Polish doctor struck off after patient death It said his performance had "deteriorated" since he was last assessed in 2010 and was now "beyond remediation." Dr Malcolm Phillips, the tribunal panel chairman, said: "The assessors concluded that Dr Szepielow is beyond remediation. The panel has noted the time scale for remediation as judged by the assessors. Their view was that remediation would take an excessive amount of time with little possibility of success. The panel has noted that there were a number of clinical scenarios in which Dr Szepielow's performance was found to be unacceptable, and some of which if repeated in a real life scenario could lead to the death of patients. He added: "The panel has found that Dr Szepielow's serious departure from Good Medical Practice, as concluded by the assessment team, demonstrates behaviour fundamentally incompatible with being a doctor. Dr Szepielow's lack of insight into his deficiencies may result in serious harm to patients through incompetence. The panel has determined that erasure is the only means of protecting patients and the wider public interest, which includes maintaining public trust and confidence in the profession. Dr Szepielow's performance was found to be unacceptable in the areas of assessment, treatment, investigations, maintaining good medical practise and in his relationship with patients. His scores were "below all outliers" on criteria including the neurological examination of the upper limb, telephone advice and male seizure, Dr Phillips said. Following his arrival in the UK in 2005 Dr Szepielow was the subject of several complaints by patients as well as concerns raised by colleagues over the following two years. A review of a selection of Dr Szepielow's outpatients led to his suspension by the Tayside NHS Trust in 2007 after the death of a patient with status epilepticus - a prolonged seizure. The GMC launched an assessment of the neurologist's professional performance when he was brought to its attention in 2009. In July 2011 a GMC panel found Dr Szepielow 's "deficient professional performance" was impairing his fitness to practise, but allowed him to continue to work under special conditions for 18 months. Following his performance in the knowledge test and additional medical exams last year he was suspended from practise in March. Dr Szepielow, whose contract with NHS Tayside was terminated last year, was not present or represented at Thursday's hearing. In December new figures from the GMC showed that the vast majority of doctors who have been struck off were trained abroad. Three quarters of doctors struck off the medical register last year were trained overseas. The country with the biggest single number of doctors who have been removed or suspended from the medical register, was India, followed by Nigeria and Egypt.