Choong, Albert Poh Soon (CPSO#: 25262)

Current Status: Expired: Resigned from membership as of 30 Jan 2018

CPSO Registration Class: None as of 30 Jan 2018

Indicates a concern or additional information

Summary

Former Name: No Former Name

Gender: Male

Languages Spoken: Chinese, English

Education:Royal College of Surgeons in Ireland, 1968

Practice Information

Primary Location of Practice
Practice Address Not Available

Specialties

Specialty Issued On Type
Family Medicine Effective: 01 Jul 1975 CFPC Specialist

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1971
Transfer of class of registration to: Independent Practice Certificate Effective: 04 Oct 1972
Transfer of class of certificate to: Restricted certificate Effective: 30 Sep 2017
Expired: Resigned from membership. Expiry: 30 Jan 2018

Previous Hearings

Committee: Discipline
Decision Date: 05 Feb 2018
Summary:

On February 5, 2018, the Discipline Committee found that Dr. Albert Poh Soon Choong committed an act of 
professional misconduct, in that he has failed to maintain the standard of practice of the profession, and in 
that he has engaged in conduct or an act or omission relevant to the practice of medicine that, having regard 
to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable or 
unprofessional.  
 
Dr. Choong is a family physician who received his certificate of registration authorizing independent 
practice from the College of Physicians and Surgeons of Ontario on October 10, 1972.  At the relevant time, 
Dr. Choong practised family medicine in Toronto.  
 
Patient A 
 
Patient A became Dr. Choong’s patient about 20 years ago. In June 2016, she attended Dr. Choong with 
complaints of pain in her rectum due to constipation and as a result of medication she was taking to relieve 
headache and muscle pain. Given Patient A’s presentation, Dr. Choong offered to conduct a digital rectal 
examination, which the patient accepted.   
 
Patient A was in the examination room alone with Dr. Choong. He did not offer her a chaperone. Dr. 
Choong directed Patient A to take off her pants and undergarments and failed to provide the patient with any 
draping. He then asked Patient A to bend forward and lean over the examining table, raising her rectum 
towards him. Dr. Choong’s positioning did not allow for adequate visual examination and he inadvertently 
inserted his finger in the patient’s vagina in a manner the patient experienced as forceful. Patient A 
responded quickly stating “oh no not there”. Dr. Choong then released his finger and proceeded to insert it in 
her rectum to perform a digital rectal exam. Following the examination, Dr. Choong recorded in his chart 
that the left lateral wall of the anus was tender, but there was no induration and no blood. He found no 
clinical evidence of the abscess. Given Patient A’s presentation and finding, Dr. Choong believed she had an 
anal fissure and prescribed an analgesic cream.  
  
An expert retained by the College concluded that a digital rectal exam was clinically indicated in the 
circumstances. However, the expert opined that Dr. Choong failed to maintain the standard of practice of the 
profession in this case, explaining that the standard of practice for a female digital rectal examination is for 
the patient to be in the lithotomy position (on her back with legs open as for a pelvic examination) or lying 
on her left side. According to the expert, one would proceed in the lithotomy position, if the patient was 
being evaluated for possible pelvic complaints and a rectal examination was also required. If only a rectal 
examination is indicated based on the complaint, the left side lying position is standard. Given that Patient A 
was complaining specifically of rectal pain and she was constipated, a side lying examination was indicated. 
 
The expert further concluded that Dr. Choong’s digital rectal examination technique displayed a lack of 
judgment. Not only did he not employ the appropriate technique for female patients, he also failed to provide 
modesty draping, demonstrating a lack of judgment and a failure to maintain the standard of practice. The 
expert noted that the examination, which was “clumsily performed”, may have a lasting negative effect on 
the patient’s experience.   
 
On January 30, 2018, Dr. Choong entered into an undertaking with the College, wherein he agreed to resign 
from the College effective immediately and to not apply or re-apply for registration to practise medicine in 
Ontario or in any other jurisdiction.  
 
 
 
 
 
 
Disposition 
 
On February 5, 2018, the Discipline Committee ordered that: 
 
   -  Dr. Choong attend before the panel to be reprimanded.  
   -  Dr. Choong pay costs to the College in the amount of $5,500.00 within 30 days of the date this Order 
      becomes final.

Decision: Download Full Decision (PDF)
Hearing Date(s): February 5, 2018

Concerns

Source: Member
Active Date: January 30, 2018
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Albert Poh Soon Choong to the College of Physicians and Surgeons of Ontario, effective January 30, 2018:

Dr. Choong was referred to the Discipline Committee on allegations of professional misconduct. Dr. Choong resigned from the College and has agreed never to apply or reapply for registration as a physician in Ontario or any other jurisdiction.
Download Full Document (PDF)