The various stakeholders involved in the Resident Provisional Registration Program have identified several , including: 

• Providing Residents with opportunities for additional practice, collaborative, and managerial experiences  that support and develop CanMEDS roles;
• Supporting Ontario’s Health Human Resource needs (including after hours on call and on weekends) in both academic and community settings;
• Improving the financial well-being of Residents

Participation in the Resident Provisional Registration Program is voluntary for both Faculties of Medicine and for the various postgraduate programs within each University. Please visit our Participating Programs page for further information. If your Program would like further information on participating in Resident Provisional Registration Program, please contact our office at info@rprpontario.ca.

Each University and program determines their own specific criteria for participation in the Resident Provisional Registration Program. 

At minimum, Residents must:

• Have successfully completed and passed the MCCQE Part I
• Have completed 18 months of residency training
• Be in good academic standing
• Be actively engaged in their residency training program (i.e. not on leave).

Please note that due to specific arrangements regarding income tax and personal revenue, Pool C Residents/Visa Trainees are not eligible to participate in Resident Provisional Registration. 

Residents wishing to work in Emergency Departments must have successfully completed training in Advanced Trauma Life Support and Advanced Cardiac Life Support. Residents wishing to work in Intensive/Critical Care Units must have successfully completed training in Advanced Cardiac Life Support. Those wishing to work in comparable pediatric settings must have completed training in Pediatric Advanced Life Support and in Neonatal Advanced Life Support.

Program Directors, in conjunction with their education committees, determine the guidelines specific to the individual postgraduate program. To participate in the Resident Provisional Registration Program, the program must submit all required documents, including guidelines specific to the postgraduate program in question. Templates of guidelines are available from the Resident Provisional Registration Program office.

All Programs and Postgraduate Deans reserve the right to choose not to approve an application if a Resident is not meeting the required standards in their program.

Once a Resident Provisional Registration opportunity has been found and an offer has been made by the healthcare site, the Resident is responsible for completing the Resident Provisional Registration Program academic application (found on the website) accurately. They must agree to abide by the following conditions:

• To work in accordance with the terms and conditions of the PARO-OTH Collective Agreement (including all duty hour stipulations related to on-call maximums and/or shift work as appropriate)
• To obtain the necessary CMPA coverage for Resident Provisional Registration activities (CMPA Code 14 – Residents for Moonlighting)
• To restrict activities to the scope of services and sites indicated by the registration
• To practice only within the scope of training received to date
• Not allow the Resident Provisional Registration activities to interfere with the requirements and responsibilities of their training program (including ensuring that Resident Provisional Registration activities do not take place during residency work hours, including scheduled call periods)
• To provide information and data for the purposes of tracking and evaluating the Resident Provisional Registration Program.

Failure to comply with any of the terms of the agreement listed above may constitute unprofessional conduct and may warrant further action by the CPSO under the Act or Rules.

If the Resident does not maintain good academic standing, or if Resident Provisional Registration activities negatively impact their academic and/or clinical obligations in their residency program, the Program Director and Postgraduate Dean (or delegate) reserves the right to withdraw their approval for the Resident Provisional Registration, and/or request that the Resident Provisional Registration be terminated by the CPSO.

The Program Director must attest that the information provided by the Resident regarding their training and academic standing in the application is correct. Furthermore, the Program Director must confirm and attest that the Resident has fulfilled the eligibility criteria set by the Program for each service type and site. 

Should the Resident fail to maintain their academic standing, the Program Director will notify the Resident Provisional Registration Program office and the Postgraduate Dean of these concerns and recommend cessation of the registration. This will be effective immediately and may not be appealed. 

The PGME Dean reviews the application and provides approval for the Resident to apply for a Resident Provisional Registration to provide clinical services outside their program.

The responsibilities of the healthcare site/supervisor are to:

• recruit potential resident applicants for a position
• confirm and attest that the Resident’s training and experience meets the requirements of the Resident ProvisionalRegistration activities
• make a tentative offer to the Resident pending the issuance of a Resident Provisional Registration by the CPSO.
• complete the Supervisor portion of the Resident Provisional Registration academic application indicating:
  • the service type and location of the activities
  • the potential duties of the Resident
  • the name of the supervising physician
  • confirmation that the employer will abide by the PARO-OTH Collective Agreement
  • confirmation that the Resident’s activities will be restricted to the scope of services and sites listed on the registration issued by the CPSO
  • confirmation that they understand they must inform the CPSO and the Resident’s Program Director of any unprofessional conduct or failure to abide by the terms of the Resident Provisional Registration certificate on the part of the Resident
  • that they will provide information and data as required by the Resident Provisional Registration Program for the purposes of tracking and evaluation

1. The Resident must find and be offered a contract for work, pending receipt of a Resident Provisional Registration Certificate.
2. The Resident must then complete the academic application form located in the application portal for the Resident Provisional Registration Program.
3. The Resident must ensure that they comply with the eligibility criteria of both the Resident Provisional Registration Program and their training program.
4. When the Resident has completed their section of the application, it will be electronically forwarded (in the following order)to the potential Supervisor, the Program Director and the PGME Dean for completion.
5. Concurrently, the Resident will complete the CPSO Application and submit it directly to the CPSO.
6. Once all documentation is received, the CPSO will review the application.
7. The Resident and the Supervising Physician will be notified by the CPSO when the application has been approved.

From time to time, program participants are asked to provide feedback. All information that is collected is completely anonymous and data will only be used in the aggregate.

There is no funding provided by the Resident Provisional Registration Program for remuneration for a Resident engaged in Resident Provisional Registration activities. The Resident Provisional Registration Program funds administration, infrastructure (i.e. the online application and the website), and the evaluation of the Program. This funding enables Residents and healthcare sites to participate in the Program. Remuneration for Residents is determined directly between the Resident and the employer. If physicians will be billing for services provided by Resident Provisional Registration Residents, they will need to observe the requirements in the OHIP fee schedule guide.