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Change in Clinical Scope of Practice

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Physicians have a professional responsibility to only practise within a clinical scope for which they are appropriately trained and competent. Breach of this responsibility may be considered professional misconduct.

A physician’s clinical scope of practice can be broadly defined by the patient population served, the range of clinical conditions managed, the medical procedures performed and the clinical environment in which care is provided.

It is accepted that clinical scope of practice will evolve incrementally over the course of a physician’s career through the influence of changing patient demographics, the emergence of new diseases or conditions, the development of novel diagnostic or treatment modalities, and through changes in practice environment.

Distinct from this incremental evolution in scope, a physician may from time to time contemplate making a significant or abrupt change to their clinical scope of practice.


Physicians contemplating a significant or abrupt change in their scope of practice must seek guidance from the College and may be required to demonstrate appropriate training and competence to the satisfaction of the Registrar.

For further information regarding changes to clinical scope of practice, refer to: Guidance to Physicians Contemplating a Change in Clinical Scope of Practice. 


Applicable Legislation

Medical Practitioners Regulations pursuant to the Medical Act – Section 16 (1)

Approved By

Registration Committee

Executive Committee

Approval Date

June 24, 2016

June 27, 2016

Review Date

June 2017