Doctor who worked at Barts is struck off for “global deficiencies” in medicineBMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f6996 (Published 22 November 2013) Cite this as: BMJ 2013;347:f6996
The Medical Practitioners Tribunal Service has struck off a hospital doctor for “global deficiencies” in the theory and practice of medicine after a General Medical Council performance assessment revealed “significant threats to patient safety.”
Romany Yousef Wilson qualified in Egypt in 1996 but had begun working in the United Kingdom by 2007, becoming a member of the Royal College of Surgeons in 2008.
He was a clinical fellow at Barts Hospital in April 2011 when he was questioned by police after entering the bedroom of a young woman living in the house where he also had a room at night and trying to kiss her. In the same month, he was suspended from Barts due to concerns over his clinical performance. After an investigation, his contract was terminated and the GMC notified.
In December 2012, he faced an MPTS panel over the inappropriate sexual advance, which was ruled to be misconduct but not serious enough to impair practice. Wilson had been under interim suspension before the hearing, however, and the GMC learned that he was continuing to apply for posts without mentioning the GMC investigation or the interim suspension. For this dishonesty, he received a 12 month suspension last December.
The latest hearing served the dual purpose of reviewing this suspension and addressing new charges arising from his GMC clinical performance assessment.
Wilson scored below the 25th centile in 12 of 13 objective structured clinical examinations, including inserting a urinary catheter, taking arterial blood gas, suture insertion, adult basic life support, and respiratory system examination and management.
Interviews with former colleagues from Barts, which were largely negative, also formed part of the assessment. Wilson attributed the negative comments to difficult personal relationships, and said that his work had been good at his previous post in Northampton, but he produced no referees to corroborate his claims of previous good performance.
Although he failed the GMC assessment in February, the panel found that he had since taken few steps to remediate his deficiencies. He submitted a portfolio of online learning modules and webinars that he had completed, but these lacked focus and “this intensive activity has been confined to the weeks leading up to these proceedings,” noted panel chairman Clive Richards.
Richards, a general practitioner, also criticised Wilson’s response when asked to provide a personal development plan: “My personal development plan is to go back to work, and I’ll take it from there.”
Although the panel decided that he had insight into his previous dishonesty and his fitness to practise was no longer impaired by his misconduct, his deficient performance was a risk to patients. Richards told him, “Your persistent lack of insight into your serious deficient professional performance is fundamentally incompatible with your continuing to practise medicine.”
Cite this as: BMJ 2013;347:f6996
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