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The College of Physicians and Surgeons of Manitoba has reprimanded a Winnipeg doctor who failed to conduct physical examinations of three patients, refused to prescribe psychiatric medication to a fourth, and would not see a fifth patient without her mother present even though that patient was an adult.

Dr. Nazmun Nahar Bhuiyan pleaded guilty to five charges of professional misconduct related to patient care and one charge of creating a false and misleading medical record after an investigation by the college, according to a 20-page decision following a hearing held in November.

The doctor also pleaded guilty to five charges of misleading the college during the investigation.

The guilty pleas and decision followed a 2023 inquiry into allegations against Dr. Bhuiyan pertaining to medical services she provided to five patients in 2021 and 2022.

According to the decision, dated Dec. 5, Dr. Bhuiyan failed to conduct physical examinations of one patient, who expressed concern about a potential sexually transmitted infection, and a second patient, who complained about leg pain and numbness in the toes.

The doctor also did not examine a child who experienced asthma symptoms and discussed the child’s medical needs in a reception area in the presence of other patients, the decision stated.

Dr. Bhuiyan also asked a fourth patient to bring her mother to future appointments, despite this patient being an adult — and later refused to see the patient without her mother being present, the decision stated.

The doctor told a fifth patient, diagnosed with bipolar disorder, she was no longer comfortable prescribing medications initially prescribed by a psychiatrist, and later refused to prescribe those medications, the decision stated.

The decision noted Dr. Bhuiyan told the college of physicians false information about the services she provided to the five patients.

In a set of joint recommendations made by Dr. Bhuiyan’s legal counsel and the college, the doctor agreed to practice under the supervision of a monitor, limit the volume of her practice and limit the scope of her practice to matters determined by the college.

The doctor must also report weekly to the college about her compliance with this agreement and submit to an audit of her practice within six months of the agreement, according to the recommendations.

“The joint recommendation provides significant protection to the public,” the decision states.

The decision also notes Dr. Bhuiyan has already been practicing since January 2023 “under very similar conditions” to those proposed by the joint recommendations.

Dr. Bhuiyan also agreed to pay $30,000 to cover the costs of the college’s investigation, the decision stated. The payments will be made in 30 installments of $1,000 per month, beginning no later than March 1.

Approximately six lines of text in the 20-page decision regarding Dr. Bhuiyan’s conduct were redacted before the document was made public. 

One of the redacted passages describes college-requested reports that “provided great insights into some of the challenges faced by Dr. Bhuiyan.”