Dr Oscar Horky – Unsatisfactory Professional Conduct – Reprimand and Conditions

23 Apr 2019

The Health Care Complaints Commission prosecuted a complaint against obstetrician gynaecologist, Dr Oscar Horky before a Medical Professional Standards Committee.

The complaint concerned his management of a pregnant patient at Shoalhaven District Hospital in 2015. The patient attended the hospital with a four day old ultrasound report demonstrating a pregnancy that could have been potentially viable or possibly non-viable. Dr Horky failed to undertake a repeat ultrasound before he proceeded to perform surgery to explore and evacuate the uterus and then removed the patient’s fallopian tube.  During the surgery Dr Horky failed to detect an intra-uterine pregnancy or excise any non-viable pregnancy.  After the surgery Dr Horky inappropriately prescribed methotrexate (a drug to end pregnancy) to the patient without any evidence of a non-viable pregnancy and without undertaking a post surgery ultrasound.  The patient was subsequently found to have had a viable intra-uterine pregnancy.

On 16 April 2019 the Committee found all allegations against Dr Horky proved and that his conduct amounted to unsatisfactory professional conduct.  The Committee decided that “… this complaint demonstrates significant deficiencies in Dr Horky’s professional, clinical and interpersonal management of pregnancy and he should no longer perform any surgical procedures on pregnant women.”  The Committee also found that Dr Horky was not frank and open in his evidence to it.
The Committee severely reprimanded Dr Horky and imposed conditions that restrict his practice. Dr Horky is not to work as a locum practitioner and is not to be the only obstetrician/gynaecologist onsite in a facility.  He cannot perform any major gynaecological surgery nor perform any gynaecological surgery on pregnant patients. He is required to report to the Medical Council of NSW on all of his surgeries and to submit to an audit of his practice.   

Further Information

A copy of the decision is attached here.

For further information, contact the Executive Officer of the Health Care Complaints Commission, on 9219 7444 or send an email to media@hccc.nsw.gov.au.

The information in this media release is correct at the time of publication. Orders may change; for example, conditions may no longer apply. For current information regarding the status of a registered health practitioner, including any conditions that currently apply, please check the National Register at www.ahpra.gov.au.