How Are CPSO Policies Developed?

CPSO polices set out expectations of competent and ethical behaviour for physicians practising in Ontario.

Where do policy ideas come from?

Lots of places, including:

Patient experience

College committees, Council and the medical profession

When it's determined that a policy needs to be created or reviewed, a policy analyst is assigned to the case

Research & Preliminary Consultation

The policy analyst begins researching the policy issue. This process can include:

Reading articles, databases and journals

Reading positions of other Colleges, both in Canada and abroad

Looking at complaints or other patient experiences related to the policy being created or reviewed

In the case of an existing policy under review, conducting a preliminary consultation to bring in feedback from our various stakeholders

Analysis & Drafting

All the information and feedback received is carefully considered:







Based on the analysis, the policy analyst then:

Writes a draft of the new policy
(or revises the existing policy).

Executive Committee and Council
consider the draft and approve its release for
external consultation.


Policies are then opened up to external consultation with our membership, healthcare organizations and the general public.
We typically set a 60-day deadline and allow users to provide comments in a number of ways, including the public discussion forum, email, online surveys or a letter.

We promote the open consultation through a number of channels, including:

Adding it to the Policy
section of the CPSO website

Promoting it on our
website homepage

Publishing a notice about it in our membership magazine, Dialogue

Publishing a notice in Patient Compass, Council Update and other College newsletters

Promoting it through our
social media channels

Direct email campaigns

Re-Draft, Edit

The policy analyst then revises the draft policy, taking into account feedback received during the consultation. Once done:

S/he presents the revised draft to
Executive Committee and Council

Executive Committee and Council
considers the consultation feedback,
along with the proposed revisions

Executive Committee and
Council then approves the final
version of the policy

Final Policy

Once a policy is finalized, we publicize it using the same channels mentioned above.

Policies are reviewed on a regular basis. This allows us to revisit them, and ensure that they remain helpful and informative and reflect any changes in the health care landscape.