The Canadian Bar Insurance Association
Health

Review of discipline decision not available where right of appeal exists

Lonny Rosen
Elyse Sunshine

By Lonny Rosen and Elyse Sunshine 

In this blog post, we summarize this case, a recent decision from the Ontario Divisional Court. Although the case specifically involved a physician’s appeal of a referral for professional remediation when he was a medical student, its outcome has a much broader application. Specifically, the case reiterates a key principle that is relevant to anyone wishing to challenge the decision of an administrative body: in order to seek a remedy from the Divisional Court with respect to an administrative matter, a person must first exhaust all other avenues available in the administrative arena.

The case begins with an administrative decision from October 2015 where, as a student in a Faculty of Medicine, the physician was found to have demonstrated lapses in professional behaviour and was referred for remediation in professionalism by the Faculty of Medicine’s Board of Examiners (the Board). In the letter setting out its decision, the Board informed the physician of his right to appeal the decision to the Appeals Committee of the Faculty of Medicine. The physician initiated an appeal on Oct. 30, 2015, but after attending meetings with the vice-dean as part of the appeal process, he chose to do the remediation course and to discontinue his appeal.

After successfully completing the remediation and graduating from the Faculty of Medicine, the physician applied to the College of Physicians of Surgeons of Ontario (CPSO) for registration as a physician. In his application, the physician answered “No” in response to the following question: “Have you ever been put on probation or remediation by a medical school?” Having received contrary information from the university, the CPSO followed up and made inquiries into the matter. The physician was ultimately required to undergo a monitoring process by the CPSO.

In 2017, the physician made an application to the Divisional Court for judicial review of the Board’s decision in order “to clear his reputation amongst his medical colleagues”. Specifically, he sought to have the decision of the Board set aside, and asked that the court substitute its own decision that there was no finding of lapses in professional behaviour.

The university argued that the application should be dismissed on the grounds of “prematurity” – meaning that the court should not intervene on the basis that the physician had a right of appeal to the Appeals Committee of the Faculty of Medicine, and from that decision he had a further right of appeal to the Academic Appeals Committee of the Governing Council of the university, neither of which he had exercised before making the application for judicial review. The court agreed with the university’s position and dismissed the physician’s application in its entirety.

In its reasons, the court reiterated the general principle of administrative law that judicial review is a discretionary remedy, which will not be exercised when an applicant has not yet pursued all of the remedies and appeal routes available to them within the administrative regime. The principle is rooted in public policy, respect for parliamentary intention as set out in legislation, and deference to administrative tribunals. A court will only consider a judicial review application while administrative proceedings are still ongoing in exceptional circumstances (for example, where continuing with a proceeding until its conclusion and then participating in an internal appeal process would result in an unfair hearing or a breach of natural justice).

In the case at hand, the Divisional Court found that there was no evidence of exceptional circumstances that would permit it to exercise its discretion and hear the judicial review application. In addition to dismissing the application, the court ordered that the physician pay $20,000 in costs to the university.

Takeaways

As we stated at the outset, this case serves as an important reminder that judicial review or appeal to a court from an administrative decision is generally only available where the applicant has already taken advantage of all internal administrative appeal processes available to him or her. Where a medical student wishes to challenge a decision to be put on probation, for example, he or she may only apply to the Divisional Court of Ontario for review of that decision after pursuing all other rights of appeal available to him or her within the university.

There is another important takeaway from this case: professionals must never misstate information on an application for registration with a regulatory college! Had the physician in this case been forthright on his application to the CPSO, the fact that he had completed a remediation course during medical school would likely have had no further impact on his certificate of registration. However, the failure to disclose this information resulted in further difficulty for physician (monitoring by the CPSO during his residency, which had been completed before the hearing of his application).

Advice for health professionals: If you are applying for registration with a regulatory college and are unsure about how to answer certain questions on the application, it would be wise to seek legal advice before submitting the application.

Read More at Rosen Sunshine LLP Blog

To Read More Elyse Sunshine Posts Click Here
To Read More Lonny Rosen Posts Click Here
Lawyer Directory
BridgePoint Financial Services (post to 5.31.19)Toronto Lawyers Association (post to 6.30.19)MKD International (post until Sept. 30/19)Feldstein Family Law (post until May 31/19)Davidson Fraese (post until Sept. 31/19)Steve Rastin (post until Jan. 31/19)Benson Percival Brown - Flat Box Ad Unit - 300x125Leanne Townsend