Look inside
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What’s inside
- Part One. Foundations (Chapters 1–6). The two frameworks that govern your work, the locked terminology, how licensing differs from regulation, Ontario’s 27 regulated professions, how other provinces structure CA work, and the federal picture.
- Part Two. The Rules in Detail (Chapters 7–10). The 14 RHPA controlled acts and what counts as a public-domain activity, what your supervising physician can personally bill OHIP for and the narrow list of delegated procedures, the seven CPSO delegation requirements, the May 2026 CPSO Guidance (including the clarifications about foreign credentials and title use that affect ITPs), the misread “monetary gain and convenience” rule, and the title rule.
- Part Three. Working in the Role (Chapters 11–15). The supervising physician relationship and the language patterns that make delegation visible in the chart, the CMPA insurance gap unique to Ontario CAs, PHIPA privacy law and the five failures CAs typically get caught on, the patient introduction script that protects you, and the workplace statutes that set your floor (ESA, OHSA, Human Rights Code).
- Part Four. Career Strategy (Chapters 16–21). The five screens for any job offer, the T4-vs-T4A decision that determines whether you have ESA protection, the logbook that turns private contract work into a credible track record, how to present CA work on a CV, how to structure reference letters for CaRMS, and how to build your application profile beyond the CA role.
- Part Five. Synthesis and Reference (Chapters 22–24). How the rules are enforced, six case scenarios with worked analysis (including the PRA recency-of-practice situation that catches ITPs who assume their CA hours will count toward licensure), and a final chapter on using the role strategically. Plus a Quick Reference section.
The 2-hour teaching recording
Included with the book. A live session covering the most consequential topics: what the role actually is in Ontario law, what is legal for you to do versus what your supervising physician can bill for, how delegation must be documented to satisfy CPSO policy, what to look for before signing a contract, how PHIPA reaches you personally, and what CA work can and cannot do for your career. This is teaching, not a book walkthrough. The book is the reference. The recording is the orientation.
This is for you if
- You are an ITP currently working as a clinical assistant in Ontario, or considering an offer
- You are unclear whether something you have been asked to do is legal, whether your supervising physician can actually bill for it, or whether it is properly delegated
- You want to know what to negotiate, what to document, and how the work will be read by future regulators and program directors
- You are running CA work in parallel with MCCQE, NAC OSCE, or PRA timelines and want to know exactly how each fits