(1 of 4)
As from February 22, 2018, the following is imposed as a term, condition and
limitation on the certificate of registration held by Dr. Paul Russell Hanson,
in accordance with an undertaking and consent given by Dr. Hanson to the
College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. PAUL RUSSELL HANSON
("Dr. Hanson")
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. Hanson, certificate of registration number 65864, am a member of
the College. The College has received information regarding my standard
of practice.
B. UNDERTAKING
(3) I, Dr. Hanson, undertake to abide by the provisions of this Undertaking,
effective immediately.
(4) Clinical Supervision
(a) I, Dr. Hanson, 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").
(b) I, Dr. Hanson, acknowledge that I have reviewed the Clinical
Supervisor(s)'s undertaking, attached hereto as Appendix "A", and
understand what is required of the Clinical Supervisor(s). The
Clinical Supervisor(s) will, at minimum:
(i) Facilitate the education program set out in the
Individualized Education Plan ("IEP"), attached hereto as
Appendix "B";
(ii) Meet with me at my Practice Location, or another location
approved by the College, once every week for the first month,
and once every month thereafter;
(iii) Review at least ten (10) of my patient charts at every
meeting during the first month, and ten (10) to fifteen (15)
charts at every meeting thereafter;
(iv) Discuss any concerns arising from the chart reviews;
(v) Make recommendations to me for practice improvements and
ongoing professional development and inquire into my
compliance with the recommendations;
(vi) 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
(vii) 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. Hanson, acknowledge that the charts reviewed shall be
selected by the Clinical Supervisor(s) based on the areas of
concern identified in the report(s) of the assessor dated January
17, 2017 and April 25, 2017, and concerns that may arise during the
period of Clinical Supervision.
(d) I, Dr. Hanson, 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(s), including but not
limited to, any recommended practice improvements and ongoing
professional development.
(e) I, Dr. Hanson, 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. Hanson, 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. Hanson, undertake that if I am unable to obtain a Clinical
Supervisor on the provisions set out under sections (4)(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. Hanson, acknowledge that if I am required to cease practise
as a result of section (4)(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.
(5) Reassessment of Practice
(a) I, Dr. Hanson, undertake that, approximately six (6) months after
the completion of the Clinical Supervision set out in section (4)
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(s)"). 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. Hanson, undertake to co-operate fully with the Reassessment,
conducted under the term of this Undertaking.
(c) I, Dr. Hanson, acknowledge 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. Hanson, acknowledge 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 acknowledge 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. Hanson, undertake that, following the decision referenced in
section (6)(d) above, I will abide by those recommendations of the
Assessor(s) that the ICR Committee has determined are reasonable.
(f) I, Dr. Hanson, hereby consent to 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 the ICR
Committee has identified in its decision referenced in
section (6)(d) as terms, conditions or limitations on my
practice.
(6) Monitoring
(a) I, Dr. Hanson, 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. Hanson, undertake 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. Hanson, 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. Hanson, acknowledge that I have executed the OHIP and NMS
consent form(s), attached hereto as Appendix "C" and Appendix "D",
respectively.
C. ACKNOWLEDGEMENT
(7) I, Dr. Hanson, acknowledge that all appendices attached to or referred to
in this Undertaking form part of this Undertaking.
(8) I, Dr. Hanson, 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.
(9) I, Dr. Hanson, 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.
(10) I, Dr. Hanson, 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").
(11) I, Dr. Hanson, 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.
(12) I, Dr. Hanson, acknowledge that this Undertaking constitutes terms,
conditions, and limitations on my certificate of registration for the
purposes of section 23 of the Code.
(13) Public Register
(a) I, Dr. Hanson, acknowledge that, during the time period that this
Undertaking remains in effect, this Undertaking shall be posted on
the Public Register.
(b) I, Dr. Hanson, acknowledge that, in addition to this Undertaking
being posted in accordance with section (14)(a) above, the
following summary shall be posted on the Public Register during the
time period that this Undertaking remains in effect:
A reassessment of Dr. Hanson's practice was conducted as a
component of a Specified Continuing Education and Remediation
Program. As a result of the reassessment:
* Dr. Hanson will practise under the guidance of a
Clinical Supervisor acceptable to the College for 12
months.
* Dr. Hanson's practice will be reassessed by an assessor
selected by the College within 6 months of the end of
the period of Clinical Supervision.
D. CONSENT
(14) I, Dr. Hanson, 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.
(15) I, Dr. Hanson, 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.
(16) I, Dr. Hanson, 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 information:
(a) relevant to this Undertaking;
(b) relevant to the provisions of the Clinical Supervisor's undertaking
set out at Appendix "A" to this Undertaking;
(c) relevant to the Reassessment;
(d) relevant for the purposes of monitoring my compliance with this
Undertaking; and/or
(e) 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.
(2 of 4)
As from March 21, 2011, the following is imposed as a term, condition and
limitation on the certificate of registration held by Dr. Paul Russell Hanson,
in accordance with an undertaking and consent given by Dr. Hanson to the
College of Physicians and Surgeons of Ontario:
Dr. Hanson may not prescribe narcotic drugs, narcotic preparations or
benzodiazapines/other targeted substances, as amended from time to time
in the governing regulations. Dr. Hanson is permitted by Health Canada
to prescribe controlled drugs, but has voluntarily agreed with the
College that the only controlled drug he will prescribe is Androgenic
Steroid Replacement.
(3 of 4)
As from April 16, 2009, the following is imposed as a term, condition and
limitation on the certificate of registration held by Dr. Paul Russell Hanson,
in accordance with the undertaking and consent given by Dr. Hanson to the
College of Physicians and Surgeons of Ontario:
a. Dr. Hanson's practice is restricted as follows:
i. to not prescribe narcotics or targeted substances including
Fentanyl and Versed;
ii. to not perform any surgical procedures including all procedures
performed on the male and female genitourinary tracts; and,
iii. to perform only minor cosmetic procedures including Botox cosmetic
injections, collagen cosmetic injections, and the removal of skin
tags, warts and moles.
b. Dr. Hanson shall not perform any cosmetic procedures beyond those listed
in subparagraph (iii) above before:
(a) notifying the College as required under the changing scope of
practice
policy; and,
(b) meeting the expectations and requirements set out in the
changing
scope of practice policy for changing scope of practice.
c. Dr. Hanson will review all advertising with respect to my practice or my
clinic before it is released and will not authorize publication unless it
conforms with published regulations and College policies in respect of
advertising.
(4 of 4)
As from February 22, 2007, Dr. Paul Russell Hanson consents to the following to
be imposed as a term, condition and limitation on his certificate of
registration:
Dr. Paul Russell Hanson may not prescribe narcotics or targeted
substances (including benzodiazepines). Dr. Paul Russell Hanson is
permitted by Health Canada to prescribe controlled drugs, but has
voluntarily agreed with the College that the only controlled drug he will
prescribe is Androgenic Steroid Replacement.
|