking
being posted in accordance with section (15)(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 whether Dr. Taylor
engaged in professional misconduct and/or is incompetent in the
practice of family medicine. As a result of the investigation:
Dr. Taylor will practise under the guidance of a Clinical
Supervisor acceptable to the College for 3 months.
Dr. Taylor will engage in professional education in opioid
prescribing, medical record-keeping, and with respect to several
clinical guidelines.
Dr. Taylor's practice will be reassessed by an assessor selected by
the College approximately six months following the end of the
period of Clinical Supervision.
(c) I, Dr. Taylor, acknowledge that this Undertaking remains in effect
until the College determines its terms are satisfied.
D. CONSENT
(16) I, Dr. Taylor, 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.
(17) I, Dr. Taylor, 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.
(18) I, Dr. Taylor, 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
believes indicates a potential risk of harm to my patients.
(1) Dr. CHARLOTTE KATHLEEN TAYLOR may practise only in the areas of medicine in which Dr. TAYLOR is educated and experienced.
Terms and conditions imposed on certificate by: Member
