Dr. Sian Rawkins

The College of Physicians and Surgeons brought a motion to settle an order flowing from previous reasons for judgment and to vary its terms due to the COVID-19 pandemic.

The motion addressed the wording of the order regarding the handling of Patient A's medical file, specifically the inclusion of a caveat allowing transfer of records "to the extent necessary for the College to carry out its regulatory functions." The court found the College's proposed wording, though an addition, accurately captured the implicit logic of the prior reasons.

Additionally, due to public health concerns, the court varied the order to allow the College's investigator, Greg Hutchinson, to be the repository for Patient A's file instead of SJO's counsel, and permitted the investigator to share materials with the College's expert, Dr. Sian Rawkins.

The court also clarified that newly discovered emails from SJO's hospital account were part of the file covered by the ruling and that the restrictions on file handling did not apply past the investigation stage.

An amended Reasons for Judgment was also ordered to address privacy concerns.

The College of Physicians and Surgeons initiated an investigation into a psychiatrist, SJO, concerning boundary violations and the receipt of confidential information from a patient (Patient A), who was a former College employee.

SJO resisted producing Patient A's medical records, arguing patient-psychiatrist privilege and a conflict of interest for the College due to parallel investigations.

The court dismissed SJO's application for an injunction, holding that the College's statutory investigatory powers under the Regulated Health Professions Act and Health Professions Procedural Code override common law claims of privilege and patient confidentiality in this regulatory context.

The court ordered SJO to produce the patient's medical records and communications to an external investigator, with strict confidentiality protocols to limit College staff access.