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Olupona, Samuel Modupe

CPSO#: 68574

MEMBER STATUS
Active Member as of 30 Sep 1994
CURRENT OR PAST CPSO REGISTRATION CLASS
Restricted as of 28 Oct 2021

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English, Yoruba

Education: University of Ibadan College of Medicine, 1976

Practice Information

Primary Location of Practice
P O Box 4000
200 Fletcher Crescent
Alliston ON  L9R 1W7
Phone: (705) 434-5144
Fax: (705) 434-5131 Electoral District: 05

Professional Corporation Information


Corporation Name: Dr. Samuel Olupona Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Mar 17 2006

Shareholders:
Dr. S. Olupona ( CPSO# 68574 )

Business Address:
PO Box 4000
200 Fletcher Crescent
Alliston ON  L9R 1W7
Phone Number: (705) 434-5144

Business Address:
106 Victoria St W
Alliston ON  L9R 1Y7
Phone Number: 705-435-8800

Hospital Privileges

Hospital Location
Stevenson Memorial Hospital Alliston

Hospital Notices

Source:  Hospital
Active Date:  July 14, 2014
Expiry Date:  
Summary:  
On July 15, 2014, Orillia Soldiers' Memorial Hospital (OSMH) notified the College of Physicians and Surgeons of Ontario that Dr. Samuel Modupe Olupona's privileges at OSMH were suspended effective July 14, 2014.

Specialties

Specialty Issued On Type
Obstetrics and Gynecology Effective:29 May 1994 RCPSC Specialist

Registration History

Action Issue Date
First certificate of registration issued: Independent Practice Certificate Effective: 30 Sep 1994
Transfer of class of certificate to: Restricted certificate Effective: 10 Jun 2016
Terms and conditions imposed on certificate by Inquiries, Complaints and Reports Committee Effective: 10 Jun 2016
Transfer of class of registration to: Independent Practice Certificate Effective: 15 May 2019
Transfer of class of certificate to: Restricted certificate Effective: 02 Nov 2021
Terms and conditions imposed on certificate by member Effective: 02 Nov 2021
Terms and conditions amended by member Effective: 07 Dec 2021
Terms and conditions amended by member Effective: 24 Dec 2021
Terms and conditions amended by member Effective: 22 Apr 2022
Terms and conditions amended by member Effective: 06 Sep 2022

Practice Restrictions

Imposed By Effective Date Expiry Date Status
member Effective: 06 Sep 2022 Active
 (1 of 3)

As from September 6, 2022, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. Samuel Modupe Olupona, in accordance with an undertaking and consent given by Dr. Olupona to the College of Physicians and Surgeons of Ontario:

UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT 
("Undertaking")

of

DR. SAMUEL MODUPE OLUPONA
("Dr. Olupona")

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;

"ICR Committee" means Inquiries, Complaints and Reports Committee 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. Olupona, certificate of registration number 68574, am a member of the College.  

(3)	I, Dr. Olupona, acknowledge that the College has received two public complaints regarding my care and conduct, and I am the subject of College investigations bearing File number CAS-370308-V1R7Y1 and File number CAS-369259-X7V3H6. I further acknowledge, that I am also subject of a College investigation bearing File number CAS-369090-J1B1Z6 into whether I engaged in professional misconduct, including inappropriate sexual conduct with patients or former patients, and/or am incompetent, arising from multiple charges of Sexual Assault against me under s. 271 of the Criminal Code of Canada (collectively the "Investigations"). I am aware of the College's concerns about protecting the public 

(4)	I, Dr. Olupona, acknowledge that the College has accepted this Undertaking in lieu of making an Order under section 25.4 of the Code at this time.

(5)	I, Dr. Olupona, acknowledge that this Undertaking does not preclude the ICR Committee from making an order at a later date in accordance with the Code.

(6)	I, Dr. Olupona, acknowledge that this Undertaking continues in force until the matters currently being investigated are disposed of by a panel of the ICR Committee or a panel of the Discipline Tribunal.

B.	UNDERTAKING AND ACKNOWLEDGEMENT

(7)	I, Dr. Olupona, undertake to abide by the provisions of this Undertaking, effective immediately ("Effective Date").

(8)	Practice Restrictions

(a)	I, Dr. Olupona, undertake that I shall not engage in any professional encounters, in person or otherwise ("Professional Encounter" or "Professional Encounters"), with patients of any age, in any jurisdiction, unless the Professional Encounter takes place in the continuous presence and under the continuous observation of a monitor who is a regulated health professional acceptable to the College (the "Practice Monitor"), and unless the other requirements provided in this Undertaking are fulfilled. For further clarity, I understand that I must not be alone with any patient, for any length of time, during any Professional Encounter, whether or not the parent or guardian of the patient is also present.

(b)	I, Dr. Olupona, undertake to inform my patients of the indication for any breast, pelvic, genital and/or rectal examination that I may perform and to document the discussion in the corresponding patient chart.

(c)	I, Dr. Olupona, undertake to remain free of any conflict of interest with the Practice Monitor.

(d)	I, Dr. Olupona, acknowledge that I have reviewed the Practice Monitor's undertaking, attached hereto as Appendix "A" and understand what is required of the Practice Monitor including, but not limited to:

1.	providing reports (as described in the Practice Monitor's undertaking) to the College on at least a monthly basis; 

2.	remaining present at all times during all Professional Encounters with all patients; 

3.	carefully observing all of my Professional Encounters with patients, including but not limited to physical and internal examinations.  I further acknowledge my obligation to ensure the Practice Monitor's view of all of my Professional Encounters with patients, including physical and internal examinations, is unobstructed at all times; 

4.	refraining from performing any other functions, except those required in the Practice Monitor's undertaking attached as Appendix "A", while observing me in all my Professional Encounters with patients; 

5.	maintaining a log of all Professional Encounters with patients in the form attached to this Undertaking as Appendix "B" (the "Log");

6.	initialling all corresponding entries in the records of patients noted in the Log;

7.	submitting the original Log to the College on a monthly basis; and

8.	remaining free of any conflict of interest with me.

(e)	I, Dr. Olupona, undertake to maintain an up-to-date copy of the Log by ensuring a copy is made at the end of each business day, and to make it available to the College upon request. 

(9)	I, Dr. Olupona, acknowledge that the College may accept an alternative arrangement with respect to practice monitoring in a hospital setting, in its sole discretion.

(10)	I, Dr. Olupona, undertake to inform the College of each and every location at which I practise, delegate or have privileges including, but not limited to any hospitals, clinics, offices, and any Out-of-Hospital Premises and 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.

(11)	Posting a Sign

(a)	I, Dr. Olupona, undertake that, effective immediately, I shall post a sign in all waiting rooms, examination rooms and consulting rooms, in all of my Practice Locations, in a clearly visible and secure location, at all times whether or not I am physically present at the Practice Location, in the form set out in Appendix "C" that states:

"Dr. Olupona must not have professional encounters, in person or otherwise, with patients, of any age, unless in the continuous presence and under the continuous observation of a practice monitor acceptable to the College of Physicians and Surgeons of Ontario.  Dr. Olupona must not be alone during any professional encounter with any patient. Further information may be found on the College website at www.cpso.on.ca".

(b)	I, Dr. Olupona, undertake to post a certified translation in any language in which I provide services, of the sign described in section (11) (a), in all waiting rooms, examination rooms and consulting rooms, in all of my Practice Locations, in a clearly visible and secure location, in the form set out at Appendix "C."

(c)	I, Dr. Olupona, undertake to provide the certified translation described in section (11)(b), to the College within thirty (30) days of executing this Undertaking.

(d)	I, Dr. Olupona, undertake that if I elect, after the execution of this Undertaking, to provide services in any other language, I will notify the College prior to providing any such services.

(e)	I, Dr. Olupona, undertake to provide to the College the certified translation described in section (11)(b) prior to providing services in any language described in section (11)(d).

(f)	I, Dr. Olupona, acknowledge that the College may accept an alternative arrangement with respect to signage in a hospital setting, in its sole discretion.

(12)	Notifying Patients 

(a)	I, Dr. Olupona, undertake to ensure that each patient with whom I have a Professional Encounter is directly notified, prior to the Professional Encounter, of the details of the restriction described in section (8)(a), above. 

(b)	With respect to patients with whom I have appointments that are scheduled at least seven (7) days in advance, I, Dr. Olupona, undertake to ensure that each patient is directly notified, within seven (7) days after the appointment is scheduled, of the details of the restriction described in section (8)(a), above.

(c)	I, Dr. Olupona, acknowledge that the College may accept an alternative arrangement with respect to patient notification in a hospital setting, in its sole discretion.

(13)	I, Dr. Olupona, 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. 

(14)	I, Dr. Olupona, 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").

(15)	I, Dr. Olupona, acknowledge that a breach of any provision of this Undertaking may constitute an act of professional misconduct and may result in a referral of specified allegations to the Discipline Tribunal.

(16)	I, Dr. Olupona, 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.

(17)	I, Dr. Olupona, acknowledge that, in the event of a referral to the Discipline Tribunal and in the event of an appeal of any Order of the Discipline Tribunal, if the Discipline Tribunal has directed the Registrar to revoke, suspend, or impose terms and conditions on my certificate of registration, that Order will take effect immediately despite any appeal.

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

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

(20)	Public Register

(a)	I, Dr. Olupona, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.

(b)	I, Dr. Olupona, acknowledge that, in addition to this Undertaking being posted in accordance with section (20)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:

Dr. Olupona is the subject of College Investigations, including investigations arising from public complaints and an investigation following criminal charges being laid against Dr. Olupona pursuant to section 271 of the Criminal Code of Canada. During the Investigations and in the event of a referral to the Discipline Tribunal:

Dr. Olupona must not engage in any professional encounters, in person or otherwise, with patients of any age, in any jurisdiction, unless the patient encounter takes place in the continuous presence of a monitor who is a regulated health professional acceptable to the College, and unless the other requirements provided in Dr. Olupona's Undertaking with the College are fulfilled.  For further clarity, Dr. Olupona must not be alone with any patient during any professional encounter.

Dr. Olupona shall post a sign in all waiting rooms, examination rooms and consulting rooms, in all Practice Locations, in a clearly visible and secure location, that states: 

"Dr. Olupona must not have professional encounters, in person or otherwise, with patients of any age, unless in the continuous presence of a practice monitor acceptable to the College of Physicians and Surgeons of Ontario.  Dr. Olupona must not be alone with any patient during any professional encounter. Further information may be found on the College website at www.cpso.on.ca".

(c)	I, Dr. Olupona, acknowledge that if any of the provisions of this Undertaking are varied for hospital settings in accordance with sections (8) (practice monitoring), (11)(f) (signage), and/or (12)(c) (notifying patients) above, a summary of any such variation(s) shall be posted on the Public Register during the time period that this Undertaking remains in effect.

C.	CONSENT

(21)	I, Dr. Olupona, 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.

(22)	I, Dr. Olupona, acknowledge that I have executed the OHIP consent form, attached hereto as Appendix "D".

(23)	I, Dr. Olupona, consent to submit and not interfere with, unannounced inspections of my Practice Locations and patient records by the College and to any other activity the College deems necessary in order to monitor my compliance with the provisions of this Undertaking.

(24)	I, Dr. Olupona, give my irrevocable consent to the College to provide the following information to all Practice Monitors:

(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.

(25)	I, Dr. Olupona, give my irrevocable consent to all Practice Monitors 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 Practice Monitor's undertaking set out at Appendix "A"; 

(c)	any information relevant for the purposes of monitoring my compliance with this Undertaking.

(26)	I, Dr. Olupona, 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.

(27)	I, Dr. Olupona, give my irrevocable consent to all Chiefs of Staff to disclose to the College, and to one another, any information relevant to this Undertaking and/or relevant for the purposes of monitoring my compliance with this Undertaking.

(2 of 3)

As from April 22, 2022, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. Samuel Modupe Olupona, in accordance with an undertaking and consent given by Dr. Olupona to the College of Physicians and Surgeons of Ontario:

UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT 
("Undertaking")

of

DR. SAMUEL MODUPE OLUPONA
("Dr. Olupona")

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. Olupona, certificate of registration number 68574, am a member of the College.  

(3)	I, Dr. Olupona, acknowledge that the College conducted an investigation bearing File Number CAS-130634-C7H5T5 (the "Investigation") following a complaint into my gynecological practice.

B.	UNDERTAKING

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

(5)	Professional Education  

(a)	I, Dr. Olupona, undertake to participate in and successfully complete all aspects of the detailed IEP, attached hereto as Appendix "A", including all of the following professional education (the "Professional Education"):

(i)	Review, reflection, and a written summary of the following policies and other self-study:            

1.	Pelvic Inflammatory Disease, National STD Curriculum, College Policy

2.	2021 Sexually Transmitted Infections Treatment Guidelines (Pelvic Inflammatory Disease including tubo-ovarian abscess), Centers for Disease Control and Prevention

3.	Canadian 2021 Sexually Transmitted Infections Guidelines (Pelvic Inflammatory Disease including tubo-ovarian abscess)

(b)	I, Dr. Olupona, acknowledge that the College will determine, in its sole discretion, whether I have successfully completed the Professional Education.

(c)	I, Dr. Olupona, undertake to complete this requirement within three months.

(6)	Reassessment of Practice

(a)	I, Dr. Olupona, undertake that, approximately three (3) months after the completion of the Professional Education set out in section (5) 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 chart review of a minimum of fifteen (15) charts, 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. Olupona, undertake to co-operate fully with the Reassessment, conducted under the term of this Undertaking. 

(c)	I, Dr. Olupona, 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. 

(7)	Monitoring 

(a)	I, Dr. Olupona, 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 and 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. Olupona, undertake that I will submit to, and not interfere with, unannounced inspections of my Practice Locations and patient records by a College representative for the purposes of monitoring my compliance with the provisions of this Undertaking.

(c)	I, Dr. Olupona, 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. 

(d)	I, Dr. Olupona, acknowledge that I have executed the OHIP consent form, attached hereto as Appendix "B". 

C.	ACKNOWLEDGEMENT

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

(9)	I, Dr. Olupona, 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. 

(10)	I, Dr. Olupona, 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.

(11)	I, Dr. Olupona, 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").

(12)	I, Dr. Olupona, 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.

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

(14)	Public Register

(a)	I, Dr. Olupona, acknowledge that, during the time period that this Undertaking remains in effect, this Undertaking shall be posted on the Public Register.

(b)	I, Dr. Olupona, acknowledge that, in addition to this Undertaking being posted in accordance with section (14)(a) above, the following summary shall be posted on the Public Register during the time period that this Undertaking remains in effect:

A College investigation was conducted following a complaint about  Dr. Olupona's gynecology practice. As a result of the investigation:

Dr. Olupona will engage in professional education in pelvic inflammatory disease.

Dr. Olupona's practice will be reassessed by an assessor selected by the College within 3 months of the end of the professional education.

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

D.	CONSENT

(15)	I, Dr. Olupona, 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/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.

(16)	I, Dr. Olupona, 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.

(17)	I, Dr. Olupona, give my irrevocable consent to all 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 Reassessment;

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

(3 of 3) 

As from October 28, 2021, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. Samuel Modupe Olupona, in accordance with an undertaking and consent given by Dr. Olupona to the College of Physicians and Surgeons of Ontario:

UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT 
("Undertaking")

of

DR. SAMUEL MODUPE OLUPONA
("Dr. Olupona")

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; 

 "OHIP" means the Ontario Health Insurance Plan;

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

(2)	I, Dr. Olupona, certificate of registration number 68574, am a member of the College.  

(3)	I, Dr. Olupona, acknowledge that the College conducted an investigation bearing File Number 68574 (the "Investigation") following a complaint about my gynecology practice.

B.	UNDERTAKING

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

(5)	Practice Restriction

(a)	I, Dr. Olupona undertake that I will restrict my practice to obstetrics and office-based gynecology with the exception of emergency gynecological procedures while on call. 

(6)	Clinical Supervision 

(a)	I, Dr. Olupona, undertake to practise under the guidance of a clinical supervisor or clinical supervisors acceptable to the College (the "Clinical Supervisor" or "Clinical Supervisors"), for three (3) months ("Clinical Supervision"). 

(b)	I, Dr. Olupona, 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)	Review at least fifteen (15) of my obstetrics and office-based gynecology patient charts at every meeting and review of all of my emergency on-call charts;

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

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

(viii)	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;

(ix)	Submit written reports to the College at least once every month for three (3) months, or more frequently if the Clinical Supervisor has concerns about my standard of practice.

(c)	I, Dr. Olupona, 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", as well as the areas of concern identified in the report of the assessor dated July 25, 2021, and concerns that may arise during the period of Clinical Supervision.

(d)	I, Dr. Olupona, 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.

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

(h)	I, Dr. Olupona, 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 that term, condition or limitation will be included on the public register.

(7)	Reassessment of Practice

(a)	I, Dr. Olupona, undertake that, approximately three (3) months after the completion of the Clinical Supervision set out in section (5) above and Appendix "A" to this Undertaking, 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 chart review of a minimum of fifteen (15) charts, 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. Olupona, undertake to co-operate fully with the Reassessment, conducted under the term of this Undertaking. 

(c)	I, Dr. Olupona, 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. Olupona, 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. Olupona, 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. Olupona, undertake that I will submit to, and not interfere with, unannounced inspections of my Practice Locations and patient records by a College representative for the purposes of monitoring my compliance with the provisions of this Undertaking.

(c)	I, Dr. Olupona, 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. 

(d)	I, Dr. Olupona, acknowledge that I have executed the OHIP and NMS consent forms, attached hereto as Appendix "C" and Appendix "D", respectively. 

C.	ACKNOWLEDGEMENT

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

(10)	I, Dr. Olupona, 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. Olupona, 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. Olupona, 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. Olupona, 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 of the College.

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

(b)	I, Dr. Olupona, 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:

Further to the receipt of a complaint, a College investigation was conducted into whether Dr. Olupona's gynecology practice. As a result of the investigation:

Dr. Olupona has restricted his practice to obstetrics and office based gynecology with the exception of emergency gynecological procedures while on call.

Dr. Olupona will practise under the guidance of a Clinical Supervisor acceptable to the College for three (3) months. 

Dr. Olupona's practice will be reassessed by an assessor selected by the College within three (3) months of the end of the period of Clinical Supervision.

D.	CONSENT

(16)	I, Dr. Olupona, give my irrevocable consent to the College to provide the following information to any person who requires this information 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. Olupona, 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. Olupona, 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: September 6, 2022
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Samuel Modupe Olupona to the College of Physicians and Surgeons of Ontario, effective September 6, 2022:
 Dr. Olupona is the subject of College Investigations, including investigations arising from public complaints and an investigation following criminal charges being laid against Dr. Olupona pursuant to section 271 of the Criminal Code of Canada. During the Investigations and in the event of a referral to the Discipline Tribunal:
Dr. Olupona must not engage in any professional encounters, in person or otherwise, with patients of any age, in any jurisdiction, unless the patient encounter takes place in the continuous presence of a monitor who is a regulated health professional acceptable to the College, and unless the other requirements provided in Dr. Olupona’s Undertaking with the College are fulfilled.  For further clarity, Dr. Olupona must not be alone with any patient during any professional encounter.
Dr. Olupona shall post a sign in all waiting rooms, examination rooms and consulting rooms, in all Practice Locations, in a clearly visible and secure location, that states:
“Dr. Olupona must not have professional encounters, in person or otherwise, with patients of any age, unless in the continuous presence of a practice monitor acceptable to the College of Physicians and Surgeons of Ontario.  Dr. Olupona must not be alone with any patient during any professional encounter. Further information may be found on the College website at www.cpso.on.ca”.

 

Source: Member
Active Date: April 22, 2022
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Samuel Modupe Olupona to the College of Physicians and Surgeons of Ontario, effective April 22, 2022:

 

A College investigation was conducted following a complaint about Dr. Olupona’s gynecology practice. As a result of the investigation:



Dr. Olupona will engage in professional education in pelvic inflammatory disease.



Dr. Olupona’s practice will be reassessed by an assessor selected by the College within 3 months of the end of the professional education.

 

Source: Member
Active Date: October 28, 2021
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Samuel Modupe Olupona to the College of Physicians and Surgeons of Ontario effective October 28, 2021:

Further to the receipt of a complaint, a College investigation was conducted into whether Dr. Olupona’s gynecology practice. As a result of the investigation:

Dr. Olupona has restricted his practice to obstetrics and office based gynecology with the exception of emergency gynecological procedures while on call.

Dr. Olupona will practise under the guidance of a Clinical Supervisor acceptable to the College for three (3) months.

Dr. Olupona’s practice will be reassessed by an assessor selected by the College within three (3) months of the end of the period of Clinical Supervision.

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