Gizzi, Ugo (CPSO#: 31865)

Current Status: Active Member as of 29 Jul 1980

CPSO Registration Class: Restricted as of 09 Mar 2017

Indicates a concern or additional information

Summary

Former Name: No Former Name

Gender: Male

Languages Spoken: English, Italian

Education:University of Toronto, 1978

Practice Information

Primary Location of Practice
1231 St. Clair Ave. W.
Suite 1
Toronto ON  M6E 1B5
Phone: (416) 656-3685
Fax: (416) 656-9519
Electoral District: 10

Registration History

Action Issue Date
First certificate of registration issued: Independent Practice Certificate Effective: 29 Jul 1980
Transfer of class of certificate to: Restricted certificate Effective: 09 Mar 2017
Terms and conditions imposed on certificate by member Effective: 09 Mar 2017

Practice Restrictions

Imposed By Effective Date Expiry Date Status  
member Effective: 09 Mar 2017 Active View Details [+]
            As from March 9, 2017, the following is imposed as a term, condition and
            limitation on the certificate of registration held by Dr. Ugo Gizzi, in
            accordance with an undertaking and consent given by Dr. Gizzi to the College of
            Physicians and Surgeons of Ontario:

                        UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT 
                                          ("Undertaking")
                  
                                                of
                  
                                          DR. UGO GIZZI
                                          ("Dr. Gizzi")
                  
                                                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. Gizzi, certificate of registration number 31865, am a member of
                  the College.  The College has received information regarding my standard
                  of practice.

            (3)   I, Dr. Gizzi, acknowledge that the College initiated an investigation
                  bearing File Number 7214815 (the "Investigation") into whether I engaged
                  in professional misconduct and/or am incompetent in my general medicine
                  practice. Concerns were identified with my general medicine practice and
                  professionalism.  

            B.    UNDERTAKING

            (4)   I, Dr. Gizzi, undertake to abide by the provisions of this Undertaking,
                  effective immediately.

            (5)   Clinical Supervision 

                  (a)   I, Dr. Gizzi, undertake to practise under the guidance of a
                        clinical supervisor(s) acceptable to the College (the "Clinical
                        Supervisor(s)"), for twelve (12) months ("Clinical Supervision"),
                        as outlined in: the Clinical Supervisor(s)'s undertaking, attached
                        hereto as Appendix "A"; the Individualized Education Plan ("IEP")
                        attached as Appendix "B"; and as set out below:
                  
                        (i)   Moderate Level Supervision
                  
                              1.    I, Dr. Gizzi, undertake that initially I will practise
                                    under the moderate level supervision of the Clinical
                                    Supervisor ("Moderate Level Supervision").
                  
                              2.    I, Dr. Gizzi, acknowledge that during the period of
                                    Moderate Level Supervision, the Clinical Supervisor
                                    will meet with me  at least biweekly to review at least
                                    twenty (20) of my patient charts.
                  
                        (ii)  Low Level Supervision
                  
                              1.    I, Dr. Gizzi, acknowledge that if, after a minimum of
                                    two months of Moderate Level Supervision, my Clinical
                                    Supervisor reports to the College that satisfactory
                                    progress has been made, the College may, in its
                                    discretion, reduce the degree of supervision to a low
                                    level ("Low Level Supervision").
                  
                              2.    I, Dr. Gizzi, acknowledge that during the period of Low
                                    Level Supervision, the Clinical Supervisor will meet
                                    with me at least monthly to review at least twenty (20)
                                    of my patient charts.
                  
                  (b)   I, Dr. Gizzi, acknowledge that during the entire period of Clinical
                        Supervision, the Clinical Supervisor(s) will, at minimum: 
                  
                        (i)   Facilitate the education program set out in the IEP;
                  
                        (ii)  Meet with me at my Practice Location, or another location
                              approved by the College;
                  
                        (iii) Discuss any concerns arising from the chart reviews;
                  
                        (iv)  Make recommendations to me for practice improvements and
                              ongoing professional development and inquire into my
                              compliance with the recommendations; 
                  
                        (v)   Perform any other duties, such as reviewing other documents
                              or conducting interviews with staff or colleagues, that the
                              Clinical Supervisor(s) deem necessary to my Clinical
                              Supervision; and
                  
                        (vi)  Submit written reports to the College at least once every
                              month, or more frequently if the Clinical Supervisor(s) has
                              concerns about my standard of practice.
                  
                  (c)   I, Dr. Gizzi, acknowledge that the charts reviewed shall be
                        selected by the Clinical Supervisor(s) based on the educational
                        needs identified in the IEP set out at Appendix "B" to my
                        Undertaking, as well as the areas of concern identified in the
                        report(s) of the medical inspector dated June 9, 2016, and concerns
                        that may arise during the period of Clinical Supervision.
                  
                  (d)   I, Dr. Gizzi, undertake to cooperate fully with the Clinical
                        Supervision of my practice, conducted under the term of this
                        Undertaking and Appendix "A" attached, and to abide by the
                        recommendations of my Clinical Supervisor(s), including but not
                        limited to, any recommended practice improvements and ongoing
                        professional development.
                  
                  (e)   I, Dr. Gizzi, 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. Gizzi, 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. Gizzi, agree 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. Gizzi, agree 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. Gizzi, undertake to participate in and successfully complete
                        all aspects of the detailed IEP, including all of the following
                        professional education (the "Professional Education"):
                  
                        (i)   a program(s) satisfactory to the College in: 

                              1.    medical record keeping; and
                  
                              2.    opioid prescribing; 
                  
                        (ii)  self-study in, medical record keeping, opioid prescribing and
                              medical professionalism; and
                  
                        (iii) any additional professional education recommended by my
                              Clinical Supervisor(s).
                  
                  (b)   I, Dr. Gizzi, 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. Gizzi, acknowledge that a report or reports may be provided
                        to the College regarding my progress and compliance with the
                        Professional Education.
                  
                  (d)   I, Dr. Gizzi, undertake to complete this requirement within twelve
                        (12) months.
                  
            (7)   Reassessment of Practice

                  (a)   I, Dr. Gizzi, undertake that, approximately twelve (12) months
                        after the completion of the Clinical Supervision set out in section
                        (5) above and Appendix "A" attached, I will submit to a
                        Reassessment of my practice ("the Reassessment") by an assessor or
                        assessors selected by the College (the "Assessor(s)").  I
                        acknowledge and agree 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. Gizzi, undertake to co-operate fully with the Reassessment,
                        conducted under the term of this Undertaking, and to abide by those
                        recommendations of the Assessor(s) that are approved by the ICR
                        Committee.
                  
                  (c)   I, Dr. Gizzi, acknowledge and agree that my Clinical Supervisor(s)
                        may receive and review the findings of the Assessor(s), and may
                        discuss with the Assessor(s) any issues or concerns arising from
                        the Reassessment.  I also acknowledge that the results of the
                        Reassessment will be provided to me and reported to the College and
                        the report may form the basis of further action by the College. 
                  
                  (d)   I, Dr. Gizzi, understand and agree that if I am of the view that
                        any of the Assessor(s)'s recommendations are unreasonable, I will
                        have thirty (30) days following my receipt of the recommendations
                        within which to provide the College with my submissions in this
                        regard.  I further understand and agree that thereafter, the ICR
                        Committee will consider my submissions and make a determination
                        regarding whether or not the recommendations, or any of them, are
                        reasonable and if so, whether they, or any of them, constitute
                        limitations or restrictions on my practice, and that decision will
                        be provided to me.
                  
                  (e)   I, Dr. Gizzi, undertake that, following the decision referenced in
                        section (7)(d) above, I will abide by those recommendations of the
                        Assessor(s) that the ICR Committee has determined are reasonable. 
                  
                  (f)   I, Dr. Gizzi, hereby consent to any of the following being included
                        on the public register as terms, conditions or limitations on my
                        certificate of registration, for the purposes of section 23 of the
                        Code: 
                  
                        (i)   any recommendations of the Assessor(s) which are terms,
                              conditions or limitations on my practice;  
                  
                        (ii)  any recommendations of the Assessor(s) which the ICR
                              Committee has identified in its decision referenced in
                              section (7)(d) as terms, conditions or limitations on my
                              practice.
                  
            (8)   Monitoring 

                  (a)   I, Dr. Gizzi, undertake to inform the College of each and every
                        location that I practise or have privileges, including, but not
                        limited to, hospital(s), clinic(s) and office(s), in any
                        jurisdiction (collectively my "Practice Location(s)"), 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. Gizzi, undertake and agree that I will submit to, and not
                        interfere with, unannounced inspections of my Practice Location(s)
                        and patient records by a College representative for the purposes of
                        monitoring my compliance with the provisions of this Undertaking.
                  
                  (c)   I, Dr. Gizzi, 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. Gizzi, acknowledge that I have executed the OHIP and NMS
                        consent form(s), attached hereto as Appendix "C" and Appendix "D",
                        respectively. 
                  
            C.    ACKNOWLEDGEMENT

            (9)   I, Dr. Gizzi, acknowledge that all appendices attached to or referred to
                  in this Undertaking form part of this Undertaking.

            (10)  I, Dr. Gizzi, 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. Gizzi, 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. Gizzi, acknowledge that the College will provide this Undertaking
                  to any Chief of Staff, or a colleague with similar responsibilities, at
                  any Practice Location ("Chief(s) of Staff").

            (13)  I, Dr. Gizzi, 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. Gizzi, 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. Gizzi, acknowledge that, during the time period that this
                        Undertaking remains in effect, this Undertaking shall be posted on
                        the Public Register.
                  
                  (b)   I, Dr. Gizzi, 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:
                  
                              Dr. Gizzi was the subject of a College investigation into
                              whether he engaged in professional misconduct and/or is
                              incompetent in his general medicine practice. Concerns were
                              identified with respect to his practice and professionalism.
                              As a result of the investigation:
                  
                              Dr. Gizzi will practise under the guidance of a Clinical
                              Supervisor acceptable to the College for 12 months. 
                  
                              Dr. Gizzi will engage in professional education in opioid
                              prescribing, medical recordkeeping and medical
                              professionalism.  
                  
                              Dr. Gizzi's practice will be reassessed by an assessor
                              selected by the College within 12 months of the end of the
                              period of Clinical Supervision.
                  
            D.    CONSENT

            (16)  I, Dr. Gizzi, 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 set
                  out in section (6) above 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. Gizzi, give my irrevocable consent to the College to provide all
                  Chief(s) 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. Gizzi, give my irrevocable consent to any person who facilitates
                  my completion of the professional education set out in section (6) above,
                  and to all Clinical Supervisors, Chiefs of Staff and Assessors, to
                  disclose to the College, and to one another, any information:

                  (a)   relevant to this Undertaking;
                  
                  (b)   relevant to the provisions of the Clinical Supervisor's undertaking
                        set out at Appendix "A";
                  
                  (c)   relevant to the Reassessment;
                  
                  (d)   relevant for the purposes of monitoring my compliance with this
                        Undertaking; and/or  
                  (e)   which comes to his or her attention in the course of providing the
                        professional education set out in section (6) above and which he or
                        she reasonably believes indicates a potential risk of harm to my
                        patients.

Concerns

Source: Member
Active Date: March 9, 2017
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Ugo Gizzi to the College of Physicians and Surgeons of Ontario, effective March 9, 2017:

Dr. Gizzi was the subject of a College investigation into whether he engaged in professional misconduct and/or is incompetent in his general medicine practice. Concerns were identified with respect to his practice and professionalism. As a result of the investigation:

• Dr. Gizzi will practise under the guidance of a Clinical Supervisor acceptable to the College for 12 months.
• Dr. Gizzi will engage in professional education in opioid prescribing, medical recordkeeping and medical professionalism.
• Dr. Gizzi’s practice will be reassessed by an assessor selected by the College within 12 months of the end of the period of Clinical Supervision.