Shocking surgeons condition in operating

[cosmetic 189]

For those of you researching doctors to perform your elective surgery, have you checked their conditions on AHPRA ?

The one below is shocking !!

Conditions:
View definition of 'Condition'

• The Medical Council of New South Wales has considered it appropriate to impose the following conditions on Dr William Wall Warner Mooney’s registration under section 150(1)(b) of the Health Practitioner Regulation National Law (NSW) for the protection of the health and safety of any person or persons, or because it is satisfied that action is otherwise in the public interest. These conditions will have effect until the matter about the practitioner is disposed of, or the conditions are removed by the Medical Council of NSW.
  
  1. Not to perform any paranasal sinus procedures including the following procedures:
  - External fronto-nasal ethmoidectomy (MBS 41731)
  - Radical fronto-ethmoidectomy (MBS 41734)
  - Intranasal operation on the frontal sinus or ethmoidal sinuses (MBS 41737)
  - Intranasal operation on sphenoidal sinus (MBS 41752)
  - Catheterisation of frontal sinus (MBS 41740)
  - Trephine of frontal sinus (MBS 41743)
  - Radical obliteration of frontal sinus (MBS 41746)
  - External operation on the ethmoidal sinuses (MBS 41749)
  - Transorbital ligation of the ethmoidal artery or arteries (MBS 41725)
  - Intranasal operation on or removal of foreign body from Antrum (MBS 41716)
  - Removal of nasal polyp or polypi (MBS 41662 and 41668)
  - Antrostomy (Radical) (MBS 41710)
  - Antrostomy (Radical) with transantral ethmoidectomy or transantral vidian neurectomy (MBS 41713)
  - Proof puncture and lavage of maxillary antrum (MBS 41698)
  - Proof puncture and lavage of maxillary antrum, under general anaesthesia (requiring admission to hospital) (MBS 41701)
  - Lavage of maxillary antrum (MBS 41704)
  a. If a patient is undergoing a paranasal sinus procedure being performed by another doctor, the practitioner must not perform any other procedure on the patient in same episode of surgery.
  
  2. To practise under category B supervision when in the operating theatre, in accordance with the Medical Council of NSW’s Compliance Policy – Supervision (as varied from time to time) and as subsequently determined by the appropriate review body.
  a. The terms of the Council’s Compliance Policy – Supervision are varied so that:
  i. the Council-approved supervisor must have Specialist Otolaryngology registration and be in active clinical practice.
  ii. the practitioner must have a Council-approved supervisor at each location where he performs surgery who is accredited at that location
  iii. except as required by condition 2 (c) the Council-approved supervisor is not required to be onsite at all times when the practitioner is operating.
  iv. before conducting any operating list, the practitioner must meet with his Council-approved supervisor at least 7 days prior to the list.
  v. The practitioner must meet on a monthly basis with each Council-approved supervisor who approved any operating list in the preceding calendar month and is to authorise each supervisor to provide reports to the Council (in a Council-approved format) within 7 days of the end of each calendar month
  vi. The practitioner must not undertake any operating list until it has been approved by the Council-approved supervisor who is accredited at that location.
  b.
  i. At each supervision meeting prior to an operating list, the practitioner is to review and discuss with his Council-approved supervisor the suitability of his forthcoming operating lists with regard to patient selection, indications for surgery and time management. This discussion and whether or not the supervisor approves the list must be recorded and submitted with the monthly supervision reports.
  ii. At each monthly supervision meeting after any operating list, the practitioner is to review and discuss his operating practice with his Council-approved supervisor with particular focus on surgical outcomes and issues arising from completed operating lists.
  c. Each calendar month, the practitioner is to have at least one full operating list observed by the Council-approved supervisor who approved the list. A list must be observed in each location at which the practitioner is supervised, at least every three months, unless there is no list scheduled.
  i. When observing the procedures performed, the Council-approved supervisor is to pay particular attention to:
  - the time taken for each procedure
  - patient selection
  - surgical technique
  ii. When reporting to the Council, the Council-approved supervisor is to include details regarding the practitioner’s performance during the observed procedures.
  d. To authorise the Medical Council of NSW to provide proposed and approved supervisors with a copy of the decision which imposed this condition.
  e. To be responsible for all costs incurred in complying with this condition.
  
  3. Within 7 days of the end of each calendar month, the practitioner is to provide the Medical Council of NSW with a record of all procedures performed in the operating theatre in the last month. The record must include the following:
  i. each operating theatre list, signed by the supervisor referred to in condition 2
  ii. the full name and date of birth of each patient
  iii. the name of each procedure
  iv. Medicare item number
  v. the date, and start and finish time of each procedure
  vi. any complications arising during and/or as a result of the procedure, including any unplanned return to theatre and/or any post-operative infection.
  
  4. To practise under category C supervision for all other non-operating theatre practice in accordance with the Medical Council of NSW’s Compliance Policy – Supervision (as varied from time to time) and as subsequently determined by the appropriate review body.
  a. The practitioner is to have review meetings with his Council-approved supervisor each month for at least one hour and to authorise the Council-approved supervisor to provide reports to the Council (in a Council approved format) on a 3 monthly basis.
  b. At each supervision meeting the practitioner is to review and discuss his practice with his approved supervisor with a particular focus on:
  i. boundaries with patients
  ii. appropriate prescribing practices
  iii. clinical outcomes
  iv. medical record reviews
  v. work load and work related stress
  vi. Overall patient care and management
  c. To authorise the Medical Council of NSW to provide proposed and approved supervisors with a copy of the decision which imposed this condition.
  d. To be responsible for all costs incurred in complying with this condition.
  
  5. To practise no more than a total of 35 hours per week
  
  6. Not to possess, supply, administer or prescribe:
  a. Phentermine
  b. Orlistat
  c. Liraglutide
  d. Topiramate
  e. phentermine/topiramate combination
  f. altrexone/bupropion combination
  g. lorcaserin
  
  7. To submit to an audit of his medical practice, by a random selection of his medical records by a person or persons nominated by the Medical Council of NSW and:
  a. the audit is to be held as required by the Council;
  b. the auditor(s) is to examine and assess the following aspects of his practice including:
  i. a general medical records audit of his practice
  ii.an audit of operative procedure records, including the indications and compliance with conditions
  c. to authorise the auditor(s) to provide the Council with a report on their findings;
  d. to meet all costs associated with the audit and any subsequent audits and reports.
  
  8. To authorise and consent to any exchange of information between the Medical Council of NSW and Medicare Australia for the purpose of monitoring compliance with these conditions.
  
  This registration is also subject to other conditions. These conditions are not publicly available due to privacy considerations.