Certificates Authorizing Postgraduate Education
 11. (1) The standards and qualifications for a certificate of registration authorizing postgraduate education are that an applicant receive an appointment in a program of postgraduate medical education at an accredited medical school in Ontario after, (a) obtaining a degree in medicine described in clause (a) of the definition of “degree in medicine” in section 1; or (b) attaining all of the following: (i) a degree in medicine described in clause (b) of the definition of “degree in medicine” in section 1, (ii) successful completion of, (A) the Medical Council of Canada Evaluating Examination, or (B) Part 1 of the Medical Council of Canada Qualifying Examination or, if the qualifying examination was written before December 31, 1991, the Medical Council of Canada Qualifying Examination, (iii) reasonable fluency in English or French, and (iv) selection for appointment to the program of postgraduate medical education on the basis of performance in a pre-entry assessment program.  O. Reg. 865/93, s. 11 (1). (2) For the purposes of subclause (1) (b) (iii), an applicant is reasonably fluent in English or French if the applicant, (a) obtains a score of 220 on the Test of Spoken English and a score of 580 on the Test of English as a Foreign Language of the Educational Testing Service; (b) obtains a score of 60 per cent on each part of the test of French as a second language used by the Office de la langue française of the Government of Quebec for applicants to the Corporation professionnelle des médicins du Québec; (c) undergoes both primary and secondary education in English or French or both; (d) obtains a degree in medicine from a medical school where the language of instruction, including the language used in patient care, was English or French or both; (e) completes, with performance acceptable to the College, four years of postgraduate education in clinical medicine in North America in which the language used is English or French or both; or (f) holds continuously, for the four years immediately preceding application, a senior teaching appointment at an accredited medical school in which the language of instruction, including the language used in patient care, is English or French or both.  O. Reg. 865/93, s. 11 (2). (3) A member who applies for a certificate of registration authorizing postgraduate education is exempt from the requirement of being reasonably fluent in English or French under subclause (3) (b) (iii) if the member, (a) was issued a certificate of registration of any class by the College at a time when language tests were not required; or (b) was exempted from the requirement by the College before the day this Regulation comes into force.  O. Reg. 865/93, s. 11 (3). (4) The pre-entry assessment program referred to in subclause (1) (b) (iv) is a program provided by an accredited medical school in Ontario, the duration, form and content of which is acceptable to the College and which, (a) assesses the applicant’s clinical skills in, among other things, internal medicine, obstetrics and gynaecology, paediatrics, psychiatry and general surgery; and (b) evaluates the candidate with respect to the standards and qualifications mentioned in subsection 2 (1).  O. Reg. 865/93, s. 11 (4). (5) It is a standard and qualification for a certificate of registration authorizing postgraduate education that the applicant not have previously held, or currently be the holder of, a certificate of registration authorizing postgraduate education as a clinical or research fellow under section 12 unless the applicant has received the express permission of the Registration Committee and complies with any terms, conditions or limitations imposed by the Registration Committee.  O. Reg. 865/93, s. 11 (5). (6) An applicant who previously held a certificate of registration authorizing postgraduate education for a continuous period of at least one year and who applies for another certificate of registration authorizing postgraduate education shall be deemed to have the standards and qualifications in subsection (1) if, (a) the previous certificate terminated merely by reason of the applicant’s satisfactory completion of a program of postgraduate medical education in Ontario to which the applicant was appointed; and (b) the applicant has either, (i) been continuously enrolled in postgraduate medical education outside Ontario since the termination of the certificate, or (ii) submitted the application form required by clause 2 (2) (a) within six months after the termination of the certificate.  O. Reg. 865/93, s. 11 (6). (7) A person who, on December 31, 1993, holds an educational licence issued under a predecessor of the Act is deemed to be the holder of a certificate of registration authorizing postgraduate education under the Act subject to any terms, conditions, limitations or restrictions to which the licence was subject.  O. Reg. 865/93, s. 11 (7). (8) The following are terms, conditions and limitations of a certificate of registration authorizing postgraduate education: 1. The holder shall, i. practise medicine only as required by the program in which the holder is enrolled, ii. prescribe drugs only for in-patients or out-patients of a clinical teaching unit that is formally affiliated with the department where he or she is properly practising medicine and to which postgraduate trainees are regularly assigned by the department as part of its program of postgraduate medical education, and iii. not charge a fee for medical services. 2. The certificate terminates on one of the following times: i. The day the holder ceases to be enrolled in a program of postgraduate medical education provided by an accredited medical school in Ontario. ii. For a holder who was exempted from a standard or qualification set out in subsection (1) in accordance with section 12, 13, 14 or 15 or by the Registration Committee under subsection 18 (3) of the Health Professions Procedural Code, on the earlier of the following times: A. the day the holder ceases to be enrolled in a program of postgraduate medical education provided by an accredited medical school in Ontario, B. the day the certificate terminates according to the terms, conditions and limitations of the certificate.  O. Reg. 865/93, s. 11 (8). (9) Despite subparagraph iii of paragraph 1 of subsection (8), the holder of a certificate of registration authorizing postgraduate education may receive remuneration for medical services only in the form of a fixed salary.  O. Reg. 865/93, s. 11 (9).