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Navigating the Canadian medical licensing system can be complex, especially when it comes to understanding the Most Responsible Physician (MRP) role, the differences between full and restricted licenses, and how supervision works under various licensing conditions. In this video, we clarify these important distinctions to help international medical graduates (IMGs) and Canadian-trained physicians better understand their licensing options and career pathways. 🔍 What You’ll Learn in This Video: ✅ What is an MRP? The Most Responsible Physician (MRP) is the doctor accountable for a patient’s care, especially when admitted to a hospital. An MRP holds decision-making authority over patient management. Only certain licenses allow physicians to function as MRPs. ✅ Full License vs. Restricted License Full License: Allows practice to the full scope of a physician’s specialty. Typically transferable between provinces. Restricted License: May have limitations (e.g., restricted to certain locations, practice settings, or medical scopes). In many cases, physicians with restricted licenses can still act as MRPs. Transferability varies depending on the province and license type. ✅ Independent Practice vs. Non-Independent Practice Independent practice means a physician can treat patients without requiring direct supervision or additional approval. Some restricted licenses allow independent practice, but others may require ongoing supervision or review. ✅ Understanding Supervision in Restricted Licenses Supervision under a restricted license is not the same as direct supervision during training. It usually involves distant supervision, meaning: A licensed physician reviews charts and monitors performance rather than working side by side. The physician under supervision remains responsible for patient care but receives periodic oversight from a fully licensed physician. ✅ License Name Confusion & Provincial Differences License terminology varies by province, leading to confusion among physicians. Example: New Brunswick’s Special License vs. Nova Scotia’s Defined License – similar names but different meanings and restrictions. The same license title in different provinces may have different scopes, requirements, and transferability rules. ⚠️ Common Issues & Risks Addressed in This Video: ❗ Confusion about medical licenses and how they impact practice. ❗ Misinterpretation of supervision requirements under restricted licenses. ❗ Difficulty understanding which licenses allow independent practice. ❗ Challenges in transferring licenses between provinces due to different regulations.