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Mendez-Fernandez, Anselmo

CPSO#: 97060

MEMBER STATUS
Active Member as of 25 Nov 2011
CURRENT OR PAST CPSO REGISTRATION CLASS
Restricted as of 27 May 2016

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English, Spanish

Education: Jagiellonian University Medical College, 2009

Practice Information

Primary Location of Practice
7600 Weston Rd, Unit 55
Woodbridge ON  L4L 8B7
Phone: (289) 371-3500
Fax: (289) 371-3399 Electoral District: 05

Additional Practice Location(s)

2 Bloor Street W, #1912
Toronto ON  M4W 3R1
Canada
Phone: (416) 323-5792
Fax: (416) 323-5795
County: City of Toronto
Electoral District: 10

Specialties

Specialty Issued On Type
Family Medicine Effective:24 Jun 2011 CFPC Specialist

Registration History

Action Issue Date
First certificate of registration issued: Independent Practice Certificate Effective: 25 Nov 2011
Transfer of class of certificate to: Restricted certificate Effective: 27 May 2016
Terms and conditions imposed on certificate by member Effective: 27 May 2016

Practice Restrictions

Imposed By Effective Date Expiry Date Status
member Effective: 27 May 2016 Active
             As from May 27, 2016, the following is imposed as a term, condition and
            limitation on the certificate of registration held by Dr. Anselmo
            Mendez-Fernandez in accordance with an undertaking and consent given by Dr.
            Mendez-Fernandez to the College of Physicians and Surgeons of Ontario:


                               UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
                                            ("Undertaking")

                                                  of

                                     DR. ANSELMO MENDEZ-FERNANDEZ
                                       ("Dr. Mendez-Fernandez")

                                                  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.
                  
            (2)   I, Dr. Mendez-Fernandez, certificate of registration number 97060, am a
                  member of the College.  The College has received information regarding my
                  standard of practice.

            (3)   I, Dr. Mendez-Fernandez, acknowledge that I am currently the subject of a
                  College investigation bearing File Number 7214535 (the "Investigation")
                  into allegations that I failed to maintain the standard of practice of
                  the profession and that I am incompetent. 

            (4)   I, Dr. Mendez-Fernandez, acknowledge and agree that, upon receiving an
                  original copy of this Undertaking as signed by me, the College has agreed
                  to take no further action. 

            B.    UNDERTAKING

            (5)   I, Dr. Mendez-Fernandez, understand and agree that I am bound by this
                  Undertaking from the date on which I sign it. 

            (6)   Practice Restrictions

                  (a)   I, Dr. Mendez-Fernandez, undertake that, effective immediately, I
                        will cease to engage in any of the following areas of practice:
                  
                        (i)   Emergency medicine (including any on-call emergency medicine
                              services); and, 
                  
                        (ii)  Hospital-based obstetrics
                  
                  (b)   I, Dr. Mendez-Fernandez, acknowledge, for greater clarity, that
                        this restriction does not prohibit me from providing antenatal care
                        to patients in their first and second trimester in my office
                        (patients up to 28 weeks pregnant). 
                  
            (7)   In-patient Non-Emergency Hospital- Based Practice

                  (a)   I, Dr. Mendez-Fernandez, acknowledge that I do not currently have
                        privileges at any Hospital, and as such am not providing any
                        in-patient care;

                  (b)   I, Dr. Mendez-Fernandez, agree that should I seek to obtain
                        privileges to provide in-patient care, I will notify the College
                        within 15 days of my application;

                  (c)   I, Dr. Mendez-Fernandez, agree that if I obtain privileges, prior
                        to the commencement of providing services, I shall retain a
                        supervisor acceptable to the College (the "Clinical
                        Supervisor(s)"), for six (6) months;
                  
                  (d)   I, Dr. Mendez-Fernandez, 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)   Review at least 20 of my patient charts once every month;
                  
                        (ii)  Meet with me once every month;
                  
                        (iii) Discuss any concerns arising from the chart reviews;
                  
                        (iv)  Make recommendations to me for practice improvements and
                              ongoing professional development and inquire into my
                              compliance with the recommendations; 
                  
                        (v)   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
                  
                        (vi)  Submit written reports to the College every three months, or
                              more frequently if the Clinical Supervisor(s) has concerns
                              about my standard of practice.
                  
                  (e)   I, Dr. Mendez-Fernandez, acknowledge that the charts reviewed shall
                        be selected by the Clinical Supervisor(s).
                  
                  (f)   I, Dr. Mendez-Fernandez, undertake to cooperate fully with the
                        Clinical Supervision of my practice, conducted under the term of
                        this Undertaking and Appendix "A" attached, and to abide by the
                        recommendations of my Clinical Supervisor(s), including but not
                        limited to, any recommended practice improvements and ongoing
                        professional development.
                  
                  (g)   I, Dr. Mendez-Fernandez, acknowledge that I shall not provide any
                        in-hospital services until I have ensured the College has received
                        the executed Appendix A from a Clinical Supervisor who has been
                        approved by the College. 
                  
                  
                  (h)   I, Dr. Mendez-Fernandez, agree that if I obtain privileges, and
                        obtain a Clinical Supervisor, after the completion of six months of
                        supervision, I will submit to assessment of my practice ("the
                        In-Patient Hospital Assessment") by an assessor or assessors
                        selected by the College (the "Assessor(s)").  I acknowledge and
                        agree that the assessment 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.
                  
                  (i)   I, Dr. Mendez-Fernandez, undertake to co-operate fully with the
                        assessment, conducted under the term of this Undertaking.
                  
                  (j)   I, Dr. Mendez-Fernandez, 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)  Professional Education  

                  (a)   I, Dr. Mendez-Fernandez, undertake to participate in and
                        successfully complete the following professional education:
                  
                        (i)   One to one instruction in a program(s) satisfactory to the
                              College in communications; 
                  
                        (ii)  Safe Opioid Prescribing Series, all components
                  
                  (b)   I, Dr. Mendez-Fernandez, acknowledge that a report or reports may
                        be provided to the College regarding my progress and compliance
                        with the professional education set out in section (8)(a).
                  
                  (c)   I, Dr. Mendez-Fernandez, undertake to complete this requirement by
                        September 2016 or, if no satisfactory program is available by that
                        time, by the first possible opportunity thereafter.
                  
            (9)   Assessment of Family Medicine Office-Based Practice

                  (a)   Dr. Mendez-Fernandez, undertake that, approximately six months
                        after the execution of this Undertaking, I will submit to an
                        assessment of my practice ("the Family Practice Assessment") by an
                        assessor or assessors selected by the College (the "Assessor(s)").
                        I acknowledge and agree that the assessment 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. Mendez-Fernandez, undertake to co-operate fully with the
                        assessment, conducted under the term of this Undertaking.
                  
                  (c)   I, Dr. Mendez-Fernandez, acknowledge that the results of the Family
                        Practice Assessment will be provided to me and reported to the
                        College and the report may form the basis of further action by the
                        College. 
                  
            (10)  Monitoring 

                  (a)   I, Dr. Mendez-Fernandez, undertake to inform the College of each
                        and every location where 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, in addition to any other obligations set out in paragraph
                        7 above. 
                  
                  (b)   I, Dr. Mendez-Fernandez, undertake and agree that I will submit to,
                        and not interfere with, unannounced inspections of my Practice
                        Locations and patient charts by a College representative for the
                        purposes of monitoring my compliance with the provisions of this
                        Undertaking.
                  
                  (c)   I, Dr. Mendez-Fernandez, give my irrevocable consent to the College
                        to make appropriate enquiries of the Ontario Health Insurance Plan
                        and/or any person or institution that may have relevant
                        information, in order for the College to monitor my compliance with
                        the provisions of this Undertaking.
                  
            (11)  I, Dr. Mendez-Fernandez, undertake to comply with the provisions of this
                  Undertaking 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 a referral of specified allegations to
                  the Discipline Committee.

            C.    ACKNOWLEDGEMENT

            (12)  I, Dr. Mendez-Fernandez, acknowledge 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. 

            (13)  I, Dr. Mendez-Fernandez, acknowledge and confirm 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.

            (14)  I, Dr. Mendez-Fernandez, 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.

            (15)  I, Dr. Mendez-Fernandez, 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. Mendez-Fernandez was the subject of a College investigation into
                  whether he has failed to maintain the standard of practice of the
                  profession or is incompetent.  As a result of the investigation, Dr.
                  Mendez-Fernandez agreed that he must not practise any of the following:
                  emergency medicine, and hospital-based obstetrics. 
                  
                  If Dr. Mendez-Fernandez obtains privileges to provide care to in-patients
                  in a Hospital (non-emergency medicine), he will retain a Supervisor and
                  submit to an assessment of his practice. 
                  
                  Dr. Mendez-Fernandez shall complete a course in communications and safe
                  opioid prescribing. 
                  
                  Dr. Mendez-Fernandez shall submit to an assessment of his family practice
                  in in approximately 6 months. 
                  
            D.    CONSENT

            (16)  I, Dr. Mendez-Fernandez, give my irrevocable consent to the College to
                  provide this Undertaking to any Chief(s) of Staff, or a colleague with
                  similar responsibilities, at any Practice Location ("Chief(s) of Staff"),
                  and to provide said 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.

            (17)  I, Dr. Mendez-Fernandez, 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 set out in section (8) 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.
                  
            (18)  I, Dr. Mendez-Fernandez, give my irrevocable consent to any person who
                  facilitates my completion of the professional education set out in
                  section (8) above, 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";
                  
                  (c)   relevant to the Assessments;
                  
                  (d)   relevant for the purposes of monitoring my compliance with this
                        Undertaking; and/or  
                  
                  (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: May 27, 2016
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Anselmo Mendez-Fernandez to the College of Physicians and Surgeons of Ontario, effective May 27, 2016:

Dr. Mendez-Fernandez was the subject of a College investigation into whether he has failed to maintain the standard of practice of the profession or is incompetent. As a result of the investigation, Dr. Mendez-Fernandez agreed that he must not practise any of the following: emergency medicine, and hospital-based obstetrics.

If Dr. Mendez-Fernandez obtains privileges to provide care to in-patients in a Hospital (non-emergency medicine), he will retain a Supervisor and submit to an assessment of his practice.

Dr. Mendez-Fernandez shall complete a course in communications and safe opioid prescribing.

Dr. Mendez-Fernandez shall submit to an assessment of his family practice in in approximately 6 months.

CPSO will be closed on March 29, 2024. We will re-open on Monday, April 1, 2024, at 8:00 am.