Gamble, Eamon Noel

             As from November 16, 2016, the following is imposed as a term, condition and
            limitation on the certificate of registration held by Dr. Eamon Noel Gamble, in
            accordance with an undertaking and consent given by Dr. Gamble to the College
            of Physicians and Surgeons of Ontario:

                        UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
                                          ("Undertaking")
                  
                                                of
                  
                                    DR. EAMON NOEL GAMBLE 
                                          ("Dr.Gamble")
                  
                                                to
                  
                        COLLEGE OF PHYSICIANS ANDSURGEONS 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;
                  
                  "QAC" means the Quality Assurance Committee of the College;
                  
                  ''OHIP" means the Ontario Health Insurance Plan.
                  
            (2)   I, Dr. Gamble, certificate of registration number 54734,   am a member of
                  the College. I acknowledge that concerns have been identified with
                  respect to my knowledge, skill and judgment. I am aware of the College's
                  concern about protecting the public. I acknowledge the nature of the
                  College's concerns.

            B.    UNDERTAKING

            (3)   I, Dr. Gamble, undertake that l will not practise medicine in a Long Term
                  Care ("LTC') facility in any jurisdiction unless and until I provide a
                  minimum of forty-five (45) days' notice to the College of my intention to
                  return to the practice of medicine in a LTC facility.

            (4)   I, Dr. Gamble undertake that after a minimum of three months from my
                  return to the practice of medicine in a LTC facility, I shall submit to a
                  reassessment of my practice in a LTC facility (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.

            (5)   I. Dr. Gamble, undertake to co-operate fully with the Reassessment
                  conducted under this Undertaking.

            (6)   I, Dr. Gamble, 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.

            C.    ACKNOWLEDGEMENTS

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

            (8)   I,  Dr. Gamble, acknowlege, 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.

            (9)   I, Dr. Gamble, acknowledge that this entire Undertaking constitutes
                  terms, conditions, and limitations on my certificate of registration for
                  the purposes of section 23 of the Code. I understand that this
                  Undertaking shall be information on the College's Register that is
                  available to the public during the time period that the Undertaking
                  remains in effect. 

            (10)  I, Dr. Gamble, 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:
                  .

                        Dr. Gamble has voluntarily ceased to practise medicine in a Long
                        Term Care ("LTC") facility and will provide the College with notice
                        prior to returning to practice medicine in a LTC facility.
                  
            D.    CONSENT

            (11)  I, Dr.Gamble, give my irevocable 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.

            (12)  I, Dr.Gamble, acknowledge that I have executed the OHIP consent form,
                  attached hereto as Appendix "A'' and that the consent forms part of this
                  Undertaking.

            (13)  I, Dr. Gamble, undertake to abide by the provisions of this Undertaking,
                  effective immediately, and 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.