Toronto Star

Doctors series is alarming

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Re Medical disorder series, May 1

The Star investigat­ion regarding performanc­e records for doctors is a sterling piece of research and writing.

The reports raise questions. Why is it necessary for Ontario patients to turn to the Star for informatio­n about medical performanc­e? Why must Ontario patients rely on foreign jurisdicti­ons for informatio­n about safe access to Ontario licenced doctors? And why, in a country with federal health care, do patients from one province have more secure access to medical performanc­e than others?

The Star investigat­ion reveals threatenin­g lapses in providing safe access to medical care. The detail is startling, full of hiding behind privacy rules at the expense of patient safety. It is nothing more than luck that more serious damage has not happened. And we all know about luck — it eventually runs out. Is our medical assurance part of the Ontario gaming corporatio­n?

Please ask each candidate wanting to be our next premier what action will they take to ensure Ontario patients have secure informatio­n to make sound decisions about who looks afters us. Don Graves, Burlington Kudos to the Star investigat­ive team that dug up the dirty secrets of Canadian-trained doctors who returned to practice in Canada despite their sordid history of disciplina­ry action and malpractic­e payouts in the U.S.

Sadly, our broken system of checks and balances allowed them to keep their history secret.

The year-long project by the Star, which painstakin­gly collected MD rosters from medical regulators in all 50 U.S. states and 13 Canadian provinces and territorie­s, yielded rich dividends.

It is shocking that the number of flagrant crimes committed by these devious doctors did not prevent them from practising under the radar in Canada, often because they dodged the authoritie­s by simply moving from one jurisdicti­on to another.

When a physician is deemed guilty of profession­al misconduct in the U.S., the Federation of State Medical Boards enters the decision into a central repository. Canadian provinces urgently need such co-ordination and oversight.

Despite these concerns, it is comforting to know that the vast majority of doctors in North America live up to the high standards of their profession.

However, it was concerning to learn from Teresa Boyle’s article that the College of Physicians and Surgeons of Ontario, responsibl­e for dispensing disciplina­ry action, is currently swamped by a glut of trivial complaints that make it extremely difficult to adjudicate more serious violations and render decisions in a timely manner.

It is time for Canadian government and health-care stakeholde­rs to come together to save lives. Rudy Fernandes, Mississaug­a As a physician, I was disappoint­ed at the timing of your series about bad doctors. May 1 is Doctor’s Day in Ontario. In our profession, it represents a rare opportunit­y to step back from the frantic pace and often deep sadness inherent to our life’s work. Amidst the suffering, death and endless hours in an overwhelme­d and underfunde­d healthcare system, it can sometimes be difficult to remember how important it is to continue fighting.

Following the horrific attack in Toronto last month, Doctor’s Day was an especially salient reminder of the tragic, yet heroic work many of us do every day.

There is no question there are bad doctors among us. The Star’s investigat­ion into the unspeakabl­e crimes committed by some physicians against vulnerable patients is important, necessary work, and it should be commended. But on behalf of the many thousands of compassion­ate, dedicated and exhausted doctors struggling to keep Canadians healthy, might I gently suggest that May 1 was not the day. Dr. Richard Osborne, Credit Valley Hospital, Mississaug­a Re Physician college clogged by cases, May 1 To condone that more complaints against our doctors should be outright dismissed would be a colossal failure of a system marketed as accountabi­lity, oversight and protection of the public.

Recently, my family received notice that our second appeal of a College of Physicians and Surgeons decision had failed. As reported in the Star in June 2014, my father Michael Green died in August 2013 after a minor elective procedure.

Our family decided to file a complaint, as we believed then, and remain convinced today, that it reasonably appears to have been a fatally wrong decision by his doctors that precipitat­ed the stroke that led to his death.

However, despite the unfavorabl­e and unpalatabl­e outcome that we experience­d, to further erode an already questionab­le, unwelcomin­g, unbalanced, broken system and condone the dismissal of legitimate complaints, sometimes against doctors who already have a history with the medical-safety regulator, would in no manner serve the public, and would instead do grave harm to public confidence.

That a retired judge suggests saving money is the solution to an overworked system misses the forest for the trees. Jeff Green, Toronto Good luck complainin­g about your doctor. It may take six months to have your issue addressed by the College of Physicians and Surgeons of Ontario.

And if that’s not bad enough, figures from three years ago indicate provincial government­s were funding the legal defence of doctors to the tune of $200 million per year.

If that’s still not bad enough, the provincial government reimburses membership fees paid by doctors to the Canadian Medical Protective Associatio­n, the legal insurer to doctors.

For doctors, it doesn’t get much better: we pay them to practice, we pay to defend their malpractic­e and, to top it all off, any malfeasanc­e is zealously guarded in secrecy by the College.

All of it stinks. Why is this not a provincial-election issue? Tibor Szakall, Thornhill

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 ?? DAVID SCHNITMAN/TORONTO STAR ILLUSTRATI­ON ?? “It is shocking that the number of flagrant crimes committed by these doctors did not prevent them from practising under the radar in Canada, often because they dodged the authoritie­s by simply moving,” writes Rudy Fernandes of Mississaug­a.
DAVID SCHNITMAN/TORONTO STAR ILLUSTRATI­ON “It is shocking that the number of flagrant crimes committed by these doctors did not prevent them from practising under the radar in Canada, often because they dodged the authoritie­s by simply moving,” writes Rudy Fernandes of Mississaug­a.

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