Dialogue Volume 12 Issue 2 2016 | Page 7

FROM THE REGISTRAR’S DESK Rocco Gerace, MD Registrar photo: D.W. Dorken photo: istockphoto.com Like other governing bodies, we have seen changes to how we serve the public interest 150 Years of Regulating Medicine I n 1866 – a year before Confederation – the names of all practising Ontario physicians were written by hand into an official ledger. There were only a handful of doctors, then, spread across the vast province. But that was the first official list of practising physicians in the province and it became the foundation for the College of Physicians and Surgeons of Ontario. We were incorporated three years later by the Medical Act as the College of Physicians and Surgeons of Ontario, with two distinct functions: to be the only body with the power to grant physicians a licence to practise medicine in Ontario, and the responsibility of administering the medical qualifying examinations for the province. Throughout the rest of the 19th century, our main concern was putting an end to the many unqualified individuals in Ontario claiming medical knowledge and hanging a shingle that identified themselves as ‘doctor.’ For much of the 20th century, the College operated with the view that a medical degree from a recognized institution was sufficient to practise medicine dependably. We licensed qualified doctors, prosecuted unlicensed individuals, and disciplined members who had violated professional standards. Our mandate began to expand in the 1970s and 80s, when the focus shifted towards ongoing competence of Ontario’s physicians through continuing professional education, assessment, and remediation. We were one of the first (if not the first) medical regulators Issue 2, 2016 Dialogue Issue2_16.indd 7 7 2016-06-16 12:26 PM