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Catre, Melanio Garcia

CPSO#: 66638

MEMBER STATUS
Active Member as of 26 Jun 2000
CURRENT OR PAST CPSO REGISTRATION CLASS
Restricted as of 25 May 2023

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English, Filipino, Tagalog

Education: University of Toronto, 1993

Practice Information

Primary Location of Practice
Suite 304
840 Coxwell Avenue
Toronto ON  M4C 5T2
Phone: (416) 461-4761
Fax: (416) 461-5574 Electoral District: 10

Additional Practice Location(s)

Toronto East General Hospital
825 Coxwell Ave
Toronto ON  M4C 3E7
Canada
Phone: (416) 461-4761
Fax: (416) 461-5574
County: City of Toronto
Electoral District: 10

2075 Bayview Ave
Toronto ON  M4N 3M5
Canada
Phone: 416 461 4761
County: City of Toronto
Electoral District: 10

Professional Corporation Information


Corporation Name: Catre Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  May 23 2008

Shareholders:
Dr. M. Catre ( CPSO# 66638 )

Business Address:
304 - 840 Coxwell Avenue
Toronto ON  M4C 5T2
Phone Number: (416) 461-4761

Hospital Privileges

Hospital Location
Sunnybrook Health Sciences Centre Toronto
Toronto East Health Network Toronto

Specialties

Specialty Issued On Type
Orthopedic Surgery Effective:13 Jun 2000 RCPSC Specialist

Postgraduate Training

Please note: This information may not be a complete record of postgraduate training.



University of Toronto, 01 Jul 1993 to 30 Jun 1994
PostGrad Yr 1 - Orthopedic Surgery

University of Toronto, 01 Jul 1994 to 30 Jun 1995
Resident 1 - Orthopedic Surgery

University of Toronto, 01 Jul 1995 to 30 Jun 1996
Resident 2 - Orthopedic Surgery

University of Toronto, 01 Jul 1996 to 30 Jun 1997
Resident 3 - Orthopedic Surgery

University of Toronto, 01 Jul 1997 to 30 Jun 1998
Resident 4 - Orthopedic Surgery

University of Toronto, 01 Jul 1998 to 30 Jun 1999
Resident 4 - Orthopedic Surgery

University of Toronto, 01 Jul 1999 to 14 Oct 1999
CF - Orthopedic Surgery

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 1993
Expired: Terms and conditions of certificate of registration Expiry: 14 Oct 1999
Subsequent certificate of registration issued: Restricted certificate Effective: 14 Oct 1999
Expired: Terms and conditions of certificate of registration Expiry: 26 Jun 2000
Subsequent certificate of registration Issued: Independent Practice Certificate Effective: 26 Jun 2000
Transfer of class of certificate to: Restricted certificate Effective: 20 Mar 2019
Terms and conditions imposed on certificate by member Effective: 20 Mar 2019
Transfer of class of registration to: Independent Practice Certificate Effective: 26 Sep 2019
Transfer of class of certificate to: Restricted certificate Effective: 25 May 2023
Terms and conditions imposed on certificate by member Effective: 25 May 2023

Practice Restrictions

Imposed By Effective Date Expiry Date Status
member Effective: 25 May 2023 Active
 UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT 
("Undertaking")

of

DR. MELANIO GARCIA CATRE
("Dr. Catre")

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 Tribunal" means the Ontario Physicians and Surgeons Discipline Tribunal of the College;

"OHIP" means the Ontario Health Insurance Plan;

"Ontario Physicians and Surgeons Discipline Tribunal" means the Discipline Committee established under the Code;

"Public Register" means the College's register that is available to the public.

(2)	I, Dr. Catre, certificate of registration number 66638, am a member of the College.  

(3)	I, Dr. Catre, acknowledge that following a public complaint, the College conducted an investigation bearing File Number CAS-409584-Y2C5Q3 (the "Investigation") into my care of a patient in my orthopedic surgery practice.

B.	UNDERTAKING

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

(5)	Clinical Supervision 

(a)	I, Dr. Catre, undertake to practise under the guidance of a clinical supervisor or clinical supervisors acceptable to the College (the "Clinical Supervisor" or "Clinical Supervisors"), for at least six (6) months ("Clinical Supervision"). 

(b)	I, Dr. Catre, undertake to remain free of any conflict of interest with the Clinical Supervisor.

(c)	I, Dr. Catre, acknowledge that I have reviewed the Clinical Supervisor's undertaking, attached hereto as Appendix "A", and understand what is required of the Clinical Supervisor. The Clinical Supervisor will, at minimum: 

(i)	Facilitate the education program set out in the Individualized Education Plan ("IEP"), attached hereto as Appendix "B";

(ii)	Review the materials provided by the College and have an orientation session with me, including to discuss the objectives for the Clinical Supervision;

(iii)	Meet with me at my Practice Location, or another location approved by the College, once every two (2) weeks for a minimum of three (3) months;

(iv)	After a minimum of three (3) months of Clinical Supervision, if my Clinical Supervisor recommends and the College approves a reduction in the level of supervision, my Clinical Supervisor will meet with me at my Practice Location, or another location approved by the College, once every month for a further three (3) months;

(v)	For a minimum of three (3) months, and until the College approves a reduction in the level of supervision, review my management of all operative fractures at every meeting;

(vi)	After a minimum of three (3) months, and once the College approves a reduction in the level of supervision, my Clinical Supervisor will review my management of at least fifteen (15) operative fractures at every meeting;

(vii)	Discuss any concerns arising from the chart reviews;

(viii)	Make recommendations to me for practice improvements and ongoing professional development and inquire into my compliance with the recommendations; 

(ix)	Perform any other duties, such as reviewing other documents or conducting interviews with staff or colleagues, that the Clinical Supervisor deems necessary to my Clinical Supervision;

(x)	Submit written reports to the College at least once every month for three (3) months or until the College approves a reduction in the level of supervision, and then once at the end of supervision, or more frequently if the Clinical Supervisor has concerns about my standard of practice; and

(xi)	Remain free of any conflict of interest with me.

(d)	I, Dr. Catre, acknowledge that the charts reviewed shall be selected by the Clinical Supervisor based on the educational needs identified in the IEP, attached hereto as Appendix "B", and concerns that may arise during the period of Clinical Supervision.

(e)	I, Dr. Catre, 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, including but not limited to, any recommended practice improvements and ongoing professional development.

(f)	I, Dr. Catre, 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.

(g)	I, Dr. Catre, 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.

(h)	I, Dr. Catre, undertake that if I am unable to obtain a Clinical Supervisor on the provisions set out under sections (5)(f) and/or (g) above, I will cease practising medicine until such time as I have obtained a Clinical Supervisor acceptable to the College.  

(i)	I, Dr. Catre, acknowledge that if I am required to cease practise as a result of section (5)(h) 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. Catre, undertake to participate in and successfully complete all aspects of the detailed IEP, attached hereto as Appendix "B", including all of the following professional education (the "Professional Education"):

(i)	Review, reflection, and discussion with my Clinical Supervisor of the following self-study:    
         
1.	Keil, H., Beisemann, N., Swartman, B., Vetter, S. Y., Grützner, P. A., & Franke, J. (2018). Intra-operative imaging in trauma surgery. EFORT open reviews, 3(10), 541-549;

2.	ORIF - Pre-contoured distal plate, AO Foundation;

3.	Xu, Y., Guo, X., Peng, H., Dai, H., Huang, Z., & Zhao, J. (2022). Different internal fixation methods for unstable distal clavicle fractures in adults: a systematic review and network meta-analysis. Journal of orthopaedic surgery and research, 17(1), 43; 

4.	Uittenbogaard, S. J., van Es, L. J., den Haan, C., van Deurzen, D. F., & van den Bekerom, M. P. (2021). Outcomes, Union Rate, and Complications After Operative and Nonoperative Treatments of Neer Type II Distal Clavicle Fractures: A Systematic Review and Meta-analysis of 2284 Patients. The American Journal of Sports Medicine, 036354652110533; and 

(ii)	any additional professional education recommended by my Clinical Supervisor.

(b)	I, Dr. Catre, 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. Catre, undertake to complete this requirement within three (3) months or, if no satisfactory program is available by that time, by the first possible opportunity thereafter.

(d)	I, Dr. Catre, acknowledge that a report or reports may be provided to the College regarding my progress and compliance with the Professional Education.

(e)	I, Dr. Catre, acknowledge that if any of the programs listed above become unavailable, substitution requests will be reviewed by the College and the College will determine in its sole discretion whether substitution is appropriate.

(7)	Reassessment of Practice

(a)	I, Dr. Catre, undertake that, approximately six (6) months after the completion of the Clinical Supervision set out in section (5) above and Appendix "A" to this Undertaking, and the completion of the Professional Education set out in section (6) above, I will submit to a reassessment of my practice ("the Reassessment") by an assessor or assessors selected by the College (the "Assessor" or "Assessors").  I acknowledge that the Reassessment may include a review of a minimum of fifteen (15) operative fracture cases, direct observation of my care, interviews with me, colleagues and co-workers, feedback from patients, and any other tools deemed necessary by the College.

(b)	I, Dr. Catre, undertake to co-operate fully with the Reassessment, conducted under the term of this Undertaking. 

(c)	I, Dr. Catre, acknowledge that my Clinical Supervisor may receive and review the findings of the Assessor, and may discuss with the Assessor any issues or concerns arising from the Reassessment. 

(d)	I, Dr. Catre, acknowledge that the results of the Reassessment will be provided to me and reported to the College and the Reassessment may form the basis of further action by the College. 

(8)	Monitoring 
(a)	I, Dr. Catre, undertake
 to inform the College of each and every location at which I practice, delegate, or have privileges, including, but not limited to, any hospitals, clinics, offices, and any Out-of-Hospital Premises or Independent Health Facilities with which I am affiliated, in any jurisdiction (collectively my "Practice Location" or "Practice Locations"), 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. Catre, 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. 

(c)	I, Dr. Catre, acknowledge that I have executed the OHIP consent form, attached hereto as Appendix "C". 

C.	ACKNOWLEDGEMENT

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

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

(13)	I, Dr. Catre, 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 Tribunal of the College.
(14)	I, Dr. Catre, 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. Catre, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.

(b)	I, Dr. Catre, 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:
Following a public complaint, a College investigation was conducted into Dr. Catre's care of a patient in his orthopedic surgery practice. As a result of the investigation:

Dr. Catre will practise under the guidance of a Clinical Supervisor acceptable to the College for 6 months. 

Dr. Catre will engage in professional education in fracture fixation. 

Dr. Catre's practice will be reassessed by an assessor selected by the College within 6 months of the end of the period of Clinical Supervision.

(c)	I, Dr. Catre, acknowledge that this Undertaking remains in effect until the College determines its terms are satisfied.

D.	CONSENT

(16)	I, Dr. Catre, 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.

(17)	I, Dr. Catre, give my irrevocable consent to the College to provide all Chiefs 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. Catre, 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 of the following:

(a)	any information relevant to this Undertaking;

(b)	any information relevant to the provisions of the Clinical Supervisor's undertaking set out at Appendix "A" to this Undertaking;

(c)	any information relevant to the Reassessment;

(d)	any information relevant for the purposes of monitoring my compliance with this Undertaking; and/or  

(e)	any information which comes to their attention in the course of providing the Professional Education and which they reasonably believe indicates a potential risk of harm to my patients.


Concerns

Source: Member
Active Date: May 25, 2023
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Melanio Garcia Catre to the College of Physicians and Surgeons of Ontario, effective May 25, 2025:
 
Following a public complaint, a College investigation was conducted into Dr. Catre’s care of a patient in his orthopedic surgery practice. As a result of the investigation:

Dr. Catre will practise under the guidance of a Clinical Supervisor acceptable to the College for 6 months.

Dr. Catre will engage in professional education in fracture fixation.

Dr. Catre’s practice will be reassessed by an assessor selected by the College within 6 months of the end of the period of Clinical Supervision.
Download Full Document (PDF)

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