{"id":9336,"date":"2022-04-13T10:54:00","date_gmt":"2022-04-13T14:54:00","guid":{"rendered":"https:\/\/fmrq.qc.ca\/postes-pem-ptem\/family-medicine\/prems-process\/vos-obligations\/"},"modified":"2025-09-24T15:34:39","modified_gmt":"2025-09-24T19:34:39","slug":"your-obligations","status":"publish","type":"postes-pem-ptem","link":"https:\/\/fmrq.qc.ca\/en\/positions-pems-ptems\/family-medicine\/ptem-process\/your-obligations\/","title":{"rendered":"Your Obligations"},"content":{"rendered":"\t\t
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Home<\/a><\/span><\/span><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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- PREM Process -<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Your Obligations<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Key Steps<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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Your Obligations<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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Practising without a PTEM<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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Bursary Recipients<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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Deadline for Setting Up in Pratice<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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To be eligible for obtaining a notice of compliance with a region\u2019s PTEM, a candidate has to undertake to start his practice in that region within 12 months following the receipt of his compliance notice application by the DTMF.\u00a0<\/p>

The physician may, however, ask for his start of practice to be deferred for a maximum of six additional months. It is up to the DTMF whether or not it agrees to the deferral request for reasons it deems fair and equitable.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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55%-45% Rule<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The doctor must devote at least 55% of his annual billing days to the region or area where he holds his PTEM compliance notice.\u00a0<\/p>

A day is considered as soon as the physician has billed at least $523 in the area. A half day is considered as soon as the physician has billed at least $261,50, but less than $523.\u00a0<\/p>

The distribution of the doctor\u2019s practice is evaluated on an annual basis with regard to days worked, from March 1 to February 28-29 of the following year, from the date of issue of the PTEM compliance notice.\u00a0<\/p>

If the physician begins during the year, the calculation is prorated, from the date of issue of the compliance notice.<\/p>

A doctor may therefore devote up to 45% of his billing days to practising outside the area where he holds his compliance notice, either in another RLS in the same region, in one of Quebec\u2019s 17 other regions, or on part-time locums. WARNING: Currently, only the Quebec City (Capitale-Nationale) region (except for the Portneuf and Charlevoix sub-areas) is subject to the following rule: a doctor who has no compliance notice from that region may not perform more than 5% of his billing days there.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Specific medical activities (AMPs)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u00a0<\/span>Physicians with less than 15 years\u2019 practice have to commit to performing 12 hours of AMPs per week, or the equivalent. For further details, consult the AMP page<\/a>.<\/span><\/p>

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