Trial of ex-Kitchener neurologist continues as expert outlines standards for exams
CBC
Warning: This story contains some graphic details.
The trial of former Kitchener, Ont. neurologist Jeffrey Sloka continued at the Waterloo Region Courthouse on Wednesday, when a medical expert reviewed the standards for neurological exams.
Sloka is facing 50 counts of sexual assault in connection to incidents dating back to 2010. The age of the alleged victims, who were patients seeking treatment, ranged from those in their teens to their fifties.
He allegedly asked patients to undress so he could perform a physical or skin examination. It's alleged he touched his patients' breasts and in some instances, inserted his fingers inside of them.
Sloka has pleaded not guilty to all counts.
Dr. Vera Bril, a neurologist who detailed her professional history through a 37-page long resume, told the courtroom which standards are required to be followed during neurological exams, and went through the details of such procedures.
Bril discussed instances when physical contact could be made, appropriate attire for neurological exams, as well as the role of chaperones.
Meanwhile, Sloka appeared in a dark suit and wore a blue facemask for the entire duration of the hearing, and largely remained silent.
Bril explained that during a neurological exam, there isn't explicit consent expected, but rather inferred consent where the physician describes what they're about to do step-by-step as they're doing it.
When it comes to a more sensitive exam, looking at areas such as breasts, rectum or vagina, Bril said that the standards are higher: Consent needs to be direct, with the physician outlining what they're planning to do and why.
For those sensitive exams, all the details need to be documented in the consultation letter that goes back to the referral doctor. However Bril said that these types of exams aren't typical in neurology.
"Neurologists don't do breast exams and they don't do vaginals," she said.
Sloka had a primary practice at Grand River Hospital but also had privileges at Guelph General Hospital and St Mary's General Hospital in Kitchener.
He was put under restrictions in September 2017 due to the accusations. He was then stripped of his license in May 2019 and arrested four months later in September.
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