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Findings

Charge Characteristics

Additional Orders

Commonly
Cited Cases


Precis

Decision Number: 97/5C
Practitioner: Name suppressed
Charge Characteristics: Inadequate notes or history
Inadequate follow-up care
Additional Orders: Doctor granted application to strike out a particular of the charge:  975chearpriminlaw
Doctor granted interim name suppression: 975chearpriminlaw
Doctor granted further interim order (effectively permanent as it was granted pending the determination of an appeal which was discontinued):  975cfindingsreasonslaw
Patient granted interim name suppression: 975chearpriminlaw
Patient granted further interim order (effectively permanent as it was granted pending the determination of an appeal which was discontinued):  975cfindingsreasonslaw
Granted application for private hearing: 975chearpriminlaw
Correction to the Order for privacy:  975chearpriminlaw
Decision: 975cfindingslaw
Decision with Reasons: 975cfindingsreasonslaw

 

Charge:  

A CAC charged the Doctor with conduct unbecoming a medical practitioner and that conduct reflects adversely on the practitioner's fitness to practise medicine in that in the course of his management of his patient he:

  1. Failed to take or obtain an adequate history and to take adequate notes of such in respect of the accident suffered by his patient.
  2. Failed to arrange for an x-ray examination of the patient's spine at the time of the initial assessment.

 

Background:

In the course of his employment the patient suffered an electric shock which caused him to fall backward off a platform. He fell seven feet onto a concrete floor. He landed on his back and hit his head.

 

Finding:  

The Tribunal found that the Doctor was not guilty of conduct unbecoming a medical practitioner which reflects adversely on his fitness to practise medicine.

The Tribunal found that the Doctor failed to take or obtain an adequate case history in failing to ascertain the height of the fall. The Tribunal regarded this as a significant omission but one which was understandable given his primary focus was on the electric shock. The Doctor admitted that his notes were insufficient. He subsequently changed his practice in relation to note taking.

The Tribunal found that the deficiencies identified on the part of the Doctor were not such as to reflect adversely on his fitness to practise medicine. They were not "so significant as to attract sanction for the purposes of protecting the public."

The Tribunal found that the second particular of the charge was not sufficient to found any disciplinary action against the Doctor. It was the Doctor's clinical responsibility to determine whether and when to carry out an x-ray examination of the patient's back. The fact the patient was x-rayed subsequently on the same day made little practical difference in the outcome of the patient's injury.

 

Appeal:

The CAC lodged an appeal of this decision with the District Court. The appeal was discontinued.