Ong Kian Peng Julian v Singapore Medical Council: Medical Professionals' Conduct & Disrepute to Profession

In Ong Kian Peng Julian v Singapore Medical Council, the High Court of Singapore heard appeals related to disciplinary actions against Dr. Ong Kian Peng Julian and Dr. Chan Herng Nieng for improper conduct bringing disrepute to the medical profession. The Singapore Medical Council also appealed against the sentences imposed. The court dismissed the appeals of Dr. Ong and Dr. Chan, allowed the appeals of the Singapore Medical Council, increasing Dr. Ong's suspension to two years and Dr. Chan's suspension to 18 months.

1. Case Overview

1.1 Court

General Division of the High Court

1.2 Outcome

Appeals of Dr. Ong and Dr. Chan dismissed; appeals of the Singapore Medical Council allowed; Dr. Ong's suspension increased to two years; Dr. Chan's suspension increased to 18 months.

1.3 Case Type

Regulatory

1.4 Judgment Type

Judgment

1.5 Jurisdiction

Singapore

1.6 Description

Doctors Ong and Chan were disciplined for improper conduct bringing disrepute to the medical profession. Ong forwarded a patient's contact to Chan for potential sexual activity.

1.7 Decision Date

2. Parties and Outcomes

3. Judges

Judge NameTitleDelivered Judgment
Sundaresh MenonChief JusticeYes
Andrew Phang Boon LeongJustice of the Court of AppealNo
Tay Yong KwangJustice of the Court of AppealNo

4. Counsels

4. Facts

  1. Dr. Ong forwarded a patient's contact information to Dr. Chan.
  2. Dr. Ong obtained the patient's consent under the pretense of a property transaction.
  3. Dr. Chan contacted the patient about a potential property investment.
  4. The doctors exchanged messages with sexual connotations.
  5. Dr. Chan was already in contact with another property agent.
  6. The Disciplinary Tribunal found collusion between the doctors.
  7. The Remaining Messages documented other sexual encounters they discussed.

5. Formal Citations

  1. Ong Kian Peng Julian v Singapore Medical Council and other matters, Originating Summonses Nos 3, 4, 5 and 6 of 2022, [2022] SGHC 302

6. Timeline

DateEvent
Dr. Chan entered into an intimate relationship with Ms. Tiong.
Ms. Tiong discovered Dr. Chan's other relationships and accessed his phone.
K consulted Dr. Ong and underwent a medical procedure.
K was discharged; Dr. Ong obtained K's consent to share her contact details with Dr. Chan.
Dr. Chan started a conversation with K about purchasing an investment property.
K sent Dr. Chan a list of properties.
Dr. Ong contacted K and obtained a WhatsApp message stating she consented to sharing her contact details.
Originating Summonses Nos 3, 4, 5 and 6 of 2022 filed.
Judgment reserved.
Judgment delivered.

7. Legal Issues

  1. Improper Conduct Bringing Disrepute to the Medical Profession
    • Outcome: The court upheld the Disciplinary Tribunal's finding that the doctors' conduct was improper and brought disrepute to the medical profession.
    • Category: Substantive
    • Sub-Issues:
      • Breach of ethical guidelines
      • Abuse of patient trust
      • Collusion between medical professionals
  2. Admissibility of Similar Fact Evidence
    • Outcome: The court found that the 'Remaining Messages' were admissible to demonstrate the nature of the relationship between the doctors and shed light on the meaning of the messages.
    • Category: Procedural
    • Sub-Issues:
      • Reasoning by propensity
      • Probative value vs. prejudicial effect
      • Evidence of state of mind and intention
  3. Sentencing in Medical Disciplinary Cases
    • Outcome: The court increased the sentences for both doctors, emphasizing the need for general deterrence and upholding public confidence in the medical profession.
    • Category: Procedural
    • Sub-Issues:
      • Assessment of harm and culpability
      • General deterrence
      • Mitigating and aggravating factors

8. Remedies Sought

  1. Appeal against conviction
  2. Appeal against sentence
  3. Increased sentence

9. Cause of Actions

  • Breach of Professional Ethics
  • Improper Conduct
  • Violation of Medical Registration Act

10. Practice Areas

  • Disciplinary Proceedings
  • Medical Malpractice
  • Professional Regulation

11. Industries

  • Healthcare

12. Cited Cases

Case NameCourtAffirmedCitationJurisdictionSignificance
Wong Meng Hang v Singapore Medical CouncilHigh CourtYes[2019] 3 SLR 526SingaporeCited for the factors and sentencing framework for disciplinary proceedings against medical professionals.
Pang Ah San v Singapore Medical CouncilHigh CourtYes[2021] 5 SLR 681SingaporeCited for the definition of conduct that brings disrepute to the medical profession.
Low Chai Ling v Singapore Medical CouncilHigh CourtYes[2013] 1 SLR 83SingaporeCited for the objective inquiry to determine misconduct and damage to public confidence.
Tan Meng Jee v Public ProsecutorCourt of AppealYes[1996] 2 SLR(R) 178SingaporeCited for the underlying rationale for the rule excluding similar fact evidence.
Muhammad Abdul Hadi bin Haron v Public Prosecutor and another appealHigh CourtYes[2021] 1 SLR 537SingaporeCited regarding the rule against reasoning by propensity in similar fact evidence.
Law Society of Singapore v Constance Margreat PaglarCourt of Three JudgesYes[2021] 4 SLR 382SingaporeCited regarding the inadmissibility of similar fact evidence in disciplinary proceedings.
Michael Anak Garing v Public Prosecutor and another appealHigh CourtYes[2017] 1 SLR 748SingaporeCited for the purpose for which evidence is sought to be admitted is vital.
Pang Ah San v Singapore Medical CouncilHigh CourtYes[2014] 1 SLR 1094SingaporeCited for the doctor-patient relationship existing for the benefit and best interests of the patient.
Ang Peng Tiam v Singapore Medical CouncilHigh CourtYes[2017] 5 SLR 356SingaporeCited regarding an offender’s long and unblemished record as a mitigating factor.

13. Applicable Rules

Rule Name
No applicable rules

14. Applicable Statutes

Statute NameJurisdiction
Medical Registration Act (Cap 174, 2014 Rev Ed) s 53(1)(c)Singapore
Medical Registration Act (Cap 174, 2014 Rev Ed) s 53(2)Singapore
Evidence Act 1893 (2020 Rev Ed) s 9Singapore
Evidence Act 1893 (2020 Rev Ed) s 14Singapore
Evidence Act 1893 (2020 Rev Ed) s 15Singapore

15. Key Terms and Keywords

15.1 Key Terms

  • Medical profession
  • Disciplinary Tribunal
  • Improper conduct
  • Disrepute
  • Collusion
  • Patient confidentiality
  • Sexual misconduct
  • Ethical guidelines
  • General deterrence
  • Public confidence

15.2 Keywords

  • medical profession
  • disciplinary proceedings
  • improper conduct
  • Singapore Medical Council
  • patient confidentiality
  • sexual misconduct

17. Areas of Law

16. Subjects

  • Medical Ethics
  • Professional Responsibility
  • Disciplinary Law