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Syan, Swaran Kaur

CPSO#: 68582

MEMBER STATUS
Active Member as of 17 Jul 2016
CURRENT OR PAST CPSO REGISTRATION CLASS
Restricted as of 10 Oct 2012

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English, Hindi, Panjabi/Punjabi

Education: Punjabi University, 1978

Practice Information

Primary Location of Practice
1980 St Clair West
Toronto ON  M6N 4X9
Phone: 416 -901-9880 Electoral District: 10

Additional Practice Location(s)

4A - 2200 Dundas St E
Mississauga ON  L4X 2V3
Canada
Phone: 905 232 0790
Fax: 905 232 0790
County: Regional Municipality of Peel
Electoral District: 05

2318 Lake Shore Blvd W
Etobicoke ON  M8V 1B5
Canada
Phone: 416-252-6701
County: City of Toronto
Electoral District: 10

Professional Corporation Information


Corporation Name: Swaran K. Syan Medicine Professional Corporation
Certificate of Authorization Status: Inactive: Sep 7 2021
Corporation Name: Swaran K. Syan Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Mar 24 2023

Shareholders:
Dr. S. Syan ( CPSO# 68582 )

Business Address:
203-1980 St Clair Ave W
Toronto ON  M6N 0A3
Phone Number: 6473236894

 

Medical Records Location

Instructions/Address:
: Patients seen by Dr. Syan at the HealthCare Plus clinic should write to the following e-mail address: [email protected]

                                                Patients seen by Dr. Syan in the city of Sudbury should contact Ontario Document Storage at Tel: 1-705-560-8461.
Date Received: 15 Oct 2020

Instructions/Address:
Ontario Document Storage
Tel: 1-705-560-8461
Date Received: 10 Jan 2017

Specialties

Specialty Issued On Type
No Speciality Reported

Registration History

Action Issue Date
First certificate of registration issued: Restricted Certificate Effective: 07 Oct 1994
Transfer of class of registration to: Independent Practice Certificate Effective: 15 Jan 1997
Transfer of class of certificate to: Restricted certificate Effective: 10 Oct 2012
Terms and conditions imposed on certificate by member Effective: 10 Oct 2012
Terms and conditions amended by Inquiries, Complaints and Reports Committee Effective: 11 Nov 2014
Terms and conditions amended by Discipline Committee Effective: 14 Apr 2015
Suspension of registration imposed: Discipline Committee Effective: 14 Apr 2015
Suspension of registration removed Effective: 15 Jun 2015
Terms and conditions amended by Discipline Committee Effective: 17 May 2016
Suspension of registration imposed: Discipline Committee Effective: 17 May 2016
Suspension of registration removed Effective: 17 Jul 2016
Terms and conditions amended by member Effective: 09 Nov 2022

Practice Restrictions

Imposed By Effective Date Expiry Date Status
member Effective: 09 Nov 2022 Active
 (1 of 4)

As from November 9, 2022, the following are imposed as terms, conditions and limitations on the certificate of registration held by Dr. Swaran Kaur Syan in accordance with an undertaking and consent given by Dr. Syan to the College of Physicians and Surgeons of Ontario:

UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
("Undertaking") 

of

DR. SWARAN KAUR SYAN
("Dr. Syan") 

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;

"NMS" means Narcotics Monitoring System; "OHIP" means the Ontario Health Insurance Plan;

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

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

(2)	I, Dr. Syan, certificate of registration number 68582, am a member of the College.

(3)	I, Dr. Syan, acknowledge that the College conducted an investigation bearing File Number CAS-372527-N8P4F2 (the "Investigation") following a public complaint raising concerns about my care and conduct related to a patient in my family medicine practice.

B.	UNDERTAKING

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

(5)	Clinical Supervision

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

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

(c)	I, Dr. Syan, 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 month;

(iv)	Review at least fifteen (15) of my patient charts at every meeting;

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

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

(vii)	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;

(viii)	Submit a written report to the College at the end of the three (3) months of supervision, or more frequently if the Clinical Supervisor has concerns about my standard of practice; and

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

(d)	I, Dr. Syan, 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. Syan, 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. Syan, 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. Syan, 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. Syan, 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. Syan, 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. Syan, 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)	Safer Opioid Prescribing Series, University of Toronto;

(ii)	Opioids Clinical Primer, McMaster University;

(iii)	Successful Patient Interactions, SAEGIS;

(iv)	Documentation: Principles of Medical Record Keeping eLearning Module, Canadian Medical Protective Association; and

(v)	individualized instruction in professionalism and communication satisfactory to the College, with an instructor selected by the College (the "Instructor").

(vi)	Review, reflection, and a discussion with Clinical Supervisor of the following policies and other self-study:

1.	Prescribing Drugs, CPSO Policy;

2.	2017 Canadian Guideline for Opiods for Chronic Non-Cancer Pain, McMaster University; and

3.	Medical Records Documentation, CPSO Policy; and

4.	Good Practices - Physician-Patient: Documentation and Record Keeping, Canadian Medical Protective Association.
 
(vii)	Review, reflection, and a discussion with Instructor of the following policies and other self-study:

1.	The Practice Guide, CPSO; and

2.	Good Practices - Patient Centered Communication, Canadian Medical Protective Association;

(viii)	any additional professional education recommended by my Instructor and/or my Clinical Supervisor.

(b)	I, Dr. Syan, 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. Syan, undertake to complete this requirement by six (6) months or, if no satisfactory program is available by that time, by the first possible opportunity thereafter.

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

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

(c)	I, Dr. Syan, 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. Syan, 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. Syan, 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. Syan, 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. Syan, give my irrevocable consent to the College to make appropriate enquiries of OHIP, NMS 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. Syan, 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. Syan, acknowledge that all appendices attached to or referred to in this Undertaking form part of this Undertaking.

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

(b)	I, Dr. Syan, 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 concerning Dr. Syan's care and conduct of a patient in her family medicine practice, the College conducted an investigation. As a result of the investigation:

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

Dr. Syan will engage in professional education including, in the management and follow-up of patients treated with opioids for chronic non-cancer pain; prescribing drugs; documentation and medical record keeping; and professional communications.

Dr. Syan's practice will be reassessed by an assessor selected by the College within six (6) months of the end of the period of Clinical Supervision and completion of professional education.

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

D.	CONSENT

(16)	I, Dr. Syan, 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. Syan, 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. Syan, 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 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.

(2 of 4)

As from 12:01 a.m., May 17, 2016 by order of the Discipline Committee of the College of Physicians and Surgeons of Ontario, the following terms, conditions and limitations are imposed on the certificate of registration held by Dr. Swaran Kaur Syan:

At her own expense, Dr. Syan shall participate in and successfully complete, within 6 months of the date of this Order, individualized instruction in medical ethics satisfactory to the College, with an instructor approved by the College. The instructor shall provide a summative report to the College including his or her conclusion about whether the instruction was completed successfully by Dr. Syan. 
                  
(3 of 4)

As from 11:59 p.m., April 14, 2015 by order of the Discipline Committee of the College of Physicians and Surgeons of Ontario, the following terms, conditions and limitations are imposed on the certificate of registration held by Dr. Swaran Kaur Syan:

(i)   Dr. Syan shall not be involved in clinical research studies in any manner, including but not limited to the enrollment of patients in clinical research studies. 

(ii)  Dr. Syan shall practice only in a group setting and/or as a member of a group of physicians with cross-coverage. 
                  
(iii) Dr. Syan shall see no more than a combined total of thirty (30) patients per week in her family medicine and/or walk-in medicine practice. 

(4 of 4)

 As from October 10, 2012, the following is imposed as a term, condition and limitation on the certificate of registration held by Dr. Swaran Kaur Syan, in accordance with an undertaking and consent given by Dr. Syan to the College of Physicians and Surgeons of Ontario:

Dr. Swaran Syan may not engage in the practice of Mesotherapy, Lipodissolve or any other treatment using injectable substances purported to remove or reduce fat.


Previous Hearings

Committee: Discipline
Decision Date: 16 May 2016
Summary:

On May 16, 2016, the Discipline Committee of the College of Physicians and Surgeons of Ontario found that Dr. Syan has committed an act of professional misconduct in that she has engaged in an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable, or unprofessional.

Dr. Swaran Kaur Syan, a family physician with a cosmetic practice who graduated from medical school at Punjabi University, breached a past Order of the Discipline Committee that had suspended her certificate of registration when she saw 11 patients in May 2015.

On April 14, 2015, a prior Panel of the Discipline Committee found that Dr. Syan had committed an act of professional misconduct in that she had failed to maintain the standard of practice of the profession in respect of 20 patients. The Committee directed the Registrar to suspend Dr. Syan’s certificate of registration for a period of two months commencing on April 14, 2015.

On May 4, 2015, Dr. Syan saw four patients in her cosmetic practice, and on May 5, 2015, she saw a further seven patients. Dr. Syan saw all of these patients in breach of the April 2015 Order of the Discipline Committee which had suspended her certificate of registration. The Committee in the present case found that, in breaching the April 2015 Order, Dr. Syan engaged in an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable, or unprofessional.

PENALTY
The Discipline Committee:
- ordered Dr. Syan to appear before the panel to be reprimanded.
- directed the Registrar to suspend Dr. Syan's certificate of registration for a two month period, to commence at 12:01 a.m. on May 17, 2016.
- directed the Registrar to impose the following as a term, condition and limitation on Dr. Syan's certificate of registration:
o At her own expense, Dr. Syan shall participate in and successfully complete, within 6 months of the date of this Order, individualized instruction in medical ethics satisfactory to the College, with an instructor approved by the College. The instructor shall provide a summative report to the College including his or her conclusion about whether the instruction was completed successfully by Dr. Syan.

COSTS

The Discipline Committee ordered Dr. Syan to pay to the College its costs of this proceeding in the amount of $5,000 within thirty (30) days from the date of this Order.


Decision: Download Full Decision (PDF)
Hearing Date(s): May 16, 2016

 

Committee: Discipline
Decision Date: 14 Apr 2015
Summary:

On April 14, 2015, the Discipline Committee found that Dr. Swaran Kaur Syan committed an act of professional misconduct in that she failed to maintain the standard of practice of the profession in respect of her care and treatment of 20 patients. Dr. Syan admitted to the allegation.

The allegations arose from an investigation into Dr. Syan’s clinical care and two patient complaints. With respect to the investigation into Dr. Syan’s clinical care, in 2011 the College requested further information in response an affirmative answer on Dr. Syan’s Registration Renewal. Dr. Syan advised that a patient of her family practice had a myocardial infarction while enrolled in a clinical research study for hypertension medication. Dr. Syan was a sub-investigator for the study and had referred the patient for the clinical research study. The College considered this information and commenced an investigation in order to obtain a broader view of Dr. Syan’s practice including her enrollment of patients in clinical research studies.

Dr. X, a specialist in family medicine, was retained by the College to provide an opinion on Dr. Syan’s care. Dr. X reviewed a total of 25 charts and noted a number of areas where Dr. Syan’s general family practice and her enrollment of patients in clinical research studies was unsatisfactory including:

With regard to record-keeping, for example: Dr. Syan’s handwritten progress notes were difficult to read and sometimes illegible; it was difficult to identify patients’ subjective concerns, patient history, physical findings, diagnoses, treatment plans, and what medications were being refilled; the patients’ Cumulative Patient Profiles were not up-to-date or accurate; there was no accurate list of current medications for patients, including duration and dosages, and a review of lab, specialist and hospital reports revealed a number of diagnoses not documented on Dr. Syan’s charts.

With regard to overall care, for example: there was a failure to monitor the side-effects of medications and to consider the effects of poly-pharmacy; there was a failure to routinely conduct age-appropriate preventive screening; and narcotics and benzodiazepines were prescribed with no clear diagnosis.

With regard to the enrollment of patients in clinical research studies, for example: patients were enrolled in research studies for which they did not clearly meet the study criteria, specialists were not aware of patients’ enrolment in research studies in which they would be receiving medications, it was not possible to determine from a patient’s family practice chart whether the patient was enrolled in a clinical research trial, when enrollment in the trial had taken place, what medications the patient was on in the course of the trial, and when or whether the patient’s participation in the trial had ended.
 
Dr. X specified that the deficiencies in Dr. Syan’s practice did not arise because Dr. Syan’s patient charts were handwritten rather than electronic, but were rather indicative of a general failure to meet the standard of practice of the profession of a family physician in the care and treatment of her patients

With respect to patient complaints, Patient A saw Dr. Syan’s from June to November 2012. Patient A’s daughter complained that Dr. Syan failed to adequately investigate or treat her

mother’s ongoing health concerns. Dr. X opined that Dr. Syan provided care that, at times, fell below the standard expected and charting that was consistently brief, lacking in essential components, did not document medications, and was, overall, sub-standard.

Patient B was seen by Dr. Syan at a walk-in clinic when he sought care for his elbow after a fall. Patient B’s wife complained that Dr. Syan failed to order an x-ray. Dr. Syan diagnosed an olecranon bursitis and aspirated 20cc of blood. Patient B attended upon another physician and was subsequently found to have an elbow fracture for which he required surgery. Dr. X opined that Dr. Syan’s care of Patient B fell below the standard of practice of the profession. Dr. X noted that the first diagnosis to be considered and ruled out given this patient’s history and findings would be a fracture and an x-ray would be a standard investigation to determine this.

On November 11, 2014, the Inquiries, Complaints and Reports Committee (ICRC) directed the Registrar to impose terms, conditions and limitations on the certificate of registration of Dr. Syan on an interim basis, prior to the hearing of this matter. In accordance with the terms of the Section 37 Order, Dr. Syan has seen approximately ten patients a week, with supervision. Recent reports received from Dr. Syan’s supervisors indicate that she has displayed an appropriate level of medical knowledge and clinical judgment in her care and treatment of patients, that her record-keeping is improving and she has followed their recommendations.

The relevant facts from Dr. Syan’s history with the College include the following: In July 2008, Dr. Syan completed the Medical Record-Keeping Course. In February 2011, Dr. Syan was cautioned by the ICRC to maintain adequate and legible records and they directed that she complete the Medical Record-Keeping course for a second time and be re-assessed. In September 2012, Dr. Syan completed the Medical Record-Keeping course for a second time. Dr. Syan is currently completing a preceptorship in record-keeping in her non-surgical cosmetic medicine practice and will be reassessed in this area of her practice upon completion of the preceptorship, which is scheduled to be completed in July 2015.

The Discipline Committee ordered and directed that:
- The Registrar suspend Dr. Syan’s certificate of registration for a period of two (2) months, commencing from April 14, 2015 at 11:59 p.m.
- The Registrar place the following terms, conditions and limitations on Dr. Syan's certificate of registration:
(a) For an indefinite period of time, Dr. Syan shall not be involved in clinical research studies in any manner, including but not limited to the enrollment of patients in clinical research studies. While Dr. Syan is subject to this restriction, the following statement shall appear on the public register: Dr. Syan shall not be involved in clinical research studies in any manner, including but not limited to the enrollment of patients in clinical research studies;
(b) For an indefinite period of time, Dr. Syan shall practice only in a group setting and/or as a member of a group of physicians with cross-coverage. While Dr. Syan is subject to this restriction, the following statement shall appear on the public register: Dr. Syan shall practice only in a group setting and/or as a member of a group of physicians with cross-coverage;

(c) Dr. Syan shall, before June 14, 2015, deliver an undertaking in the form attached [to the Order] as Schedule “A” signed by a College-approved clinical supervisor, (the “Clinical Supervisor”), whose role shall be guided by the Individualized Education Plan (the “IEP”) attached [to the Order] at Schedule “B”. Commencing on the day that Dr. Syan resumes practice following her suspension, Dr. Syan may practice family medicine and/or walk-in medicine only with the supervision of the Clinical Supervisor. Dr. Syan shall be subject to this term, condition and limitation for a period of no less than twelve (12) months, and shall be released therefrom only upon receipt of satisfactory report(s) from her Clinical Supervisor and approval, in its sole discretion, by the College;
(d) If Dr. Syan fails to retain a Clinical Supervisor as required above or if, prior to the completion of the required period of supervision above, Dr. Syan’s Clinical Supervisor is unable or unwilling to continue in that role, Dr. Syan shall within twenty (20) days deliver a new undertaking in the form attached [to the Order] as Schedule “A” signed by a new College-approved clinical supervisor, failing which she shall cease to practice family medicine and walk-in medicine until such time as she has retained a Clinical Supervisor and the fact that she has ceased to practice family medicine and walk-in medicine shall be a term, condition and limitation on her Certificate of Registration until that time;

(e) After Dr. Syan has delivered an executed Undertaking from a Clinical Supervisor to the College as described above in paragraph 4(c), Dr. Syan shall see patients in her family medicine and/or walk-in medicine practice only in accordance with the Remediation Program described at subparagraphs 4(e)(i)-(viii) (the “Remediation Program”), until the Remediation Program has been completed:
i. Throughout the Remediation Program, Dr. Syan shall maintain an up-to-date log (the “Patient Log”) listing every patient seen by her in her family medicine and/or walk-in medicine practice, including the patient’s name, date of birth, OHIP number, date of appointment or visit, and reason for visit. Dr. Syan shall maintain the original Patient Log and shall send a copy to the College at the end of every calendar month;
ii. In Phase One of the Remediation Program, Dr. Syan shall see no more than a combined total of thirty (30) patients per week in her family medicine and/or walk-in medicine practice. Dr. Syan shall submit these patients’ charts and the Patient Log to the Clinical Supervisor for review and shall meet with the Clinical Supervisor at least once every seven (7) days to discuss the Clinical Supervisor’s review of her patients’ charts and any concerns arising therefrom, including with particular reference to the educational needs identified in the IEP attached [to the Order] at Schedule “B”. While Dr. Syan is subject to this restriction, the following statement shall appear on the public register: Dr. Syan shall see no more than a combined total of thirty (30) patients per week in her family medicine and/or walk-in medicine practice;
iii. Also in Phase One of the Remediation Program, Dr. Syan shall develop a continuing professional development plan (the “CPD Plan”), in conjunction with her Clinical Supervisor, addressing the educational needs identified in the IEP attached [to the Order] at Schedule “B”, to be submitted to the College for approval. The CPD Plan must include personal learning objectives and a plan to meet those objectives. The plan must meet the requirements for continuing professional development set by the Royal College of Physicians and Surgeons of Canada or the College of Family Physicians of Canada;

iv. Upon approval by the College of the CPD Plan and if reports from the Clinical Supervisor indicate that it is appropriate to do so and if approved by the College, after a minimum of one (1) month in Phase One of the Remediation Program, Dr. Syan may move to Phase Two of the Remediation Program, during which she shall see no more than a combined total of sixty (60) patients per week in her family medicine and/or walk-in medicine practice. Dr. Syan shall submit 50% of these patients’ charts, as selected by the Clinical Supervisor, and the Patient Log to the Clinical Supervisor for review and shall meet with the Clinical Supervisor at least once every seven (7) days to discuss the Clinical Supervisor’s review of her patients’ charts and any concerns arising therefrom, including with particular reference to the educational needs identified in the IEP attached [to the Order] at Schedule “B”. While Dr. Syan is subject to this restriction, the following statement shall appear on the public register: Dr. Syan shall see no more than a combined total of sixty (60) patients per week in her family medicine and/or walk-in medicine practice;
v. If reports from the Clinical Supervisor indicate that it is appropriate to do so and if approved by the College, after a minimum of two (2) months in Phase Two of the Remediation Program, Dr. Syan may move to Phase Three of the Remediation Program, during which she shall see no more than a combined total of ninety (90) patients per week in her family medicine and/or walk-in medicine practice. Dr. Syan shall submit 25% of these patients’ charts, as selected by the Clinical Supervisor, and the Patient Log to the Clinical Supervisor for review and shall meet with the Clinical Supervisor at least once every fourteen (14) days to discuss the Clinical Supervisor’s review of her patients’ charts and any concerns arising therefrom, including with particular reference to the educational needs identified in the IEP attached [to the Order] at Schedule “B”. While Dr. Syan is subject to this restriction, the following statement shall appear on the public register: Dr. Syan shall see no more than a combined total of ninety (90) patients per week in her family medicine and/or walk-in medicine practice;
vi. If reports from the Clinical Supervisor indicate that it is appropriate to do so and if approved by the College, after a minimum of three (3) months in Phase Three of the Remediation Program, Dr. Syan may move to Phase Four of the Remediation Program, during which she shall see no more than a combined total of one hundred and twenty (120) patients per week in her family medicine and/or walk- in medicine practice. Dr. Syan shall submit 25% of these patients’ charts, as selected by the Clinical Supervisor, and the Patient Log to the Clinical Supervisor for review and shall meet with the Clinical Supervisor at least once every thirty (30) days to discuss the Clinical Supervisor’s review of her patients’ charts and any concerns arising therefrom, including with particular reference to the educational needs identified in the IEP attached [to the Order] at Schedule “B”. While Dr. Syan is subject to this restriction, the following statement shall appear on the public register: Dr. Syan shall see no more than a combined total of one

hundred and twenty (120) patients per week in her family medicine and/or walk- in medicine practice;
vii. If reports from the Clinical Supervisor indicate that it is appropriate to do so and if approved by the College, after a minimum of six (6) months in Phase Four of the Remediation Program, Dr. Syan may complete the Remediation Program;
viii. Throughout the Remediation Program, Dr. Syan shall cooperate with her Clinical Supervisor and shall abide by all recommendations of her Clinical Supervisor including but not limited to recommendations about her care, recordkeeping, practice improvements, practice management, and continuing education.
(f) Dr. Syan shall consent to the disclosure by her Clinical Supervisor to the College and by the College to her Clinical Supervisor, of all information the Clinical Supervisor or the College deems necessary or desirable in order to fulfill the Clinical Supervisor’s Undertaking and to monitor Dr. Syan’s compliance with the Order.
(g) Approximately six (6) months after completing the Remediation Program, Dr. Syan shall undergo a reassessment of her family medicine and walk-in medicine practice by a College-appointed Assessor (the “First Reassessment”). The assessment may include a review of Dr. Syan’s patient charts, direct observations, and interviews with staff and/or patients and any other tools deemed necessary by the College. Dr. Syan shall abide by all recommendations made by the Assessor, and the Assessor shall report the results of the assessment to the College.
(h) Approximately twelve (12) months following the completion of the First Reassessment, Dr. Syan shall undergo a second reassessment of her family medicine and walk-in medicine practice by a College-appointed Assessor (the “Second Reassessment”). The assessment may include a review of Dr. Syan’s patient charts, direct observations, and interviews with staff and/or patients and any other tools deemed necessary by the College. Dr. Syan shall abide by all recommendations made by the Assessor, and the Assessor shall report the results of the assessment to the College.
(i) The First Reassessment and the Second Reassessment shall take the place of the reassessment directed by the Inquiries, Complaints and Reports Committee of the College in February 2011.
(j) Dr. Syan shall consent to sharing of information among the Assessor(s), the Clinical Supervisor, and the College as any of them deem necessary or desirable in order to fulfill their respective obligations.
(k) Dr. Syan shall inform the College of each and every location where she practices family medicine and walk-in medicine, in any jurisdiction (her “Practice Location(s)”) within fifteen (15) days of this Order, and shall inform the College of any and all new Practice Locations within fifteen (15) days of commencing practice at that location, until the results of the reassessments of her practice have been reported to the College.
(l) Dr. Syan shall cooperate with unannounced inspections of her practice and patient charts by a College representative(s) for the purpose of monitoring and enforcing her compliance with the terms of this Order.
(m) Dr. Syan shall consent to the College making appropriate enquiries of the Ontario Health Insurance Program, the Narcotics Monitoring System and/or any person who or institution that may have relevant information, in order for the College to monitor her compliance with this Order and shall promptly sign such consents as may be necessary for the College to obtain information from these persons or institutions.
(n) Dr. Syan shall be responsible for any and all reasonable costs associated with implementing the terms of this Order.
- Dr. Syan appear before the panel to be reprimanded.
- Dr. Syan pay costs to the College in the amount of $4,460, within thirty (30) days of the date of this Order.


Decision: Download Full Decision (PDF)
Appeal: No Appeal
Hearing Date(s): April 14, 2015

Concerns

Source: Member
Active Date: November 9, 2022
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Swaran Kaur Syan to the College of Physicians and Surgeons of Ontario, effective November 9, 2022:
 Following a public complaint concerning Dr. Syan’s care and conduct of a patient in her family medicine practice, the College conducted an investigation. As a result of the investigation:

Dr. Syan will practise under the guidance of a Clinical Supervisor acceptable to the College for at least three (3) months.
Dr. Syan will engage in professional education including, in the management and follow-up of patients treated with opioids for chronic non-cancer pain; prescribing drugs; documentation and medical record keeping; and professional communications.
Dr. Syan’s practice will be reassessed by an assessor selected by the College within six (6) months of the end of the period of Clinical Supervision and completion of professional education.

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