Scopes of Practice > Physicians and Surgeons



Scope of Practice from Individual Acts

The practice of medicine is the assessment of the physical or mental condition of an individual and the diagnosis, treatment and prevention of any disease, disorder or dysfunction.



Alternate / Additional Description of Scope


Summarized Controlled Acts

Administering a substance by injection or inhalation

Allergy challenge testing

Applying or ordering the application of a form of energy

Communicating a diagnosis

Managing labour or conducting the delivery of a baby

Performing a procedure on tissue below the dermis

Prescribing a hearing aid for a hearing impaired person

Prescribing, dispensing, selling or compounding a drug

Prescribing or dispensing, contact lenses or eye glasses

Putting an instrument, hand or finger, into natural or artificial body openings

Setting or casting a fracture of a bone or a dislocation of a joint

Spinal Manipulation

Treating, by means of psychotherapy technique

 



Authorized Acts

4.  In the course of engaging in the practice of medicine, a member is authorized, subject to the terms, conditions and limitations imposed on his or her certificate of registration, to perform the following:

1. Communicating a diagnosis identifying a disease or  disorder as the cause of a person’s symptoms.

2. Performing a procedure on tissue below the dermis, below the surface of a mucous membrane, in or below the surface of the cornea or in or below the surfaces of the teeth.

3. Setting or casting a fracture of a bone or a dislocation of a joint.

4. Moving the joints of the spine beyond a person’s usual physiological range of motion using a fast, low amplitude thrust.

5. Administering a substance by injection or inhalation.

6. Putting an instrument, hand or finger,

i. beyond the external ear canal,

ii. beyond the point in the nasal passages where they normally narrow,

iii. beyond the larynx,

iv. beyond the opening of the urethra,

v. beyond the labia majora,

vi. beyond the anal verge, or

vii. into an artificial opening into the body.

7. Applying or ordering the application of a prescribed form of energy.

8. Prescribing, dispensing, selling or compounding a drug.

9. Prescribing or dispensing, for vision or eye problems, subnormal vision devices, contact lenses or eye glasses.

10. Prescribing a hearing aid for a hearing impaired person.

11. Managing labour or conducting the delivery of a baby.

12. Allergy challenge testing of a kind in which a positive result is a significant allergic response. 1991, c. 30, s. 4.

Note: On a day to be named by proclamation of the Lieutenant Governor, section 4 is amended by the Statutes of Ontario, 2007, chapter 10, Schedule R, section 15 by adding the following paragraph:

13. Treating, by means of psychotherapy technique delivered through a therapeutic relationship, an individual’s serious disorder of thought, cognition, mood, emotional regulation, perception or memory that may seriously impair the individual’s judgement, insight, behaviour, communication or social functioning.

See: 2007, c. 10, Sched. R, ss. 15, 20 (2).