A London, Ont., doctor who assessed a patient with inflammatory bowel disease and a history of mental health issues for MAID outside a Tim Hortons location and later personally drove the man to the place his life was ended has agreed to a minimum six months’ supervision.
In another case, Dr. James MacLean failed to administer one of three drugs used in assisted deaths — one that paralyzes the body’s muscles, including the muscles involved in breathing. The patient resumed spontaneously breathing again after initially being pronounced dead, and after MacLean had already left the home.
As first reported Monday by the The Globe and Mail, the doctor’s case is raising new concerns about MAID’s oversight and accountability.
“What is striking is not only the seriousness of the concerns identified in these cases, but the limited regulatory response,” said Dr. Ramona Coelho, a family physician and former member of the Office of the Chief Coroner of Ontario’s MAID death review committee.
As part of an investigation by the College of Physicians and Surgeons of Ontario (CPSO) into two public complaints made against MacLean, an independent assessor appointed to review a number of MacLean’s charts concluded that he “did not meet the standard of practice of the profession, displayed a lack of judgment and that his conduct exposes or is likely to expose patients to harm or injury in five out of twenty charts reviewed,” according to a summary decision of the college’s inquiries, complaints and reports committee.
MacLean was called before the committee to be verbally “cautioned” with respect to the MAID complaints.
In addition to agreeing to mandatory clinical supervision for at least six months as part of an “undertaking” with the college, MacLean will undergo ongoing review of his MAID patient charts and mandatory professional education related to MAID, consent, documentation, professional boundaries and professional behaviour.
Hellbound and Down 