In July 2005, Smith resigned from Sick Children's Hospital to take up a position at Saskatoon City Hospital in Saskatchewan. He failed to mention to his new employers that he was under investigation for misconduct in Ontario. In December 2005 he was dismissed. He successfully appealed, but was not reinstated because he was not licensed to practise in Saskatchewan. He pled guilty to a charge of unprofessional conduct for his failure to disclose he was under investigation by the College of Physicians and Surgeons of Saskatchewan.