{"id":9472,"date":"2022-04-13T16:48:34","date_gmt":"2022-04-13T20:48:34","guid":{"rendered":"https:\/\/fmrq.qc.ca\/postes-pem-ptem\/family-medicine\/lexique\/"},"modified":"2025-10-08T15:02:51","modified_gmt":"2025-10-08T19:02:51","slug":"glossary","status":"publish","type":"postes-pem-ptem","link":"https:\/\/fmrq.qc.ca\/en\/positions-pems-ptems\/family-medicine\/glossary\/","title":{"rendered":"Glossary"},"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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- Family Medecine -<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Glossary<\/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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PTEM Process<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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PTEMs for 2026<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\t\t\t<\/div>\n\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<\/div>\n\t\t<\/a><\/div><\/div>
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PEM in an Establishment<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\t\t\t<\/div>\n\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<\/div>\n\t\t<\/a><\/div><\/div>
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PTEM in a GMF-U<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\t\t\t<\/div>\n\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<\/div>\n\t\t<\/a><\/div><\/div>
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Locums<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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Specific Medical Activities (AMPs)<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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Moonlighting<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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DTMFs<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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Local Services Networks (RLSs) by Region<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\t\t\t<\/div>\n\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<\/div>\n\t\t<\/a><\/div><\/div>
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Establishments (CIUSSS, CISSS, Institutes)<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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Returning from Remote Regions<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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Glossary<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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Websites of the Regions<\/div>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\t\t\t<\/div>\n\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<\/div>\n\t\t<\/a><\/div><\/div><\/div><\/div>\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
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Billing day<\/strong>\u00a0(Journ\u00e9e de facturation)
<\/em>A billing day is counted only if the compensation (pay) associated with that day is equal to or greater than $523. A half day can be counted if the compensation associated with that half day is equal to or greater than $261.50 and less than $523.<\/p>


Compliance notice\u00a0<\/strong>(Avis de conformit\u00e9<\/em>)
All family physicians practising under the Quebec insurance plan are subject to the Special agreement on compliance with territorial physician resource plans (PTEMs). Under that agreement, the physician has to obtain a notice of compliance with the PTEM from the Territorial department of family medicine (DTMF) of the practice region in question. Obtaining this compliance notice implies the physician\u2019s commitment to maintain the majority of his practice, i.e., 55% or more of his billing days, in a sub-area of that region (RLS).<\/p>

The frequently used expression \u201cto have a PTEM\u201d actually means holding a notice of compliance with a given region\u2019s PTEM.<\/p>


Facility<\/strong>\u00a0(Installation<\/em>)
A facility is a physical site where healthcare services are delivered, i.e., hospitals, local community services centres [CLSCs], long-term care facilities [CHSLDs], rehabilitation centres, etc., which are grouped together under a healthcare establishment within the meaning of the legislation.<\/p>


Healthcare establishment<\/strong>\u00a0(\u00c9tablissement de sant\u00e9<\/em>)
A healthcare establishment is a group of healthcare facilities (hospital, local community services centre [CLSC], long-term care facility [CHSLD], etc.) which covers services for a given region. Following the adoption of Bill 10 (2015), the Minister grouped the 182 existing healthcare establishments into 34\u00a0establishments. Rounding out the network are the university health centres, and institutes.<\/p>


Initial application period<\/strong>\u00a0(P\u00e9riode initiale d\u2019application<\/em>)
The initial application period runs from December 1 to 15.<\/p>


Interregional mobility <\/strong>(Mobilit\u00e9 inter-r\u00e9gionale<\/em>, or\u00a0MIR<\/strong>)
Status of a physician who has worked a minimum of 200 days (synonymous with \u201cdoctor already practising\u201d).<\/p>


Local services network<\/strong>\u00a0(R\u00e9seau local de service<\/em>, or\u00a0RLS<\/strong>)
Sub-area of a region (subregion).
Each region is divided into sub-areas. So you have a notice of compliance with a region\u2019s PTEM, with priority hiring in a subregion (RLS).<\/p>


Locum<\/strong>\u00a0(D\u00e9pannage<\/em>)
– Part-time locum\u00a0(D\u00e9pannage \u00e0 temps partiel<\/em>)
A physician who holds a compliance notice but wants to perform locums part-time. Note that this practice is included in the 55%-45% ratio.<\/p>

– PTEM exclusively for locums\u00a0(PTEM d\u00e9pannage exclusif<\/em>)
A doctor wishing to practise exclusively under the locum mechanism can obtain a waiver in lieu of a compliance notice if positions are available. He has to apply for it on registering for locums with the provincial\u00a0Centre national m\u00e9decins-Qu\u00e9bec<\/em>. To register for locums, the physician has to hold a permit to practise from the\u00a0Coll\u00e8ge des m\u00e9decins du Qu\u00e9bec<\/em>\u00a0and malpractice insurance corresponding to the areas of activity covered by his locum practice. A practice is considered exclusive when it includes 95% or more of the physician\u2019s total billing days.<\/p>


New biller<\/strong>\u00a0(Nouveau facturant<\/em>)
New billers are physicians who have not yet completed at least 200 days of practice under Quebec\u2019s public health insurance plan. During those 200 days of practice, the physician must have held a valid notice of compliance with the territorial physician resource plan (PTEM) or a waiver in lieu of a notice of compliance with the PTEM.<\/p>


Non-compliance with the conditions of the compliance notice<\/strong>\u00a0(Non-respect des conditions de l\u2019avis de conformit\u00e9<\/em>)
A physician who does not meet his commitment to perform 55% of more of his billing days in the geographical area covered by his PTEM compliance notice is subject to a 30% cutback of his total compensation for the year in question, i.e., from March 1 to February 28. The physician is notified by the Quebec Health Insurance Board (RAMQ) around September 1 of the following year. He may, however, request an exemption; his file will then be reviewed by the MSSS-FMOQ Parity Committee responsible for the Special Agreement concerning compliance with PTEMs.<\/p>


Opting out of a PTEM<\/strong>\u00a0(D\u00e9sistement \u00e0 un PTEM<\/em>)
You may opt out of a territorial physician resource plan (PTEM) at any time if you have not started your practice.<\/p>


Physician resource plan<\/strong>\u00a0(Plan d\u2019effectifs m\u00e9dicaux<\/em>, or\u00a0PEM<\/strong>)
Physician resource plan of a facility, a healthcare establishment
In family medicine, the term \u201cPEM\u201d is used to designate positions in hospitals. You need a PEM to be able to work in a hospital setting.<\/p>


Practice without a compliance notice<\/strong>\u00a0(Pratique sans avis de conformit\u00e9<\/em>)<\/p>

A physician practising under the Quebec Health Insurance Plan (RAMQ) without having obtained a notice of compliance with the territorial physician resource plan (PTEM) from the Medical director of the Regional department of general medicine (DTMF) of a region will have his total compensation cut back by 30%. A five-year waiting period will also be imposed on him before he can apply for a compliance notice in that region. If, however, the physician obtains a compliance notice from another region and meets his commitment there, this period will be only three years.<\/p>


Region<\/strong>\u00a0(R\u00e9gion<\/em>)
Quebec is divided into 18 administrative regions. When you apply for a compliance notice, you do so to one of these regions:
Region 1 \u2013 Bas-Saint-Laurent
Region 2 \u2013 Saguenay\u2013Lac-St-Jean
Region 3 \u2013 Quebec City (Capitale-Nationale<\/em>)
Region 4 \u2013 Mauricie\u2013Centre-du-Qu\u00e9bec
Region 5 \u2013 Estrie
Region 6 \u2013 Montreal
Region 7 \u2013 Outaouais
Region 8 \u2013 Abitibi-T\u00e9miscamingue
Region 9 \u2013 C\u00f4te-Nord
Region 10 \u2013 Nord du Qu\u00e9bec
Region 11 \u2013 Gasp\u00e9sie\u2013Iles-de-la-Madeleine
Region 12 \u2013 Chaudi\u00e8res-Appalaches
Region 13 \u2013 Laval
Region 14 \u2013 Lanaudi\u00e8re
Region 15 \u2013 Laurentides
Region 16 \u2013 Mont\u00e9r\u00e9gie
Region 17 \u2013 Nunavik
Region 18 \u2013 James Bay Cree Territory<\/p>


Territorial department of family medicine<\/strong>\u00a0(D\u00e9partement territorial de m\u00e9decine de famille<\/em>, or\u00a0DTMF<\/strong>)
Each region has a territorial department of family medicine (DTMF) consisting of all the general practitioners in the region who receive compensation from the Quebec Health Insurance Board (RAMQ). The DTMF\u2019s responsibilities are carried out by a Steering Committee consisting of physicians who belong to the department. In particular, the DTMF\u2019s mandate is to make recommendations concerning PTEMs, general medical services, and specific medical activities (AMPs). It defines and proposes a regional organization plan for general medical services and a network of access to general medical services.<\/p>

Medical director of DTMF (Chef du DTMF<\/em>)
Medical director of Territorial department of family medicine (Chef du d\u00e9partement territorial de m\u00e9decine de famille<\/em>)
The medical director of the Territorial department of family medicine is in charge of authorizing and signing compliance notices.<\/p>


Territorial physician resource plan<\/strong>\u00a0(Plan territorial d\u2019effectifs m\u00e9dicaux<\/em>, or\u00a0PTEM<\/strong>)
Territorial physician resource plans (PTEMs) in family medicine authorize, for each of Quebec\u2019s administrative regions, a quantitative target for recruitment of family physicians designed to distribute additional physician resources equitably. These plans are updated yearly on the basis of the differences observed between the resources in place and the needs to be met in each region. They take into account the mobility of physicians already practising and the expected number of new doctors. Since Quebec\u2019s regions do not all enjoy the same level of access to healthcare services, PTEMs aim to provide Quebecers with more equitable access to medical services.<\/p>

In family medicine, the term \u201cPTEM\u201d is used to designate positions allocated in one of the 18\u00a0administrative regions, with priority hiring in a local services network (RLS). Obtaining a compliance notice implies that the doctor undertakes to maintain the majority of his practice, i.e., 55% of more of his billing days, in a sub-area (RLS) of the region where he holds a PTEM.<\/p>

PTEMs are associated not with a type of practice but with a practice location.<\/p>


Selection criteria<\/strong>\u00a0(Crit\u00e8res de s\u00e9lection<\/em>)
When the number of candidates exceeds the number of positions available in the regional physician resource plan (PTEM), a selection is made. This selection is made on the basis not of the physician\u2019s competence, but of his interest in practising in the priority needs identified by the regional department of general medicine (DTMF).<\/p>


Special medical activity<\/strong>\u00a0(Activit\u00e9 m\u00e9dicale particuli\u00e8re<\/em>, or\u00a0AMP<\/strong>)
Services delivered in an Emergency department; care provided to patients admitted for short-term care; services involving on-call duty provided in a long-term care centre or rehabilitation centre, or in connection with a local community service centre (CLSC) home care support program; medical services in obstetrics; primary care services provided to vulnerable patients in their homes, in a private health facility, or in any centre operated by an establishment; and, finally, services delivered in the context of any priority activity determined by a regional department of general medicine (DTMF) and approved by the Minister of Health. AMPs are listed in the\u00a0Act respecting health services and social services\u00a0<\/em>as having a priority dimension. Conditions for physicians\u2019 participation in AMPs have been determined through a special agreement between the Minister and the FMOQ.<\/p>


Upon obtaining a notice of compliance with the territorial physician resource plan (TtEM), a physician with 15 years of practice or less must choose an AMP offered by the region to meet local needs. This AMP will be performed in one of the services named, for the equivalent of 12 hours per week.<\/strong><\/p>


University needs (U-FMG position)<\/strong>
Compliance notice reserved for doctors wishing to teach. This involves teaching positions set aside to meet priority academic needs.<\/p>

***Caution: For this type of PTEM, it is the director of the family medicine program of the faculty concerned who selects the candidate and confirms his choice with his region\u2019s Regional department of general medicine (DTMF) and the Ministry of Health and Social Services (MSSS) by December 15.<\/p>

(Please note that it is also possible to teach in a university family medicine group (U-FMG) if a position is available in that U-FMG, when you hold a regular PTEM. You then have to go through the process of applying for a regular compliance notice.)<\/p>\t\t\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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