Guidelines for College-Directed Supervision

About Supervision of Practice

The College, through its committees or policies, may require a physician’s practice to be supervised for several reasons. Examples of reasons for College-directed supervision include:

  • a physician is missing qualifications for full registration;
  • an assessment or investigation of the physician’s practice identifies patient safety concerns and/or the need for practice improvement;
  • a physician requires supervision as part of a series of steps towards independent practice when re-entering practice, or changing his or her scope of practice;
  • supervision is part of an interim order pending a Discipline Hearing; or
  • a physician has health issues that may potentially impact the physician’s practice, which need to be monitored.


There are three forms of supervision the College may require a physician to undergo: Clinical Supervision, Practice Monitoring, and Health Monitoring. These guideline documents provide a general overview to supervisors and supervised physicians about their individual roles and responsibilities, and obligations to each other as well as to the College when participating in supervisory arrangements borne out of a College process: 

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