Restricted Registration refers to the conditions placed on a medical Resident’s CPSO registration when: 

• they are in a postgraduate medical education program leading to certification with the Royal College of Physicians and Surgeons of Canada or the College of Family Physicians of Canada and; 
• provide clinical services for remuneration outside of their residency program.

Participation in the RR Program is voluntary for both Faculties of Medicine and for the various postgraduate programs within each University. Please visit our Participating Programs page for further information.

Residents from participating training programs are eligible to apply for Restricted Registration. They must have completed a minimum of 18 months of rotations, have successfully completed their MCCQE Part I, be in good academic standing, and be actively involved in their residency training program (not on leave). Their individual programs may have further requirements.

Residents wishing to work in Emergency Departments must have successfully completed training in Advanced Trauma Life Support and Advanced Cardiac Life Support. Residents wishing to work in Intensive/Critical Care Units must have successfully completed training in Advanced Cardiac Life Support. Those wishing to work in comparable pediatric settings must have completed training in Pediatric Advanced Life Support and in Neonatal Advanced Life Support. 

Healthcare sites can submit positions for posting on the Restricted Registration website. The job posting space is not a matching service, but a way for Residents to get in touch with you. HR Recruiters who wish to discuss other options are invited to emaill the Restricted Registration Office at info@restrictedregistrationontario.ca

The healthcare site/supervisor is responsible for: 

• recruiting potential Resident applicants for a position. 
• satisfying themselves that the Resident’s training and experience meet the requirements of the Restricted Registration activities, and being able to attest to that fact. 
• making a tentative offer to the Resident (pending the issuance of a Restricted Registration by the CPSO).
• completing the Supervisor portion of the RR Program academic application indicating:
  •  the service type and location of the activities
  • the potential duties of the Resident
  • the name of the supervising physician
  • that the healthcare site will abide by the PARO-OTH Collective Agreement (see below)
  • that the Resident’s activities will be restricted to the scope of services and sites listed on the registration issued by the CPSO
  • that they will inform the CPSO and the Resident’s Program Director of any unprofessional conduct or failure to abide by the terms of the Restricted Registration on the part of the Resident
  • that they will provide information and data as required by the RR Program for the purposes of tracking and evaluation.

It is essential that the Resident only provide the services and at the sites listed on the registration issued by the CPSO. It is also imperative that the Resident is provided the level of supervision required by the CPSO.  Further information on CPSO Levels of Supervision can be found here.

When working under the terms and conditions of the Restricted Registration Program, residents are not completing training objectives or other academic requirements with respect to their training program. The clinical and academic activities they are engaged in in as a postgraduate trainee, as set out by the terms of the PARO-OTH Collective Agreement, must take precedent over their work under the terms of the Restricted Registration Program.

As such, residents cannot be asked to violate any terms of the PARO-OTH Collective Agreement as a result of their RR work, including but not limited to, duty hour maximums. 

1. Post, recruit and make a tentative offer to an eligible Resident.
2.  The Resident must complete the academic application form found on the website for the Restricted Registration Program at www.rrapp.ca. No resident will be bound by any contractual obligation if deemed ineligible for a restricted license.
3. When the Resident has completed their section of the application, it will be electronically forwarded (in the following order) to you as the potential supervising physician, the university Program Director and the PGME Dean for completion. 
4. The RR Program Office will forward the application form to the CPSO for processing.
5. Concurrently, the resident will complete the CPSO Application and submit it directly to the CPSO.
6. Once all documentation is received, the CPSO will review the application at a scheduled Registration Committee meeting. 
7. As the supervisor, you should obtain a copy of the registration to ensure that the duties assigned to the resident, and the level of supervision provided complies with the registration. Please note that unsupervised activity will eliminate your site from this Program, and the Resident will be subject to the CPSO and University’s disciplinary processes. 

From time to time, program participants are asked to provide feedback through online or telephone surveys. All information that is collected is completely anonymous and data will only be used in the aggregate.

There is no funding provided by the Restricted Registration Program for remuneration for a Resident engaged in RR activities. The Restricted Registration Program funds administration, infrastructure (i.e. the online application and the website), and the evaluation of the Program. This funding enables Residents and healthcare sites to participate in the Program. Remuneration for Residents is determined directly between the Resident and the employer. If physicians will be billing for services provided by RR Residents, they will need to observe the requirements in the OHIP fee schedule guide.

Residents who hold RR certificates may not be privileged as “Residents” when working outside of their academic obligations for remuneration. A template for an application for temporary privileges can be found here. Healthcare sites may use this as a guide to creating their own temporary privilege application. Please beadvised that this is NOT an official document.