Independent Practice Certificate of Registration

A certificate of registration for independent practice authorizes the holder to engage in independent, unsupervised medical practice in Ontario.

The holder of an independent Practice certificate is entitled to all the rights and responsibilities of a physician in Ontario and must meet the annual renewal requirements set by the College to maintain the Independent Practice certificate.

General Requirements

  1. A medical degree from an accredited Canadian or US medical school or from an acceptable international medical school.
  2. Successful completion of Parts 1 and 2 of the Medical Council of Canada Qualifying Examination (MCCQE) or an acceptable alternative examination. Under the College’s current regulation, acceptable alternative examinations to Parts 1 and 2 of the MCCQE are:
    • If completed successfully before December 31, 1991, the MCCQE (before the introduction of Parts 1 and 2), or
    • If completed successfully before December 31, 1991, the examinations for the diploma of the National Board of Medical Examiners (NBME) of the United States of America, or
    • If obtained before December 31, 1991, a score of 75 on each of Component 1 and Component 2 of the Licensing Examination of the Federation of State Medical Boards of the United States of America (FLEX). If FLEX was taken before July 1, 1985, a weighted score average of 75 on all components is required.
  3. Certification by examination by either the Royal College of Physicians and Surgeons of Canada (RCPSC) or the College of Family Physicians of Canada (CFPC).
  4. Completion in Canada of one year of postgraduate training or active medical practice, or completion of a full clinical clerkship at an accredited Canadian medical school.
  5. Canadian Citizenship or permanent resident status.

Terms, Conditions and Limitations of an Independent Practice Certificate of Registration

The holder of the certificate may only practise in the areas in which he or she is educated and experienced.

Any practice outside the physician’s area of education and experience would contravene the term, condition and limitation of the Independent Practice certificate. If a physician intends to change scope of practice, he or she must follow the College’s Ensuring Competence: Changing Scope of Practice and/or Re-entering Practice policy by participating in an individualized training and assessment process that will ensure safe and competent practice in the new area.

Similarly, physicians applying for registration in Ontario who have been out of practice for two years are subject to this policy.
The College does not recognize any alternatives to the qualifications listed above except those set out in our various registration policies. Out of province licence holders in Canada should review the information relating to application under the Canadian Free Trade Agreement (formerly Agreement on Internal Trade.

Please visit the Registration Applications and Forms section of the website for additional information regarding submitting an application.