Dr. Casey L. Tepperman – April 2019
This matter came before a panel of
the Discipline Committee of the College of Optometrists of Ontario this 15th
day April 2019, in Toronto, Ontario, at 9:50 a.m. at 65 St. Clair Ave. E.
- THE DISCIPLINE COMMITTEE FOUND that Dr.
Tepperman committed an act or acts of professional misconduct as provided
by subsection 51(1)(c) of the Health Professions Procedural Code (the
“Code”) being Schedule 2 to the Regulated Health Professions Act, 1991,
S.O. 1991 C.18, and defined in the following paragraphs:
- Dr. Tepperman failed to make or maintain Patient X’s health record in
accordance with applicable standards and College policies, in that he did not
record Patient X’s complete health and oculo-visual history between April 2008
and October 2016, including with respect to the finding of an iris nevus or any
associated clinical findings, despite numerous ocular examinations of Patient
X, contrary to paragraph 1.24 and part 4, sections 10(2)(4) and (6) of Ontario
Regulation 119/94 to the Optometry Act.
- Dr. Tepperman
failed to refer Patient X to an ophthalmologist for investigation when he
recognized or should have recognized a raised nevus on Patient X’s left eye iris,
contrary to paragraph 1.11 of Ontario Regulation 119/94.
- Dr. Tepperman failed to maintain the standard of
practice contrary to paragraph 1.14 of Ontario Regulation 119/94 in that he
failed to diagnose, appropriately record, adequately monitor, and/or refer
Patient X to an ophthalmologist for further investigation of an iris nevus.
- THE DISCIPLINE COMMITTEE ORDERED:
- Dr. Tepperman shall attend in person before the Panel of the Discipline
Committee to receive a public, verbal reprimand, a copy of which shall be
published on the College Register;
- Dr. Tepperman
shall participate in a College approved Practice Coaching Program at his
expense, as follows:
- Within 6 months of the date of the order Dr.
Tepperman shall participate in an initial 2-day session during which
the Practice Coach approved by the College shall conduct such
observation of and/or discussions relating to Dr. Tepperman’s practice
as they deem necessary relating to the diagnosis of ocular pathology,
including iris nevus, during eye examinations, and appropriate referral
and record-keeping practices;
- Dr. Tepperman shall participate in a further
half day session approximately 6 months after the initial meeting to
review Dr. Tepperman’s practices with respect to eye examinations,
appropriate referrals, and record-keeping practices;
- the Practice Coach shall report to the
Registrar confirming that the Practice Coaching has taken place to his
or her satisfaction.
- Dr. Tepperman shall pay $7,500 CDN as a contribution
towards the investigation and prosecution costs incurred by the College in this
At the conclusion of the hearing, Dr. Tepperman waived his right to appeal and the Discipline Committee delivered the reprimand.
Full Discipline decision and reasons to be posted when available.