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Yang, Hao ("David") (Jul 30, 2023)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) conducted an investigation into the conduct of Hao (“David”) Yang (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”).

    The Inquiry Committee and the Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the HPA.

  2. Effective date: July 30, 2023

  3. Name of registrant: Hao “David” Yang

  4. Location of Practice: Victoria, BC

  5. Admissions and Acknowledgements: 

    The Inquiry Committee determined, and the Registrant acknowledged:

    1. That he obtained a patient’s phone number from the patient’s local profile on the pharmacy’s prescription software and used this information to contact the patient via Whatsapp for purposes unrelated to providing health care services, contrary to section 71 of the HPA Bylaws.

    2. The Registrant’s conduct breached sections 3C, 3D, 7B, 8A, 8D of the Code of Ethics, and the Code of Ethics Patient Relations Program Standard.

    3. The Registrant’s conduct was considered to be professional misconduct as defined by section 26 of the HPA.
       
  6. Disposition:

    The Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to terms that included (but not limited to) the following: 

    1. To pay a $3,500.00 fine;

    2. To be suspended as a registrant of the College for a period of ninety (90) days from September 15, 2023 to December 14, 2023;

    3. To complete and successfully pass an ethics course for healthcare professionals;

    4. To appear before the Inquiry Committee for a verbal reprimand after completing the ethics course; and
       
    5. To have a letter of reprimand placed permanently on the College register.
       
  7. Rationale:

    The Inquiry Committee considered that the Registrant’s conduct in the incident underscored an egregious impairment of judgment that could undermine the public’s trust.

    The Inquiry Committee determined that there did not appear to be a valid reason for the Registrant to contact the patient via WhatsApp and that the Registrant did not maintain a professional boundary with the patient. For these reasons, the Inquiry Committee considered that the Registrant’s actions constituted unethical conduct and therefore may be considered professional misconduct.

    The Inquiry Committee determined that the appropriate disposition should include serious progressive deterrents given the Registrant’s conduct in a previous investigation, and to also address the Registrant’s conduct of submitting contradictory statements.

    The Inquiry Committee considered the terms of the Consent Agreement necessary to protect the public, as well as send a clear message of deterrence to the profession. 

Pharmacist Registrant 52 (Jun 19, 2023)

The Inquiry Committee has reinstated the pharmacist registrant’s registration which had previously been suspended for an indefinite period on December 19, 2022. Pursuant to Section 32.2(4)(b)(i) of the Health Professions Act, the Inquiry Committee has reached a Consent Agreement with the pharmacist registrant whereby the pharmacist registrant consented to terms including, but not limited to, the following:

  1. To comply with any and all treatment plans as recommended by their medical providers.
     
  2. To comply with any and all work plans as advised by their medical providers and/or employers.

  3. To comply with every term of their Relapse Prevention Agreement (“RPA”).

  4. In the event of any interruption to the agreed monitoring schedule set out in the RPA, the registrant will advise the College of the interruption as soon as possible and provide an explanation for the interruption.

  5. To not handle or dispense opioid medications for a period of one (1) year after returning to practice; 

  6. To not work more than forty (40) hours per week for a period of 3-months after returning to work;

  7. The registrant will inform the College in writing, via e-mail, of their places of work as a pharmacist and report any changes to the location of their work within 48 hours of such change. A reportable change to the registrant’s place of work contemplates both commencement and termination of work.

  8. Prior to the commencement of work at any pharmacy, the registrant shall:
    1. Disclose to the pharmacy manager and/or employer the limits and conditions on their license pursuant to their Consent Agreement;
    2. Ensure that any pharmacy manager and/or employer with whom the registrant secures work in a pharmacy submits a written statement to the College declaring their awareness of the registrant’s Consent Agreement and the limits and conditions on the registrant’s license to practice pharmacy. This statement must be received within 48 hours of securing work and/or within 48 hours of any change of pharmacy manager at the registrant’s place of work.

The pharmacist registrant’s name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.


December 19, 2022
(June 19, 2023 - Registration Reinstated)

The Inquiry Committee, pursuant to s. 32.2(4)(b)(ii) of the Health Professions Act, has reached an Agreement with the pharmacist registrant to voluntarily suspend the registration as a pharmacist effective December 19, 2022. The Agreement remains in effect until further notice. The Inquiry Committee considers the Agreement necessary to protect the public. The pharmacist registrant's name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.

Kassam, Farah Shafikali (Apr 27, 2023)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) investigated a complaint about the practice of Farah Kassam (the “Registrant”), pursuant to section 33(1) of the Health Professions Act, R.S.B.C. 1996, C. 183 (“HPA”).
     

    The Inquiry Committee and the Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Order under section 37.1 of the HPA.

  2. Effective date: April 27, 2023

  3. Name of registrant: Farah Shafikali Kassam

  4. Location of Practice: Nanaimo, British Columbia 

  5. Admissions and Acknowledgements: 

    The College received a complaint from a former patient and employee of the Registrant regarding the dispensing of Opioid Agonist Treatment (“OAT”), removal of personal health records from the pharmacy, and making false representations on PharmaNet.

    In the course of the College’s investigation of the complaint, the Registrant admitted shortcomings in her practice but alleged that the complaint had been made in retaliation for the complainant’s loss of employment. The College considered that this was not mitigating due to the Registrant’s acknowledgement of most of the practice concerns raised by the College investigation.

    Before being hired as an employee, the complainant was a patient of the pharmacy owned and managed by the Registrant. The hiring of the complainant, who continued to be a patient, created a dual relationship and the potential for ethical concerns.

    Over the course of the complainant’s employment, ethical concerns arose, as the Registrant gave special treatment to the complainant with respect to the preparation and dispensing of the complainant's OAT in water rather than in Tang. The Registrant specifically admitted that she engaged in practices inconsistent with the OAT dispensing guidelines for approximately a year, without documenting her consultations with the prescriber or exercise of professional judgment.

    In addition, the Registrant admitted that the complainant’s PharmaNet records were inaccurate to the extent they continued to indicate the dispensing of OAT in Tang.

    Finally, the Registrant admitted creating an increased privacy risk by permitting the complainant to take home confidential personal health records of other patients so the complainant could work at home during the COVID-19 pandemic.

    The Registrant acknowledged that her conduct raises practice concerns in the following areas:

    1. HPA Bylaws, s. 74 (privacy);

    2. Pharmacy Operations and Drug Scheduling Act Bylaws, s. 35(1) (PharmaNet record to be kept current); and

    3. Code of Ethics – Standards 4a (privacy), 4b (confidentiality), 4c (confidentiality), 6f (professional boundaries), 7d (compliance generally), 7f (resist influence), 8a (conflict of interest), and 8d (dual relationships).
  6. Disposition:

    By Consent Order under s. 37.1 of the HPA, the Inquiry Committee ordered the Registrant to:

    1. receive a written reprimand which will be permanently placed in the College register from the effective date of the Consent Order; 

    2. undertake to not repeat the conduct to which this matter relates; 

    3. undertake to thoroughly read and review the following relevant legislative standards, within fourteen (14) days of the Consent Order:

      1. the Health Professions Act and its Bylaws;
      2. the Pharmacy Operations and Drug Scheduling Act and its Bylaws;
      3. the HPA Bylaws, Schedule F, Part 1 – Community Pharmacy Standards of Practice; and
      4. Professional Practice Policy #66 – Opioid Agonist Treatment. 

       

    4. submit to the College a signed Declaration of Understanding indicating that she understands and, in the future, will strictly abide by the practice standards, legislation, and policies read and reviewed further to paragraph c. 
       
    5. undertake to, within 30 days of the Consent Order:
      1. thoroughly review the Code of Ethics – Detailed;
      2. retake the Code of Ethics Educational Tutorial available on the College website; and 
      3. submit to the College a signed Declaration of Completion (with Pharmacy Oath) associated with the Code of Ethics Educational Tutorial
         
    6. undertake to, within 180 days of the Consent Order and at her own cost, successfully complete with an unconditional pass, the “Ethics and Boundaries Program” offered by PROBE Canada. 
       
    7. undertake to, within 90 days of the Consent Order and at her own cost (as applicable):
      1. read "A Guideline for the Clinical Management of Opioid Use Disorder" published by the BC Centre on Substance Use;
      2. successfully complete the "Provincial Opioid Addiction Treatment Support Program" Online course offered by the University of British Columbia, and submit a Certificate of Completion for the training program to the College;
       
    8. undertake to write and submit to the College, within one year of the Consent Order, a summary (of substantive quality akin to materials that can be presented to peers at a continuing education event) describing the changes implemented in her practice in light of the investigation of the events leading to the Consent Order and the education completed further to the Consent Order.
       
    9. not act as a pharmacy manager or preceptor of pharmacy students for a period of one year commencing on the effective date of the Consent Order; and
       
    10. pay a fine in the amount of $5,000, and costs in the amount of $10,000, to the College.
       
  7. Rationale:

    The Inquiry Committee recognized the Registrant’s claims that she had been taken advantage of and “set up” by the complainant, but considered that regardless of whether or not this could be substantiated, the Registrant’s failure to comply with legislative and ethical standards required remediation.

    The College considered that the Registrant fundamentally failed to meet legislative requirements, exercise appropriate professional judgment, uphold ethical responsibilities, or fulfil her role as a pharmacy manager and registrant of the College. Therefore, the Inquiry Committee considered the Registrant’s conduct to be serious, and that the Registrant required both remediation and deterrence in order to come into compliance. The Inquiry Committee considered the terms of the Consent Order necessary to protect the public, as well as send a clear message of deterrence to the profession.

Wang, Dai Wei (“David”) (Apr 27, 2023)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia the (“College”) conducted investigations into the conduct of now former registrant Dai Wei (“David”) Wang (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”). Further to a proposal for resolution from the Registrant, the Inquiry Committee made a Consent Order under section 37.1 of the HPA.
     
  2. Effective date: April 27, 2023

  3. Name of registrant: Dai Wei (“David”) Wang

  4. Location of Practice: Vancouver, BC

  5. Admissions and Acknowledgements: 

    The Registrant has admitted and/or acknowledged the following:

    1. he failed to respond to requests for information made in multiple investigations despite numerous follow-up communications from the College made by email, and telephone;

    2. his conduct as described in paragraph 5(a) constitutes both a breach of the ethical obligations set out in Standard 7(a) to (e) of the Code of Ethics and unprofessional conduct as defined in section 26 of the HPA.

  6. Disposition:

    The Consent Order made by the Inquiry Committee under section 37.1 of the HPA, included the following terms:

    1. a written reprimand;

    2. a one-month suspension to be served following any reinstatement to Full Pharmacist registration with the College;

    3. payment of costs in the amount of $10,000 to the College; and

    4. an undertaking to complete the PROBE Ethics and Boundaries Program, achieving an unconditional pass, prior to returning to the practice of pharmacy, whether in British Columbia or in any other jurisdiction.
       
  7. Rationale:

    The Registrant failed to cooperate with three College investigations. He failed to reply to numerous communication attempts made by the College investigator who had sought a response and further information in regards to a first investigation. The Registrant’s failure to acknowledge and respond to the College investigator for the first investigation caused a second investigation to be initiated regarding the Registrant’s failure to respond. Despite being advised of this second investigation and reminded of his duty to cooperate with both investigations and respond to the investigator’s requests further to those investigations, the Registrant again failed to respond. The Registrant also failed to respond to questions from the College’s Licensure Department regarding pharmacy licensure information, which led to the commencement of a third investigation. The College investigator advised the Registrant of this third investigation and sought a response, but, again, no response was provided. These investigations generated unnecessary expenses for the College.

    After the issuance of a Citation, the Registrant advised the College of issues affecting his personal life at the time of the investigations. The Registrant acknowledged he ought to have advised the College of these issues, and that failing respond to the investigation was unacceptable, as it impeded the College from carrying out its public duty.

    College representatives, including investigators inquiring into allegations of misconduct are carrying out the College’s public protection mandate and must be treated with respect. When repeated communication attempts are made by a College investigator it is inappropriate and disrespectful to ignore these inquiries. College representatives require the cooperation of registrants to carry out their work effectively. This includes providing timely answers to questions posed by investigators. When registrants do not cooperate with investigators and College investigations, they undermine the ability of the College to properly regulate the profession and protect the public and cause wastage of the College’s finite resources.

    In light of these factors, the Inquiry Committee therefore considered it appropriate that the disposition be one that serves as a strong deterrent and sends a clear message to both the profession and the public that the College does not tolerate failure by registrants to cooperate with a College investigation.

McPherson, Joshua Bruce (Mar 20, 2023)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacist of British Columbia (the “College”) conducted an investigation into the conduct of Joshua Bruce McPherson (the “Registrant”), pursuant to section 33(4) of the Health Professions Act (“HPA”), R.S.B.C. 1996, c. 183. The Inquiry Committee and the Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the HPA.
     
  2. Effective date: March 20, 2023

  3. Name of registrant: Joshua Bruce McPherson

  4. Location of Practice: Trail, BC

  5. Admissions and Acknowledgements: 

    Between June 2022 and August 2022, while working as a pharmacist in a community pharmacy, the Registrant misappropriated a total of 1555 capsules/tablets and 1470 mL of liquid medication, for 21 different molecules of narcotic/controlled medications, all for personal use. These medications had not been prescribed for him. The Registrant also falsified computer inventory records for these 21 molecules.

  6. Disposition:

    The Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to terms that took into account terms from previous consent agreements. The terms for this Consent Agreement include (but are not limited to) the following:

    1. To suspend his registration as a pharmacist for a total of 180 days;

    2. To not be pharmacy manager or preceptor for pharmacy students for a period of three years;

    3. In relation to narcotic and controlled drugs, to not place and receive orders, to not have signing authority relating to the ordering of such substances and to not conduct inventory counts and reconciliations for such substances for a period of five years;

    4. To complete and successfully pass an ethics course for healthcare professionals;
       
    5. To appear before the Inquiry Committee for a verbal reprimand; and
       
    6. To pay a fine of $1,000.00.
       
  7. Rationale:

    The Inquiry Committee considered that in this case, in addition to the serious misconduct, the Registrant created inaccurate computer inventory records and placed himself at significant risk of harm by taking unauthorized medication for his personal use. His actions were a serious contravention of standards in the Code of Ethics and compromised the public’s trust in the pharmacy profession as a whole.

    The Inquiry Committee therefore determined that the Registrant required serious remediation and deterrence regarding his conduct. After also considering significant mitigating factors, the Inquiry Committee considered the terms of the Consent Agreement appropriate to protect the public, as well as send a clear message of deterrence to the profession.


May 31, 2021
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (“CPBC”) conducted an investigation into the practice of Joshua Bruce McPherson (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”).

    The Inquiry Committee and the Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the Health Professions Act.

  2. Effective date: May 31, 2021

  3. Name of registrant: Joshua Bruce McPherson

  4. Location of Practice: Castlegar, Kamloops, Cranbrook

  5. Admissions and Acknowledgements: The Registrant has admitted and/or acknowledged the following:

    1. On January 23, 2020, a panel of the Inquiry Committee held a HPA section 35 proceeding to consider if an interim action was required during the investigation into the Registrant’s practice. At this proceeding and subsequent follow-up proceeding held on January 31, 2020, the Inquiry Committee determined that the Registrant would be:

      1. Restricted from acting as a pharmacy manager as of February 8, 2020.

      2. Prohibited from providing emergency supplies of narcotic, controlled or targeted drugs as well as zopiclone and zolpidem.

      3. Restricted from providing opioid agonist treatment (“OAT”) services as of February 1, 2020.

    2. Between February 10, 2020 and April 3, 2020, the Registrant continued to manage the day-to-day operations of a pharmacy, contrary to the limit imposed during the HPA section 35 proceeding

    3. From February 1, 2020 to March 24, 2020, the Registrant dispensed six (6) emergency supply narcotic, controlled, and/or targeted drug substance prescriptions, contrary to the limit imposed during the HPA section 35 proceeding.

    4. From December 1, 2020 to December 15, 2020, the Registrant processed and dispensed seventy-three (73) OAT prescriptions, contrary to the limit imposed during the HPA section 35 proceeding.

  6. Disposition:

    The Registrant entered into a Consent Agreement with the Inquiry Committee of CPBC, wherein the Registrant consented to the following terms (in part):

    1. To suspend his registration as a pharmacist for 90 consecutive days commencing within 90 days of him signing the Agreement from August 31, 2021 to November 30, 2021;

    2. To not be a pharmacy manager and preceptor for a period of two years from the date that he signs the Agreement (May 31, 2021 to May 30, 2023);

    3. To successfully complete and pass a substantive course on ethics especially designed for healthcare professionals;

    4. To appear before the Inquiry Committee to reflect on his conduct; and
       
    5. To have a Letter of Reprimand placed on his registration record.
       
  7. Rationale:

    The Inquiry Committee was concerned that the Registrant had been ordered to fully comply with imposed limits and conditions to protect the public and that he had not abided by the order in this current matter. The Inquiry Committee therefore considered the Registrant’s conduct to be serious, and that the Registrant required significant remediation and deterrence in order to come into compliance.

    The Inquiry Committee considered the terms of the Consent Agreement necessary to protect the public, as well as send a clear message of deterrence to the profession. 


December 14, 2020
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (“CPBC”) conducted an investigation into the practice of Joshua Bruce McPherson (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183.

    The Inquiry Committee and the Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the Health Professions Act.

  2. Effective date: December 11, 2020

  3. Name of registrant: Joshua Bruce McPherson

  4. Location of Practice: Castlegar, BC

  5. Admissions and Acknowledgements: The Registrant has admitted and/or acknowledged the following:

    1. Between April 2016 and October 2019, the Registrant dispensed numerous opioid agonist treatment (“OAT”) emergency refill prescriptions contrary to Professional Practice Policy 31 – Emergency Supply for Continuity of Care (“PPP-31”) and Professional Practice Policy 66 – Opioid Agonist Treatment (“PPP-66”);

    2. On numerous occasions, the Registrant dispensed OAT contrary to the applicable legislation and policies by:

      1. Allowing non-pharmacist staff to release and witness OAT doses to patients;

      2. Not communicating with prescribers about patients’ missed OAT doses;

      3. Not ensuring that the pharmacist and patient acknowledged receipt of an OAT dose by signing a patient/prescription-specific log;

      4. Not ensuring that all OAT prescription records were filed systematically, or easily retrievable;

      5. Releasing OAT prescriptions to patients earlier than required;

      6. Dispensing OAT prescriptions to patients who had missed their doses, without referring them to their prescribers for an assessment and without decreasing their dose as recommended;

      7. Backdating several prescriptions, meaning that the dispensing records for those prescriptions were created on dates later than the dates on which the drugs were actually dispensed; and

      8. Not completing a final check on multiple OAT prescriptions dispensed.

    3. As pharmacy manager, the Registrant did not ensure: 

      1. The pharmacy had documented policies and procedures;

      2. All records required to be kept under the bylaws were readable, complete, filed systematically and maintained in a manner that was secure, auditable and allowed for easy retrieval; and

      3. Did not reconcile the pharmacy’s narcotics.

  6. Disposition:

    The Registrant entered into a Consent Agreement with the Inquiry Committee of CPBC, wherein the Registrant consented to the following terms (in part):

    1. To not be a pharmacy manager for a period of one year from December 15, 2020 to December 14, 2021;

    2. To not provide emergency prescription refills for narcotic, controlled, and targeted drug substances including zopiclone pursuant to PPP-31 for one year from November 12, 2020 to November 11, 2021;

    3. To be suspended from opioid agonist treatment dispensing privileges until the Registrant successfully completes:

      1. A thorough review of the legislative standards and policies;

      2. A decision-making and documentation course specific to healthcare professionals;

      3. A course specific to opioid agonist treatment for healthcare professionals; and

      4. A course on managing workflow in a pharmacy.

    4. To successfully pass the College’s Jurisprudence Exam. 

  7. Rationale:

    The Inquiry Committee considered that the Registrant’s opioid agonist treatment (“OAT”) practice was severely deficient. The Registrant’s OAT practice demonstrated a lack of knowledge and awareness of legislative requirements. This raised concern regarding the Registrant’s commitment to the pharmacy practice and his ethical responsibilities in ensuring that he maintained appropriate knowledge before providing a pharmaceutical service in order to ensure patient safety.

    The Inquiry Committee determined that the volume of practice deficiencies required a serious response to bring the Registrant’s practice into compliance with the standards of pharmacy practice and that the dispositions were warranted as it addressed the seriousness of the Registrant’s failure to adhere to principles and standards expected of registrants, especially when taking on roles such as pharmacy manager.

    The Inquiry Committee considered the terms of the Consent Agreement necessary to protect the public, as well as send a clear message of deterrence to the profession.


October 27, 2020
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (“College”) conducted an investigation into the practice of Joshua Bruce McPherson (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183.

    The Inquiry Committee and the Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the Health Professions Act.

  2. Effective date: October 27, 2020

  3. Name of registrant: Joshua Bruce McPherson

  4. Location of Practice: Castlegar, BC

  5. Admissions and Acknowledgements: 

    The Registrant has admitted and/or acknowledged the following:

    1. As director of the pharmacy’s direct owner, the Registrant did not complete the “Pharmacy Closure Process” within the prescribed time frame, as instructed by the College’s Licensure Department. Specifically, the Registrant, as director, did not:

      1. Ensure patient continuity of care, by not transferring out the Pharmacy’s active prescriptions;

      2. Transfer the prescription records; and

      3. Return the pharmacy’s active inventory.
         
    2. The Registrant unlawfully operated the pharmacy (as described in section 7 of the Pharmacy Operations and Drug Scheduling Act). The Registrant operated the pharmacy premise where drugs and devices were stored without being authorized by the College to do so.

  6. The Registrant's involvement and acknowledgments:

    The Registrant entered into a Consent Agreement with the Inquiry Committee, wherein the Registrant consented to the following terms: 

    1. To not act as director for a period of two years, commencing on October 27, 2020; and

    2. To have a Letter of Reprimand placed on his registration record for two years.

  7. Rationale:

    The Inquiry Committee considered that the Registrant’s malpractice caused a significant delay in patient continuity of care by not transferring out the pharmacy’s prescriptions in a timely and efficient manner. Furthermore, the Inquiry Committee considered that the Registrant stored Schedule I, II, and III drugs in an unlicensed pharmacy premise which ultimately is a public-safety risk.

    The Inquiry Committee considered that a limit restricting the Registrant’s ability to be a director was warranted in this case, as the Registrant did not comply with the College’s requirements in closing a pharmacy.

    The Inquiry Committee considered the terms of the Consent Agreement necessary to protect the public, as well as send a clear message of deterrence to the profession. 


January 31, 2020

(Dec 14, 2020 – section 35 limits/conditions removed with new section 36 (1) limits/conditions)

Nature of Action: Pursuant to section 35(1)(a) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”), effective January 31, 2020, the Inquiry Committee of the College of Pharmacists of British Columbia has made an order to impose limits and conditions on the pharmacy practice of the registrant Joshua Bruce McPherson (the “Registrant”) during the investigation into the Registrant’s practice.

In addition to restrictions placed on the Registrant’s practice on January 27, 2020 by the Inquiry Committee, the Registrant is restricted from acting as a pharmacy manager as of February 8, 2020.

The Inquiry Committee considered this action necessary to protect the public.

Note: Limits and conditions ordered by the Inquiry Committee under section 35(1)(a) of the HPA are made to protect the public during an investigation or pending a hearing of the Discipline Committee. Orders made under this section relate to matters which are and remain unproven unless admitted by a registrant or determined by the Discipline Committee.


January 27, 2020
(January 31, 2020 - Limits and conditions updated)

Nature of Action: Pursuant to section 35(1)(a) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”), effective January 27, 2020, the Inquiry Committee of the College of Pharmacists of British Columbia has made an order to impose limits and conditions on the pharmacy practice of the registrant Joshua Bruce McPherson (the “Registrant”) during the investigation into the Registrant’s practice.

The Registrant will be restricted from providing any Opioid Agonist Treatment services as of February 1, 2020.

The Registrant is restricted from providing emergency prescription refills on narcotic, controlled or targeted drugs as well as zopiclone and zolpidem.

The Inquiry Committee considered this action necessary to protect the public.

Reasons: While practicing as a pharmacist, it is alleged that the Registrant did not comply with the applicable legislation and standards of practice required in order to dispense Opioid Agonist Treatment. While practicing as a pharmacist, it is alleged that the Registrant provided emergency prescription refills without exercising appropriate clinical judgement and supporting documentation.

Note: Limits and conditions ordered by the Inquiry Committee under section 35(1)(a) of the HPA are made to protect the public during an investigation or pending a hearing of the Discipline Committee. Orders made under this section relate to matters which are and remain unproven unless admitted by a registrant or determined by the Discipline Committee.

Shaikh, Aftabahmed Abdullatif (Mar 10, 2023)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of BC (the “College”) investigated a complaint about the conduct of Aftabahmed Abdullatif Shaikh (the “Registrant”), pursuant to section 33(1) of the Health Professions Act, R.S.B.C 1996, c. 183 (“HPA”).

    The Inquiry Committee and the Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the HPA. 

  2. Effective date: March 10, 2023

  3. Name of registrant: Aftabahmed Abdullatif Shaikh

  4. Location of Practice: Various locations, BC

  5. Admissions and Acknowledgements:
    The Registrant has admitted and/or acknowledged the following:

    1. On August 8 and 30, 2021, while working at a community pharmacy, the Registrant entered COVID-19 vaccinations onto their own PharmaNet record without actually having been administered the vaccines.
       
    2. The Registrant recorded that another pharmacist was the authorizing pharmacist and injection administrator for both vaccinations. The other pharmacist was not aware of the Registrant’s actions.
       
    3. The Registrant altered their personal information on the pharmacy’s software in a manner that would make the records more difficult to find. This included altering the spelling of their name, date of birth, removing their personal health number, and making the profile inactive.
       
  6. Disposition:

    The Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to terms that included (but not limited to) the following:

    1. To be suspended as a registrant of the College for a period of 30 days from March 13, 2023 to April 11, 2023;

    2. To not be a preceptor for pharmacy students for a period of two years from March 13, 2023 to March 12, 2025;

    3. To have a permanent letter of reprimand placed on the College register;

    4. To personally notify appropriate personnel at the BC Ministry of Health regarding their false vaccination records. The College would also refer details of the investigation to appropriate personnel at the BC Ministry of Health;

    5. To review and complete the College’s Code of Ethics Educational Tutorial; and
       
    6. To prepare a letter of apology to the other pharmacist.
       
  7. Rationale:

    The Inquiry Committee considered that the Registrant created false PharmaNet records and subsequently obtained a COVID-19 vaccine passport by false pretense. The vaccine passport could have been used to circumvent vaccination requirements both domestically and internationally during the COVID-19 pandemic. The false vaccine passport could have put the public at increased risk of harm. The Registrant’s actions were self-serving and contrary to the conduct expected of a pharmacy professional. The Inquiry Committee considered the Registrant’s conduct a “serious matter” as defined by the HPA.

    The Inquiry Committee ultimately concluded the Registrant’s conduct was highly unethical and amounted to professional misconduct. The Inquiry Committee considered the terms of the Consent Agreement necessary to protect the public, a well as send a clear message deterrence to the profession.

 
Pharmacist Registrant 53 (Feb 1, 2023)

The Inquiry Committee, pursuant to section 32.2(4)(b)(ii) of the Health Professions Act, has reached an Agreement with the pharmacist registrant to voluntarily suspend their registration as a pharmacist effective February 1, 2023. The Agreement remains in effect until further notice. The Inquiry Committee considers the Agreement necessary to protect the public. The pharmacist registrant’s name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.

Mbamy, Joelle (Jan 26, 2023)

To enable the Registrant to complete the practicum portion of the UBC Canadian Pharmacy Practice Programme, the Inquiry Committee has temporarily lifted the Registrant’s suspension until April 5, 2023. Until April 5, 2023, the Registrant is restricted to only processing prescriptions at the pharmacy for which she is completing her practicum, under the supervision of a preceptor.


July 14, 2022
(January 26, 2023 - Temporary Lifting of Suspension)
 
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) conducted an investigation into a complaint about the practice of Joelle Mbamy (the “Registrant”), pursuant to section 33(1) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”). 

    The Inquiry Committee and the Registrant have agreed to resolve all matters arising from the investigation by way of a Consent Agreement under section 36(1) of the HPA.

  2. Effective date: July 14, 2022

  3. Name of registrant: Joelle Mbamy

  4. Location of Practice: Penticton, BC

  5. Admissions and acknowledgements:

    The Registrant admitted and/or acknowledged the following:

    On or about September 15, 2021, the Registrant dispensed a medication to a patient from a prescription dated March 30, 2021. Before dispensing this medication to the patient, the Registrant did not confirm the patient’s diagnosis, did not conduct a clinical assessment of the appropriateness of the medication and the prescribed dose, and did not provide the patient with information required for a pharmacist/patient consultation.

  6. Disposition:

    The Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to terms that included (but not limited to) the following:

    1. To be suspended as a registrant of the College for a period of one year, from July 18, 2022 to July 17, 2023;

    2. Before the suspension in paragraph a is lifted, the Registrant must, at her own expense, successfully complete and pass the following:
       
      1. UBC Canadian Pharmacy Practice Programme, in its entirety; and
         
      2. The Pharmacy Qualifying Examination, Part II (OSCE) through the Pharmacy Examining Board of Canada. 

    3. To not be a pharmacy manager, director, owner (direct or indirect) and preceptor for pharmacy students for a period of five years from the date that her suspension ends

    4. After the completion of her suspension, upon return to active practice, to practice for a period of 180 days under the supervision of a pharmacist in good standing; and

    5. To appear before the Inquiry Committee for a verbal reprimand after completing her suspension.

  7. Rationale

    In this case, the Registrant’s actions, or lack thereof, contravened sections of the Community Pharmacy Standards of Practice and the Code of Ethics. The Registrant neglected her basic duties as a pharmacist, did not protect and promote the well-being of her patient, did not act in the best interests of her patient, and placed her patient at risk of harm.

    Between 2017 and 2020, the Registrant had been sanctioned for other matters by the Inquiry Committee. Despite this, the Registrant has continued a pattern of non-adherence to practice standards. Her prior history, pattern of poor professional judgment, and demonstration of a disregard for the fundamentals of pharmacy practice is considered significant professional misconduct as defined in s. 26 of the HPA and warranted the significant remediation and sanctions referenced above.

    The Inquiry Committee considered it appropriate that the disposition for such conduct be one that serves as a strong deterrent and sends a clear message to both the profession and the public that the College cannot and will not tolerate this type of conduct under any circumstances.


April 7, 2021

 

The Registrant has completed all remedial training necessary for the removal of limits and conditions on her practice. Limits and conditions on the Registrant’s registration as a pharmacist have been removed effective April 7, 2021.


October 26, 2020
(April 7, 2021 - Limits and Conditions Removed)
 
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (“CPBC”) conducted investigations into the practice of Joelle Mbamy (the “Registrant”), pursuant to section 33(4) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”).  The CPBC issued a Citation on October 21, 2019, which was subsequently amended on January 29, 2020.

    Further to a proposal for resolution from the Registrant, the Inquiry Committee made a Consent Order under section 37.1 of the HPA.

  2. Effective date: October 26, 2020

  3. Name of registrant: Joelle Mbamy

  4. Location of Practice: Penticton, BC

  5. Admissions and acknowledgements:

    The Registrant has admitted and/or acknowledged the following (in part):

    The Inspection

    On November 6, 2018, the CPBC conducted an inspection of Sunrise Pharmacy (the “Inspection”) where the Registrant was acting as an owner, manager, and working pharmacist. The Inspection was conducted pursuant to a Consent Agreement the Registrant entered into with the CPBC on May 1, 2018, regarding a previous complaint and investigation.

    Contrary to Standards 1, 2, 3, 6, 7, and 9 of the Health Professions Act – Bylaws, Schedule “A” – the Code of Ethics (“Code of Ethics”), the Registrant was observed to have failed to comply with the terms of the Consent Agreement as during the Inspection, the following conduct was observed that constitutes a breach of the terms of the Consent Agreement:

    In addition, during the Inspection, the following conduct was observed which constituted additional or new offences, not previously addressed in the Consent Agreement:
     

    Pharmacy Security

    On March 22, 2018, the CPBC received information from the Province’s Child Death Coroner regarding the death of a minor who, at the time of his death, was an employee at Sunrise Pharmacy. The cause of death was methadone overdose.

    Upon reviewing security camera recordings from Sunrise Pharmacy, it was determined that, on September 18, 2017 and contrary to Standards 1 (a) and (d) and 7 of the Code of Ethics, sections 18(2)(j), 19(4) and 26 of the PODSA Bylaws, and Professional Practice Policy 74: Community Pharmacy and Telepharmacy Security, the minor was permitted to be in the dispensary and the compounding rooms in Sunrise Pharmacy without supervision on thirteen separate occasions for varying lengths of time.

    During these times, the minor had access to prescription medications. However, there was no evidence on the security footage to confirm that the minor obtained the methadone from the pharmacy.

    Temporary Closure of Sunrise Pharmacy

    In July 2019, the CPBC received a complaint about and conducted an investigation into the temporary closure of Sunrise Pharmacy on three consecutive Saturdays in June 2019 and found that

    1. contrary to Standards 1(a) and (d) and 7 of the Code of Ethics, sections 6, 9, and 9.1 of Part 1 of Schedule “F” – the Standards of Practice (the “Part 1 of the Standards of Practice”), Professional Practice Policy 66: Opioid Agonist Treatment, and Principles 2.1.1, 2.1.2, 3.1.3, 3.2.4 Professional Practice Policy 66: Policy Guide – Methadone Maintenance Treatment (2013), Ms. Mbamy was dispensing methadone or Opioid Agonist Treatment (“OAT”) without the appropriate directions or without appropriate completion of the required documentation or both
       
    2. contrary to Standards 1(a) and (d) and 7 of the Code of Ethics, section 19(5)(a) of the CPBC’s Bylaws under PODSA (the “PODSA Bylaws”), and Professional Practice Policy 31: Emergency Prescription Refills, the Registrant was dispensing medication without a prescription, using her name as a prescriber, and in a manner that did not comply with the requirements for an emergency prescription refill;

    3. contrary to Standards 1(a) and (d) and 7 of the Code of Ethics, section 11 of Part 1 of the Standards of Practice, and section 35 of the PODSA Bylaws, prescriptions, including prescriptions for methadone and other Schedule 1 drugs, were “backdated” such that the dispensing date entered on PharmaNet or recorded on the prescription label did not accurately reflect the date those prescriptions were dispensed; and

    4. contrary to Standards 1(a) and (d) and 7 of the Code of Ethics, sections 18(2)(j) and 26 of the PODSA Bylaws, Professional Practice Policy-74: Community Pharmacy and Telepharmacy Security, and section 43 of the Narcotic Control Regulations, the Registrant failed to store methadone in a time-lock safe, or she stored methadone in a time-lock safe that was left open.

    5. contrary to Standards 1(a) and (d) and 7 of the Code of Ethics and sections 8 and 11 of the Food and Drugs Act, R.S.C., 1985, c. F-27, the Registrant prepared an intravenous solution in an unsanitary and non-sterile environment without taking precautions to avoid contamination of the drug product and dispensed that solution to the patient’s agent;
       
    6. contrary to Standards 1(a) and (d) and 7 of the Code of Ethics, and sections 19(2) and 20(4) of the PODSA Bylaws, expired drugs were not stored in a separate area or secured storage area within Sunrise Pharmacy;

    7. contrary to Standards 1(a) and (d) and 7 of the Code of Ethics,  Professional Practice Policy 68: Cold Chain Management of Biologicals, and the BCCDC Communicable Disease Control Immunization Program: Section VI – Management of Biologicals, vaccines and insulin were stored in the door of a refrigerator;

    8. contrary to Standards 1(a) and (d) and 7 of the Code of Ethics, sections 9, 9.1, and 11(1) and (2) of Part 1 of the Standards of Practice, Professional Practice Policy 66: Opioid Agonist Treatment, and Principles 3.1.3, 3.2.4, and 3.2.5 of Professional Practice Policy 66: Policy Guide – Methadone Maintenance Treatment (2013), information regarding prescriptions recorded on PharmaNet was incorrect or incomplete. 

    9. contrary to Standards 1(a) and (d), and 7 of the Code of Ethics, section 19(6)(b) of the PODSA Bylaws, Principle 2.1.2, of Professional Practice Policy 66: Policy Guide – Methadone Maintenance Treatment (2013), the Registrant was selling or dispensing drugs included in the controlled prescription program (“CPP”) when the required CPP form did not contain either the signature of the dispensing pharmacist or the signature of the patient;

    10. contrary to Standards 1(a) and (d), and 7 of the Code of Ethics and Professional Practice Policy 31: Emergency Prescription Refills, emergency prescription refills were improperly provided or documented;

    11. contrary to Standards 1(a) and (d), and 7 of the Code of Ethics, sections 6(4)(g)(iv) of Part 1 of the Standards of Practice the Sunrise Pharmacy patient counselling log did not include written confirmation of who performed consultations or document when consultation was offered and declined;

    12. contrary to Standards 1 (a) and (d) and 7 of the Code of Ethics and sections 35(1), (4), (5), and (6) of the PODSA Bylaws and with respect to a specific prescription dated August 9, 2018, the PharmaNet patient record was not kept current; and

    13. contrary to Standards 1 (a) and (d), and 7 of the Code of Ethics, and section 18(2)(m) of the PODSA Bylaws, staff at Sunrise Pharmacy did not wear name badges.

    14. contrary to section 25.92 of the HPA, and sections 10(1) and (2) of Part 1 of the Standards of Practice, the Registrant, without prior authorization, changed the dispensing regime of four different methadone prescriptions in order to accommodate the closure of Sunrise Pharmacy,

    15. contrary to Principle 2.2.1 of Professional Practice Policy 66: Policy Guide – Methadone Maintenance Treatment (2013), the Registrant altered a prescription and began dispensing methadone pursuant to that altered prescription and failed to obtain a corrected prescription from the physician, and

    16. contrary to section 9.1(1)(b) of Part 1 of the Standards of Practice, the Registrant dispensed Suboxone® with incorrect instructions on the label.

  6. Disposition:

    In the Consent Order under section 37.1 of the HPA, the Inquiry Committee ordered that the Registrant

    The Registrant repeatedly contravened sections of the HPA, PODSA Bylaws, Community Pharmacy Standards of Practice, and the Code of Ethics in her practice as a pharmacist, pharmacy manager, owner and director, and thereby, neglected her basic duties as a pharmacist, and committed or allowed actions that were unethical and could potentially endanger patient health. The totality of her conduct demonstrated an egregious breach of trust and undermines the integrity of the profession.

    Importantly, the Inspection was conducted only a few month after the Consent Agreement was finalized. Despite this, Ms. Mbamy was found to be in breach of several of the terms of that Consent Agreement and was noted to have engaged in further breaches of the standards applying to the practice of pharmacy. This demonstrated a disregard for the fundamentals of pharmacy practice and the CPBC’s regulatory process. More importantly, it presented a significant risk to the public.

    The Registrant’s conduct in this instance, coupled with the breach of her previous undertakings, is considered significant professional misconduct as defined in s. 26 of the HPA, and justifies serious consequences. The Inquiry Committee therefore considered it appropriate, and the Registrant agreed, that the disposition for such conduct be one that serves as a strong deterrent and sends a clear message to both the profession and the public that the CPBC cannot and will not tolerate this type of conduct under any circumstances.

    1. sign and deliver to the CPBC a letter of undertaking,

    2. be suspended for 3 months (November 18, 2020 to February 18, 2021),
       
    3. subject to paragraph d below, for a period of 18 months (including the time during which she had been subject to the same conditions on practice further to the May 23, 2019 Inquiry Committee order), cannot
       
      1. dispense any narcotic or controlled drug substance intended for Opioid Agonist Treatment,
         
      2. compound any medication, or

      3. prepare or dispense any medication intended for intravenous administration.

    4. before the conditions specified in paragraph c are removed from her practice, must, at her own expense,

      1. retake and successfully complete
         
        • the BC Pharmacy Association OAT Compliance and Management Program, and

        • the BC Community Manger Training Program,

      2. successfully complete;

        • the CPEP PROBE: Ethics & Boundaries Program,

        • the UBC CPD Provincial Opioid Addiction Treatment Support Program,

        • the Critical Point, Best Practices for Nonhazardous Sterile-to-Sterile Compounding, and

      3. confirm in writing that she has

        • read “A Guideline for Clinical Management of Opioid Use Disorder” from the BC Centre on Substance Use, and

        • reviewed the YouTube videos, Ontario College of Pharmacists, “Optimizing Patient Care Series: Decision Making & Documentation – Keeping it Simple”, Parts 1 and 2,

    5. must pay a fine of $20,000 to the CPBC


May 23, 2019
(October 26, 2020 - Citation cancelled)

 

Pursuant to section 35(1)(a) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”), effective May 23, 2019, the Inquiry Committee of the College of Pharmacists of British Columbia has made an order to impose limits and conditions on the pharmacy practice of the registrant Joelle Mbamy (the “Registrant”) pending a hearing of the Discipline Committee.

The Registrant will be restricted from dispensing any narcotic or controlled drug substance intended for Opioid Agonist Treatment. This limit and condition will become effective on June 7, 2019 to allow sufficient time to transition patients to another pharmacy.

The Registrant will be restricted from compounding any medication and preparing or dispensing any medication intended for intravenous administration.

The Inquiry Committee considered this action necessary to protect the public.

While practicing as a pharmacist, the Registrant is alleged to have shown a continuing pattern of providing Opioid Agonist Treatment without abiding by the legislative requirements. While practicing as a pharmacist, the Registrant is alleged to have prepared and dispensed intravenous drug product under unsanitary conditions.

Note: Limits and conditions ordered by the Inquiry Committee under section 35(1)(a) of the HPA are made to protect the public during an investigation or pending a hearing of the Discipline Committee. Orders made under this section relate to matters which are and remain unproven unless admitted by a registrant or determined by the Discipline Committee.

Yu, Meng Zhen (Sep 5, 2022)
  1. Nature of Action: The Inquiry Committee of the College of Pharmacists of British Columbia (the “College”) investigated a complaint about the practice of Meng Zhen Yu (the “Registrant”), pursuant to section 33(1) of the Health Professions Act, R.S.B.C. 1996, c. 183 (“HPA”). 

    The Inquiry Committee and the Registrant have agreed to resolve all matters arising from the investigations by way of a Consent Agreement under section 36(1) of the HPA.

  2. Effective date: September 5, 2022

  3. Name of registrant: Meng Zhen Yu

  4. Location of Practice: Various locations, BC

  5. Admissions and Acknowledgments:

    The Inquiry Committee determined, and the Registrant acknowledged, that she:

    • Did not conduct an adequate final check of a patient’s Schedule I prescription prior to dispensing;
    • Did not conduct an adequate clinical assessment or review patient personal health information stored on the PharmaNet database prior to dispensing a drug;
    • Reviewed patient medication profiles and PharmaNet records after daily dispensed medications had already been delivered to a patient;
    • As the pharmacy manager of a pharmacy, allowed non-registrant staff to access pharmacy premises, engage in restricted pharmacy activities, and have access to Schedule I medications at the pharmacy in her absence;
    • As the Authorized Representative of a pharmacy, did not disclose all shareholders of the pharmacy when completing license renewal processes for the pharmacy;
    • Knowingly submitted inaccurate or incomplete information to the College;
    • Provided direction to pharmacy staff to communicate misleading information to patients; and
    • Engaged in conduct that demonstrated poor professional judgement and did not uphold her ethical responsibilities to the public, the pharmacy profession, or as a registrant of the College.
       
  6. Disposition:

    The Registrant entered into a Consent Agreement with the College’s Inquiry Committee, wherein the Registrant consented to terms that included (but not limited to) the following:

    1. To not be a pharmacy manager, preceptor for pharmacy students, and pharmacy owner (direct or indirect) for a period of one year from September 6, 2022 to September 5, 2023;

    2. To successfully complete and pass the College’s Jurisprudence Exam;

    3. To successfully complete and pass an ethics course for healthcare professionals;

    4. To pay a $500.00 fine;

    5. To have a letter of reprimand placed on the College register for a period of two years;

    6. To thoroughly review and read legislation, standards, and policies relevant to the conduct to which this matter relates, and thereafter submit a Declaration of Understanding regarding the legislation, standards and policies reviewed and read;

    7. To successfully complete educational courses regarding:

      • Clinical decision-making and documentation;
      • Patient assessment; and
      • Improving medication safety; and
    8. To submit a written statement reflecting on her learnings from the educational courses, the changes she will make to her practice, and how these changes will aid in improving her practice going forward.

  7. Rationale:

    The Inquiry Committee considered that the Registrant’s failed to meet legislative requirements, exercise appropriate professional judgement, uphold ethical responsibilities, or fulfil her role as a pharmacy manager and registrant of the College. The Registrant’s conduct in this matter appeared intentional and she did not uphold the high ethical and practice standards expected of all registrants. Therefore, the Inquiry Committee considered the Registrant’s conduct to be serious, and that the Registrant required both remediation and deterrence in order to come into compliance. The Inquiry Committee considered the terms of the Consent Agreement necessary to protect the public, as well as send a clear message of deterrence to the profession.

Pharmacist Registrant 51 (Aug 29, 2022)

The Inquiry Committee, pursuant to section 32.2(4)(b)(ii) of the Health Professions Act, has reached an Agreement with the pharmacist registrant to voluntarily suspend their registration as a pharmacist effective August 29, 2022. The Agreement remains in effect until further notice. The Inquiry Committee considers the Agreement necessary to protect the public. The pharmacist registrant’s name has been withheld pursuant to section 39.3(4)(a) of the Health Professions Act.

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