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Issuance of a restrictive permit for graduating residents

New guidelines adopted by the Board of directors of the Collège
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Due to the current extraordinary situation concerning the COVID-19 pandemic, measures need be taken to optimize the service offer and the contribution of all available medical human resources to contain the spread of the virus.

Given the global impact of the pandemic, the Royal College of Physicians and Surgeons of Canada (Royal College), the College of Family Physicians of Canada (CFPC) and the Medical Council of Canada (MCC) have decided to postpone the certification examinations and the MCC Qualifying Examination Parts I and II. Consequently, the Collège has decided to allow graduating residents to practice as physicians without having passed all the prescribed regulatory examinations.

At its special meeting on March 24, 2020, the Board of Directors of the Collège des médecins du Québec adopted new guidelines to allow a restrictive permit to be issued to graduating residents, authorizing residents to practice only those professional activities included in the discipline in which they completed their postgraduate training.

The permit will be valid until June 30, 2021 and will be renewed only if the examinations are postponed or cancelled again. Note also that the restrictive permit for graduating residents will allow the holder to practice in both hospital and non-hospital settings.

In addition, residents who satisfy the requirements to obtain a regular permit to practice (for example, residents in subspecialties who are already certified in internal medicine or pediatrics by the Royal College) may not apply for a restrictive permit for graduating residents; they must apply for a regular permit to practice. Once they have passed the other specialty examination, they will be able to obtain their additional specialist’s certificate.

Criteria for the issuance of a restrictive permit for graduating residents:
  • Have a medical degree from a university in Canada or the United States that is accredited by the Liaison Committee on Medical Education (LCME) or have obtained recognition of equivalence of the degree from the Collège;
  • Have passed the MCC Qualifying Examination Part I (MCCQE-I);
  • Have completed a postgraduate training program in family medicine (24 months) or in one of the 59 other specialties (48 to 96 months) that is accredited by the Canadian Excellence in Residency Accreditation (CanERA) or the Accreditation Council for Graduate Medical Education (ACGME) for which the Collège has received confirmation of completion of the training program from the university;
  • Have participated in the educational activity on the legal, ethical and organizational aspects of medical practice in Quebec (ALDO-Quebec).
Automatic withdrawal of the restrictive permit for graduating residents:

In addition to the other mechanisms provided for in the Professional Code and the Medical Act, failure of one or more of the components of the final examination that give access to the permit to practice (Royal College, CFPC or MCC examinations) after the restrictive permit for graduating residents has been issued will lead to the immediate withdrawal of the restrictive permit without any further formality.

Instructions for the issuance of the permit to practice
To obtain a permit to practice between June 1 and August 31, 2020
The resident must complete the Application for medical registration no later than one month before the practice start date through the personal account on the physiciansapply.ca portal and select Regular permit – Practice ready in order to avoid any delay in the issue of the permit. See the Collège’s list of fees (including fees for physiciansapply.ca services).
To obtain a permit to practice before June 1 or after August 31, 2020
The resident must complete the Application for medical registration no later than two weeks before the practice start date on the physiciansapply.ca portal.
Please note
  • To start practicing on July 1, given the July 1 holiday, registration on the Roll of the Order (full registration) is required no later than noon on June 30 once the permit number is received from the Collège by email and taken out professional liability insurance.
  • Resident whose file is incomplete file will receive an email asking them to provide the missing documents.
  • Following the process, the permit number will be sent to the applicant by email no earlier than two days before the scheduled end of training.
  • The permit to practice will be sent by secure messaging on the applicant’s personal page on the Collège’s secure site as soon as all the requirements for the issuance of the permit are met, including confirmation of completion of the training program by the faculty of medicine.
  • Requirements for confirmation of completion of a residency training program vary across faculties and normally you will have been informed of the requirements by your home faculty's postgraduate medical education office.
  • The permit will be mailed when the Collège’s offices are open again.
Other requirements
1. The resident must take out professional liability insurance.
Please contact the Canadian Medical Protective Association (CMPA) or another insurance company.
2. The resident must be registered on the Roll of the Order and with the RAMQ.

Once the permit number is received, the form First registration on the Roll of the Order on the Collège’s secure site must be filled in. The permit number will be sent to the RAMQ on the first business day after the later of the following two dates:

  • the date the first registration on the Roll of the Order is accepted;
  • the date indicated on the permit.

The practice start date will be the date of the registration on the Roll of the Order.

For information
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Last update: March 24, 2020