THE FOLLOWING INFORMATION WAS OBTAINED FROM THE FIND A DOCTOR SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO WWW.CPSO.ON.CA

Date: 18/08/2018 12:20:08 PM

Martin, James Scott Bradley (CPSO#: 29320)

Current Status: Expired: Failure to Renew Membership as of 16 Aug 2018

CPSO Registration Class: None as of 16 Aug 2018

Indicates a concern or additional information

Summary

Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education:The University of Western Ontario, 1976

Practice Information

Primary Location of Practice
Practice Address Not Available

Specialties

Specialty Issued On Type
Obstetrics and Gynecology Effective: 30 Jun 1993 RCPSC Specialist

Postgraduate Training

Please note: This information may not be a complete record of postgraduate training.

The University of Western Ontario, 01 Jul 1989 to 30 Jun 1990
Resident 1 - Obstetrics and Gynecology

The University of Western Ontario, 01 Jul 1990 to 30 Jun 1991
Resident 2 - Obstetrics and Gynecology

The University of Western Ontario, 01 Jul 1991 to 30 Jun 1992
Resident 3 - Obstetrics and Gynecology

The University of Western Ontario, 01 Jul 1992 to 30 Jun 1993
Resident 4 - Obstetrics and Gynecology

The University of Western Ontario, 01 Jul 1994 to 30 Jun 1995
Clinical Fellow - Obstetrics and Gynecology

Registration History

Action Issue Date
First certificate of registration issued: Postgraduate Education Certificate Effective: 23 Jun 1976
Transfer of class of registration to: Independent Practice Certificate Effective: 30 Jun 1977
Transfer of class of certificate to: Restricted certificate Effective: 20 May 2014
Terms and conditions imposed on certificate Effective: 20 May 2014
Suspension of registration imposed: Discipline Committee Effective: 01 Jul 2014
Suspension of registration removed Effective: 01 Sep 2014
Terms and conditions amended by Inquiries, Complaints and Repo Effective: 24 Aug 2017
Terms and conditions amended by Inquiries, Complaints and Repo Effective: 23 Sep 2017
Expired: Failure to Renew Membership Expiry: 16 Aug 2018

Pending Hearings

Summary: Allegations of Dr. Martin’s professional misconduct have been referred to the Discipline Committee of the College. It is alleged that Dr. Martin is incompetent and/or failed to maintain the standard of practice of the profession in his care of patients.

Notice of Hearing: Download Full Notice (PDF)

Previous Hearings

Committee: Discipline
Decision Date: 20 May 2014
Summary:

On May 20, 2014, the Discipline Committee found that Dr. James Scott Bradley Martin 
committed an act of professional misconduct, in that he failed to maintain the standard of 
practice of the profession. Dr. Martin admitted to the allegation. 
 
The referral relates to a s.75 investigation and two complaints in relation to Dr. Martin's practice 
of fertility medicine at the Southern Ontario Fertility Technologies Inc. Clinic.  
 
In relation to the s.75 investigation regarding the care of 28 patients, Dr. X, an independent 
expert retained by the College, had significant concerns regarding Dr. Martin's lack of judgment 
and his standard of care. Dr. X found an excessive number of intrauterine insemination (IUI) 
treatment cycles in some cases, which did not justify a prolonged delay in moving to more 
effective treatments, such as in vitro fertilization (IVF), or intracytoplasmic sperm injection. In 
addition, important discussions regarding patients' treatment options and decisions that Dr. 
Martin claimed took place - including regarding about moving to IVF and the patient(s) choosing 
to continue with IUI - were not documented in their charts. 
 
In relation to Dr. Martin's care of Patient A between approximately 2001 and 2010, the complaint 
was triggered by Dr. Martin's decision to terminate Patient A's weekly counselling appointments 
for an eating disorder. Dr. Martin admitted that he is not specifically trained to counsel eating 
disorders and that he was outside of his scope in the 5 years he engaged in this counselling. He 
also admitted he erred in misrepresenting to Patient A the reason he stopped the counselling. In 
relation to Patient A's fertility treatment, Dr. Y, an independent expert retained by the College, 
opined that Dr. Martin failed to maintain the standard of care in his: medical charting; proceeding 
with IUI despite a degree of hyperstimulation dangerous to patient health; failing to adjust 
treatment to reduce the risk of severe hyperstimulation; and, repeatedly placing Patient A at 
extreme risk of multiple medical complications, including thrombosis, pulmonary emboli and 
stroke. 
 
In relation to Dr. Martin's care of Patient B in August of 2009, Dr. Y concluded that Dr. Martin 
failed to maintain the standard of care in that: he lacked knowledge regarding the diagnosis and 
management of an ectopic pregnancy; the systems in place at the clinic which failed to maintain 
the standard in terms of the organization and management of Patient B's care between the clinic's 
health care providers; and, in the lack of adequate documentation and the poor communication 
among health professionals at the clinic that put Patient B's life at risk.    
The Discipline Committee ordered and directed that: 
 
      Dr. Martin appear before the panel to be reprimanded;  
      the Registrar suspend Dr. Martin's Certificate of Registration for a period of two (2) 
      months, to commence on July 1, 2014 and ending at 11:59 p.m. on September 1, 2014. 
      the Registrar impose the following terms, conditions and limitations on Dr. Martin's 
      Certificate of Registration:  
 
      a.    Effective immediately, Dr. Martin shall cease accepting new patients in his 
            practice of fertility medicine;   
       
b.    Effective immediately, Dr. Martin shall not counsel or advise patients regarding 
      eating disorders or any other matter falling outside his permitted scope of practice; 
              
c.    Effective July 1, 2014, Dr. Martin shall restrict his practice exclusively to 
      reproductive endocrinology and the interpretation of fertility-related ultrasound 
      images;  
              
d.    Without in any way restricting the generality of the restriction set out in paragraph 
      4(c) above, effective July 1, 2014, Dr. Martin shall be prohibited from practising 
      fertility medicine in any respect, including, without limitation, the following:  
              
      i.    Fertility-related assessment and investigations, including the performance 
            or interpretation of fertility-related hysterosalpingograms, fertility 
            treatment or fertility-related cycle-monitoring;  
      ii.   Artificial insemination;  
      iii.  In vitro fertilitzation including oocyte retrievals and/or embryo transfers;  
      iv.   Counseling or advising patients regarding fertility treatments, artificial 
            insemination, or any other matter relating to fertility medicine; and 
      v.    Decision making of any kind regarding the care and treatment of patients 
                  undergoing fertility treatment, artificial insemination, in vitro 
                  fertilization or any  other treatment or procedure associated with 
                  fertility medicine; 
              
e.    Within thirty (30) days of the date of this Order, Dr. Martin shall obtain a clinical 
      supervisor acceptable to the College, who will supervise Dr. Martin's 
      interpretation of fertility-related ultrasound images and who will sign an 
      undertaking in the form attached hereto as Schedule "A" (the "Clinical 
      Supervisor"); 
              
f.    If a Clinical Supervisor who has given an undertaking in Schedule "A" to this 
      Order is unable or unwilling to continue to fulfill its terms, Dr. Martin 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.    If Dr. Martin is unable to obtain a Clinical Supervisor in accordance with 
      paragraphs 4(e) and 4(f) of this Order, he shall cease to interpret fertility-related 
      ultrasounds until such time as he has done so, and the fact that he has ceased to 
      practise shall be a term, condition and limitation on his Certificate of Registration 
      until that time;    
              
h.    Dr. Martin shall abide by all recommendations of his Clinical Supervisor with 
      respect to practice improvements and education; 
              
i.    Dr. Martin shall consent to the disclosure by his Clinical Supervisor to the 
      College, and by the College to his 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. Martin's compliance with 
      this Order.  This shall include, without limitation, providing the Clinical 
      Supervisor with any reports of any assessments of Dr. Martin's practice in the 
      College's possession; 
              
j.    Effective December 31, 2014, Dr. Martin shall be prohibited from interpreting 
      ultrasound images and shall restrict his practice exclusively to reproductive 
      endocrinology;  
              
k.    For an indefinite period of time, Dr. Martin shall inform the College of each and 
      every location where he practices including, but not limited to hospitals, clinics, 
      and offices, in any jurisdiction (collectively, his "Practice Location(s)"), within 
      fifteen (15) days of this Order, and shall inform the College of any and all new 
      Practice Locations within 15 days of commencing practice at that location; 
              
l.    For an indefinite period of time, Dr. Martin shall submit to, and not interfere with, 
      unannounced inspections of his Practice Location(s) and patient records by a 
      College representative for the purposes of monitoring his compliance with this 
      Order; 
              
m.    Dr. Martin shall, at his own expense, participate in and successfully complete an 
      educational program satisfactory to the College in Ethics, with a report or reports 
      to be provided to the College regarding Dr. Martin's progress and compliance. Dr. 
      Martin shall complete this requirement by September 1, 2014 or, if no satisfactory 
      program is available by that time, by the first possible opportunity thereafter;  
                
n.    Dr. Martin shall, at his own expense, participate in and successfully complete an 
      educational program satisfactory to the College in medical record-keeping. Dr. 
      Martin shall complete this requirement by September 1, 2014 or, if no satisfactory 
      program is available by that time, by the first possible opportunity thereafter;  
              
o.    Dr. Martin shall consent to the monitoring of his OHIP billings and cooperate 
      with inspections of his practice and patient charts by College representatives for 
      the purpose of monitoring and enforcing his compliance with the terms of this 
      Order; and 
              
p.    Dr. Martin shall be responsible for any and all costs associated with implementing 
      the terms of this Order.  
              
Dr. Martin pay to the College costs in the amount of $40,140, within 30 days of the date 
of this Order. 

Decision: Download Full Decision (PDF)
Appeal: No Appeal
Hearing Date(s): May 20, 2014

Concerns

Source: ICR Committee
Active Date: June 10, 2016
Expiry Date:
Summary:
Specified Continuing Education and Remediation Program:

A summary of a decision of the Inquiries, Complaints and Reports Committee in which the disposition includes a Specified Continuing Education and Remediation Program (“SCERP”) is required by the College By-laws to be posted on the register, along with a note if the decision has been appealed. A SCERP is one of the dispositions that the College’s Inquiries, Complaints and Reports Committee may make in connection with a matter before it, and this disposition requires the member to complete an education and remediation program specified for the member. A note will also be posted when all the elements of the SCERP have been completed. The summary will be removed from the register if the decision is overturned on appeal or review. Note that this requirement only applies to decisions arising out of a complaint dated on or after January 1, 2015 or if there was no complaint, the first appointment of investigators dated on or after January 1, 2015.

See PDF for the summary of a decision made against this member in which the
disposition includes a SCERP:
Download Full Document (PDF)