O'Brien, Paul Francis (CPSO#: 56851)

Current Status: Active Member as of 16 Jun 1986

CPSO Registration Class: Restricted as of 10 Apr 2017

Indicates a concern or additional information

Summary

Former Name: No Former Name

Gender: Male

Languages Spoken: English, French

Education:University of Toronto, 1986

Practice Information

Primary Location of Practice
Malvern Medical Centre
Suite 100
1333 Neilson Road
Scarborough ON  M1B 4Y9
Phone: (416) 291-7719
Fax: (416) 287-3775
Electoral District: 10

Hospital Privileges

Hospital Location
Rouge Valley Centenary Health Centre,Toronto Toronto

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 16 Jun 1986
Transfer of class of registration to: Independent Practice Certificate Effective: 14 Aug 1987
Transfer of class of certificate to: Restricted certificate Effective: 10 Apr 2017
Terms and conditions imposed on certificate by member Effective: 10 Apr 2017

Practice Restrictions

Imposed By Effective Date Expiry Date Status  
member Effective: 10 Apr 2017 Active View Details [+]
            As from April 10, 2017, the following is imposed as a term, condition and
            limitation on the certificate of registration held by Dr. Paul Francis O'Brien,
            in accordance with an undertaking and consent given by Dr. O'Brien to the
            College of Physicians and Surgeons of Ontario:
                        
                  
                        UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
                                          ("Undertaking")
                  
                                                of
                  
                                    DR. PAUL FRANCIS O'BRIEN
                                          ("Dr. O'Brien")
                  
                                                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; 
                  
                  "Discipline Committee" means the Discipline Committee of the College;
                  
                  "IEP" means Individualized Education Plan;
                  
                  "Public Register" means the College's Register that is available to the
                  public; 
                  
                  "OHIP" means the Ontario Health Insurance Plan. 
                  
            (2)   I, Dr. O'Brien, certificate of registration number 56851, am a member of
                  the College.  

            (3)   I, Dr. O'Brien, acknowledge that concerns have been identified with
                  respect to my standard of practice.

            B.    UNDERTAKING

            (4)   I, Dr. O'Brien, undertake to abide by the provisions of this Undertaking,
                  effective from the date I sign it, ("Effective Date").



            (5)   Clinical Supervision

                  (a)   I, Dr. O'Brien, undertake to practise under the guidance of a
                        clinical supervisor(s) acceptable to the College (the "Clinical
                        Supervisor(s)"), for six (6) months ("Clinical Supervision"), as
                        set out in the Undertaking of the Clinical Supervisor, Appendix A
                        and the attached IEP, Appendix B. 
                  
                  (b)   I, Dr. O'Brien, acknowledge that I have reviewed the Clinical
                        Supervisor's undertaking attached hereto as Appendix "A", and
                        understand what is required of the Clinical Supervisor(s), as
                        follows:
                  
                        (i)   Clinical Supervision will be  at  a low level commencing on
                              the date the Clinical Supervisor(s) signs Appendix "A";
                  
                        (ii)  The Clinical Supervisor will review materials, have an
                              initial meeting with me to discuss practice improvement
                              recommendations and meet with me at minimum once every two
                              (2) months to review a minimum of twenty (20) of my patient
                              charts to assess for the quality of documentation and patient
                              care;
                  
                        (iii) The Clinical Supervisor(s) will report to the College on a
                              quarterly basis or more frequently if the Clinical Supervisor
                              (s) has concerns about my standard of practice;
                  
                        (iv)  The Clinical Supervisor will keep a log of all patient charts
                              reviewed along with patient identifiers;
                  
                        (v)   The Clinical Supervisor(s)  will facilitate the education
                              program set out in the IEP attached as Appendix "B";
                  
                        (vi)  The Clinical Supervisor(s) will make recommendations to me
                              for practice improvements and ongoing professional
                              development and inquire into my compliance with the
                              recommendations; and
                  
                        (vii) The Clinical Supervisor(s) will 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. 
                  
                  (c)   I, Dr. O'Brien, 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 and concerns that may arise during the period of
                        Clinical Supervision.
                  
                  (d)   I, Dr. O'Brien, undertake to cooperate fully with the Clinical
                        Supervision of my practice described in section (5) of this
                        Undertaking and Appendix "A" attached, and undertake to abide by
                        the recommendations of my Clinical Supervisor(s), including but not
                        limited to recommended practice improvements and ongoing
                        professional development. 
                  
                  (e)   I, Dr. O'Brien, 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. O'Brien, 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. O'Brien, undertake that if I am unable to obtain a Clinical
                        Supervisor as set out in sections (5)(e) and (f) above, including
                        returning a signed Appendix "A" within twenty (20) days, I will
                        cease practising medicine until such time as I have obtained a
                        Clinical Supervisor acceptable to the College. 
                  
                  (h)   I, Dr. O'Brien, 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 said
                        term, condition or limitation will be included on the public
                        register.
                  
            (6)   Professional Education

                  (a)   I, Dr. O'Brien, undertake to participate in and successfully
                        complete the following professional education (the "Professional
                        Education"), as set out in Appendix B:
                  
                        (i)   all aspects of the detailed IEP, attached hereto as Appendix
                              "B", including review of policies and guidelines as described
                              therein; and
                  
                        (ii)  any additional professional education recommended by my
                              Clinical Supervisor(s).
                  
            (7)   Reassessment of Practice  

                  (a)   I, Dr. O'Brien, undertake that, approximately six (6) months after
                        the completion of the Clinical Supervision and professional
                        education set out above and in Appendix "A" and Appendix "B"
                        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 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. O'Brien, undertake to co-operate fully with the Reassessment
                        conducted under section (7) of this Undertaking and to abide by the
                        recommendations of the Assessor(s).
                  
                  (c)   I, Dr. O'Brien, acknowledge and provide consent 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. 
                  
            (8)   Monitoring

                  (a)   I, Dr. O'Brien, 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
                        fifteen (15) days of executing this Undertaking.  Going forward, I
                        further undertake to inform the College of any and all new Practice
                        Locations within fifteen (15) days of commencing practice at that
                        location.
                  
                  (b)   I, Dr. O'Brien, 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.    ACKNOWLEDGEMENT 

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

            (10)  I, Dr. O'Brien, 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. O'Brien, 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. O'Brien, 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. O'Brien, 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 any one or more of the following: an
                  investigation by the College, or further action by the College, including
                  a referral of specified allegations to the Discipline Committee.

            (14)  I, Dr. O'Brien, acknowledge that this Undertaking constitutes terms,
                  conditions, and limitations on my certificate of registration for the
                  purposes of section 23 of the Code. 

            (15)  I, Dr. O'Brien, acknowledge that this Undertaking shall be posted on the
                  College's Register that is available to the public during the time period
                  that the Undertaking remains in effect.

            (16)  I, Dr. O'Brien, acknowledge that the following summary will appear on the
                  College's Register that is available to the public during the time period
                  that this Undertaking remains in effect:

                        Concerns have been identified with respect to Dr. O'Brien's
                        standard of practice. As a result:
                  
                        *     Dr. O'Brien will practise under the guidance of a Clinical
                              Supervisor acceptable to the College for six (6) months. 
                  
                        *     Dr. O'Brien's practice will be reassessed by an assessor
                              selected by the College within six (6) months of the end of
                              the period of Clinical Supervision.
                  
            D.    CONSENT

            (17)  I, Dr. O'Brien, give my irrevocable consent to the College to make
                  appropriate enquiries of OHIP 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.

            (18)  I, Dr. O'Brien, acknowledge that I have executed the OHIP consent form,
                  attached hereto as Appendix "C".

            (19)  I, Dr. O'Brien, give my irrevocable consent to the College to provide the
                  following information to any person who facilitates my completion of the
                  professional education set out in section (6) above and to all Clinical
                  Supervisors and 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.
                  
            (20)  I, Dr. O'Brien, give my irrevocable consent to the College to provide all
                  Chief(s) of Staff with any information arising from the monitoring of my
                  compliance with this Undertaking.

            (21)  I, Dr. O'Brien, give my irrevocable consent to all Clinical Supervisors,
                  Chiefs of Staff, Assessors, and any person who facilitates my completion
                  of the professional education set out in section (6) above, 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  
                  (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: April 10, 2017
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Paul Francis O'Brien to the College of Physicians and Surgeons of Ontario effective April 10, 2017:

Concerns have been identified with respect to Dr. O’Brien’s standard of practice. As a result:

•Dr. O’Brien will practise under the guidance of a Clinical Supervisor acceptable to the College for six (6) months.

•Dr. O’Brien’s practice will be reassessed by an assessor selected by the College within six (6) months of the end of the period of Clinical Supervision.