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REGISTRATION

REQUIREMENTS AND PROCEDURES

for the

COLLEGE OF PHYSICIANS AND SURGEONS OF SASKATCHEWAN

Physicians who wish to register in Saskatchewan to practice medicine must meet the following requirements:

A. For a Full Unrestricted License (Section 28 of The Medical Profession Act, 1981):

i) an acceptable medical degree from a university approved by the Council;

ii) the licensing exam - LMCC (Qualifying Exam of the Medical Council of Canada);

iii) satisfactory postgraduate training (see appended bylaw);

iv) evidence of good character (the College verifies references from the names submitted by you of persons you have known for three years or more);

iv) the payment of the registration and annual license fee.

B. For a Provisional License to Practice (Section 29 of The Medical Profession Act, 1981):

i) an acceptable medical degree from a university approved by Council;

ii) success in the MCCEE or Part I of the MCCQE;

iii) satisfactory postgraduate training (see appended bylaw);

iv) evidence of good character (the College verifies references from the names submitted by you of persons you have known for three years or more);

v) the payment of the registration and annual license fee.

A Provisional License allows a Family Physician who has met the postgraduate training requirements to be registered for a period of three (3) years so that Canadian licensing exams can be written. Specialists are allowed five (5) years to obtain Full Registration.

General practitioners with a Provisional License are allowed to practice in Saskatchewan and cannot relocate from the community for which they are registered without the permission of the Council or until their three (3) year commitment has been completed.

C. Locum Tenens (Temporary) Licenses may be issued for up to a period of one (1) year to those physicians who meet the requirements as specified in the appended bylaw. This license is not renewable.

D. Conditional Locum Tenens Licenses are available to those physicians with:

i) an acceptable medical degree from a university school of medicine;

ii) two (2) years of postgraduate training which meet the requirements for full registration (See appended bylaw); and

iii) who otherwise meet the requirements for licensure and who will commit themselves to a Saskatchewan community with a population of 10,000 or less, for a minimum of five (5) years and write the MCCEE at their first opportunity following arrival in Canada.

BYLAWS

PART V - THE REGISTER

(1) Regular Member - Active

(a) A regular member (active) is a member registered under Section 4 or 28 of The Act, other than a member who is a regular member (inactive).

(b) A regular member (active) shall have the right to practice medicine in Saskatchewan, subject to any limitations imposed by the Council in accordance with the provisions of the bylaws and the Act, to hold office and to vote as may be provided for in the Act or the bylaws.

(c) For the purpose of registration under Section 28 of The Medical Profession Act, 1981, the following shall constitute evidence of satisfactory postgraduate training.

i) For applicants who shall practice as a consultant specialist and restrict practice to one of the disciplines recognized by the Royal College of Physicians and Surgeons of Canada (R.C.P.S.C.) certification in that specialty by the R.C.P.S.C. shall be required.

ii) For applicants who shall practice primary care medicine, the following shall satisfy postgraduate training requirements:

1. Certification by the College of Family Physicians of Canada (C.F.P.C.), or

2. Satisfactory completion of a C.F.P.C. accredited residency in family medicine and eligibility to undertake the C.F.P.C. certification examination, or

3. Satisfactory completion of 24 months of postgraduate training in programs affiliated with an L.C.M.E./C.A.C.M.S. accredited medical school and accredited by the R.C.P.S.C. or C.F.P.C. which shall include the following elements:

Mandatory Educational Elements

The mandatory portion of the 24 month pre-registration training period shall consist of 60 weeks of training to be made up of the following rotations:

1. Twelve weeks of supervised training in an approved family medicine program.

2. Eight weeks emergency medicine/critical care.

3. Eight weeks internal medicine with an ambulatory component.

4. Eight weeks general surgery with an ambulatory component.

5. Eight weeks obstetrics and gynaecology with an ambulatory component

6. Eight weeks paediatrics with an ambulatory component.

7. Eight weeks psychiatry with an ambulatory component.

Elective Educational Elements

The elective portion of the 24 month pre-registration training period shall consist of 36 weeks of training, to be made up of one to three of the following rotations (each rotation to be a minimum of 12 weeks duration).

1. Twelve, twenty-four, or thirty-six weeks of medicine and/or its sub-specialties, or

2. Twelve, twenty-four, or thirty-six weeks of surgery and/or its sub-specialties, or

3. Twelve, twenty-four, or thirty-six weeks of obstetrics and gynaecology and/or its sub-specialties, or

4. Twelve, twenty-four, or thirty-six weeks of paediatrics and/or its sub-specialties, or

5. Twelve, twenty-four, or thirty-six weeks of psychiatry and/or its sub-specialties, or

6. Twelve, twenty-four, or thirty-six weeks of family medicine, or

7. Twelve, twenty-four, or thirty-six weeks of anaesthesia.

Note: One 12 week block (one rotation) of this 36 weeks of elective training may be taken in a R.C.P.S.C. recognized discipline which is not listed above.

And a recommendation for licensure from the Assistant Dean for Postgraduate Studies of the medical school in which the major portion of this postgraduate training has been completed, or

4. Satisfactory completion of 24 months of postgraduate training in programs affiliated with a university outside of Canada or the United States which is approved by the Council of the College where such training is directed towards the education of primary care physicians and is under the supervision of a program director, and includes all of the educational elements listed in 21(2)(c)(ii)3. above.

5. The council will accept as evidence of satisfactory post graduate clinical training proof that applicants have demonstrated satisfactory skills and knowledge by an assessment, undertaken at their own expense; such assessment to be in a form approved by the Council.

6. Those physicians who were fully registered with a Canadian Licensing Authority prior to that jurisdiction's change to the requirement for two years of postgraduate training, and who met the licensing requirements in effect in Saskatchewan as of June 30, 1990, may register in Saskatchewan provided they have been in active medical practice and meet the requirements of bylaw 24.

(2) Locum Tenens Permits

(a) There shall be four classes of locum tenens permits which may be issued by the Council. The Council may issue a supervised locum tenens permit, an unsupervised locum tenens permit, a conditional locum tenens permit and a special locum tenens permit.

(b) The Council may issue a supervised locum tenens permit to a physician who:

(i) Produces documentation that he/she is a graduate in medicine from a:

1. a university approved by the Council, and has obtained the L.M.C.C., F.L.E.X., N.B.M.E. or U.S.M.L.E. qualification, or

2. a medical school approved by the Council in the United Kingdom of Great Britain and Northern Ireland, Ireland, Australia, New Zealand or South Africa and has, at the time of application, full registration with the Licensing Body in the United Kingdom of Great Britain and Northern Ireland, Ireland, Australia, New Zealand or South Africa, or

3. a medical school approved by the Council and holds full registration with a Licensing Body in the United Kingdom of Great Britain and Northern Ireland, Ireland, Australia, New Zealand or South Africa, and

(ii) Produces evidence, in a form and manner that may be prescribed by the Council that he/she have either:

1. a minimum of one year postgraduate training approved by the Council including eight weeks in each of Medicine, General Surgery, Obstetrics & Gynaecology, and Paediatrics in order to carry out a general practice locum, or

2. appropriate specialty training approved by the Council in order to carry out a locum in a specialty, and

(iii) Provides proof, to the satisfaction of the Council, that he/she is the person named in the documentation and is of good character, and

(iv) Satisfies the Council that he/she will practice under the supervision of another physician who practices in the vicinity.

(i) Produces documentation that he/she is a graduate of a Canadian medical school;

(ii) Is in a postgraduate II, III, IV, or V training year approved by Council;

(iii) Provides proof, to the satisfaction of Council, that he/she is the person named in the documentation and is of good character, and

(iv) Will practice under the supervision of another physician who practices in the vicinity.

(d) A physician who receives a supervised locum tenens permit shall only be entitled to practice medicine in a location where another physician is available in the vicinity to supervise and consult.

(e) The Council may issue an unsupervised locum tenens permit if the physician:

(i) Meets the requirements of paragraphs (9)(b)(i) and (9)(b)(iii) of this bylaw, and

(ii) Meets the requirements for satisfactory postgraduate training established in bylaw paragraphs 21(2)(c) or 21(4)(e).

(f) The Council may issue an unsupervised locum tenens permit to a physician who:

(i) Produces documentation that he/she is a graduate of a Canadian medical school;

(ii) Is in a postgraduate III, IV, or V training year approved by Council, and;

(iii) Provides proof, to the satisfaction of Council that he/she is the person named in the documentation and is of good character.

(g) A supervised or unsupervised locum tenens permit may authorize the person named in the permit to practice for a period up to one year as a substitute for, deputy to or assistant to a member.

(h) Unless the holder of a locum tenens permit is employed through the SMA Locum Service, a locum who will practice with a medical staff appointment at a health care facility must be employed by or under contract to a member of the College who holds a staff appointment at the same health care facility.

(i) The Council may issue a conditional locum tenens permit to a physician who:

(i) Meets the requirements of paragraphs (9)(b)(i) and (9)(b)(iii) of this bylaw;

(ii) Is sponsored by a member of the College of Physicians and Surgeons who holds a medical staff appointment at a health care facility and undertakes to be responsible to acquaint the holder of the locum tenens permit with the Saskatchewan health care system;

(iii) Signs a five-year commitment to work in the community in which he/she is registered. This commitment shall continue after the physician becomes licensed under Section 28 or 29 of The Act;

(iv) Meets the requirements for postgraduate training contained in the bylaw paragraphs 21(2)(c) or 21(4)(e), and

(v) Signs a commitment that he/she will take The Medical Council of Canada Evaluating Examination at the first opportunity.

(j) A conditional locum tenens permit shall terminate:

(i) Thirty days after the first meeting of Council following the date of the first available Medical Council of Canada Evaluating Examination if the holder of the conditional locum tenens permit fails to take the exam, or

(ii) Thirty days after the first meeting of Council following the release of the results of The Medical Council of Canada Evaluating Examination if the holder of the conditional locum tenens permit fails the exam.

(k) The Council may issue one further conditional locum tenens permit to a holder of a conditional locum tenens permit who has failed to take the MCCEE or who has taken that exam but has not passed. Failure to take the exam or failure to pass shall result in loss of license as in paragraph (9)(j) above.

(l) A physician who has signed a commitment under paragraph 9(c) of this bylaw and who, without the consent of the Council, fails to complete the commitment shall be guilty of unbecoming, improper, unprofessional or discreditable conduct.

(m) Council may issue a special locum tenens permit to a physician for a period of up to one academic year if the applicant will be employed as a house officer or Emergency Room physician in a Saskatchewan hospital and who:

(i) is a resident in training in Saskatchewan in a PG II, III, IV, or V year, and;

(ii) has passed Part I of the MCCQE if a Canadian Medical School Graduate, or;

(iii) has passed Part I and II of the MCCQE if an International Medical School Graduate.

(n) All permits must state any practice restrictions or conditions imposed on the permit holder.

(o) Where the locum practises outside of the restrictions specified in the permit, the permit is terminated and the locum has no authority to practise.

(p) A physician who has completed a total of one year of employment on a temporary license shall not be eligible for an extension of the existing permit or a new permit . They may be licensed as a conditional locum or pass the MCC Exam and be licensed provisionally. Academic locum tenens licenses may be renewed while the person continues training.

You are advised to contact the College of Physicians and Surgeons, as some exemptions may apply to your situation.

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