Ruth Ainsworth

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.

Appeal of a Divisional Court decision upholding College of Physicians and Surgeons of Ontario policies requiring physicians who object to providing certain medical procedures on religious grounds to provide effective referrals to non-objecting providers.

The appellants, individual physicians and physician organizations, challenged the policies as violating their freedom of conscience and religion under the Canadian Charter of Rights and Freedoms and their equality rights.

The Court of Appeal dismissed the appeal, finding that while the policies infringe freedom of religion, the infringement is justified under s. 1 of the Charter as a reasonable limit demonstrably justified in a free and democratic society.

The court emphasized the importance of equitable patient access to health care services, particularly for vulnerable populations, and the role of family physicians as gatekeepers in the health care system.

The Court of Appeal reversed the Divisional Court's decision that had overturned a Discipline Committee penalty decision.

The Discipline Committee found that a physician sexually abused four female patients by unnecessarily touching their breasts and nipples during stethoscope examinations, and engaged in inappropriate conduct with a fifth patient.

The Committee imposed a six-month suspension with practice restrictions, supervision requirements, and mandatory training.

The Divisional Court found the penalty manifestly unfit and remitted it for reconsideration.

The Court of Appeal held that the Divisional Court failed to properly apply the deferential reasonableness standard of review, instead substituting its own view of the appropriate penalty.

The Court of Appeal restored the Discipline Committee's penalty, finding no inconsistent findings of fact and that the penalty fell within the range of reasonable outcomes.