Scope of Practice (Consultation Closed)

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    The deadline to provide feedback was June 2, 2016

    Our Process

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    The College is holding a consultation on physician scope of practice. The College is soliciting feedback on the current Changing Scope of Practice policy and also asking for comments about the concept of scope of practice more broadly.

    View the current policy

    To assist with this review, we are inviting feedback from all stakeholders, including members of the medical profession, the public, health system organizations, and other health professionals on the current policy. Comments received during this consultation will inform the College’s review of the current Changing Scope of Practice policy and will contribute to work related to scope of practice in which the College is engaged, together with national stakeholders (such as the Royal College of Physicians and Surgeons of Canada, College of Family Physicians of Canada) and medical regulatory authorities across Canada.


    We want to hear your thoughts on the current policy…



    Data related to physicians’ scopes of practice can contribute to many aspects of healthcare: regulatory work, like peer assessments; supporting effective continuing professional development for physicians; and physician resource planning, for example. As such, it is valuable from many perspectives to collect information related to what physicians are doing in their practice.

    In light of the value of understanding physicians’ scopes of practice, a pan Canadian Working Group, representing Medical Regulatory Authorities, CPD professionals, researchers and national organizations has formed and is focused on understanding and using scope of practice as an important contributor to effective medical regulation, patient safety and physician performance. This consultation seeks to support the work the national group is doing by asking stakeholders for feedback on the elements of a physician’s practice that influence scope of practice.

    As part of the consultation the College will also be reviewing the Changing Scope of Practice policy. This policy sets out expectations for physicians who have changed or intend to change their scope of practice and the requirements of physicians in demonstrating their competence in the new area of practice.

    Have Your Say

    We would like to hear your thoughts on physician scope of practice, along with suggestions you may have for how the current Changing Scope of Practice policy could be improved.

    In particular, we are interested to know:

    1. How can the policy be improved:
      • Does the policy accurately define scope of practice?
      • Does the policy clearly articulate what a significant change in scope of practice is?
      • Are there other ways in which the policy should be improved?
    2. Feedback about scope of practice more generally:
      • How should scope of practice be defined?
      • What elements of a physician’s practice influence their scope?
      • Is there a difference between an evolution in practice and a significant change in scope?

    Please provide your feedback by June 2, 2016

    Next Steps

    The feedback obtained during this consultation will be carefully reviewed and inform the work related to scope of practice occurring at the national level as well as the College’s policy review process.

    Feedback provided on the broader topic of scope of practice will be provided to the national Working Group in aggregate form to inform the national project. With respect to the policy review, the College is committed to ensuring that the Changing Scope of Practice policy reflects current practice issues, embodies the values and duties of medical professionalism, and is consistent with the College’s mandate to protect the public. The feedback obtained during this consultation will be carefully reviewed and used to evaluate the draft. While it may not be possible to ensure that every comment or suggested edit will be incorporated into the revised policy, all comments will be carefully considered.

    Once a revised draft policy has been developed, stakeholders will be invited to review the revised document and provide further feedback before it is considered for final approval by Council.

    Final decisions regarding policy revisions are made by College Council.

    To ensure transparency, the College will post all consultation feedback in accordance with our posting guidelines.

    We value your feedback and thank you again for participating in our policy review process.


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    View the feedback received to date

    Send us your feedback by mail:

    College of Physicians and Surgeons of Ontario
    80 College Street
    Toronto, Ontario

    Attention: Policy Department