FAQ For Healthcare Sites & Supervising Physicians
How Does Restricted Registration Help Healthcare Sites?
- Provides a pool of flexible physician resources during demand times
- Exposes residents to your community’s unique practice and lifestyle opportunities
- Provides resident doctors who are fully competent and qualified to deliver services.
What is Restricted Registration?
Restricted Registration is a certificate offered by the College of Physicians and Surgeons of Ontario (CPSO) to Residents who meet agreed upon criteria. Residents who hold a Postgraduate Certificate must obtain an RR certificate in order to provide clinical service for pay outside of their training program.
This clinical service aligns with the parameters set out by the training program, as to what is acceptable and falls within the skill set/competencies of the resident. The resident would work in a resident capacity, with oversight from an independently licensed doctor who would be the Most Responsible Physician (MRP).
Please note that Restricted Registration is different from the CPSO Restricted License for fully trained physicians who have not successfully challenged their RCPSC examinations.
Which Residents can I interview for positions in my organization?
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 Parts I and II, 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.
What are the Supervisor’s responsibilities with respect to Restricted Registration?
The healthcare site/supervisor is responsible for:
- recruiting potential Resident applicants for a position prior to the Resident applying for a Restricted Registration.
- satisfying themselves that the Resident’s training and experience meet the requirements of the Restricted Registration activities, and being willing 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-CAHO 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.
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 Residents is provided with the level of supervision that has been approved by the CPSO.
What are the Supervisor’s responsibilities with respect to the PARO-CAHO Collective Agreement?
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 as a postgraduate trainee, as set out by the terms of the PARO-CAHO 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-CAHO Collective Agreement as a result of their RR work, including but not limited to, duty hour maximums.
What are the steps in hiring a Resident working under a Restricted Registration?
- Post, recruit, and make a tentative offer to an eligible Resident.
- 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.
- 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.
- The RR Program Office will forward the application form to the CPSO for processing.
- Concurrently, the resident will complete the CPSO Application and submit it directly to the College along with the application fee.
- Once all documentation is received, the CPSO will review the application and issue the RR certificate.
- 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.
Does the Restricted Registration Program pay Residents for RR activities, or provide funding to healthcare sites where RR activities are taking place?
The Restricted Registration Program funds administration, infrastructure (the online application and the website) enabling Residents and healthcare sites to participate in the Program. Remuneration for Residents is determined directly between the Resident and the healthcare site. If supervising physicians will be billing for services provided by RR Residents, they will need to observe the requirements in the OHIP fee schedule.
How are Residents privileged while doing RR activities?
Residents who have a Restricted Registration Certificate cannot be privileged as “Residents” when working outside of their academic obligations for remuneration. The hospital should make arrangements to grant “Temporary Privileges” to the RR Resident.