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Sharma, Vijay

CPSO#: 62959

MEMBER STATUS
Active Member as of 01 Jul 1995
CURRENT OR PAST CPSO REGISTRATION CLASS
Restricted as of 10 May 2023

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English, Hindi

Education: University of Lucknow, 1983

Practice Information

Primary Location of Practice
Practice Address Not Available

Professional Corporation Information


Corporation Name: Dr. Vijay Sharma Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Aug 31 2010

Shareholders:
Dr. V. Sharma ( CPSO# 62959 )

Business Address:
No business address available

Hospital Privileges

Hospital Location
Scarborough Health Network Centenary Toronto
Scarborough Hospital Birchmount Toronto

Specialties

Specialty Issued On Type
Anesthesiology Effective:07 Nov 1994 RCPSC Specialist

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 02 Aug 1990
Expired: Terms and conditions of certificate of registration Expiry: 31 Dec 1994
Subsequent certificate of registration Issued: Postgraduate Education Certificate Effective: 31 Jan 1995
Expired: Terms and conditions of certificate of registration Expiry: 30 Jun 1995
Subsequent certificate of registration Issued: Independent Practice Certificate Effective: 01 Jul 1995
Transfer of class of certificate to: Restricted certificate Effective: 05 Mar 2014
Terms and conditions imposed on certificate by Inquiries, Complaints and Reports Committee Effective: 05 Mar 2014
Terms and conditions amended by Inquiries, Complaints and Reports Committee Effective: 16 Apr 2014
Terms and conditions amended by Discipline Committee Effective: 24 Sep 2014
Transfer of class of registration to: Independent Practice Certificate Effective: 31 Dec 2017
Transfer of class of certificate to: Restricted certificate Effective: 10 May 2023
Terms and conditions imposed on certificate by Inquiries, Complaints and Reports Committee Effective: 10 May 2023

Practice Restrictions

Imposed By Effective Date Expiry Date Status
Inquiries, Complaints and Reports Committee Effective: 10 May 2023 Active
 Effective 12:01 am on May 10, 2023, Dr. Sharma must cease to practice until he has obtained a College-approved Clinical Supervisor.

As from 12:01 a.m., May 10, 2023, by order of the Inquiries, Complaints and Reports 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. Vijay Sharma:

Clinical Supervision 

1.	Dr. Sharma shall practise only under the guidance of a clinical supervisor or clinical supervisors acceptable to the College (the "Clinical Supervisor(s)"), who shall execute the undertaking in Appendix "B" and on the terms set out in paragraphs [a] to [e] below:

a.	Dr. Sharma shall be directly observed by the Clinical Supervisor(s) at all times when providing anesthesia care, throughout the procedure and including pre-anesthetic assessment, induction, maintenance, and emergence, and/or until transfer of accountability to another health professional; 

b.	Dr. Sharma shall cooperate fully with the Clinical Supervisor(s) and shall abide by all recommendations made by his Clinical Supervisor(s) to maintain patient safety. Without limiting the foregoing, if during or after an observation or a chart review, the Clinical Supervisor(s) is or are of the view that Dr. Sharma's conduct or care exposes or likely exposes a patient or patients to harm or injury, Dr. Sharma shall immediately comply with any recommendation by the Clinical Supervisor(s) to protect the patient(s) from harm or injury;

c.	Dr. Sharma shall meet on a weekly basis with the Clinical Supervisor(s), at which time the Clinical Supervisor(s) shall review each patient chart of Dr. Sharma and discuss with Dr. Sharma any concerns arising from this review; 

d.	The Clinical Supervisor shall perform any other duties, such as reviewing other documents or conducting interviews with staff or colleagues, that the Clinical Supervisor(s) deem necessary to the clinical supervision; and 

e.	The Clinical Supervisor(s) shall submit a written report to the College at least once every two (2) weeks, or immediately if they have formed concerns about Dr. Sharma's standard of practice or that Dr. Sharma's patients may be exposed to harm or injury.  

2.	If at any time after this Order takes effect Dr. Sharma has not delivered an executed undertaking(s) by a College-approved Clinical Supervisor(s) in the form set out at Appendix "B", Dr. Sharma must cease to practise medicine until he has done so. Without limiting the generality of the foregoing, if a person who has given such an undertaking is unable or unwilling to continue to fulfil its provisions, Dr. Sharma may not practise medicine other than under clinical supervision and must cease to practise medicine until clinical supervision is in place.  

3.	If Dr. Sharma is required to cease to practise medicine as a result of section 2 above, this will be a term, condition or limitation on his Certificate of Registration, and be included on the public register. 

Monitoring

4.	Dr. Sharma shall, within three (3) days of the date of this Order, inform the College of each and every location at which he practises, delegates controlled acts, or has privileges, including but not limited to any hospitals, offices, and any Out-of-Hospital Premises or Independent Health Facilities with which he is affiliated, in any jurisdiction (collectively, his "Practice Location" or "Practice Locations"). Going forward, he shall inform the College of any and all new Practice Locations within three (3) days of beginning practice at that location. 

5.	The College may share this Order with the Chief of Staff, Medical Director, or an equivalent individual at any of Dr. Sharma's Practice Locations, and may share any information underlying this Order with such an individual if deemed necessary for the purpose of monitoring and facilitating Dr. Sharma's compliance with the Order or fulfilling the Clinical Supervisor's undertaking.

6.	Dr. Sharma shall consent to disclosure to the College by his Clinical Supervisor(s) and by staff, Chiefs of Staff, Medical Directors, or physicians at any location where he practises of any information necessary to fulfil the Clinical Supervisor's undertaking or to monitor and facilitate Dr. Sharma's compliance with the Order. 

7.	Dr. Sharma shall consent to any of his Clinical Supervisors disclosing to any other of his Clinical Supervisors any information that is relevant to the Order, to the Clinical Supervisor's Undertaking, or to Dr. Sharma's compliance with the Order.

8.	Dr. Sharma shall cooperate fully with College representatives for the purpose of monitoring his compliance with the Order, including but not limited to providing any requested documentation within specified timelines.

9.	Dr. Sharma shall within five (5) days of this Order provide the College with his irrevocable consent in the form attached at Appendix "C" to make appropriate enquiries of the Ontario Health Insurance Plan to monitor his compliance with this Order.

10.	Dr. Sharma shall cooperate with unannounced inspections of his Practice Locations by College representatives for the purpose of monitoring compliance with the Order.

11.	Dr. Sharma shall be responsible for the payment of any fees, costs, charges, or expenses arising from implementation of this Order.


Previous Hearings

Committee: Discipline
Decision Date: 24 Sep 2014
Summary:

On September 24, 2014, the Discipline Committee found that Dr. Sharma committed an act of professional misconduct in that he failed to maintain the standard of practice of the profession; and that he 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. Sharma admitted to the allegations.

The College commenced an investigation into Dr. Sharma's practice in about July 2012, after it received information that raised concerns about Dr. Sharma's anesthesiology practice.

Dr. X, the independent expert retained by the College, reviewed 26 patient charts and found that Dr. Sharma failed to meet the standard of practice in the following respects:
(1) His record-keeping fell below the standard of care in respect of eight patients.
(2) In respect of Patient A, although Dr. Sharma monitored this intubated patient in the PACU over the course of a 31 minute period, he failed to properly hand over care to the on-call anaesthesiologist prior to leaving the hospital..
(3) In respect of Patient B, an elderly patient who was undergoing an urgent repair of a hip fracture and was found on preliminary echo study to have moderate aortic stenosis and insufficiency, Dr. Sharma administered spinal anesthesia but did not place an arterial line, which would have permitted close hemodynamic monitoring.
(4) In respect of Patient C who was assessed as having a potentially difficult airway, Dr.Sharma intubated the patient by administering a long-acting muscle relaxant (rocuronium) instead of a short-acting muscle relaxant.
(5) In respect of Patients D and E who were undergoing cesarean sections, Dr. Sharma administered 10 units of oxytocin as requested by an obstetrician, in circumstances in which this dosage may have caused a drop in blood pressure.
(6) In respect of Patient D, Dr. Sharma administered both intrathecal and epidural opioids (first administering 0.1 mg morphine during a combined spinal epidural prior to c-section followed several hours later in ICU by 0.125% marcaine infusion with opioid starting at 4 cc/hour) in a patient having a classical cesarean section in the presence of fibroids with a large midline incision and with severe hypertension, pre-eclampsia and pulmonary edema.
(7) In respect of Patient F, an asthmatic patient with a history of duodenal ulcer and for whom Dr. Sharma documented a history of GERD, Dr. Sharma used a laryngeal mask airway instead of an endotracheal tube for sinus surgery.

In respect of the finding of disgraceful, dishonourable and unprofessional conduct:

Dr. Sharma has on occasion left the operating room while his patients were undergoing procedures under anesthesia in a manner not in accordance with the then-current standard of practice in that he sometimes failed to appropriately communicate with others in the operating room.

In June 2007, one of Dr. Sharma's colleagues called in sick and therefore was not available to provide anesthesia in the operating room as scheduled. Dr. Sharma was scheduled to provide anesthesia services in the endoscopy suite that day. Dr. Sharma proceeded to provide anesthesia for the operating room cases rather than the list being cancelled. Instead of giving up the cases in the endoscopy suite, Dr. Sharma also provided IV conscious sedation for some patients in the endoscopy suite.

In the past, Dr. Sharma has on occasion used a computer for personal purposes in the operating room during surgery for which he was the attending anesthesiologist.

Dr. Sharma advised, and it was confirmed by the evidence of one of the nurses interviewed by the College, that he no longer uses a computer for personal use in the operating room.

Throughout the course of the College's investigation, Dr. Sharma showed ample promptness and co-operation with requests made by the College investigator, and, following receipt of Dr. X's reports, advised that he has incorporated positive changes into his practice in consideration of Dr.X's opinions.

He had a positive performance appraisal in April 2014. Dr. Sharma volunteered to assume the role of CME co-ordinator for the department of anesthesia and arranged four grand rounds in the first six months of 2014.

The Committee ordered and directed that:
the Registrar impose the following terms, conditions and limitations on Dr. Sharma's certificate of registration:
(a) Dr. Sharma shall complete, at his own expense, an educational program on communications facilitated by the College within twelve (12) months from the date of this Order;
(b) Dr. Sharma shall, within 30 days from the date of this Order, retain a College-approved clinical supervisor, who will sign an undertaking in the form attached hereto as Schedule "A" (the "Clinical Supervisor"). The period of clinical supervision shall last for twelve (12) months commencing on the day the Clinical Supervisor is retained. Dr. Sharma will abide at his own expense by all recommendations of his Clinical Supervisor with respect to practice improvements and/or professional development;
(c) Upon completion of this period of supervision, within six (6) months, Dr. Sharma shall undergo a re-assessment of his clinical practice by a College-appointed Assessor. The results of the reassessment shall be reported to the College, which may use the reassessment results to ground further investigations or proceedings if appropriate; and
(d) Dr. Sharma shall be responsible for any and all costs associated with implementing the terms of this Order.
Dr. Sharma attend before the panel to be reprimanded.
Dr. Sharma shall, within thirty (30) days, pay the College its costs of this proceeding in the amount of $4,460.00.
 


Decision: Download Full Decision (PDF)
Appeal: No Appeal
Hearing Date(s): September 24, 2014