Appearance for a Caution
Jun 01, 2017
College of Naturopaths of Ontario
On May 4, 2017, a panel of the Inquiries, Complaints and Reports Committee determined that the Member shall appear before it for an Oral Caution in relation to the Registrar’s Report alleging that the Member might have contravened the General Regulation made under the Naturopathy Act, 2007 and the Standard of Practice for Prescribing.
The Panel expressed its concerns about the Member’s documentation in patient files related to prescribing Dessicated Thyroid and/or BHRT treatment. In particular, the Panel found no documentation of the patients’ medical histories, personal risks, assessment and/or diagnosis. Furthermore, the Panel noted the Member’s failure to document any follow-up plan and/or assessment of the patients. Finally, there was no evidence in the patient files that any of the patients’ Medical Doctors were informed of the Member’s prescriptions.
The Member was cautioned that as per the General Regulation and the Standard of Practice for Prescribing, before prescribing a drug or substance, the Member must assess the patient and conduct laboratory and diagnostic investigations as appropriate; determine that the patient’s condition warrants prescribing the drug or substance, consider the risks and benefits and other circumstances relevant to the patient; document symptoms and/or conditions being treated; and review the patient's available medication history. After prescribing a drug or substance, the Member is required to monitor and document the patient’s response to the therapy. The patient’s other primary health care providers, if any, must be notified of any new prescription for the patient and provided with details respecting the prescription.
The Panel strongly suggested that the Member review and familiarize himself with the Professional Misconduct Regulation and the General Regulation under the Naturopathy Act, 2007; and the College’s Standard of Practice for Prescribing and cautioned the Member that the ICRC will likely take stronger action, including the possibility of a referral of the matter to the Discipline Committee, should it receive a similar complaint/report in the future.