A doctor from Sydney Mines, N.S., can't practise medicine in the province unless she goes back to school and passes a certification exam, a disciplinary panel has ruled.

Dr. Stani Osif was found guilty earlier this year of professional misconduct and professional incompetence under the Nova Scotia Medical Act.

In a decision released Thursday, the College of Physicians and Surgeons of Nova Scotia said Osif can practise again only if she completes a program of medical re-education at her own expense and passes the Canadian College of Family Physicians certification test.

If she doesn't do that within two years, the college will revoke her Nova Scotia licence.

Osif must also pay the college $200,000 for its legal costs, less any money she'll spend on going back to class.

Osif spent 10 years working in the emergency room at the Northside General Hospital in North Sydney. She was barred from the hospital in 2006 after a complaint was filed.

The college temporarily suspended her licence to practise medicine in June 2007 while it launched an investigation.

Osif faced nearly 40 charges under the Medical Act involving 24 different patients. A handful of the charges were later dismissed.

Following a hearing last year, a disciplinary committee concluded that Osif failed to exercise the degree of care and skill that's reasonably expected in a prudent practitioner.