Friday 21 October 2016

Doctor who didn't know how to perform CPR guilty of poor professional performance

Alan O'Keeffe

Published 03/10/2016 | 17:51

Dr Muthulingam Kasiraj (aka Dr Sripathy) has been accused of professional misconduct
Dr Muthulingam Kasiraj (aka Dr Sripathy) has been accused of professional misconduct

A junior doctor has been found guilty of poor professional performance today for failing to show he had a basic medical knowledge of some aspects of his job.

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A Fitness to Practice Committee of the Irish Medical Council declared it was satisfied that Dr Muthulingam Kasiraj, also known as Dr Sripathy, failed to show he knew how to perform some basic medical examinations of patients.

Nor did he show he knew how to perform CPR in an emergency. He was found not to have an understanding of what was a malignant melanoma, a form of skin cancer.

The Medical Council will decide on what sanctions to impose upon him at a later date.

He had faced around 20 allegations of professional misconduct or poor professional performance at the hearing in Dublin. He was found not guilty of professional misconduct.

The Indian national was a senior house officer at St Loman's Psychiatric Hospital in Mullingar between July 2013 and January 2014.

Dr Sripathy told the committee today that, as far as he was concerned, he did not have to deal with any medical issues and that he should only be focused on psychiatry.

He made a number of admissions but said the errors found in letters he wrote to GPs about patients represented only a very small percentage of the 2,000 letters he wrote to doctors.

Expert witness, Dr Paul Scully, consultant psychiatrist at St James's Hospital, said today that he had heard the evidence of two consultant psychiatrists who were supervising his work and he was satisfied that  Dr Sripathy had demonstrated serious failings in a number of areas.

His inability to perform a neurological examination on a patient was a serious failing as this was a basic task for a doctor, he said.

The inquiry heard allegations that Dr Sirpathy  did not show an understanding of how to manage a basic medical emergency, or show he had a basic knowledge of (CPR), or that the knew the difference between some branded and generic medications.

It is also stated he showed a pattern of errors when writing up doses of medications although no patients were harmed.

Dr Sripathy was later diagnosed with anankastic personality disorder, which he claims affected his performance at the time in question.

Dr Scully said however that he did not appear to have the disorder on the evidence he had heard.

Dr Sripathy's lack of understanding of what to do in a medical emergency was "a serious failing" as this was basic medical knowledge, he said..

Dr Sripathy also did not demonstrate adequate concern about a patient reporting hearing voices when he sent a   letter to the patient's GP.

Dr Sculy said he was surprised that  Dr Sripathy did not understand the effects drugs can have on the liver and it raised serious questions about his medical education in Bulgaria.

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