Frequently Asked Questions

What is a physician assistant?

PAs support physicians in a range of health care settings and provide care under the supervision of a registered physician.  A PA’s practicemirrors that of the supervising physician (e.g., work is assigned and controlled acts performed are delegated to the PA by the physician).  The physician and PA work together to define the PA’s role and practice parameters which may evolve and change over time. 

The specific duties of the PA vary depending on the individual competencies of the PA, the supervising physician’s area of practice, and the types of duties that the supervising physician chooses to assign. Examples include:

  • Conducting patient interviews and taking medical histories
  • Performing physical examinations
  • Performing certain controlled acts delegated to them by a physician
  • Providing counselling on preventive health care

Why is this new role being introduced?

PAs have been integrated into the health care systems of several other jurisdictions and have helped to increase access to health services and overall quality of care.  In Canada, PAs have been employed by the Canadian Forces for many years to deliver health care services to members of the military and their families. PAs have been working in Manitoba since 2002, where they are known as clinical assistants. PAs have also practiced in the United States since the 1960s.

In Ontario, PAs were introduced to the civilian health care system in 2007 through a series of demonstration projects in a variety of settings.  There are now over 200 PAs working as part of interdisciplinary care teams in over 100 sites across the province.  These PAs are helping to decrease wait times, and improve patient access in high need areas including emergency medicine and primary care.

How can I become a PA in Ontario?

In order to become a recognized PA in Ontario, individuals must complete an accredited PA Education Program, either in Canada or in the United States.  There are two PA education programs in Ontario, one is offered at McMaster University and the other at the University of Toronto (in collaboration with the Northern Ontario School of Medicine and The Michener Institute for Applied Health Sciences).  The universities are responsible for setting the acceptance criteria and selecting students.  Interested individuals should contact the programs directly to inquire about the application process.

Both programs are two years (24 months) long and are accredited by the Canadian Medical Association.  Graduates have the skills and competencies necessary to meet Canadian standards and to practice as PAs in Ontario. Up to 54 PAs are expected to graduate annually.

Is Ontario considering regulating PAs under the Regulated Health Professions Act, 1991 (RHPA)?

The province has accepted the Health Professions Regulatory Advisory Council’s (HPRAC’s) recommendation not to regulate the profession under the RHPA.

What was the Health Professions Regulatory Advisory Council’s (HPRAC’s) advice to the Minister on the regulation of PAs?

HPRAC provides the Minister with independent, objective advice on, among other things, whether unregulated health professions should be regulated.

HPRAC’s report was supportive of the PA profession with respect to the safety and quality of care that PAs provide as well as the positive impact of PAs on access and wait times.  However, HPRAC found that there is insufficient evidence to meet the risk of harm threshold for regulation under the RHPA.  After extensive review, HPRAC concluded that the model of physician delegation under which PAs practice, coupled with the current size of the profession, significantly mitigates the risk of harm to patients and the public – which was the key criteria for regulation.

In addition to its recommendation, HPRAC also proposed that the PA profession in Ontario build upon the existing certification process to increase certainty regarding the assurance of practitioners’ qualifications. 

The full report and recommendations can be found at:

How is the ministry addressing the Health Professions Regulatory Advisory Council’s (HPRAC’s) recommendation to establish a compulsory registry for the profession?

In making its recommendation, HPRAC proposed that the PA profession in Ontario build upon the existing certification process to increase certainty regarding the assurance of practitioners’ qualifications through the establishment of a compulsory registry for PAs implemented under the governance and oversight of the College of Physicians and Surgeons of Ontario. 

The ministry is working with key stakeholders to explore what requirements would be necessary to establish a PA Directory.

What are the qualifications to work at a PA in Ontario?

In order to work as a PA in Ontario, you need to be certified by the Canadian Association of Physician Assistants (CAPA) or be eligible to write the certification exam. In order to be eligible for certification, you would have had to complete an accredited PA Education program either in the U.S or Canada.  If you have earned a medical degree from outside Canada, you must still graduate from a Canadian Medical Association (CMA) accredited PA program or Accredited Review Commission (ARC-PA) accredited program to take the PA Certification Council of Canada (PACCC) PA Entry to Practice Certification Examination (PA CERT EXAM).

How can I find out about current PA employment opportunities?

Current employment opportunities for certified PAs are available at HFOJobs or on the CAPA job portal at  Individual employers may also post opportunities on organizational websites.