1. Ensure that you meet all of the RR Program eligibility requirements (see below.)
2. Ensure that your residency training program is an RR Program participant.
3. Obtain an offer and confirm a Supervising Physician at the healthcare facility where you plan to work.
4. Discuss your intent to obtain an RR certificate with your Program Director to confirm their support.
5. Visit http://www.rrapp.ca and initiate an online academic application (you will need to know your completed rotations, as well as the name and email address of your Supervising Physician).
6. Complete the CPSO Application that will be emailed to you once you initiate an academic application.
7. Submit the notarized CPSO Application to the CPSO.
8. Ensure that your Supervising Physician completes and submits the CPSO Supervisor Undertaking Form.
9. Contact the CMPA and request that your coverage be changed to TOW Code 14.

The CPSO Registration Committee will review your application once all documentation is received at their next meeting. You will be notified by the CPSO once your application has been granted. Do not schedule, or commence working until your certificate has been granted.  

No. Participation in the Program is voluntary for the Faculties of Medicine and the individual postgraduate programs within the University. Programs may join the RR Program at the discretion of the Program Director and Residency Training Committee. For a list of current participating programs, please click here.

Residents actively engaged in an accredited residency training program at an Ontario School of Medicine are eligible to take part in the RR Program.

Criteria is determined by each University  and Program based on your performance to date and the program’s assessment of your ability to perform semi-independently. 

At minimum, you must have successfully completed and passed the MCCQE Part I, completed 18 months of residency training, be in good academic standing, and be actively involved in their residency training program (not on leave). Each program will have developed further criteria specific to your program/discipline. 

Pool C Residents/Visa Trainees are not eligible for participation in Restricted Registration due to requirements related to income tax and personal revenue that have federal legal implication. 

Please refer to the relevant documents for your university and program. All Programs and Postgraduate Deans reserve the right to refuse or withdraw support if a resident is not performing at the required standards in their program.

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.

You are responsible for finding your own RR opportunity. Some healthcare sites post positions on the Restricted Registration website. Residents may also find opportunities through past academic experiences (such as approaching a former Supervisor).

Once an opportunity has been found and an offer has been made by the healthcare site, you are responsible for completing the online academic application on the website accurately.

Residents must agree to abide by the following conditions:  

• To work in accordance with the terms and conditions of the PARO- OTH Collective Agreement (including with respect to duty hour maximums)
• 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 certificate of registration
• To practice only within the scope of training received to date
• Not allow the Restricted Registration activities to interfere with the requirements and responsibilities of his/her training program (for example,  not undertaking activities during residency work hours including on-call periods that are defined by the program)
• To agree to provide information and data for the purposes of tracking and evaluating the Restricted Registration Program.
• To consent to allowing the College of Physicians and Surgeons (CPSO) to share the type and nature of the license issued to the resident with their PGME office 

After all the relevant participants (Physician Supervisor of the employment activities, Program Director, and the Post Graduate Medical Education Dean at the relevant University) have approved, the academic application will be forwarded to the CPSO by the RR Program office. Concurrently, you must complete the CPSO Application and submits it directly to the College along with the registration fee.

Once all documentation is received, the application will be reviewed by the CPSO Registration Committee. The CPSO will advise the applicant, the Supervising Physician and the Restricted Registration Program Office of the Committee’s decision. Pending submission of any outstanding documentation, the College will issue you a certificate. It is important to note that you must not commence practice until you have received your Certificate of Registration from the CPSO.

Failure to comply with the terms of the agreement may constitute unprofessional conduct and may warrant further action by the CPSO under the Act or Rules.

If a resident does not maintain good academic standing or if the Restricted Registration activities negatively impact on their academic and/or clinical obligations in their residency program, the Program Director and Postgraduate Dean reserve the right to withdraw their approval for the Restricted Registration, and/or inform the College requesting that the Restricted Registration be terminated.

The Program Director must attest that the information provided by the Resident regarding their  training and academic standing in the application is correct. Should the Resident fail to maintain their academic standing, the Program Director will notify the Resident and the Postgraduate Dean of these concerns and recommend cessation of the registration. This will be effective immediately and there is no appeal of this decision.

The PGME Dean will review the application and provide approval for the Resident to apply for a Restricted Registration to provide clinical services outside their program

• recruit potential Resident applicants for a position
• be satisfied that the Resident’s training and experience meets the requirements of the Restricted Registration activities and attest to that fact.
• make a tentative offer to the Resident pending the issuance of a Restricted Registration by the CPSO.
• complete the Supervisor portion of the Program application indicating:
  • the service type and location of the activities
  • the potential duties of the Resident
  • the name of the supervising physician
  • that the employer will abide by the PARO-OTH Collective Agreement
  • 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
  • agree to provide information and data as required by the RR Program for the purposes of tracking and evaluation

Residents are required to log the RR hours they have worked in the online Shift Tracker on the RR Portal. 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.

If you currently have a Certificate of Restricted Registration for this academic year, and you would like to apply for an additional practice location or service type, please note these guidelines:

1. Create a new online academic application on the RR portal.
2. Download the form, “Application to Modify Existing Registration Committee Terms and Conditions” from the CPSO website. 
3. Complete the form and submit it directly to the CPSO.
4. Once the CPSO receives the completed documentation, your request will be reviewed at the next Registration Committee meeting.