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Glossary of Terms

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Some of the terms used on the physician profiles in our Physician Register reflect language from the medical professions’ governing legislation, the Regulated Health Professions Act, and have a particular meaning in the regulatory environment. This glossary is provided to explain these terms as best as possible in layman’s terms. If you have any questions about the information provided in the Physician Register, please contact our Public Advisory Service at 416-967-2603 or 1-800-268-7096, ext. 603.

Academic Practice

  • may practice only in the medical school department in which the physician holds an academic appointment;
  • may practice only to the extent required by the appointment;
  • certificate expires when the academic appointment ends.

Academic Visitor

  • may practice only in the medical school department in which the physician holds an academic appointment;
  • may practice only to the extent required by the appointment;
  • certificate may be issued for up to fifteen months only.

Board

Board means the Board of Directors of the College. The Board is the term CPSO is now using to refer to the Council of the College. Each reference to the Board is deemed to be a reference to the Council of the College as specified in the Regulated Health Professions Act, 1991 and the Medicine Act.

Caution-in-Person or Cautions

A “caution” (also known as a “caution-in-person”) is one of the dispositions that the Inquiries, Complaints and Reports Committee (ICRC) may make in connection with a matter before it, and this disposition requires the member to appear before a panel of the Committee to be cautioned.

For decisions in which the disposition includes a “caution”, the College is required by law and College By-laws to post a summary of the decision on the physician register. If the decision has been appealed, this will be noted as well; and if the decision is overturned on appeal or review, the summary will be removed from the register.

Note this posting requirement applies only to decisions arising from a complaint received on or after January 1, 2015; or if there was no complaint, the first appointment of College investigators dated on or after January 1, 2015.

Certificate of Registration

A certificate of registration (or “medical licence” in laypersons’ terms), is issued by the College and provides authorization to practise medicine in Ontario. There are various categories or “classes” of certificates of registration and each describes the type of practice permitted. The physician’s registration class is shown under “Current Registration” at the top of their profile page.

Charges

Based on provincial legislation and its own by-laws, the College is required to post certain information on its public register if the College knows that a member was charged with an offence under:

  • the Criminal Code of Canada,
  • the Controlled Drugs and Substances Act (Canada), or
  • the Ontario Health Insurance Act,

so long as the charges are outstanding.  

The College removes the posting after it learns that the charges are no longer outstanding (for example if the charges are withdrawn or the member was found guilty).

The College has been posting information known to it about charges under the statutes listed above since May 29, 2015.

Current Tribunal Proceeding

If the Public Notifications for a physician indicate “Current Tribunal Proceeding,” this means that allegations of professional misconduct or incompetence against the physician have been referred to the Ontario Physicians and Surgeons Discipline Tribunal, and a hearing will be held for the purposes of deciding if the physician has committed an act of professional misconduct or is incompetent, as the case may be.

Disciplinary Findings by Other Regulators

The College is required by law to post certain information on its public register if the College knows that  another regulator or licensing body in any jurisdiction has made a disciplinary finding (or a finding of professional misconduct or incompetence) against a member. 

The College has been posting information known to it about disciplinary findings made by medical regulators since September 1, 2015, and by non-medical regulators since May 1, 2018.

Findings of Guilt

Based on provincial legislation and its own by-laws, the College is required to post certain information on its public register if the College knows that a member was found guilty of an offence under:

  • the Criminal Code of Canada,
  • the Controlled Drugs and Substances Act (Canada),
  • the Ontario Health Insurance Act,
  • under any criminal laws of another jurisdiction, or
  • under any laws comparable to the Health Insurance Act (Ontario) or the Controlled Drugs and Substances Act (Canada)

Guilty findings are not posted, or the postings are removed, in the following circumstances:   

  • if a record suspension or a pardon has been granted, if known to the College,
  • one year after an absolute discharge has been ordered,
  • three years after a conditional discharge has been ordered, or
  • if the finding has been overturned on appeal, if known to the College.

The College has been posting information known to it about guilty findings made since June 1, 2015 under the Criminal Code of Canada, Controlled Drugs and Substances Act (Canada) and the Ontario Health Insurance Act. The College has been posting information known to it about guilty findings made in other jurisdictions since September 20, 2019.

Former Name(s)

Includes only the former names of the physician that have been previously entered in the register as the physician’s name. (Names that are not used in a physician’s practice are not posted on the register. For example, if a physician marries and changes their surname, but continues to use their single name for practice purposes, the married name would not be entered in the register.) Former names used before the physician’s registration with the College are not shown.

General Practitioner

  • In the mid-1990s, it became a requirement of registration in Ontario for new family physicians to be certified by the College of Family Physicians of Canada (see Specialty Designation).
  • Family physicians who trained prior to 1993 are deemed general practitioners. They have the option of gaining certification through a practice-eligibility route, but it is not mandatory. If a physician is a general practitioner, the Specialties designation section of their profile page will indicate “none”.
  • For Ontario graduates, certification is gained after residency training. 

Doctors who do not have any specialty designation are considered General Practitioners, and the “Specialties” section of their profile page will indicate “none.”

Hospital Privileges

The register sets out the hospitals in Ontario where physicians hold privileges. “Hospital privileges” is a term generally used to indicate the appointment of a physician to the staff of a hospital. Hospital privileges provide a physician with access to the hospital’s facilities, and they also specify the types of procedures a physician may perform in the hospital. The process for granting, changing and terminating hospital privileges are set out in a hospital’s by-laws.

Incapacity

Incapacity refers to when a physician suffers from a physical or mental condition or disorder that makes it desirable in the interest of the public that the physician’s practice be subject to restrictions or that the physician no longer be permitted to practise. Examples of incapacity include (but are not limited to):

  • cognitive decline
  • substance use issues
  • a physiological inability to perform required tasks or procedures.

Independent Practice

This certificate permits independent practice in the areas of medicine in which the physician is educated and experienced. Approximately 80% of doctors in Ontario have this class of certificate. It is usually obtained after postgraduate residency medical training is completed and is held throughout their medical career.

Interim Orders

The Inquiries, Complaints and Reports Committee (ICRC) may make an “interim order” directing the Registrar to suspend a member or to impose terms, conditions or limitations (TCLs) on a member’s certificate of registration if the ICRC is of the opinion that the conduct or physical or mental state of the member exposes or is likely to expose the member’s patients to harm or injury. An interim order continues in force until it is varied by the ICRC or until the matter that led to the interim order has concluded, for example, until the matter is disposed of by the ICRC, the Ontario Physicians and Surgeons Discipline Tribunal or the Fitness to Practice Committee.

The College is required under its By-laws to indicate on the register if an Interim Order has been made on or after October 16, 2024. The notation of the Interim Order will be removed from the register once it is no longer in effect. Information about Interim Orders will be displayed under the Public Notifications tab of the physician profile.

Languages Spoken

The languages in which the physician is able to provide service.  This is self-reported by the physician.

Medical Licence

See “certificate of registration” above.

Member-reported Findings of Professional Negligence or Malpractice

The College is required by law to post findings of malpractice or professional negligence on the public register (see the “Public Notification” section on their profile page) unless the finding has been reversed on appeal. These are findings made by a court in a civil proceeding (or lawsuit). The College has been posting information known to it about findings of malpractice or professional negligence since June 4, 2009.

Non-Binary

Non-binary is an umbrella term for anyone who does not identify with static, man-woman binary gender identities.

Out-of-Hospital Premises (OHP) Medical Director

The OHP must appoint a Medical Director (a physician holding a certificate of registration from the College). The Medical Director who is responsible for all aspects of running an OHP. This includes:

  • hiring appropriately qualified staff;
  • ensuring all the policy and procedures are in place and up-to-date; and
  • working with the College to address any matters that arise in the context of an inspection.

OHP Nurse Assessment Coordinator (NAC)

The Nurse Assessment Coordinator is responsible for the overall coordination of the inspection of out-of-hospital premises (OHP). He or she ensures:

  • the premises is prepared for an inspection;
  • all of the components of an inspection are complete; and
  • any necessary follow-up on items identified through the inspection process is completed. 

OHP Premises Inspection Committee (PIC) 

This Committee of the College governs the premises inspection program and is responsible for:

  • approving policies;
  • ensuring assessors are appointed to complete inspections; and
  • reviewing inspection reports and determining outcomes.

OHP Registry

The College also conducts inspection/assessments of “out-of-hospital premises” where certain procedures are carried out in the community setting under anaesthesia or sedation. We maintain a registry of all premises that have been inspected under the program.

Postgraduate Education

This type of certificate:

  • permits supervised practice after graduation from medical school, and is required for postgraduate (residency) medical training at an Ontario medical school;
  • may practice only as required by the postgraduate education program in which the physician is enrolled at an Ontario medical school;
  • may prescribe drugs only for in-patients or out-patients of a clinical teaching unit of the medical school;
  • may not charge a fee for medical services; and
  • expires when enrolment in postgraduate medical education ceases. 
     

Postgraduate Training

Physicians must be registered with the College, usually under the Postgraduate Education registration class, to engage in a postgraduate medical training appointment in Ontario. For physicians who hold a Postgraduate certificate of registration, the register will list the postgraduate medical training appointments in which a physician is or was enrolled at an Ontario medical school. This information is not displayed for physicians holding other types of certificate of registration. Note that postgraduate training completed outside Ontario is not included.

Practice Conditions

The Practice Conditions tab on a physician profile page in the Physician Register will indicate the terms, conditions and limitations (TCLs) that apply to or are imposed on the physician’s certificate of registration. Some TCLs are standard (See below:  TCLs: Standard). There may also be additional or non-standard TCLs that apply to or are imposed on a physician’s certificate of registration. Certain College committees (Registration, Fitness to Practice or Inquiries, Complaints and Reports) and the Ontario Physicians and Surgeons Discipline Tribunal are authorized to impose to impose TCLs on a certificate of registration. TCLs may also be imposed by way of a physician’s Undertaking to the College (see “Undertaking” in the glossary for more information).

Whenever these “non-standard” terms, conditions and limitations are imposed on a certificate, it automatically becomes a restricted certificate. Examples include:

  • Ontario Physicians and Surgeons Discipline Tribunal; Fitness to Practise; and Inquiries, Complaints and Reports Committees: Both the Ontario Physicians and Surgeons Discipline Tribunal, which hears allegations of professional misconduct or incompetence, and the Fitness to Practise Committee, which hears allegations of incapacity, can order that terms, conditions and limitations be imposed on a physician’s certificate of registration. When TCLs are ordered by either one, the specified restrictions are included on the public register. The Inquiries, Complaints and Reports Committee (ICRC)* can make an interim order to impose terms, conditions and limitations on the physician’s certificate of registration, after it has referred specified allegations to the Ontario Physicians and Surgeons Discipline Tribunal or after it has made a referral to the Fitness to Practise Committee. TCLs imposed by the ICRC will appear on the public register for as long as they remain in force.
  • Registration Committee: The Registration Committee of the College has the authority to grant a restricted certificate of registration in certain circumstances (for example, to individuals who have not successfully completed all of the examination requirements). In these circumstances, specified terms, conditions and limitations are ordered to safeguard the public (for example, monitoring or supervisory arrangements prior to completing all examinations or successful completion of a practice assessment). When TCLs are ordered by the Registration Committee, the specified restrictions are included on the public register.

Professional Corporations

Members of the College are permitted under the Regulated Health Professions Act, 1991, to establish a professional corporation in Ontario for the purpose of practising medicine. All professional corporations must obtain a Certificate of Authorization from the College before commencing practice through the corporation.

If a member has a professional corporation and the corporation holds an active Certificate of Authorization, the public register will display the name of the corporation and will show the status of the Certificate of Authorization as “Issued” with the effective date. The public register will also list the business address and telephone number for each professional corporation, as well as all the names of the members of the College who are current shareholders of the corporation. 

If a member’s corporation held a Certificate of Authorization that is no longer active, the public register will show the status as “Revoked.”  This means that the corporation’s Ccertificate of Aauthorization has may have been cancelled in accordance with the administrative (non-disciplinary) process set out in Ontario Regulation 39/02 made under the Regulated Health Professions Act, 1991.

Public Notifications (and Other Notifications)

The Physician Register may indicate an existing concern(s) about a physician under the Public Notifications tab on their profile page.

The Public Notifications tab will list any current Tribunal proceedings and past Tribunal proceedings.

There may also be “Other Notifications” listed under this tab. Other Notifications” include the following types of matters:

  • Cautions
  • Specified Continuing Education and Remediation Programs (SCERPs)
  • Charges
  • Release Conditions
  • Findings of Guilt
  • Findings of Professional Negligence or Malpractice
  • Discipline Findings in Other Jurisdictions
  • Undertakings
  • Interim Orders

For further description of these matters, see the entry for each in the glossary.

Registration History

Registration history shows the classes of certificate of registration held by the physician, including dates of issuance and expiry, expiry type, and date of changes to terms, conditions and limitations.

Release Conditions

Based on provincial legislation and its own by-laws, the College, if aware, is required to post existing conditions of release (including bail conditions) imposed on a member:

  • who was charged with an offence under the Criminal Code of Canada, the Controlled Drugs and Substances Act (Canada) or the Ontario Health Insurance Act, or
  • who was found guilty of an offence under one of the above statutes where the finding of guilt is being appealed.

The College removes the posting once it learns that the release conditions are no longer in effect.

The College began posting release conditions on December 4, 2014.

Restricted Certificate

A physician with a restricted certificate must practise in accordance with the specific terms and conditions imposed on the certificate.

Revocation

A physician’s certificate of registration may be revoked by order of the Ontario Physicians and Surgeons Discipline Tribunal on grounds of professional misconduct or incompetence, or by the Fitness to Practise Committee on grounds of incapacity. Once revoked, the physician is no longer allowed to practise medicine in Ontario. The revoked certificate of registration cannot be reinstated other than by order of the OPSDT or Fitness to Practise Committee, as applicable, the Executive Committee or the Board.

Short Duration Certificate

  • may practice only to the extent required by the short duration appointment at a public hospital, psychiatric facility or medical school;
  • must practice under supervision;
  • certificate valid for up to thirty days only; and
  • issued only to fill urgent, short-term need, or to provide education to Ontario physicians. 

Specialty Designation

Physicians practising as specialists must be:

  • Certified by the Royal College of Physicians and Surgeons of Canada (RCPSC) in a specialty or subspecialty of the profession to which the term, title or designation relates (for example, obstetrics and gynecology; cardiology; orthopedic surgery; or dermatology);
  • Certified by the College of Family Physicians of Canada (CFPC) in a specialty or subspecialty of the profession to which the term, title or designated relates (i.e., family medicine); or
  • Formally recognized in writing by the College as a specialist in the specialty or subspecialty of the profession to which the term, title or designation relates.

Specialty Designation: CFPC Certification

  • Granted by the College of Family Physicians of Canada (CFPC), the national examining and certifying body for family medicine practitioners in Canada.
  • CFPC also accredits family medicine training programs in Canada.
  • If a physician is certified by the CFPC, “family medicine” is noted on their profile page under “Specialties”.

Specialty Designation: CPSO Recognized Specialist

  • Granted by the College to doctors who are not certified by the CFPC or RCPSC, but meet the criteria specified in the College's registration policy, Specialist Recognition Criteria in Ontario. If a physician has CPSO Recognized Specialist status, this status and the area (e.g., family medicine, cardiology, internal medicine) in which the physician is recognized as a specialist is noted on the physician's profile page under “Specialties”.

Specialty Designation: RCPSC Certification

  • Granted by the Royal College of Physicians and Surgeons of Canada (RCPSC), the national examining and certifying body for medical specialists in Canada.
  • RCPSC also accredits Canadian specialty training programs. 
  • If a doctor is certified by the RCPSC, the disciplines (e.g., obstetrics and gynecology; cardiology; orthopedic surgery; dermatology) in which the physician is certified are noted on his or her profile page under “Specialties”.

Specified Continuing Education or Remediation Program (SCERP)

A Specified Continuing Education or Remediation Program or “SCERP” is one of the dispositions the College’s Inquiries, Complaints and Reports Committee (ICRC) and Quality Assurance Committee may make in connection with a matter before them. This disposition requires the member to complete an education and remediation program specified for the member.

If the disposition of an ICRC decision includes a SCERP, the College By-laws require that a summary of the decision be posted on the public register along with the elements of the SCERP. Note this requirement only applies to ICRC decisions arising from a complaint dated on or after January 1, 2015 or if there was no complaint, the first appointment of College investigators dated on or after January 1, 2015. If the decision has been appealed, this will be noted as well; and if the decision is overturned on appeal or review, the summary will be removed from the register.

If the disposition of a Quality Assurance Committee (QAC) decision made on or  after June 1, 2016 included a SCERP, the College By-laws previously required that the elements of the SCERP be posted on the public register. This requirement has been removed, and SCERPs ordered under QAC decisions  made on or after March 1, 2024  will not be posted on the register.

A notation will also be posted on the register when all elements of the SCERP have been completed.

Suspension

A physician’s certificate of registration may be suspended by order of the Ontario Physicians and Surgeons Discipline Tribunal, the Fitness to Practise Committee or the Inquiries, Complaints and Reports Committee. Upon suspension, the physician must immediately cease practising medicine and may not resume practice until the suspension is removed. A certificate of registration may also be suspended by the Registrar if the physician does not comply with certain requirements, such as paying a fee or submitting certain required information.

Terms, Conditions and Limitations (TCLs)

  • Terms, conditions, and limitations describes the conditions under which physicians can practise medicine, and are categorized as "standard" and "non-standard."
  • Both standard and non-standard TCLs are shown under the “Practice Conditions” tab of a physician profile page in the Physician Register.

TCLs: Standard

Every certificate under every registration class carries the standard term, condition and limitation that the physician may practise only in the areas of medicine in which he or she is educated and experienced. For the independent practice class, this is the only term, condition and limitation. For other registration classes, there are additional standard terms, conditions and limitations that apply. The Postgraduate Education class, for example, includes an additional standard term that the physician may practise only as required by the educational program.

Two-Spirit

Two-Spirit is an umbrella term describing the diversity of gender expressions and sexual orientations present in traditional belief systems held by North American First Nations persons. It is a culturally-specific identity used by some Indigenous people to indicate an Indigenous person whose gender identity, spiritual identity or sexual orientation includes masculine, feminine or non-binary spirits. Two-Spirit is a cultural term reserved for those who identify as Indigenous.

Undertakings

  • An “Undertaking” is a binding and enforceable agreement by a physician to the College that sets out one or more obligations or restrictions on the physician (for example, the physician may agree to cease to practise medicine until a condition is met; to abide by practice restrictions; to practise under clinical supervision; or to resign their licence and never apply for reinstatement in Ontario or apply for a licence in another jurisdiction).
  • The College will only accept an Undertaking if the College decides that such an agreement is appropriate in the circumstances and protects the public interest. A physician may enter an Undertaking to restrict their practice where there has been a concern raised about that practice area and the physician is prepared to make an agreement to practice differently — or not practice at all — thus protecting the public. A physician may also give an Undertaking to the College when re-entering practice after an absence from clinical practice or as part of the registration process with the College.