Buttoo, Kenneth (CPSO#: 50324)

Current Status: Active Member as of 14 Nov 1978

CPSO Registration Class: Restricted as of 01 Feb 2013

Indicates a concern or additional information

Summary

Former Name: Buttoo, Kuldip Singh (used until: 23 Mar 1983 )

Gender: Male

Languages Spoken: English

Education:University of Manchester, 1976

Practice Information

Primary Location of Practice
Unit 5D
1099 Kingston Road
Pickering ON  L1V 1B5
Phone: (905) 420-9626
Fax: (905) 420-3279
Electoral District: 05
View Professional Corporation Information

Professional Corporation Information

Corporation Name: Kenneth Buttoo Medicine Professional Corporation

Certificate of Authorization Status: Issued Date:  Jan 15 2013

Shareholders:
Dr. K. Buttoo ( CPSO# 50324 )

Business Address:
Unit 5D
1099 Kingston Road
Pickering ON  L1V 1B5
Phone Number: (905) 420-9626

Hospital Privileges

Hospital Location
Kirkland and District Hospital Kirkland Lake
Lakeridge Health,Ajax and Pickering Site Ajax

Specialties

Specialty Issued On Type
Internal Medicine Effective: 07 Jun 1982 RCPSC Specialist
Clinical Immunology Effective: 03 Dec 1984 RCPSC Specialist

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 14 Nov 1978
Transfer of class of registration to: Independent Practice Certificate Effective: 14 Oct 1983
Transfer of class of certificate to: Restricted certificate Effective: 01 Feb 2013
Terms and conditions imposed on certificate Effective: 01 Feb 2013
Terms and conditions amended Effective: 02 Mar 2013
Terms and conditions amended by Discipline Committee Effective: 12 Mar 2013

Practice Restrictions

Imposed By Effective Date Expiry Date Status  
Discipline Committee Effective: 12 Mar 2013 Active View Details [+]





            As from 11:59 p.m., February 1, 2013, 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. Kenneth Buttoo:

            (a)   For an indefinite period of time, Dr. Buttoo shall not prescribe inhaled
                  corticosteroids and/or anticholinergic medication for a patient unless he
                  or she has a diagnosis of asthma, and in any case Dr. Buttoo shall not
                  prescribe such medication in cases in which the patient has had a
                  negative methacholine challenge.  

            (b)   While Dr. Buttoo is subject to the term, condition and limitation set out
                  at paragraph 3(a), Dr. Buttoo shall maintain a log (the "Log") listing
                  all patients to whom he has prescribed inhaled corticosteroids and/or
                  anticholinergic medication, their OHIP number, the date on which he saw
                  the patient, whether the patient has a diagnosis of asthma, whether a
                  methacholine challenge has been conducted, and, if so, whether the
                  challenge was positive or negative.  Dr. Buttoo shall maintain the
                  original Log and shall send a copy of the Log to the College on a
                  quarterly basis until completion of the re-assessment referred to below
                  in paragraph 3(g), and thereafter shall produce the Log at any time upon
                  request of the College.

            (c)   Dr. Buttoo shall, within thirty (30) days from the date of this Order,
                  retain a College-approved clinical supervisor, who will sign an
                  undertaking in the form attached hereto as Schedule "A" (the "Clinical
                  Supervisor").  For a period of at least twelve (12) months commencing on
                  the day the Clinical Supervisor is retained, Dr. Buttoo may practice only
                  under the supervision of the Clinical Supervisor, who will meet with Dr.
                  Buttoo on a monthly basis for the duration of the supervision, except
                  that after three (3) months of supervision, the frequency of meetings may
                  be decreased to every two months if the Clinical Supervisor is of the
                  view that this is appropriate and it has been pre-approved by the
                  College.  

            (d)   For the duration of the clinical supervision required by paragraph 3(c),
                  Dr. Buttoo shall, within twenty (20) days of receiving notice that his
                  Clinical Supervisor is unwilling or unable to continue to fulfill the
                  terms of his or her undertaking attached hereto as Schedule "A", obtain
                  an executed undertaking from a similarly qualified person who is
                  acceptable to the College and ensure that it is delivered to the College
                  within that time.  If Dr. Buttoo is unable to obtain a Clinical
                  Supervisor on the terms set out under paragraphs 3(c) and 3(d) to this
                  Order, he shall cease to practice until such time as he has obtained a
                  Clinical Supervisor acceptable to the College, and the fact that he has
                  ceased to practice shall be a term, condition and limitation on his
                  Certificate of Registration until that time.  

            (e)   Dr. Buttoo shall abide by all recommendations of his Clinical Supervisor
                  with respect to practice improvements and education.

            (f)   Dr. Buttoo shall consent to the disclosure by his Clinical Supervisor to
                  the College, and by the College to his Clinical Supervisor, of all
                  information the Clinical Supervisor or the College deems necessary or
                  desirable in order to fulfill the Clinical Supervisor's undertaking and
                  to monitor Dr. Buttoo's compliance with the Order.  This shall include,
                  without limitation, providing the Clinical Supervisor with the reports of
                  any assessments of Dr. Buttoo's practice in the College's possession.

            (g)   Approximately twelve (12) months after the completion of the period of
                  supervision required by paragraph 3(c), Dr. Buttoo shall undergo a
                  re-assessment of his clinical practice by a College-appointed assessor
                  (the "Assessor(s)").  This re-assessment will include determining whether
                  Dr. Buttoo meets the standard of practice of the profession and whether
                  Dr. Buttoo is in compliance with this Order.  The Assessor(s) shall make
                  recommendations regarding Dr. Buttoo's practice and shall report the
                  results of the re-assessment to the College.  

            (h)   Dr. Buttoo shall consent to the disclosure to the Assessor(s) of the
                  reports of the Clinical Supervisor arising from the supervision, and
                  shall consent to the sharing of all information among the Clinical
                  Supervisor, the Assessor(s) and the College, as any of them deem
                  necessary or desirable in order to fulfill their respective obligations.

            (i)   For an indefinite period of time, Dr. Buttoo shall inform the College of
                  each and every location where he practices including, but not limited to
                  hospitals, clinics, and offices, in any jurisdiction (collectively, his
                  "Practice Location(s)"), within fifteen (15) days of this Order, and
                  shall inform the College of any and all new Practice Locations within 15
                  days of commencing practice at that location.

            (j)   For an indefinite period of time, Dr. Buttoo shall consent to the College
                  making appropriate enquiries of the Ontario Health Insurance Plan and/or
                  any person or institution who may have relevant information, in order for
                  the College to monitor his compliance with this Order.

            (k)   For an indefinite period of time, Dr. Buttoo shall submit to, and not
                  interfere with, unannounced inspections of his Practice Location(s) and
                  patient records by a College representative for the purposes of
                  monitoring his compliance with this Order.

            (l)   Dr. Buttoo shall be responsible for any and all costs associated with
                  implementing the terms of this Order

Previous Discipline Hearings

Committee: Discipline
Decision Date: 01 Feb 2013
Summary:

On February 1, 2013, the Discipline Committee found that Dr. Kenneth Buttoo committed an act 
of professional misconduct, in that he failed to maintain the standard of practice of the 
profession. Dr. Buttoo admitted to the allegation.  
 
As a result of concerns regarding his practice, Dr. Buttoo executed an undertaking to the College 
on March 10, 2009, by which he agreed that he would engage in an assessment of his practice 
within one year. As a result of concerns that arose out of the subsequent practice assessment, the 
College proceeded with a section 75 investigation into Dr. Buttoo's practice and retained a 
medical inspector to review 20 patient charts, visit the site, interview Dr. Buttoo and observe five 
patient visits in February 2010. As set out in the inspector's report, Dr. Buttoo fell below the 
standard of practice of the profession in the areas of allergy management and respiratory 
management. In particular, in the care of multiple patients in 2009-2010, Dr. Buttoo:  
 
      inappropriately ordered and/or recommended testing that was unnecessary and/or not 
      indicated; 
      inappropriately failed to mention airways resistance findings in his interpretation of 
      pulmonary function test results;  
      in circumstances in which Dr. Buttoo made a provisional diagnosis of asthma and then 
      conducted testing which did not support the diagnosis, he inappropriately failed to 
      address the provisional asthma diagnosis in his follow-up consultation letters to referring 
      physicians and did not state that asthma had been ruled out;  
      inappropriately presented "hyper responsive airways" to referring physicians in terms that 
      suggested it represented a final diagnosis of a patient's condition, when in fact no 
      diagnosis had been reached on the basis of the testing conducted and the patient's 
      symptoms remained undiagnosed;  
      inappropriately prescribed medications that were unnecessary and not indicated; and  
      utilized inappropriate sterilization techniques. 
 
The Discipline Committee ordered and directed that: 
 
      the Registrar impose the following terms, conditions and limitations on Dr. Buttoo's 
      Certificate of Registration: 
 
      (a)   For an indefinite period of time, Dr. Buttoo shall not prescribe inhaled 
            corticosteroids and/or anticholinergic medication for a patient unless he or she has 
            a diagnosis of asthma, and in any case Dr. Buttoo shall not prescribe such 
            medication in cases in which the patient has had a negative methacholine 
            challenge.   
 
      (b)   While Dr. Buttoo is subject to the term, condition and limitation set out at 
            paragraph 3(a), Dr. Buttoo shall maintain a log (the "Log") listing all patients to 
            whom he has prescribed inhaled corticosteroids and/or anticholinergic medication, 
            their OHIP number, the date on which he saw the patient, whether the patient has 
            a diagnosis of asthma, whether a methacholine challenge has been conducted, and, 
            if so, whether the challenge was positive or negative.  Dr. Buttoo shall maintain 
      the original Log and shall send a copy of the Log to the College on a quarterly 
      basis until completion of the re-assessment referred to below in paragraph 3(g), 
      and thereafter shall produce the Log at any time upon request of the College. 
              
(c)   Dr. Buttoo shall, within thirty (30) days from the date of this Order, retain a 
      College-approved clinical supervisor, who will sign an undertaking in the form 
      attached hereto as Schedule "A" (the "Clinical Supervisor").  For a period of at 
      least twelve (12) months commencing on the day the Clinical Supervisor is 
      retained, Dr. Buttoo may practice only under the supervision of the Clinical 
      Supervisor, who will meet with Dr. Buttoo on a monthly basis for the duration of 
      the supervision, except that after three (3) months of supervision, the frequency of 
      meetings may be decreased to every two months if the Clinical Supervisor is of 
      the view that this is appropriate and it has been pre-approved by the College.   
              
(d)   For the duration of the clinical supervision required by paragraph 3(c), Dr. Buttoo 
      shall, within twenty (20) days of receiving notice that his Clinical Supervisor is 
      unwilling or unable to continue to fulfill the terms of his or her undertaking 
      attached hereto as Schedule "A", obtain an executed undertaking from a similarly 
      qualified person who is acceptable to the College and ensure that it is delivered to 
      the College within that time.  If Dr. Buttoo is unable to obtain a Clinical 
      Supervisor on the terms set out under paragraphs 3(c) and 3(d) to this Order, he 
      shall cease to practice until such time as he has obtained a Clinical Supervisor 
      acceptable to the College, and the fact that he has ceased to practice shall be a 
      term, condition and limitation on his Certificate of Registration until that time.   
              
(e)   Dr. Buttoo shall abide by all recommendations of his Clinical Supervisor with 
      respect to practice improvements and education. 
              
(f)   Dr. Buttoo shall consent to the disclosure by his Clinical Supervisor to the 
      College, and by the College to his Clinical Supervisor, of all information the 
      Clinical Supervisor or the College deems necessary or desirable in order to fulfill 
      the Clinical Supervisor's undertaking and to monitor Dr. Buttoo's compliance with 
      the Order.  This shall include, without limitation, providing the Clinical 
      Supervisor with the reports of any assessments of Dr. Buttoo's practice in the 
      College's possession. 
              
(g)   Approximately twelve (12) months after the completion of the period of 
      supervision required by paragraph 3(c), Dr. Buttoo shall undergo a re-assessment 
      of his clinical practice by a College-appointed assessor (the "Assessor(s)").  This 
      re-assessment will include determining whether Dr. Buttoo meets the standard of 
      practice of the profession and whether Dr. Buttoo is in compliance with this 
      Order.  The Assessor(s) shall make recommendations regarding Dr. Buttoo's 
      practice and shall report the results of the re-assessment to the College.   
              
              
(h)   Dr. Buttoo shall consent to the disclosure to the Assessor(s) of the reports of the 
      Clinical Supervisor arising from the supervision, and shall consent to the sharing 
      of all information among the Clinical Supervisor, the Assessor(s) and the College, 
      as any of them deem necessary or desirable in order to fulfill their respective 
      obligations. 
              
(i)   For an indefinite period of time, Dr. Buttoo shall inform the College of each and 
      every location where he practices including, but not limited to hospitals, clinics, 
      and offices, in any jurisdiction (collectively, his "Practice Location(s)"), within 
      fifteen (15) days of this Order, and shall inform the College of any and all new 
      Practice Locations within 15 days of commencing practice at that location. 
              
(j)   For an indefinite period of time, Dr. Buttoo shall consent to the College making 
      appropriate enquiries of the Ontario Health Insurance Plan and/or any person or 
      institution who may have relevant information, in order for the College to monitor 
      his compliance with this Order. 
              
(k)   For an indefinite period of time, Dr. Buttoo shall submit to, and not interfere with, 
      unannounced inspections of his Practice Location(s) and patient records by a 
      College representative for the purposes of monitoring his compliance with this 
      Order. 
              
(l)   Dr. Buttoo shall be responsible for any and all costs associated with implementing 
      the terms of this Order.  
              
Dr. Buttoo attend before the panel to be reprimanded. 
              
Dr. Buttoo pay to the College costs in the amount of $3,650 within thirty (30) days of the 
date of this Order. 
              
              

Decision: Download Full Decision (PDF)
Appeal: No Appeal
Hearing Date(s): February 1, 2013