FAQ – For Program Directors
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.
What are the objectives of the Restricted Registration Program for Residents?
- Providing Residents with opportunities for additional practice, collaborative, and managerial experiences that support and develop CanMEDS roles;
- Supporting Ontario’s Health Human Resource needs (including after hours on call and on weekends) in both academic and community settings;
- Improving the financial well-being of Residents
Why are only some Universities and Programs participating?
Participation in the RR Program is voluntary for both Faculties of Medicine and for the various postgraduate programs within each School. Please visit our Participating Programs page for further information. If your Program would like further information on participating in Restricted Registration, please contact our office.
What are the eligibility criteria for resident participation in Restricted Registration?
At minimum, Residents must:
- Have successfully completed and passed the MCCQE Parts I and II
- Have completed 18 months of residency training
- Be in good academic standing
- Be actively engaged in their residency training program (i.e. not on leave).
Please note that due to specific arrangements regarding income tax and personal revenue, Pool C Residents/Visa Trainees are not eligible to participate in Restricted Registration.
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 working in comparable pediatric settings must have completed training in Pediatric Advanced Life Support and in Neonatal Advanced Life Support.
Program Directors, in conjunction with their education committees, determine the guidelines specific to the individual postgraduate program. To participate in the RR Program, the program must submit guidelines for resident participation. Templates of guidelines are available from the Restricted Registration Program office.
All Programs and Postgraduate Deans reserve the right to choose not to approve an application if a Resident is not meeting the required standards in their program.
What are the Program Director’s responsibilities?
The Program Director must attest that the information provided by the Resident regarding their training and academic standing in the application is correct. Furthermore, the Program Director must confirm and attest that the Resident has fulfilled the eligibility criteria set by the Program for each service type and site.
Should the Resident fail to maintain their academic standing, the Program Director will notify the RR Program office and the Postgraduate Dean of these concerns.
What are the Healthcare Site/Supervisor’s responsibilities?
The responsibilities of the healthcare site/supervisor are to:
- recruit potential Resident applicants for a position;
- confirm and attest that the Resident’s training and experience meets the requirements of the Restricted Registration activities;
- make a tentative offer to the Resident pending the issuance of a Restricted Registration by the CPSO;
- complete the Supervisor portion of the RR academic application providing detail regarding the potential duties of the Resident and the level of supervision that will be provided.
What are the Resident’s responsibilities?
Once a Restricted Registration opportunity has been found and an offer has been made by the healthcare site, the Resident is responsible for completing the RR academic and CPSO applications. They must agree to abide by the following conditions:
- To work in accordance with the terms and conditions of the PARO-CAHO Collective Agreement (including all duty hour stipulations related to on-call maximums and/or shift work as appropriate)
- To obtain the necessary CMPA coverage for Restricted Registration activities (CMPA Code 14 – Residents for Moonlighting)
- To restrict activities to the scope of services and sites indicated by the registration
- To practice only within the scope of training received to date
- Not allow Restricted Registration activities to interfere with the requirements and responsibilities of his/her training program.
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 and 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 guide.