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Tribunal Outcomes
Summaries of recent decisions of the Ontario Physicians and Surgeons Discipline Tribunal (OPSDT).

March 2025
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Below are summaries of recent decisions of the Ontario Physicians and Surgeons Discipline Tribunal (OPSDT).

For outcomes decided by the OPSDT over the past year, visit dialogue.cpso.on.ca/tribunal-outcomes. For more outcomes, please visit opsdt.ca

Dr. Sarah Elizabeth Cook - CPSO #86719
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Specialty: Family Medicine

On January 27, 2025, the Tribunal found that Dr. Cook engaged in disgraceful, dishonourable or unprofessional conduct by:

  1. prescribing medications for herself, including for controlled and/or monitored drugs, using the credentials of two colleagues without their knowledge or consent; and
  2. failing to maintain appropriate boundaries in her interactions with Patient A. 

Penalties:  

  1. Reprimand;
  2. Suspension for six (6) months commencing January 28, 2025 at 12:01 a.m.; and
  3. Terms, conditions and limitations placed on Dr. Cook’s certificate of registration. 

Read more about this outcome.

Dr. Charlie Bobby Guiang CPSO #75885
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Specialty: Family Medicine

On January 17, 2025, the Tribunal found that in or around 2010 or 2011, Dr. Guiang engaged in sexual abuse of Patient A during a medical appointment. 

 

Penalties: 

  1. Reprimand
  2. Revocation of Dr. Guiang’s certificate of registration effective January 18, 2025 at 12:01 a.m; and
  3. Reimbursement to the College of $17,940 for funding provided for therapy and counselling under s. 85.7 of the Health Professions Procedural Code and post security acceptable to the College to guarantee the payment of these amounts, by February 17, 2025. 

Read more about this outcome.

Dr. Kate Peiyin Zhang CPSO #113375
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Specialty: Family Medicine (Emergency Medicine)

On ​January 10, 2025, the Tribunal found that Dr. Zhang engaged in disgraceful, dishonourable or unprofessional conduct in that she inappropriately and without authorization or consent accessed the health records of approximately 700 individuals.  

 

Penalties:  

  1. Reprimand;
  2. Suspension for four (4) months commencing ​January 11, 2025​ at 12:01 a.m.  

Read more about this outcome.  

Dr. Shahab Nahvi CPSO #95512
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Specialty: Family Medicine

On November 15, 2024, the Tribunal found that Dr. Nahvi engaged in disgraceful, dishonourable or unprofessional conduct. 

 

Dr. Nahvi resigned from the College and has agreed never to apply or reapply for registration as a physician in Ontario or any other jurisdiction. 
 

Penalty: 

  1. Dr. Nahvi received a reprimand.   

Read more about this outcome.  

Dr. Koma Diryawish Israel CPSO #74647
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Specialty: Family Medicine

On November 6, 2024, the Tribunal found that Dr. Israel engaged in disgraceful, dishonourable or unprofessional conduct and committed sexual abuse of:

  • Patient A, by engaging in touching of a sexual nature including her genitals, kissing and hugging Patient A, and making remarks of a sexual nature.
  • Patient B, by engaging in touching of a sexual nature of Patient B’s breasts and making remarks of a sexual nature. 

The Tribunal further found Dr. Israel guilty of an offence relevant to his suitability to practice and conduct unbecoming a physician, having been found guilty of assault under section 266 of the Criminal Code of Canada. 

 

Additionally, the Tribunal found that Dr. Israel contravened a term, condition or limitation on his certificate of registration and engaged in disgraceful, dishonorable or unprofessional conduct by breaching his undertaking with the College by engaging in over 110 professional encounters with patients without the presence of a Practice Monitor. 

 

Penalties: 

  1. Reprimand;
  2. Revocation of Dr. Israel’s certificate of registration effective  November 7, 2024  at 12:01 a.m.; and
  3. Reimbursement to the College of $35,880 for funding provided for therapy and counselling under s. 85.7 of the Health Professions Procedural Code and post security acceptable to the College to guarantee the payment for these amounts, by  December 9, 2024. 

Read more about this outcome.  

Dr. Jennifer Margaret Armstrong CPSO #45901
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Specialty: No Specialty Reported

On October 31, 2024, the Tribunal found that Dr. Armstrong engaged in disgraceful, dishonourable or unprofessional conduct and contravened a term, condition or limitation on her certificate of registration by: 

  • between 2015 and 2023, on numerous occasions, failing to inform her patients’ family physician or certified specialist of all treatments she either initiated and/or changed; and
  • not responding to another physician about a mutual patient’s care in a timely manner. 

Penalties:  

  1. Reprimand
  2. Suspension for two (2) months commencing November 1, 2024; and
  3. Terms, conditions and limitations on Dr. Armstrong’s certificate of registration. 

Read more about this outcome.

Dr. Clarence Edwin Clottey CPSO #87620
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Specialties: Family Medicine; Public Health and Preventive Medicine

On October 22, 2024, the Tribunal found that Dr. Clottey: 

  • contravened a term, condition or limitation on his certificate of registration by performing a breast and pelvic examination on Patient A, and a pelvic examination on Patient B; and
  • committed sexual abuse of Patient B, including by engaging in touching of a sexual nature of Patient B’s genitals. 

The Tribunal further found that Dr. Clottey engaged in disgraceful, dishonourable or unprofessional conduct in that he: 

  • made inappropriate comments to Patients A and B; and
  • failed to maintain appropriate boundaries with Patient B. 

Penalties:  

  1. Reprimand;
  2. Revocation of Dr. Clottey’s certificate of registration effective October 23, 2024 at 12:01 a.m.; and
  3. Reimbursement to the College of $17,940.00 for funding provided for therapy and counselling under s. 85.7 of the Health Professions Procedural Code and to post security acceptable to the College to guarantee the payment for these amounts, by November 21, 2024.   

Read more about this outcome.  

Dr. Suganthan Kayilasanathan CPSO #94277 - Reinstatement Application
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Specialty: No Specialty Reported

On October 17, 2024, the Tribunal granted Dr. Kayilasanathan's application for reinstatement, with terms, and conditions placed on Dr. Kayilasanathan’s certificate of registration.

Read more about this outcome.  

Dr. Ayokunle Fagbemigun CPSO #99963 - Reinstatement Application
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Specialty: No Specialty Reported

On December 10, 2024, the Tribunal dismissed Dr. Fagbemigun’s application for reinstatement.  

 

Read more about this outcome.  

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