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.
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.
Related guides
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