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One of the College’s key duties as a medical regulator is to provide guidance to Ontario physicians on professionalism and on specific issues that are relevant to the practice of medicine.

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This guidance is outlined in the Practice Guide and in College policies. These are developed by the College to assist the profession in providing quality health care and to ensure that the interests of patients – the citizens of Ontario– are Protected.

The Practice Guide is the foundational document for all College policies. It outlines the values and principles of the profession; provides assistance to the profession in determining specific duties and the reasons for those duties; and organizes the existing policies of the College within a principled framework and provides a basis for new policy development.

College policies (listed below) outline more specific guidance on issues and are grounded in the values, principles and duties of medical professionalism articulated in the Practice Guide. They also reflect relevant legal requirements found in legislation, regulation and by-laws.

Together, the Practice Guide and College policies reflect the expectations for the professional conduct of physicians practicing in Ontario. In addition to providing guidance to the profession, the Practice Guide and policies serve as a benchmark against which the conduct of individual physicians is measured.


  1. Accepting New Patients
  2. Blood Borne Viruses
  3. Cannabis for Medical Purposes
  4. Complementary / Alternative Medicine
  5. Confidentiality of Personal Health Information
  6. Consent to Treatment
  7. Criminal Record Screening
  8. Delegation of Controlled Acts
  9. Disclosure of Harm
  10. Dispensing Drugs
  11. Ending the Physician-Patient Relationship
  12. Ensuring Competence: Changing Scope of Practice and/or Re-entering Practice
  13. Female Genital Cutting (Mutilation)
  14. Maintaining Appropriate Boundaries and Preventing Sexual Abuse
  15. Mandatory and Permissive Reporting
  16. Medical Assistance in Dying
  17. Medical Expert: Reports and Testimony
  18. Medical Records
  19. Methadone Maintenance Treatment for Opioid Dependence
  20. Physician Behaviour in the Professional Environment
  21. Physician Treatment of Self, Family Members, or Others Close to Them
  22. Physicians’ Relationships with Industry: Practice, Education and Research
  23. Planning for and Providing Quality End-of-Life Care
  24. Practice Management Considerations for Physicians Who Cease to Practise, Take an Extended Leave of Absence or Close Their Practice Due to Relocation
  25. Prescribing Drugs
  26. Professional Obligations and Human Rights
  27. Professional Responsibilities in Postgraduate Medical Education
  28. Professional Responsibilities in Undergraduate Medical Education
  29. Providing Physician Services During Job Actions
  30. Public Health Emergencies
  31. Telemedicine
  32. Test Results Management
  33. Third Party Reports
  34. Uninsured Services: Billing and Block Fees