2014/15 Annual Report - College of Physicians and Surgeons of

College of Physicians
and Surgeons of
British Columbia
COLLABORATION
Annual Report
Transparent
Objective
Impartial
Fair
College of Physicians and
Surgeons of British Columbia
cpsbc.ca
2015 ANNUAL GENERAL MEETING
Friday, September 25, 2015
Vancouver Convention Centre
Vancouver, British Columbia
Table of contents
1
2
3
About this report
This report describes the work and activities of the past year. It highlights the
major accomplishments towards key objectives articulated in the Board’s 2014-17
Strategic Plan, and it reflects the commitment and dedication of many who give of
their time and expertise to deliver on the College’s mandate.
Note: Due to the implementation of a new data management system in 2014,
year-to-year comparisons are not always available.
4
5
6
Committee reports
The chairs of each of the College’s committees are required by statute to submit a
written report of their specific activities and accomplishments to the Board. These
reports can be viewed on the College website at www.cpsbc.ca.
cpsbc.ca Quality assurance programs to ensure competence
6
Effective communication to enrich partnerships
14
Effective systems and processes to enable
18
regulatory excellence
A year in review
20
Operations and administration
28
Guiding the profession
30
01
Our mission
Serving the public through excellence and professionalism in medical practice.
Our mandate
The College of Physicians and Surgeons of British Columbia regulates the
practice of medicine under the authority of provincial law. All physicians who
practise medicine in the province must be registrants of the College.
The College’s overriding interest is the protection and safety of patients. The role
of the College is to ensure physicians meet expected standards of practice and
conduct.
Regulation of the medical profession is based on the foundation that the College
must act first and foremost in the interest of the public. The primary function of
the College is to ensure that physicians are qualified, competent and fit to practise
medicine. The College administers processes for responding to complaints from
patients and for taking action if a physician is practising in a manner that is
incompetent, unethical or unprofessional. The College also administers a number
of quality assurance programs to ensure physicians remain competent throughout
their professional lives.
Governance
The role of the College and its authority and powers are set out in the Health
Professions Act, RSBC 1996, c.183, the Regulations and the Bylaws made under
the Act. A Board of 10 peer-elected physicians and five members of the public
appointed by the Ministry of Health govern the College. Under the legislation, the
College has 14 committees made up of board members, medical professionals
02 College of Physicians and Surgeons of British Columbia and public representatives who review issues and provide guidance and direction
to the Board and the College staff, ensuring a well-balanced and equitable
approach to regulation. The daily operations of the College are administered by
the registrar and other medical and professional staff.
2014/15 Annual Report
Our values
The College has a legislated duty to serve and protect the public. It must
establish and administer registration, inquiry and discipline procedures that are
transparent, objective, impartial and fair. Aligned with these duties, the following
core values guide the College in its mission:
Accountability
Integrity
Through objective and transparent processes, we acknowledge and assume
full responsibility for the actions we take and the decisions we make. We
are committed to reporting openly to the public, including conducting open
portions of our board meetings.
Our behaviours, actions and outcomes consistently reflect our foundational
beliefs in honesty, respect, compassion and trust.
Collaboration
We share knowledge and work together with each other and our partners
(government, health authorities, academic institutions, medical and health
regulatory organizations) to protect patient well-being and serve the
greater needs of the community.
Justice
We conduct our business in a manner that promotes equity, due process and
truth, and supports individual rights and liberties within the rule of law.
cpsbc.ca 03
A message from the
president and registrar
Collaboration involves working jointly with others
to perform tasks and accomplish shared goals. It is
the art and science of forming alliances, allocating
resources, exchanging ideas, identifying solutions,
and creating value. With the launch of its threeyear strategic plan in 2014, the Board highlighted
its commitment to working collaboratively with key
partners to help build a high-functioning health
system responsive to the needs and expectations of
British Columbians.
Our health system is made up of many agencies with
different mandates, and numerous individuals with
unique and valuable perspectives. One of the Board’s
strategic objectives this year was to engage with
health authority boards, medical staff, consumer
groups, associations, and representatives from the
Ministry of Health to discuss our collective priorities
and identify opportunities to address challenges
together. While the conversations were varied, a
key theme around many board room tables was
Lawrence C. Jewett, MD, FRCSC
–President
04 College of Physicians and Surgeons of British Columbia Heidi M. Oetter, MD
–Registrar
2014/15 Annual Report
quality. More specifically, quality improvements in the health system guided by better data and enhanced
automation, and quality professionals who perform well and produce positive outcomes within the system.
Much has been accomplished based on these conversations. The College continued its involvement in many
of the projects that were directed by the Physician Quality Assurance Steering Committee. These projects
were intended to address gaps identified by Dr. Douglas Cochrane in his review of misreads of CT scans.
This included the development of standardized forms and processes for credentialing, and the completion
of criteria-based privileging dictionaries for hospital-based physicians.
While work is still underway to implement the privileging dictionaries, the College will continue to support
this important activity, and will participate in future revisions of the dictionaries when called upon. It is
interesting to note that this unique initiative in BC is being adopted in other Canadian provinces.
Another key project for the College has been to work with the health authorities to develop and implement
a province-wide physician performance enhancement framework. All high-performing health-care systems
provide data and information back to physicians to assist in identifying strengths as well as opportunities
for improvement. Our work with the health authorities is to ensure that each partner is aware of their
respective program activities and to avoid duplication of effort. Ultimately, we strive to achieve a system
where physicians demonstrate competence as part of revalidation of licensure, which is in the public
interest. For these physicians who also have hospital privileges, similar processes support the appointment
and reappointment process.
College selected as
one of Canada’s top
100 employers
The College was selected as one of BC’s Top
Employers in 2011, 2012, 2013, and Canada’s Top
100 Employers in 2014 and 2015. As one of Canada’s
most respected annual awards, the Canada’s Top
100 Employers competition recognizes excellence in
companies who provide exceptional workplaces and
benefits to their employees.
Employers are evaluated on eight criteria: physical
workplace; work atmosphere and social; health,
financial and family benefits; vacation and time
off; employee communications; performance
management; training and skills development; and
community involvement.
The College is pleased to provide this report, which illustrates how conversations about gaps and
opportunities within the health system have led to concrete actions designed to enhance quality. We thank
all of those agencies and individuals who have engaged in dialogue and collaborated with us this past year.
Quality > Improvements in the health system guided by better data and enhanced automation. Professionals who perform well and produce positive outcomes within the system.
cpsbc.ca 05
Participating in a multi-physician
peer practice assessment
Physicians who work in a clinic setting with other
colleagues participate in the Physician Practice
Enhancement Program as a group to learn from
one another and work together to address any clinic
issues that may be identified during the assessment
process. In 2014/15, 122 multi-physician clinics
participated in the program. Dr. Isaac O. Amankwe
and his colleagues at the Hilltop Medical Clinic in
Surrey, BC found the process to be of great value.
“The most important and interesting part of
the assessment process was that it opened
up conversations amongst our group of
physicians. As a team we made decisions
based on the feedback, such as upgrading
our emergency equipment.”
Quality assurance
programs to ensure
competence
06 College of Physicians and Surgeons of British Columbia ­­­­—Isaac O. Amankwe, MB BS, CCFP
2014/15 Annual Report
Quality assurance activities ensure that registered physicians remain competent
through continuing professional development, that they adhere to professional
standards and guidelines, and that they fulfill the duties and obligations outlined in
their code of conduct.
practise in a multi-physician clinic, or work as long- and short-term locums. All
physicians who provide community-based care in British Columbia will participate
in PPEP at some point in their career.
The PPEP has three components:
The College administers quality assurance programs to ensure that every
physician in the province is practising to high professional standards. The
programs are collegial, supportive and designed to proactively assess
and educate physicians by highlighting areas of excellence and identifying
opportunities to guide lifelong learning.
1.Peer practice assessment of recorded care
2.Multi-source feedback assessment
3.Office inspection of premises and processes
Selection to participate in PPEP may be based on any of the following:
Random selection
STRATEGIC OBJECTIVE
Increase the number of peer practice assessments conducted annually
Any physician who is in independent practice and under the age of 70 may be
randomly selected.
Clinic-based selection
INTENDED RESULT
British Columbia physicians continue to practise to high
professional standards for positive patient outcomes
Physicians who are randomly selected will be assessed along with all of their
colleagues if they work in a multi-physician clinic. This allows for an evaluation
of systemic issues, which benefits all physicians practising in that clinic.
Risk-prioritized selection
Any physician who is collegially unsupported, works in solo practice, and/or is
aged 70 or above is prioritized for selection.
KEY DEVELOPMENTS IN 2014/15
Physician Practice Enhancement Program
The assessment cycle is based on the review of the initial assessment and may
occur again any time between one and ten years. Physicians aged 70 or above are
assessed on a three-year assessment cycle.
The Physician Practice Enhancement Program (PPEP) is a peer assessment
program applicable to all physicians whether they work in private practice,
cpsbc.ca 07
PHYSICIAN PRACTICE ENHANCEMENT PROGRAM
AGE / ASSIGNED PEER PRACTICE ASSESSMENTS
DISTRICT 1 ­
Vancouver Island, South
51
DISTRICT 2 ­
Vancouver Island, Central and Northern
60
42
DISTRICT 3 ­
Vancouver and surrounding area
146
104
DISTRICT 4 ­
Fraser
111
45
45
DISTRICT 6 Kootenays
2
5
DISTRICT 7 ­
Northern
33
21
448
completed
peer practice
assessments
Figures calculated from March 1, 2014 to February 28, 2015
AGE
77
329
completed
multi-source
feedback
assessments
2930-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80+
613
4
22
39
43
53
90
assigned peer
practice assessments
79
62
74
108
29
10
AGE / ASSIGNED MULTI-SOURCE FEEDBACK ASSESSMENTS
AGE
DISTRICT 5 Thompson-Okanagan
35
2930-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80+
606
4
22
39
43
51
90
assigned multi-source
feedback assessments
77
62
74
107
28
9
Quality assurance
programs to ensure
competence
08 College of Physicians and Surgeons of British Columbia 2014/15 Annual Report
Safe and effective prescribing
of methadone for opioid
dependency
The College’s Methadone Maintenance Program
is guided by the clinical expertise provided
by members on the Methadone Maintenance
Committee. The program develops guidelines
for safe and effective prescribing of methadone,
provides educational resources and workshops,
facilitates preceptorships for physicians who wish
to prescribe methadone for opioid dependence,
and conducts peer practice assessments.
THE METHADONE MAINTENANCE COMMITTEE
STANDING (L to R):
Dr. R.S. Joe, Vice-chair
Dr. D.A. Rothon
Dr. L.F. Fredeen
Dr. K. Tupper (PhD)
SITTING (L to R):
Dr. D.J. Etches, Chair
Dr. A.C.H. Chan
cpsbc.ca 09
Drug programs
The College’s drug programs assist
physicians with the difficult task
of prescribing potentially addictive
medications for non-cancer pain
management with appropriate
caution. The Prescription Review
Program reviews and analyzes
physicians’ prescribing patterns
obtained through the province’s
PharmaNet database. The goal
of the program is to broaden the
dialogue with physicians about
prescribing challenges, and explore
alternatives for managing patients
with chronic pain. The Methadone
Maintenance Program specifically
focuses on prescribers who treat
patients with opioid dependence.
PRESCRIPTION REVIEW PROGRAM
113
79
8
new files opened
existing files closed
files were referred
to the Inquiry
Committee
Sponsored the Prescribers Course in BC
30 participants April 25
29 participants November 27
34 participants November 28
METHADONE MAINTENANCE PROGRAM
11 59
501
15,632
34
completed
peer practice
assessments
coroner’s cases
were reviewed where
methadone was a
cause or contributory
cause of death
total BC physicians have
an exemption to prescribe
methadone for opioid
dependence
total methadone
patients registered in the
Methadone Maintenance
Program
new applications
to be authorized
to prescribe
methadone for
opioid dependence
other exemptions:
39 for analgesia
7 for hospitalists
temporary exemptions
240
Figures calculated from March 1, 2014 to February 28, 2015
Quality assurance
programs to ensure
competence
10 College of Physicians and Surgeons of British Columbia 2014/15 Annual Report
Accreditation
programs
The College also administers two
programs that accredit all of BC’s
diagnostic and private medical/
surgical facilities. The College’s
programs establish accreditation
and performance standards,
procedures and guidelines to
ensure the delivery of high-quality
health system services.
NON-HOSPITAL MEDICAL AND SURGICAL FACILITIES PROGRAM
DIAGNOSTIC ACCREDITATION PROGRAM
3
64
14
56,724
34%
283
385
129
18
new private
medical/surgical
facilities opened
in BC
private medical/
surgical facilit ies
operate in BC
11 received four-year terms
3 received one-year term
private medical/surgical
facilities were accredited
as part of their four-year
accreditation cycle
procedures were
performed in private
medical/surgical facilities
across BC
686
cpsbc.ca physicians are authorized
by the College to provide
medical services in one
or more private medical/
surgical facilities
of procedures performed
(excluding laser refractive eye
surgery) were contracted from
a health authority and/or third
party (e.g. WorkSafeBC, ICBC)
private diagnostic
facilities operate
in BC
public diagnostic
facilities operate in BC
site surveys were
completed involving 319
different modalities and
disciplines
initial assessments
were performed for new
facilities
11
Opening pathways to registration
for internationally trained family
physicians
In 2014/15, the College collaborated with the
Joint Standing Committee on
Rural Issues
comprised of representatives from the provincial
government and Doctors of BC, the University of
British Columbia’s Faculty of Medicine’s Division of
Continuing Professional Development (CPD), the
health authorities and Health Match BC to develop
British Columbia’s first Practice Ready Assessment
Program (PRA-BC) for internationally trained family
physicians.
THE PRACTICE READY ASSESSMENT STEERING COMMITTEE
Quality assurance
programs to ensure
competence
SITTING (L TO R):
Dr. R.F. Andrew, PRA-BC
Dr. A.W. Ruddiman, Doctors of BC
Dr. M. Yakimov, Interior Health
Dr. P.M. Davis, PRA-BC
12 College of Physicians and Surgeons of British Columbia STANDING (L to R):
Mr. J. Orobko, PRA-BC
Dr. A.J. Burak, College of Physicians and Surgeons of BC
Dr. S.T. Sorokan, UBC CPD
Mr. J. Mabbott, Health Match BC
2014/15 Annual Report
Candidates who successfully complete the PRA-BC program may be eligible to
apply for provisional registration and work under the sponsorship of a health
authority and a supervising physician in a designated community practice in BC.
The program requires a three-year return-of-service commitment in rural BC.
STRATEGIC OBJECTIVE
Implement a practice ready assessment program for
internationally trained family physicians
INTENDED RESULT
Family physicians trained in other jurisdictions
benefit from a new pathway to obtain registration
and patients benefit from having more physicians in
practice
The inaugural PRA-BC program is expected to enable up to 30 additional family
physicians—who would not otherwise be eligible to practise in BC—an opportunity
to be registered and licensed for independent practice.
PRA-BC candidates must be registered and licensed in a new assessment class of
registration, which was approved by the provincial government in early 2015.
KEY DEVELOPMENTS IN 2014/15
Practice Ready Assessment Program
The interactive curriculum includes an initial two-and-a-half day orientation
focused on acculturation to Canada and examination preparation, followed by
three days of examinations. Successful candidates will then attend a two-day
integration program followed by a further nine-and-a-half days of orientation
to prepare them for a comprehensive 12-week competency-based clinical field
assessment in a designated BC community.
cpsbc.ca 13
Meeting with Health Minister
Lake
The Honourable Terry Lake, minister of health,
and Mr. Stephen Brown, deputy minister of health,
meet with College leaders to review and align
strategic priorities, and discuss opportunities
to modernize the health system through revised
legislative frameworks and improved information
management systems.
Effective communication
to enrich partnerships
14 College of Physicians and Surgeons of British Columbia (L to R):
Mr. S. Brown, Deputy Minister of Health
Hon. T. Lake, Minister of Health
Dr. H.M. Oetter, Registrar
Dr. W.R. Vroom, Sr. Deputy Registrar (retired 2015)
2014/15 Annual Report
In 2014/15, a number of opportunities were identified for the colleges to
collaborate on:
STRATEGIC OBJECTIVE
Promote public awareness of the important role regulation
plays in the safe delivery of health care
• developing a common framework and approach for notifying the public of
disciplinary actions
INTENDED RESULT
British Columbians understand the value and
importance of seeing qualified, regulated and
accountable health-care professionals
• building on a multimedia campaign to raise public awareness about
the importance of seeing a regulated health professional, and the risks
associated with unauthorized practice
• working with government to amend existing legislation to reflect a changing
landscape for regulators
• hosting educational workshops and programs for regulatory board members
and staff
KEY DEVELOPMENTS IN 2014/15
Sharing knowledge with other regulators
www.bchealthregulators.ca
In British Columbia, there are 26 regulated health professions governed by 23
colleges under the Health Professions Act, and one under the Social Workers Act.
The 26 health professions are incorporated under the Society Act and collectively
are referred to as the Health Profession Regulators of BC Society. The purpose
of the society is to collaborate on the development of common approaches to
core regulatory functions such as registration and licensing, handling complaints
from patients, quality assurance activities, and the development of professional
standards. The 23 colleges regulate more than 100,000 health professionals
across the province. The society held its first Annual General Meeting on January
14, 2015.
cpsbc.ca 15
STRATEGIC OBJECTIVE
Collaborate on initiatives with key health system partners
INTENDED RESULT
Collective efforts of partners result in improved
provincial structures and processes to support highquality physician services and ensure patient safety
KEY DEVELOPMENTS IN 2014/15
Quality patient-centred care
Another key aspect of the plan focuses on developing standardized programs to
assess and enhance physician performance. This work will continue over the next
three to five years.
STRATEGIC OBJECTIVE
Amend existing legislation to reflect modern-day realities and
enable effective regulation of the profession
INTENDED RESULT
Legislative frameworks are implemented to support the
College’s regulatory mandate of public protection
Systemic change
In 2014/15 the College continued its work with representatives from the health
authorities, Doctors of BC, Ministry of Health, and the BC Patient Safety & Quality
Council under the banner of the Physician Quality Assurance Steering Committee
(PQASC). The PQASC was established to develop a comprehensive, provincial
action plan to improve structures and processes to support high-quality physician
services. A significant output was a provincially standardized, consistent, and
electronically enabled approach to credentialing and privileging medical staff
in hospitals. The past year saw the completion of the consultation process for
developing privileging dictionaries for all hospital-based physicians. These
dictionaries identify discipline-specific privileges linked to competence, and will
be used by the health authorities to define a physician’s scope of practice.
Legislative change
As a regulator, the College can only be effective if it has appropriate legal tools.
In addition to the Health Professions Act and its Bylaws, the College’s regulatory
oversight is influenced by other statutes such as the Hospital Act and the
Medicare Protection Act. One of the projects under the PQASC was a review of
the existing provincial legislation to ensure it reflects current-day realities. The
College also participated in consultations regarding the new proposed Health
Information Management Act planned for 2016.
Effective communication
to enrich partnerships
16 College of Physicians and Surgeons of British Columbia 2014/15 Annual Report
Delivering quality with health
partners
Representatives from the Ministry of Health, the
College and the health authorities meet to discuss
a system-wide framework and approach for BC
physicians and other health professionals to engage
in quality assurance and quality improvement
activities to deliver successful patient outcomes.
SITTING (L TO R):
Ms. S. Hordiyuk, Island Health
Dr. R.D. Chapman, Northern Health
Dr. W.R. Vroom, College of Physicians
and Surgeons of BC
Mr. M. Russell, Vancouver Coastal Health
cpsbc.ca STANDING (L TO R):
Dr. R.G. Carere, Providence Health
Mr. R. Frechette, Ministry of Health
Dr. J.M. Etherington, Interior Health
Dr. H.M. Oetter, College of Physicians
and Surgeons of BC
Dr. R.H. Morton, Fraser Health
Mr. T. Patterson, Ministry of Health
Dr. M.C.J. Wale, Island Health
Dr. S.J. Gray, Provincial Health Services Authority
Ms. L. Reeves, Ministry of Health
17
Registration department
benefits from new information
management system
The Board continues to provide the necessary
resources to transition the College to an
electronically enabled organization. The ultimate
objective of this renewal is to ensure the College
has the most productive systems, processes and
people to deliver on its regulatory mandate.
A new information management system
streamlines the College’s application and
registration processes and improves the speed and
efficiency of paper-based processes.
Effective systems and
processes to enable
regulatory excellence
18 College of Physicians and Surgeons of British Columbia (L TO R)
Janelle Stutheit, Senior Administrative Assistant,
Registration Department
Joanne Matson, Compliance Monitor, Registration
Department
2014/15 Annual Report
STRATEGIC OBJECTIVE
Enhance operational efficiency
STRATEGIC OBJECTIVE
Practice good governance
INTENDED RESULT
Streamlined processes are supported by the right
technology and people to maximize efficiencies
INTENDED RESULT
Stakeholders have confidence that the Board is setting
direction, making the right decisions and governing the
profession with transparency and equity, and according
to legislative requirements
KEY DEVELOPMENTS IN 2014/15
Enhancing automation
KEY DEVELOPMENTS IN 2014/15
Best practices in governance
The implementation of a single web-based solution will enable full integration
and information sharing between the College’s departments and functions,
and other organizations such as health authorities and the Ministry of Health.
Through enhanced automation of current paper-based business processes—e.g.
registering new physicians, processing requests for certificates of professional
conduct, and managing complaint files—the College expects to realize
efficiencies, enhanced security of records, and improved opportunities to monitor,
analyze and report on performance measures.
According to the United Nation’s definition, good governance is participatory,
consensus-oriented, accountable, transparent, responsive, effective and efficient,
equitable and inclusive, and follows the rule of law. The Board embraces these
principles and commits to ongoing development by employing best practices in
risk management, committee structure, governance policy development, strategic
planning, and board evaluation. This past year, the Board reviewed all of its
committee terms of reference to ensure the composition of each was appropriate,
and the mandate clearly articulated. The Board also made recommendations to
amend certain sections of the Bylaws to improve the reporting structure of its
quality assurance committees. These amendments will be implemented in the
next fiscal year.
cpsbc.ca 19
Registering competent physicians
The College has legislated registration requirements that must be met before a physician can obtain
a licence to practise medicine in British Columbia. Before making a decision, the College carefully
reviews an applicant’s credentials including education, training, and relevant practice experience.
Applications from physicians seeking registration with the College are reviewed by the registration
department. Physicians who do not meet all of the requirements for obtaining registration in the full
class for independent practice may be eligible for provisional registration, which permits them to
practise medicine with restrictions granted by the Registration Committee.
HEALTH PROFESSIONS REVIEW
BOARD (HPRB)
Registration matters 2014/15
228
2
3
reviewable registration decisions
issued by the Registration
Committee
applications for review of a
decision by the Registration
Committee were filed
applications for review of a decision
by the Registration Committee were
dismissed
Note: A dismissal includes applications voluntarily withdrawn
by the applicant and applications formally dismissed by the
HPRB following mediation and/or a written hearing.
A year in
review
Pursuant to the Health Professions Act, a registrant or
an individual seeking to become a registrant may apply
to the HPRB for a review of a decision of the Registration
Committee (reviewable registration decisions) within 30
days of the day on which written notice of the decision
was delivered.
All of the decisions made by the Health Professions
Review Board can be found at www.hprb.gov.bc.ca.
20 College of Physicians and Surgeons of British Columbia 2014/15 Annual Report
Registration statistics
2013
2014/15
TOTAL REGISTRANTS
(licensed for independent practice)
12,517
11,574
5,942
5,632
M 8,035
F 4,482
PROFESSIONALLY ACTIVE
are professionally
active in BC
GENERAL PRACTITIONERS
MEDICAL STUDENTS
1,201
1,163
M 585
F 616
RESIDENTS
M 551
F 612
M 3,516
F 2,426
2014: 360
2013: 365
2012: 360
POST GRADUATE FELLOWS
M 3,857
F 1,775
162
TOTAL REGISTRANTS
(licensed for independent practice)
12,784
11,361
5,875
5,486
M 8,390
F 4,394
PROFESSIONALLY ACTIVE
were professionally
active in BC
GENERAL PRACTITIONERS
Total number of new residents
at UBC medical school in:*
SPECIALISTS
Figures calculated as of February 28, 2015
EDUCATIONAL REGISTRANTS IN 2014/15
M 111
F 51
* Figures calculated based on UBC calendar year
M 3,533
F 2,342
SPECIALISTS
M 3,825
F 1,661
Figures calculated as of December 31, 2013
11,574
professionally active registrants in 2014/15
cpsbc.ca 21
11,574 professionally active registrants obtained their medical degree from the following countries
COUNTRY
Canada South Africa United Kingdom India Ireland United States Iran
Pakistan Australia China Poland Egypt Nigeria Other* Germany New Zealand Romania Russia Philippines Ukraine Taiwan
Netherlands Antilles Grenada Jamaica Bulgaria Dominica Argentina Mexico Colombia Uganda Czech Republic Iraq Netherlands Bangladesh Belgium F
3,203
222
136
81
68
79
44
23
30
26
24
10
7
18
10
7
23
17
13
12
3
2
6
2
5
3
6
3
4
2
2
2
6
3
2
M
4,967
713
472
172
152
131
46
61
53
52
32
42
40
25
29
31
8
14
17
10
17
17
12
14
10
12
8
11
8
10
9
9
5
7
8
TOTAL
8,170
935
608
253
220
210
90
84
83
78
56
52
47
43
39
38
31
31
30
22
20
19
18
16
15
15
14
14
12
12
11
11
11
10
10
COUNTRY
Brazil France Israel Singapore Zimbabwe Viet Nam Chile Hungary Libya
Spain Sri Lanka Yugoslavia Austria Cayman Islands Sweden Croatia Ghana Saint Kitts and Nevis
Saudi Arabia South Korea
Syrian Arab Republic Trinidad and Tobago Belarus Bosnia and Herzegovina Democratic Republic of Congo
Italy Lebanon Montserrat Slovakia Turkey Dominican Republic Fiji Guatemala Kenya Peru F
M
6
4
2
5
1
1
2
3
2
2
3
5
3
3
3
4
1
1
2
1
0
4
2
4
2
2
2
1
3
2
0
1
0
0
1
TOTAL
4
6
8
5
8
7
5
4
5
5
4
2
3
3
3
1
4
4
3
4
5
1
2
0
2
2
2
3
1
2
3
2
3
3
2
10
10
10
10
9
8
7
7
7
7
7
7
6
6
6
5
5
5
5
5
5
5
4
4
4
4
4
4
4
4
3
3
3
3
3
COUNTRY
Senegal Venezuela Zambia Aruba Belize Denmark Myanmar Paraguay Saint Lucia Afghanistan Albania Antigua and Barbuda Armenia Ethiopia Finland Georgia Greece Guyana Iceland Indonesia Jordan Kazakstan Kuwait Kyrgyzstan Macedonia
Madagascar Malaysia Moldova
Nepal Nicaragua Oman Puerto Rico Sudan Switzerland Thailand Grand Total
F
M
3
3
2
0
0
0
0
0
1
0
0
0
0
0
0
1
0
1
0
1
0
1
0
1
1
0
1
1
0
0
1
0
0
1
0
4,201
TOTAL
0
0
1
2
2
2
2
2
1
1
1
1
1
1
1
0
1
0
1
0
1
0
1
0
0
1
0
0
1
1
0
1
1
0
1
3
3
3
2
2
2
2
2
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
7,373 11,574
* Other includes registrants who received their medical degree from countries that are no longer recognized.
A year in
review
22 College of Physicians and Surgeons of British Columbia 2014/15 Annual Report
Age distribution
Specialties
-29
16
29
45
314
30-34
440
35-39
686
664
40-44
665
45-49
587
50-54
55-59
985
1,069
985
379
845
191
70-74
80+
920
514
60-64
75-79
821
647
65-69
455
66
16
3
PRIMARY SPECIALTY
GENERAL PRACTITIONERS / SPECIALISTS
MALE / FEMALE
171
106
TOTAL -29
1
754
30-34
1,350
35-39
1,486
40-44
1,507
45-49
1,632
50-54
1,583
55-59
1,364
60-64
1,036
65-69
521
70-74
187
75-79
109
80+
44
45
463
291
754
622
728
640
687
1,350
1,507
820
957
675
632
566
470
1,486
846
732
732
851
1,632
1,583
1,364
1,036
273
248
69
521
187
118
38
71
109
TOTAL 11,574
11,574
Figures calculated as of February 28, 2015
5,632
4,201
Specialists
Female
7,373
Male
cpsbc.ca Anatomical Pathology
Anesthesiology
Cardiac Surgery
Dermatology
Diagnostic Radiology
Emergency Medicine
General Pathology
General Surgery
Hematological Pathology
Internal Medicine
Medical Biochemistry
Medical Genetics
Medical Microbiology
Medical Oncology
Neurology
Neuropathology
Neurosurgery
Nuclear Medicine
Obstetrics and Gynecology
Ophthalmology
Orthopedic Surgery
Other*
Otolaryngology
Pediatrics
Physical Medicine and Rehabilitation
Plastic Surgery
Psychiatry
Public Health and Preventive Medicine
(Community Medicine)
Radiation Oncology
Urology
Vascular Surgery
94
519
18
69
354
167
81
283
23
1,016
13
14
31
87
129
4
47
8
289
215
259
143
96
413
84
94
825
53
Grand Total
5,632
72
99
33
* Other includes registrants performing only a
subspecialty or physicians with multiple primary
specialties whereby a dominant primary specialty
could not be determined.
5,943
General practitioners
23
Distribution of professionally active registrants
DISTRICT 1 ­
Vancouver Island, South
DISTRICT 2
Vancouver Island, Central and Northern
DISTRICT 3 ­
Vancouver and surrounding area
DISTRICT 4 ­
Fraser
DISTRICT 5 ­
Thompson-Okanagan
DISTRICT 6 ­
Kootenays
DISTRICT 7
DISTRICT 4
GPs
1,495
Specialists 1,235
Total 2,730
DISTRICT 7 ­
Northern
DISTRICT 1
GPs
707
Specialists 587
Total 1,294
OTHER ­
Licensed in BC and
another jurisdiction
GPs
95
Specialists 99
Total 194
Figures calculated as of February 28, 2015
GPs
432
Specialists 191
Total 623
DISTRICT 2
GPs
550
Specialists 322
Total 872
DISTRICT 3
GPs
1,709
Specialists 2,502
Total 4,211
DISTRICT 5
GPs
701
Specialists 593
Total 1,294
DISTRICT 6
GPs
253
Specialists 103
Total 356
A year in
review
24 College of Physicians and Surgeons of British Columbia 2014/15 Annual Report
HIGHLIGHTS FOR THE YEAR
INTERNATIONAL MEDICAL GRADUATES (IMGs)
2014
GENERAL
PRACTITIONERS
SPECIALISTS
TOTAL IMGs
PRACTISING
IN BC
1,826
1,578
3,404
Figures calculated as of February 28, 2015
2013
M 1,222
F 604
M 1,184
F 394
1,815
1,558
3,373
Figures calculated as of December 31, 2013
For the purposes of the Annual Report, an international medical graduate is determined
by the jurisdiction where the medical degree was obtained, not by country of birth.
3,404
182
119
100
106
81
42
IMGs applied for registration
in BC
new IMG applicants were granted
provisional registration
new IMG applicants were granted
full registration
IMGs previously on the provisional
register were advanced to the full
register
IMGs were licensed to become
clinical trainees*
IMGs entered into a residency
training program**
* About Clinical Trainees
Clinical trainees are IMGs who are not eligible for registration.
The clinical trainee licence serves as a bridge allowing IMGs
to observe and learn in a practice setting under a physician’s
direct supervision. The goal is to provide IMGs with an informal
educational experience, allow them to become familiar with the
provincial medical system and gain a competitive advantage
when applying for a residency program to eventually pursue a
licence for independent practice.
Total IMGs practising in BC 2014/15
**Figures calculated based on UBC calendar year.
cpsbc.ca 25
Addressing patient
concerns
Concerns brought to the attention of the College are
initially categorized as matters of clinical performance,
physician conduct, boundary violations, which may
include sexual misconduct or a variety of other
breaches such as inappropriate self-disclosure or dual
relationships, or a physician’s fitness to practise.
The Inquiry Committee conducts a thorough
investigation to determine whether the allegations
presented have been proven. If the committee is critical
of a physician on the basis of its review, there are three
options for resolution, depending on the seriousness of
the concern:
1.Informal resolution through correspondence,
interviews, and/or educational activities
2.Formal consequences short of discipline, including
reprimands and practice limitations
3.Referral to the registrar with direction to issue a
citation and commence disciplinary proceedings
HEALTH PROFESSIONS REVIEW BOARD (HPRB)
Complaint dispositions 2014/15
COMPLAINTS
DISPOSED
(BY ISSUED
DISPOSITION)
THE INQUIRY
COMMITTEE
737
92
final dispositions
notices of a delay in the
completion of the investigation
THE HPRB OPENED
91
4
applications for review of a
final disposition of the Inquiry
Committee
applications for review of a delay in
the completion of the investigation
THE COLLEGE RECEIVED THE FOLLOWING
FINAL DECISIONS FROM THE HPRB WITH
RESPECT TO INQUIRY COMMITTEE MATTERS
76
33
confirmations of the Inquiry
Committee disposition
dismissals of an application for review
of an Inquiry Committee disposition
Note: A dismissal includes applications voluntarily withdrawn
by the applicant and applications formally dismissed by the
HPRB following mediation and/or a written hearing.
0
3
remittals back to the Inquiry
Committee for reconsideration
orders relating to the completion of a
delayed investigation
Pursuant to the Health Professions Act, a complainant has the right to take complaint dispositions of
the Inquiry Committee to the HPRB within 30 days of the day on which written notice of the disposition is
delivered to the complainant for two reasons: 1) if they wish to appeal the decision of the Inquiry Committee
(reviewable IC dispositions); 2) if the Inquiry Committee does not conclude the complaint within the
legislated time frame (delayed investigations).
A year in
review
26 College of Physicians and Surgeons of British Columbia All of the decisions made by the Health Professions Review Board can be found at www.hprb.gov.bc.ca.
2014/15 Annual Report
Complaint statistics
COMPLAINTS RECEIVED
88 3
415 25 127 955
Clinical
Conduct
Boundary
Review of Practice
TOTAL
COMPLAINT FILES CONCLUDED
BY THE INQUIRY COMMITTEE
06 5
333 12 55 906
cpsbc.ca Clinical
Conduct
Boundary
Review of Practice
TOTAL
COMPLAINTS CONCLUDED (BY DISPOSITION)
COMPLAINTS CONCLUDED (BY SUB-CATEGORY)
Clinical
Case Management
Consent
Diagnosis
Documentation
Prescribing
Surgical Complication
Clinical - Other Treatment Complication
Undefined
506
206
16
88
1
115
40
40
0
Conduct
Advertising
Breach of Confidentiality
Communication
Conduct - Other Concern
Conflict of Interest
Discrimination / Access to Care
Medical Records and Third Party Medical Reports
Practice Management
Undefined
333
16
11
111
30
7
34
81
43
0
Boundary and Other
Boundary - Other
Spoken / Written Communication
Physical Contact
Relationship
Criminal / Quasi-Criminal
12
3
0
7
1
1
Review of Practice
55
500 No (or very minor) Criticism
33(6) (a) & 32(3) (c)
365 Criticism
303 Remedial / Educational
33(6) (b) and 32(3) (c)
57 Remediation by Consent / Reprimand
33(6) (c)
5 Citation Issued
33(6) (d)
14 3 Abandoned / Withdrawn
Dismissed by Registrar
32(3) (a) and 32(3) (b)
24
Internal Transfer of File
906
TOTAL
Figures calculated from March 1, 2014 to February 28, 2015
27
Statement of operations
The complete audited financial statements can be
found on the College website www.cpsbc.ca.
YEAR ENDED FEBRUARY 28, 2015, WITH COMPARATIVE INFORMATION FOR 2014
2015
2014
REVENUE
Annual registrant and incorporation fees
$ 19,395,469 Accreditation fees
4,099,661 Investment income (note 7)
988,774 Rental revenue (note 8)
918,397 Application and incorporation setup fees
738,536 Grants
465,000 Other income
366,791 Penalties, fines and costs
162,481 Assessment income
131,271 Preliminary assessment fees
130,800 Medical directory and provider registry
106,310 27,503,490 $ 18,549,334
4,021,367
635,111
814,723
594,475
465,000
422,512
268,613
177,558
93,420
61,951
26,104,064 EXPENSES
Salaries and benefits
13,351,673 Assessments, accreditations and reviews
2,054,444 Amortization
1,678,865 Information technology
1,312,642 Occupancy costs
1,299,912 Board and committees
1,125,168 Professional fees
927,271 Miscellaneous
594,439 Office
519,916 Grants and contributions
488,310 Bank charges and credit card fees
442,529 Library resources
374,319 Annual meeting, travel and training
352,078 Publications and website
156,336 24,677,902 12,915,162
1,931,992
1,284,354
619,086
1,210,319
1,177,807
933,958
598,986
532,587
599,263
409,668
312,326
329,044
231,750
23,086,302
2,825,588 (39,049)
371,000 $ 3,157,539 3,017,762
151,061
(3,216,000)
$ (47,177)
Excess of revenue over expenses before undernoted
Unrealized (loss) gain on Investments
Pension transfer recovery (cost) (note 6 (b))
EXCESS (DEFICIENCY) OF REVENUE OVER EXPENSES
Operations and
administration
28 College of Physicians and Surgeons of British Columbia 2014/15 Annual Report
Expenditures by function 2014/15
Registration
$2,863,000
Non-Hospital Medical and Surgical
Facilities Program (NHMSFP)
$1,051,000
EXPENDITURES BY FUNCTION
Diagnostic Accreditation Program (DAP)
$2,928,000
Physician Practice
Enhancement
Program (PPEP)
$2,029,000
Library Service
$1,594,000
YEAR ENDED FEBRUARY 28, 2015
Communications,
Publications and Website
$1,011,000
Complaints
$2,711,000
$24.7M
Non-Hospital Medical and Surgical
$1,051,000
Facilities Program (NHMSFP)
Diagnostic Accreditation Program (DAP)
2,928,000
Communications, Publications and Website
1,011,000
Complaints
2,711,000
Monitoring and Physician Health
749,000
Drug Programs
1,124,000
Operations and General Administration
4,845,000
Board and Executive
532,000
Grants and Contributions
488,000
Legal 2,752,000
Library Service
1,594,000
Physician Practice Enhancement Program (PPEP) 2,029,000
Registration
2,863,000
Legal
$2,752,000
Grants and
Contributions
$488,000
Board and Executive
$532,000
cpsbc.ca Monitoring and
Physician Health
$749,000
$24,677,000
Allocations of expenditures by function are unaudited figures
Drug Programs
$1,124,000
Operations and General Administration
$4,845,000
29
Lifelong learning
2014 EDUCATION DAY
The College provides workshops and courses on a variety of topics to assist
physicians in their ongoing education, including:
A health-care system purpose built for all
patients: elusive pipe dream or emerging
reality?
• boundaries, ethics and professionalism
• prescribing for chronic pain
• methadone prescribing
• medical record keeping
• online research tutorials
Up-to-date clinical information
The College library is a prime source of reliable clinical information to support
physicians in their practice. Each year, College librarians respond to more than
12,000 research and reference requests from physicians. All specialties are
represented among library users, from anatomical pathologists to urologists.
Physicians in general/family practice, psychiatry and internal medicine contact
the library most frequently.
The 2014 Education Day was held on Friday, September 26 at the Vancouver
Convention Centre. The day focused on the challenges and obstacles in the
health-care system, and compelling reasons for driving change, including
examples of physicians engaged in evidence-based initiatives that are
improving care delivery for patients and practitioners.
PLENARY PRESENTERS
D. Douglas Cochrane, MD, FRCSC
Chair and Provincial Patient Safety & Quality Officer
BC Patient Safety & Quality Council
Ross Berringer, MD D(ABEM), MCFP(EM)
Physician Risk Manager
Canadian Medical Protective Association
Steven Lewis
President, Access Consulting Ltd.
Adjunct Professor of Health Policy, Faculty of Health
Sciences, Simon Fraser University
Guiding the
profession
30 College of Physicians and Surgeons of British Columbia 2014/15 Annual Report
Providing support
EXCELLENCE IN MEDICAL PRACTICE
The College services representatives answer more than 200 calls a day from physicians and
members of the public inquiring about the College’s professional standards and guidelines,
registration and complaints processes, physician contact information, and other related topics.
The College’s medical staff offers advice to physicians in all areas of practice such as ethics and
professionalism, and statutory compliance.
Every year the College Board, through a peer
nominations process, recognizes outstanding physicians
who have made an exceptional contribution to the
practice of medicine in teaching, research, clinical
practice, administration or health advocacy. The
recipients are presented with an Award of Excellence in
Medical Practice at the annual president’s dinner.
Ethics and professionalism
The College supports physicians by developing relevant professional standards and guidelines that
address key areas of practice, and respond to existing or emerging issues and topics.
New or updated standards and guidelines in 2014/15
NEW
• Disclosure of Adverse or Harmful Events
2014 AWARD RECIPIENTS
Oscar G. Casiro, MD, FRCPC – Victoria
Noel Donnelly, MD, FRCSC – Williams Lake
L. Jean Hlady, MD, FRCPC – Vancouver
Robin R.R. Love, MD, FCFP – Nanaimo
• Disclosure of Patient Information to Law Enforcement Authorities
• Injection of Botulinum Toxin, Dermal Fillers and Venous Sclerotherapy
• Medical Records
UPDATED
• Job Shadowing/Observing
• Promotion and Sale of Products
• Reporting a Child in Need of Protection
(L TO R):
Dr. R.R.R. Love
Dr. L.C. Jewett, President
Dr. N. Donnelly
Dr. O.G. Casiro
Absent: Dr. L.J. Hlady
cpsbc.ca 31
FRONT ROW (L TO R):
Dr. D.M.S. Hammell
Dr. L.C. Jewett, President
Dr. H.M. Oetter, Registrar
Dr. M. Corfield (DM)
SECOND ROW (L TO R):
Dr. A.I. Clarke, Treasurer
Dr. M.J. Murray
Dr. M.A. Docherty
Mr. W.M. Creed
Ms. J.N.Y. Choi
Dr. D.J. Etches
THIRD ROW (L TO R):
Ms. V. Jenkinson
Dr. G. Parhar
Dr. J.G. Wilson
Dr. N.D. James
Dr. J.R. Stogryn
Ms. L. Charvat
Dr. A.M. McNestry
BACK ROW (L TO R):
Mr. S.S. Gill
Dr. G.A. Vaughan, Vice-president
Mr. M. Epp
Dr. P.D. Rowe
Mr. G. Keirstead
Absent: Dr. A.J. Burak
32 College of Physicians and Surgeons of British Columbia 2014/15 Annual Report
College Board
The College is governed by a board of 10 peer-elected physicians and five public
representatives appointed by the Ministry of Health. The daily operations of the
College are administered by the registrar and other medical and professional staff.
College leadership
Board members in 2014–2015
Officers
Elected Members
Appointed Public Members
Dr. L.C. Jewett (President)
Dr. G.A. Vaughan (Vice-president)
Dr. A.I. Clarke (Treasurer)
District 1:
Dr. D.M.S. Hammell
District 2:
Dr. G.A. Vaughan
District 3:
Dr. D.J. Etches
Dr. N.D. James
Dr. G. Parhar
District 4:
Dr. A.I. Clarke
Dr. J.R. Stogryn
Ms. L. Charvat
Ms. J.N.Y. Choi
Dr. M. Corfield (DM)
Mr. W.M. Creed, FCA
Mr. S.S. Gill
Ms. V. Jenkinson
District 5:
Dr. M.A. Docherty
District 6:
Dr. L.C. Jewett
District 7:
Dr. P.D. Rowe
Registrar
Dr. H.M. Oetter
Deputy Registrars
Dr. A.J. Burak
Dr. A.M. McNestry
Dr. M.J. Murray (joined 2015)
Dr. W.R. Vroom (retired 2015)
Dr. J.G. Wilson
Chief Legal Counsel
Mr. G. Keirstead
Chief Operating Officer
Mr. M. Epp
cpsbc.ca 33
College committees
The Board establishes standing committees made up of board members, medical professionals and public representatives
who review issues and provide guidance and direction to the Board and College staff, ensuring a balanced and equitable
approach to medical self-regulation.
Executive Committee
Registration Committee
Dr. L.C. Jewett6¥
Dr. G.A. Vaughan6i
Dr. A.I. Clarke6
Dr. D.J. Etches6
Ms. L. Charvat6u
Dr. M. Corfield (DM)6u
Dr. M. Corfield (DM)6u¥
Dr. A.I. Clarke6i
Dr. P.D. Rowe6
Dr. M.A. Docherty6
Dr. O.G. Casiro
Ms. C. Evansu
Mr. W.M. Creed, FCA6uR
Dr. A.I. SearR
Finance and Audit Committee
Dr. A.I. Clarke6¥
Mr. S.S. Gill6ui
Dr. L.C. Jewett6
Dr. G.A. Vaughan6
Dr. D.J. Etches6
Mr. W.M. Creed, FCA6u
Ms. S. Mehinagic, FCAu
Ms. V. Jenkinson6uR
Dr. M.A. Docherty6R
Inquiry Committee
Panel A
Dr. L.C. Jewett6¥
Dr. G.A. Vaughan6i
Ms. L. Charvat6u
Dr. M. Corfield (DM)6uR
Dr. M.A. Docherty6R
Panel B
Dr. P.D. Rowe6¥
Dr. J.P. Pawlovichi
Dr. M. Corfield (DM)6u
Dr. B.M. Bagdan
Dr. T.A. Fera
Dr. F.M. Sutter
Dr. M.D. Carter
Ms. P. Bowlesu
Ms. P.A. McDonaldu
Ms. S. Mehinagic, FCAu
Ms. L. Charvat6uR
Dr. J.R. Stogryn6R
Panel C
Dr. N.D. James6¥
Dr. G. Parhar6i
Dr. B.A. Fleming
Dr. R.A. Irvine
Mr. M.A. MacDougallu
Ms. J.N.Y. Choi6u
Mr. W.M. Creed, FCA6u
Ms. V. Jenkinson6uR
Dr. A.I. Clarke6R
Panel D
Dr. D.J. Etches6¥
Dr. A.I. Seari
Ms. V. Jenkinson6u
Dr. M. Corfield (DM)6uR
Dr. J.R. Stogryn6R
Panel E
Dr. G.A. Vaughan6¥
Dr. J.R. Stogryn6i
Ms. V. Jenkinson6u
Mr. W.M. Creed, FCA6uR
Dr. G. Parhar6R
As of February 28, 2015
Guiding the
profession
34 College of Physicians and Surgeons of British Columbia 2014/15 Annual Report
LEGEND
Board member
Chair
iVice-chair
u Public representative
R Alternate
6
¥
Quality Assurance Committee
Ethics Committee
Prescription Review Committee
Dr. M.A. Docherty6¥
Dr. D.M.S. Hammell6i
Mr. S.S. Gill6u
Ms. C. Evansu
Dr. G. Parhar6¥
Dr. M.A. Docherty6i
Dr. R. Drabkin
Dr. M.W.H. Suen
Ms. L. Charvat6u
Mr. S. Kuiacku
Dr. N.D. James6¥
Dr. E.R. Turskii
Dr. S.J. Horsfall
Dr. D.G. Hunt
Dr. J.R. Kennedy
Dr. S.H. Lu
Dr. D.M. McGregor
Non-Hospital Medical and Surgical
Facilities Program Committee
Dr. A.I. Clarke6¥
Dr. P.D. Rowe6i
Mr. S.S. Gill6u
Dr. J.S. Arneja
Dr. N.J. Carr
Ms. T. Collins
Ms. C. Evansu
Dr. A. Giligson
Dr. J.M. Leith
Dr. J.J. Marsden
Dr. R.L. Preston
Dr. K. Seethram
Ms. B. Willson, RN
cpsbc.ca Methadone Maintenance Committee
Diagnostic Accreditation Program
Committee
Dr. D.J. Etches6¥
Dr. R.S. Joei
Dr. A.C.H. Chan
Dr. L.F. Fredeen
Dr. D.A. Rothon
Dr. K. Tupper (PhD)
Dr. J.C. Heathcote¥
Dr. G.A. Vaughan6i
Mr. W.M. Creed, FCA6u
Dr. V.J. Astrope
Dr. M.J. Murray
Dr. T.F. Ward
Ms. J. Crickmore (ex-officio member)
Dr. A.I. Clarke6R
Ms. V. Jenkinson6uR
Medical Practice Assessment
Committee
Dr. J.R. Stogryn6¥
Dr. R.A. Bakeri
Dr. B.H. Chang
Dr. M.A. Dahl
Dr. M.J. Fahy
Dr. E.E. Payne
Dr. C.M.G. Penn
Dr. H.A. Slakov
Blood Borne Communicable Diseases Committee
Dr. M. Krajden¥
Dr. J.R. Stogryn6i
Dr. V.C. Montessori
Dr. B.J.F. Henry
Dr. A. Ramji
Dr. H.G. Stiver
35
LEGEND
Board member
Chair
iVice-chair
u Public representative
R Alternate
6
¥
Library Committee
Ms. V. Jenkinson6u¥
Dr. P.D. Rowe6i
Dr. B. Jurenka
Dr. T. Kope
Dr. J.M. Bradley
Patient Relations Committee
Dr. J.R. Stogryn6¥
Ms. V. Jenkinson6ui
Dr. D.M.S. Hammell6
Discipline Committee
Physician Members
Dr. P.A. Mitenko¥
Dr. N.J. Byrne
Dr. C. Chan-Yan
Dr. P.T. Gropper
Dr. C.S. Johnston
Dr. D.M. MacRitchie
Dr. D.M. Petrunia
Dr. T.K. Sidhu
Legal Members
Ms. M. Baird
Mr. E.D. Crossin, QC
Mr. R.W. Hunter
Ms. K.F. Nordlinger, QC
Ms. J.P. Whittow, QC
Ms. A.R. Westmacott, QC
Public Members
Ms. J. Clarke
Ms. C. Evans
Mr. M.A. MacDougall
Mr. S. Kuiack
Guiding the
profession
36 College of Physicians and Surgeons of British Columbia
2014/15 Annual Report
College departments and contacts
Office of the Registrar
Dr. H.M. Oetter, Registrar
Registration
Dr. A.J. Burak, Deputy Registrar
Ms. C. de Bruin, Director
Complaints and Practice
Investigations
Dr. J.G. Wilson, Sr. Deputy Registrar
Mr. B. Fishbook, Director
Monitoring and Drug Programs
Dr. A.M. McNestry, Deputy Registrar
Dr. J. Agnew (PhD), Director
Quality Assurance and Practice
Assessments
Dr. W.R. Vroom, Sr. Deputy Registrar (retired 2015)
Dr. M.J. Murray, Deputy Registrar (joined 2015)
Ms. N. Castro, Director
Non-Hospital Medical and Surgical
Facilities Program
Dr. W.R. Vroom, Sr. Deputy Registrar (retired 2015)
Dr. M.J. Murray, Deputy Registrar (joined 2015)
Ms. P. Fawcus, Director
Diagnostic Accreditation Program
Dr. W.R. Vroom, Sr. Deputy Registrar (retired 2015)
Dr. M.J. Murray, Deputy Registrar (joined 2015)
Ms. H. Healey, Sr. Director
Legal Services
Mr. G. Keirstead, Chief Legal Counsel
Ms. S. Hellmann, Legal Counsel
Ms. S. Kanji, Legal Counsel
Mr. E. van Eck, Director (Investigations)
Operations
Mr. M. Epp, Chief Operating Officer
Ms. H. Ewart, Director
(Human Resources)
Mr. J. Pesklevits, Director
(Finance and Office Services)
Communications
Ms. S. Prins, Director
Records, Information and Privacy
Ms. J. Liu, Director
College Library
Dr. K. MacDonell (PhD), Director
Professional Medical Corporations
Mr. G. Keirstead, Chief Legal Counsel
As of February 28, 2015
cpsbc.ca 37
COLLEGE OF PHYSICIANS AND SURGEONS OF BRITISH COLUMBIA
300–669 Howe Street
Vancouver, BC V6C 0B4
cpsbc.ca
Telephone
Facsimile
Toll Free
College Library
604-733-7758
604-733-3503
1-800-461-3008
604-733-6671