For new Ontario physicians

Transition to Practice.

From match day to your first paycheque - a practical checklist for the year you finally call yourself staff. Most of it can be ticked off in your first ninety days. Your progress is saved to this browser.

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Licensing & Registration

  • Change CMPA coverage

    Update your work category from resident to staff. New premiums kick in.

  • Apply for CPSO independent licence

    The biggest hand-off from resident to staff. Allow 2 to 4 weeks.

  • Apply for OHIP billing number

    Follow the instructions for provider registration.

  • Apply for hospital credentials (if applicable)

    Required for in-patient, ED, and consult work. Each site has its own packet.

Billing & Expenses

  • Register for Medavie Blue Cross

    Federal patients (CAF, RCMP, VAC, IFHP, federal inmates). One signup covers all six programs.

  • Register as a WSIB provider

    Required to bill for work-related injuries and illnesses.

  • Set up OHIP direct payment

    Get paid by deposit, not cheque. Configure during your billing-number registration.

  • Set up CMPA auto-payment

    Avoid the awkward lapse-in-coverage moment.

If Incorporating

  • Register your corporation

    Discuss the structure and timing with your accountant or lawyer.

  • Apply for CPSO Certificate of Authorization

    Required before your corporation can practice medicine.

  • Set up corporate banking accounts

    Easier for tracking income, taxes, and expenses.

  • Route billing and expenses through the corporation

    OHIP deposits, Blue Cross deposits, professional fees. Move them once everything else is set up.

Other Tips

  • Log your MOC / Mainpro+ credits

    Make studying for your exam worth more. Group study, lectures, and self-learning all count as CME for your first year.

  • Update your professional memberships

    OMA membership is mandatory for practising Ontario physicians. CMA and your specialty society are optional.

  • Join the “First 5 Years” group for your specialty

    Facebook groups exist for most specialties. The questions you have, they had last year.

  • Find an accountant who works with physicians

    Incorporation, MPC tax structuring, family income splitting rules - physicians have their own tax patterns. Generalists can miss things.

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