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Defined Licence: Requirements and Conditions for Clinical Fellowship

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Preamble

A Defined licence is a time-limited, conditional licence that is issued to:

  • Physicians who do not have the qualifications for a Full1 or Restricted2 licence but who wish to practise medicine independently while pursuing the necessary qualifications for one of those licence types; or to
  • Physicians entering a College-approved Clinical Fellowship Program14.

Purpose

This policy describes the minimum requirements to obtain a Defined licence for a Clinical Fellowship Program, together with the practice conditions that may be imposed on Defined licensees.

Scope

This policy focuses specifically on the Defined licence for physicians who are entering a Clinical Fellowship Program.

For information on Defined licence for independent practice while pursuing a Full1 or Restricted2 licence, see the College policy on Defined Licence:  Requirements and Conditions for Independent Practice14.

Overview of Defined Licensure for Clinical Fellowship

Physicians enrolled in a College-approved Clinical Fellowship Program with Dalhousie University must practice under a Defined licence. The licence is issued only for the duration of the Fellowship and permits the licence holder to practice only within the confines of the Clinical Fellowship Program.

Physicians enrolled in a College-approved Clinical Fellowship Program must have a medical degree and certification as a specialist from their home jurisdiction. They are exempt from some of the requirements of physicians who are practising independently under a Defined licence – specifically:

  • while enrolled in the Clinical Fellowship, the physician does not have to be eligible for Canadian certification or obtain Canadian certification.
  • while enrolled in the Clinical Fellowship, the physicians does not need the Licentiate of the Medical Council of Canada (LMCC)4 or an acceptable alternative to the LMCC5.

However, like physicians practising independently under a Defined licence, physicians in a Clinical Fellowship do require sponsorship and supervision. For Clinical Fellowship programs, the sponsor is the Fellowship Director and the supervisor may be the Fellowship Director or other clinical faculty member.

Policy

Requirements for the Clinical Fellowship

For a Clinical Fellowship Program to be approved by the College, it must:

  1. Be based in an Academic Department that is affiliated with the Dalhousie University Faculty of Medicine;
  2. Have a designated physician Fellowship Director;
  3. Have one or more clinical faculty, including the Fellowship Director, who are jointly responsible for the instruction and supervision of the physician in the Fellowship according to their needs and demonstrated competence.

Eligibility Criteria

All applicants for a Defined licence for a Clinical Fellowship Program must:

  1. Meet the criteria set out in Sections 39-45 of the Medical Practitioners Regulations6, and
  2. Provide written confirmation of acceptance into an approved Clinical Fellowship Program.

Required Credentials for Clinical Fellowship

Further to Section 39(1)(a) and (b) of the Medical Practitioners Regulations6, applicants for a Defined licence for a Clinical Fellowship Program must have and provide proof of:

  • Successful completion of a medical degree from a school in the World Directory of Medical Schools3; and
  • Certification as a specialist from their home jurisdiction.

Conditions on a Defined licence for Clinical Fellowship

1. Length of Licence Term

The duration of the licence will not extend beyond 24 months unless otherwise approved by the Registrar. Because physicians on a Defined licence enrolled in a Clinical Fellowship Program are not on a pathway to Full1 or Restricted2 licensure, they are usually not eligible for licensure beyond their Clinical Fellowship.

2. Scope of Practice

All medical practice must fall within the Clinical Fellowship program.

3. Sponsorship

A physician on a Defined licence in a Clinical Fellowship Program must have a sponsor in the form of the Clinical Fellowship Director. The Clinical Fellowship Director must be based in an Academic Department affiliated with the Faculty of Medicine at Dalhousie University.

Withdrawal of Sponsorship will result in immediate loss of licensure.

4. Supervision

A physician on a Defined licence in a Clinical Fellowship Program must be supervised within the Fellowship Program.

There must be one or more clinical faculty, including the Fellowship Director, who are jointly responsible for the instruction and supervision of the physician according to their needs and demonstrated competencies.

Lack of a Supervisor will result in loss of licensure.

5. Certification

Defined licensees who are in a Clinical Fellowship Program do not require eligibility for Canadian certification and they are not required to obtain Canadian Certification.

6. Licentiate of the Medical Council of Canada (LMCC)

Defined licensees who are in a Clinical Fellowship Program are not required to become a Licentiate of the Medical Council of Canada (LMCC)4 or satisfy the College’s policy on Acceptable Alternatives to the LMCC5.

Resources

  1. Full Licence – College of Physicians and Surgeons of Nova Scotia
  2. Restricted Licence – College of Physicians and Surgeons of Nova Scotia
  3. World Directory of Medical Schools
  4. Licentiate of the Medical Council of Canada
  5. Acceptable Alternatives to the LMCC
  6. Medical Practitioners Regulations
  7. Defined Licence: Requirements and Conditions for Independent Practice

Applicable Legislation: Secions 5, 39 – 45 of the Medical Practitioner Regulations

Approved by: Registration Policy Committee, Executive Committee

Approval Dates: February 10, 2022 & February 22, 2022

Review Date: February 2023