| 1. Are Residents from all programs in participating schools eligible to participate in the pilot? |
No. Programs may join the RR Program at the discretion of the Program Director and PG school. For a list of current participating programs, please click here. Participation in the Program is voluntary for the Faculties of Medicine and the individual postgraduate programs within the schools. For their own reasons, some have decided not to participate at this time.
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| 2. Who is eligible and what are the criteria? |
Residents enrolled in participating postgraduate programs in Ontario Schools of Medicine are eligible to take part in the RR Program.
Criteria is determined by each School and Program based on the Resident's performance to date and program assessment of ability to perform semi-independently. At a minimum you must have successfully completed and passed the MCCQE Parts I and II, 18 months of residency training, 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. Each program has developed further criteria.
Please refer to the relevant documents for your university and program. All Programs and Postgraduate Deans reserve the right to refuse eligibility 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 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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| 3. What are the Resident's responsibilities? |
The Resident is responsible for finding his/her own employment opportunity. Healthcare sites have the opportunity to post positions on the Restricted Registration Website. This is NOT a matching service. It is a resource. Residents may also find opportunities through past academic experiences (ie: approaching a former supervisor).
Once an employment opportunity has been found and an offer has been made by the employer, the resident is responsible for completing the RR Program application form on this site accurately and must sign an agreement to the undertakings listed on the application; i.e., that he/she will
- abide by the terms and conditions of the PAIRO/CAHO Collective Agreement (i.e. not work more than the hours/shifts stipulated by the contract, TBD)
- have obtained/will obtain the necessary CMPA coverage for Restricted Registration activities (CMPA Code 14 - Residents for Moonlighting)
- restrict activities to the scope of services and sites indicated by the registration
- 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 (including not undertaking activities during residency work hours including on-call periods that are defined by the program)
- agrees to provide information and data for the purposes of tracking and evaluating the Program on Restricted Registration.
- give the College of Physicians and Surgeons (CPSO) consent to share with the PGME office the type and nature of the license issued to the resident
After all the relevant participants (Physician Supervisor of the employment activities, Program Director, Post Graduate Medical Education Dean, and the Restricted Registration Review Committee at the relevant School) have approved, the application will be forwarded to the CPSO. The CPSO will send the applicant additional forms and information.
Applications will be reviewed by the CPSO Registration Committee. The CPSO will advise the applicant, the PGME Office, and the Restricted Registration Project Manager of the Committee's decision.
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| 4. What are possible repercussions for failing to meet one or more of my responsibilities listed above? |
Failure to comply with the terms of the agreement (abiding by the Collective Agreement, obtaining necessary CMPA coverage, and working within the scope of the Restricted Registration) may constitute unprofessional conduct and may warrant further action by the CPSO under the Act or Rules.
If the Resident does not maintain good academic standing or if the Restricted Registration activities negatively impact on his/her academic and/or clinical obligations in his/her residency program, the Program Director and Postgraduate Dean (or delegate) reserves the right to withdraw their approval for the Restricted Registration, and/or inform the College requesting that the Restricted Registration be terminated.
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| 5. What are the Program Director's and the Post Graduate Medical Education (PGME) Dean's responsibilities? |
The Program Director must attest that the information provided by the Resident regarding his/her training and academic standing in the application is correct. Should the Resident fail to maintain academic standing, the Program Director will notify the CPSO 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 reviews the application and provides approval for the Resident to apply for a Restricted Registration to provide clinical services outside his/her program
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| 6. What are the Employer's/Supervisor's responsibilities? |
The employer/supervisor must:
- recruit potential Resident applicants for a position
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be satisified that the Resident's training and experience meets 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.
- Must complete the Employer/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 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 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, and
- agree to provide information and data as required by the RR Program for the purposes of tracking and evaluation
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| 7. What are the steps for getting a Restricted Registration? |
Please see our how to apply page.
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| 8. How often and what data and information will I have to provide to the RR Program? |
As long as you have a Certificate of Restricted Registration, you will be
sent an email every six months requesting that you complete a short web-based questionnaire. The first survey will occur in January, 2009. The
types of questions asked include the number and nature of activities/services provided under the Restricted Registration, the site of
the activities, total number of hours worked, method of payment, and an evaluation of your work experience. All surveys are completely anonymous,
and data will only be used in the aggregate.
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| 9. 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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| 10. What if I want to apply for another site and service within the same academic year? |
If you currently have a Certificate of Restricted Registration for this academic year, and you would like to apply for an additional site/service. Please note these guidelines:
5) Create an online application on the RR portal.
6) Send a cover letter to the Office of Restricted Registration, addressed to the College of Physician and Surgeons (CPSO), outlining your request for an addendum to your current restricted license. Be specific, and state that you already have an existing certificate.
7) Once your application is approved in the academic environment, the Office of RR will combine your cover letter and approved application, and submit both to the CPSO for the next available Registration Committee meeting. The Office of RR will notify you of this step.
8) Please be advised that the CPSO has informed the Office of RR, that the cover letter is an important component, and failure to provide a cover letter will result in delays to your application.
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| 11. I want to apply to a hospital, but it isn't on the drop-down list of hospitals on the portal. What do I do? |
For omissions on the portal, please contact the Project Manager. Do not use the "closest thing" or the "best guess" approach.
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