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One of the CPSO’s key duties as a medical regulator is to provide guidance to Ontario physicians on professionalism and issues relevant to the practice of medicine.

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We developed the Practice Guide and our policies to give guidance to the profession in providing quality health care to patients.

The Practice Guide forms the foundation for all College policies by outlining the values and principles of the profession. Policies outline specific expectations, and reflect relevant legal requirements found in legislation, regulation and by-laws.

Together, these documents serve as a benchmark against which individual physicians' conduct is evaluated.

Policy redesign project

We are currently redesigning our policies to be clearer and more concise with a focus on enhancing their use and readability.

Redesigned policies have a new, simplified look, and draw a clearer distinction between what physicians must do and what they are advised to do.

We also created new “Advice to the Profession” companion documents, which provide general guidance and contextual information to help physicians interpret and apply the expectations set out in policy.


  1. Accepting New Patients
  2. Blood Borne Viruses
  3. Cannabis for Medical Purposes
  4. Complementary / Alternative Medicine
  5. Confidentiality of Personal Health Information
  6. Consent to Treatment
  7. Criminal Record Screening
  8. Delegation of Controlled Acts
  9. Disclosure of Harm
  10. Dispensing Drugs
  11. Ending the Physician-Patient Relationship
  12. Ensuring Competence: Changing Scope of Practice and/or Re-entering Practice
  13. Female Genital Cutting (Mutilation)
  14. Maintaining Appropriate Boundaries and Preventing Sexual Abuse
  15. Mandatory and Permissive Reporting
  16. Medical Assistance in Dying
  17. Medical Expert: Reports and Testimony
  18. Medical Records
  19. Methadone Maintenance Treatment for Opioid Dependence
  20. Physician Behaviour in the Professional Environment
  21. Physician Treatment of Self, Family Members, or Others Close to Them
  22. Physicians’ Relationships with Industry: Practice, Education and Research
  23. Planning for and Providing Quality End-of-Life Care
  24. Practice Management Considerations for Physicians Who Cease to Practise, Take an Extended Leave of Absence or Close Their Practice Due to Relocation
  25. Prescribing Drugs
  26. Professional Obligations and Human Rights
  27. Professional Responsibilities in Postgraduate Medical Education
  28. Professional Responsibilities in Undergraduate Medical Education
  29. Providing Physician Services During Job Actions
  30. Public Health Emergencies
  31. Telemedicine
  32. Test Results Management
  33. Third Party Reports
  34. Uninsured Services: Billing and Block Fees