As from August 8, 2017, the following is imposed as a term, condition and
limitation on the certificate of registration held by Dr. Roddy Terence
Caulfeild, in accordance with an undertaking and consent given by Dr. Caulfeild
to the College of Physicians and Surgeons of Ontario:
UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking")
of
DR. RODDY TERENCE CAULFEILD
("Dr. Caulfeild")
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;
"QAC" means the Quality Assurance Committee of the College;
"Public Register" means the College's register that is available to the
public;
"OHIP" means the Ontario Health Insurance Plan.
(2) I, Dr. Caulfeild, certificate of registration number 23969, am a member
of the College. I acknowledge that concerns have been identified with
respect to my family practice. I am aware of the College's concern about
protecting the public.
(3) I, Dr. Caulfeild, currently practise surgical assisting only at Grey
Bruce Health Services: Markdale, Meaford and Owen Sound Hospital and
civil aviation medicine only at Billy Bishop Airport in Owen Sound
(collectively, my "Practice Locations").
(4) I, Dr. Caulfeild, do not practice at any practice location, including but
not limited to, any clinics and offices, in any jurisdiction other than
my Practice Locations listed in section (3) above, and I do not hold
privileges at any hospital, other than my Practice Locations listed in
section (3) above.
B. UNDERTAKING
(5) I, Dr. Caulfeild, undertake to abide by the provisions of this
Undertaking, effective immediately.
(6) Practice Restrictions
(a) I, Dr. Caulfeild, undertake that I will not engage in the practice
of medicine as the Most Responsible Physician for any patient(s)
whatsoever.
(b) I, Dr. Caulfeild, undertake that the entirety of my scope of
practice will be limited in the following ways:
(i) I shall only practice medicine:
a. as a surgical assistant of a surgeon who:
i. is certified by the Royal College of Physicians
and Surgeons or recognized as a surgical
specialist by the College; and
ii. holds privileges at a Practice Location approved
by the College,
(collectively, a "Qualified Surgeon"); and
b. by performing civil aviation medical examinations.
(c) I, Dr. Caulfeild, acknowledge, for further clarity, but without
limiting the generality of section (6)(b)(i)(a) above, that:
(i) I will not provide any pre-operative or post-operative care
whatsoever; and
(ii) a Qualified Surgeon must always be physically in attendance
when I am engaging in my practice as a surgical assistant.
(d) I, Dr. Caulfeild, undertake that I will not engage in any practice
of medicine that is not expressly and specifically listed in
section (6)(b) above. I acknowledge that this includes not treating
patients outside of my scope of practice as outlined in section
(6)(b) above and not prescribing medication.
(e) I, Dr. Caulfeild, undertake that I shall obtain a signed consent
from any person before conducting an aviation medical examination
on him or her in the form set out at Appendix "A." I undertake to
retain the original signed consents for a minimum of fifteen (15)
years or longer if required in accordance with the College's third
party reports policy and any applicable legislation and regulation.
(f) I, Dr. Caulfeild, undertake that I will not commence surgical
assisting at any practice location without prior approval of the
College. Should I seek privileges to perform surgical assisting at
any other Practice Location, I shall advise the College within five
(5) days of making such application, and shall seek approval to
practice surgical assisting at the Practice Location at least
fourteen (14) days before I plan to commence surgical assisting at
that location.
(g) I, Dr. Caulfeild, undertake to inform the College of any and all
new civil aviation medicine Practice Locations within five (5) days
of commencing practice at that location.
(7) I, Dr. Caulfeild, acknowledge that I have read the College's policy on
third party reports, a copy of which is attached hereto as Appendix "B".
I acknowledge I am bound by this policy and any such equivalent policies
as may apply to me in the future.
(8) I, Dr. Caulfeild, undertake that I will submit to, and not interfere
with, unannounced inspections of my Practice Locations by a College
representative for the purposes of monitoring my compliance with the
provisions of this Undertaking.
C. ACKNOWLEDGEMENT
(9) I, Dr. Caulfeild, acknowledge that all appendices attached to or referred
to in this Undertaking form part of this Undertaking.
(10) I, Dr. Caulfeild, 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. Caulfeild, 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. Caulfeild, acknowledge that the College will provide this
Undertaking to any Qualified Surgeon and any Chief of Staff, or a
colleague with similar responsibilities, at any Practice Location
("Chief(s) of Staff").
(13) I, Dr. Caulfeild, 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:
consideration by the QAC, an investigation by the College, or further
action by the College, including a referral of specified allegations to
the Discipline Committee.
(14) I, Dr. Caulfeild, 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. Caulfeild, acknowledge that, during the time period that
this Undertaking remains in effect, this Undertaking shall be
posted on the Public Register.
(b) I, Dr. Caulfeild, 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. Caulfeild has voluntarily undertaken to restrict his
practice such that he may only practice medicine:
(i) as a surgical assistant under the direction of a
surgeon; and/or
(ii) by performing civil aviation medical examinations.
In his practice, Dr. Caulfeild will not treat patients
outside his scope of practice and will not prescribe
medication to any person.
D. CONSENT
(16) I, Dr. Caulfeild, 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.
(17) I, Dr. Caulfeild, acknowledge that I have executed the OHIP consent form,
attached hereto as Appendix "C".
(18) I, Dr. Caulfeild, give my irrevocable consent to the College to provide
all Qualified Surgeons and Chiefs of Staff with any information arising
from the monitoring of my compliance with this Undertaking.
(19) I, Dr. Caulfeild, give my irrevocable consent to any Qualified Surgeon
and any Chief of Staff to disclose to the College, and to one another,
all information relevant to this Undertaking and/or relevant for the
purposes of monitoring my compliance with this Undertaking.