“Unlike the five health professions authorized to use the “Doctor” title, no class of audiologist certificate required an applicant to have passed a licensing examination. Furthermore, unlike the other professions, audiologists were not entitled to communicate a diagnosis as the cause of an individual’s symptoms”.This decision was largely based on provisions within the Regulated Health Professions Act (‘RHPA’), including a provision which states:
It might seem unfair, illogical even. But this can be a harsh reality and a source of confusion for some who believe they are entitled to use the abbreviation ‘Dr.’, including some holders of doctorate degrees who can find themselves prevented at law (by the RHPA and The Medicine Act, among others) from using this abbreviation or the title ‘Doctor’. The reason has less to do with verifying those using the title ‘doctor’ (or a variation, abbreviation or equivalent in another language) have appropriate qualifications and training, and everything to do with the various Colleges’ mandate of protecting the public through regulation in Ontario. First, you have to be a member of one of the groups of health professionals with prima facie entitlement to use the title (see section 33(2) of the RHPA). Second, even if you are a member of one of those professions, if you are not registered with the relevant regulatory College in Ontario, say the College of Physicians and Surgeons of Ontario, or the College of Chiropractors of Ontario, you cannot use the title ‘while providing or offering to provide healthcare in Ontario’. A primary objective for the Colleges seems to be preventing confusion among members of the public. Among others, a problem can arise for:
Restriction of title “doctor”33(1) Except as allowed in the regulations under this Act, no person shall use the title “doctor”, a variation or abbreviation or an equivalent in another language in the course of providing or offering to provide, in Ontario, health care to individuals. 1991, c. 18, s. 33 (1).
As of July 1, 2021, all Ontario long-term care homes must implement COVID-19 immunization policies for their staff, students, and volunteers — regardless of the frequency or duration of these individuals’ attendance in a home. Current staff, students, and volunteers will have until July 31, 2021 to meet the policy requirements, subject to reasonable extension for unforeseen circumstances. Newly hired individuals will have 30 days from the first day they begin attending at the home.
It is no surprise that the COVID-19 pandemic continues to affect the delivery of health services and the regulation of various health professions.
In a welcomed move, the College of Physicians and Surgeons of Ontario (CPSO) Council recently approved a new registration policy allowing the Registration Committee to issue a Certificate of Registration authorizing Independent Practice to applicants who have not completed Part II of the Medical Council of Canada Qualifying Examination (MCCQE).
The test for the standard of care in medical negligence cases has remained untouched since the Supreme Court of Canada’s 1995 decision in ter Neuzen v. Korn.
On January 18, 2021, the Supreme Court of Canada heard the appeal in Armstrong v. Ward. Their unanimous decision maintains the status quo with respect to the standard of care in medical negligence cases.