The College of Physicians and Surgeons of Nova Scotia hereby gives notice that on Thursday, March 30, 2006 pursuant to Section 53(12) of the Medical Act, Dr. Peter Littlejohn of New Waterford, Nova Scotia has consented to a reprimand issued by the Investigation Committee of the College. Investigation Committee "A” determined that the following actions with respect to one or more of Dr. Littlejohn's patients constituted professional misconduct and was deserving of a reprimand: 1. Inadequate assessment of substance abuse; 2. Insufficient referrals to pain management consultants; 3. Failure to follow the recommendations of consultants; 4. Inappropriate prescribing of opioids prior to trials of non-opioid therapies; 5. Inappropriate formulation of opioids for patients with substance abuse problems; 6. Inappropriate initial and/or final dosages of opioids; 7. Inappropriate [...]