The College of Physicians and Surgeons of Ontario has revoked the licence of a Kitchener psychiatrist after he failed to co-operate with a multi-year investigation into his sleep medicine practice.
Kitchener sleep doctor’s license revoked by Ontario regulatory body
September 25, 2018
Dr. Wagdy Abdalla Botros’s certificate of registration was revoked on Sept. 21, 2018 and he was ordered to pay the college $39,948.71.
Botros was the medical director of three privately-owned, publicly funded sleep clinics in Kitchener, Cambridge and London.
All three clinics abruptly shut their doors in September 2017, leaving a sign on the door saying the clinics had closed “due to unforeseen circumstances,” and that “no further studies or appointments will be conducted, at this time.”
History of misconduct
But trouble for Botros and his clinics started long before 2017. According to the college’s website, Botros has been before the regulator’s discipline committee on four different occasions.
On April 21, 2015, the committee found Botros had committed an act of professional misconduct for failing to attend a remediation program in communications. For this, he was reprimanded, ordered to pay the college $24,656.10 and his certificate of registration was suspended for six months.
On July 31, 2015, the committee found Botros had committed an act of professional misconduct for failing to properly care for 22 of his patients between 2007 and 2010. For this, he was reprimanded, ordered to pay the college $55,520 and his certificate of registration was suspended for six months. There were also certain conditions placed on him if he continued to practice sleep medicine, which he did.
On March 7, 2016, the committee found Botros had committed an act of professional misconduct in his treatment of two patients, and in his delay of providing records to and communicating with a law firm. For this, he was reprimanded, told to participate in six months of a medical ethics course, ordered to pay a $20,000 fine to the Minister of Finance, ordered to pay the college $17,840 and his certificate of registration was suspended for four months.
Latest hearing March 2018
On March 20, 2018, the committee found Botros had committed yet another act of professional misconduct — this time for failing to cooperate with a college-appointed supervisor.
The supervisor, Dr. Peter Powles of St. Joseph’s Health Care in Hamilton, was appointed after an assessment by the Ministry of Health and Long Term Care determined Botros should not practice medicine without oversight.
Powles served as Botros’s supervisor from March 14, 2014 to Dec. 15, 2016, when he asked to be replaced.
According to the college, the clinical supervisor would:
– Review all consultation notes, follow-up notes, sleep study interpretations and recommendations prior to these being forwarded to a referring physician.
– Directly observe Botros at least once a week as he provided clinical care to patients.
– Meet with Dr. Botros at least once a week to review and discuss any issues or concerns arising from the review or observations of his practice.
No more than two months into this arrangement, Botros was missing almost half his meeting with his supervisor, college documents show.
Breach of agreement
According to college’s documents, the doctor and his supervisor were warned by a compliance monitor that “if meetings do not take place on a weekly basis in the future, this will be considered to be a breach of Dr. Botros’s [agreement] with the college and the college will take appropriate action.”
Powles, in his testimony to the discipline committee, said his holiday schedule and time away from the office made it difficult to meet with Botros on a weekly basis.
But the committee still decided Botros’s “failure to meet with Dr. Powles on a weekly basis constitutes a breach of [the agreement.]”
The college also noted in January 2016, it started an investigation into Botros’s failure to meet with his supervisor, but Botros refused to cooperate with the investigation.
Botros did not attend the committee’s hearing or respond to any of the allegations against him.
The hearing document indicates he resigned as a member of the college as of Jan. 18, 2018.
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