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Residents Working Additional Hours for Pay

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Approved by Council: December 2010
To be Reviewed by: December 2016

The College’s registration regulation sets out the requirements which must be met in order for an applicant to be issued a certificate of registration.

If an applicant does not meet the requirements set out in the regulation it may still be possible for an applicant to qualify pursuant to one of the exemption policies.

Please note if you currently hold a certificate of registration in any Canadian jurisdiction you may be eligible for registration in Ontario under new provisions of the Health Professions Procedural Code (the “Code”). Please refer to sections 22.15 to 22.23 of the Code. Please see Legislation and By-Laws for more details.

All applicants must be able to demonstrate that their past and present conduct indicates that they are mentally competent to practise medicine; will practise with decency, integrity and honesty and in accordance with the law; have sufficient knowledge, skill and judgment to engage in the kind of practice authorized by the certificate and can communicate effectively; and will display an appropriately professional attitude.

In addition to the registration regulation and policies, all applicants will also be subject to other CPSO policies and regulations which apply to current registrants. In particular, the Changing Scope of Practice and Re-entering Practice policies, and the regulation pertaining to the use of specialist titles may have relevance for new applicants. All applicants will also be subject to the College’s expectations with respect to continuing professional development.

All applicants may choose to proceed through any other applicable registration policy. In such instances, the provisions in this policy will not apply.

This policy allows residents, in limited circumstances, to work for additional hours for pay outside of their training requirements.

*Associated fees have been waived under this policy.


  • The College affirms that neither patient safety nor the well-being of residents be compromised for the purpose of meeting the administrative/staffing needs of hospitals or the personal financial concerns of residents.
  • The College recognizes that Ontario residents are a valuable human resource for providing health care, whose full potential has not yet been realized.
  • As residents progress through their education and training, the College accepts that they are able to practice medicine, within their area of training, in an increasingly independent manner.


A resident holding a postgraduate education certificate of registration may apply for a restricted certificate of registration under certain prescribed conditions.

To apply for a restricted certificate of registration to practice medicine outside of their training program, medical residents are required to:

  • complete a minimum of one year of residency training;
  • receive approval from the Dean of his/her medical school or his/her designate;
  • arrange additional work only in existing rotations already successfully completed as a trainee;
  • be in the same supervisory relationship with the Most Responsible Physician taking responsibility for the care of the patient; and
  • ensure that the work for pay does not interfere with the work requirements of the residency program and that any additional hours worked not be done in a fashion which would contravene the collective agreement.