| 1. What is a Restricted Registration? |
Restricted Registration refers to the conditions placed on a medical Resident's CPSO registration when he/she is 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 provides clinical services for remuneration outside of the residency program
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| 2. What are the objectives of the Restricted Registration Program for Residents? |
There are a number of objectives that have been identified by the various stakeholders involved in the Program. They include:
- Providing Residents additional practice, collaborative and managerial experience and develop RCPSC and CFPC roles;
- Providing physician resources to the Ontario health care system in both academic and community locations to help meet service needs, including on-call and weekends;
- Improving the financial well being of Residents
- Providing evidence as to the impact of Restricted Registration activity on the well being of Residents and their families, significant others and personal relationships
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| 3. Who are the stakeholders who are participating in the RR Programt? |
The stakeholders who have participated in the design of the RR Program are:
- Professional Association of Interns and Residents of Ontario
- Post Graduate Education Committee of the Council of Ontario Faculties of Medicine
- College of Physicians and Surgeons of Ontario
- Council of Academic Hospitals of Ontario
- Ontario Hospital Association (need to confirm
- Health Force Ontario
- Ministry of Health and Long Term Care
- Individual Ontario faculties of medicine and their programs
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| 4. What schools and programs are participating? |
At the moment, the following Programs within each School are participating.
Click on the links above to view the domain of practice for each program in their respective site.
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| 5. Why are only particular Schools and Programs now participating? |
Participation in the RR Program is voluntary for both Faculties of Medicine and for the various post graduate programs within each School. For their own reasons, some have decided not to participate at this time.
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| 6. Which Residents can I interview for positions in my organization? |
Residents from participating programs in participating schools are eligible to apply for Restricted Registrations. They must have completed a minimum of 18 months of rotations, and 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). Pool C Residents/Visa Trainees have been precluded from access to Restricted Registration due to arrangements about income tax and personal revenue that have federal legal implication. 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 Advanaced Cardiac Life Support. Those working in comparable pediatric settings must have completed training in Pediatric Advanced Life Support and in Neonatal Advanced Life Support.
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| 7. Where can I post positions I want filled? |
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 call the Office of Restricted Registration at 416-597-3650.
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| 8. What are the Employer's responsibilities with respect to the CAHO-PAIRO Collective Agreement? |
It is important to note the distinction between the obligations of the employer with respect to residents. Restricted Registration residents, when performing work under the Restricted Registration program are not engaged in any academic obligations with respect to their academic program. This means that the Restricted Registration resident is not a resident for the purposes of the CAHO-PAIRO Collective Agreement, and is therefore not entitled to the terms and conditions outlined in that Agreement. Therefore, the work performed by the Restricted Registration resident cannot result in a violation of the CAHO-PAIRO Agreement. In short, these are not residents for the purposes of the CAHO-PAIRO Agreement, and their Restricted Registration duties cannot lead to conflict with that Agreement.
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| 9. What are the Employer's/Supervisor's responsibilities in general? |
The employer/supervisor must:
- Post position descriptions for Residents to view on the RR website (please call the office of RR for assistance).
- recruit potential Resident applicants for a position prior to the Resident applying for a Restricted Registration.
- be satisfied that the Resident's training and experience meet the requirements of the Restricted Registration activities, and attest to that fact.
- make a tentative offer of employment to the Resident pending the issuance of a Restricted Registration by the CPSO.
- complete the Employer/Supervisor portion of the RR 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 PAIRO/CAHO 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 you 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, and
- 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
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| 10. What are the steps in hiring a Resident working under a Restricted Registration? |
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You may post, recruit and make a tentative offer of employment to an eligible Resident.
- The Resident must complete the 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.
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When the Resident has completed his/her section of the application, it will be electronically forwarded in the following order to you as the potential employer/supervising physician, the university Program Director, the PGME Dean, and the School's Restricted Registration Review Committee for completion.
- The Resident will be notified if the Restricted Registration Review Committee at his/her School has reviewed the application and attests that the application is complete and meets the program's requirements. The Project Manager will forward the application form to the CPSO for processing. The CPSO will in turn send a package to the Resident, requesting payment of fees ($716 per academic year, payable at the first RR application).
- The CPSO will review the application at a scheduled Registration Committee meeting.
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You as the employer should obtain a copy of the registration to ensure that duties assigned to the resident and the level of supervision provided complies with the registration. Please note that unsupervised activity will eliminate your site as a potential placement employer for this pilot project and the Resident will be subject to the CPSO and University disciplinary processes.
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| 11. How often and what data and information will I have to provide to the Pilot Project? |
Employing Supervisors will be asked to participate in a brief online survey once every a year.
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| 12. 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 project funds administration, infrastructure (for example, the online application and the website) and the evaluation of this Program. This funding enables Residents and health care sites to participate in the Program. There is no funding for remuneration for a Resident engaged in RR activities. Remuneration for Residents is determined directly between the Resident and the employer. If physicians will be billing for services provided by Residents in the RR Program, they will need to observe the requirements in the OHIP fee schedule page.
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| 13. How are Residents privileged while doing RR activities? |
Please note that Restricted Registration Certificate holders shall 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 be advised that this is NOT an official document.
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