CPSO Clinical Supervision and Psychiatric Consultation
At the Centre for Psychodynamic Insights, we offer clinical supervision and professional consultation provided by an Ontario psychiatrist for physicians seeking structured guidance, professional development, and support with complex psychiatric and mental health concerns.
Services may include formal clinical supervision for physicians whose practice is subject to supervision requirements established by the College of Physicians and Surgeons of Ontario (CPSO), as well as voluntary consultation for physicians who would benefit from another psychiatrist’s perspective on clinical, ethical, diagnostic, or practice-related matters.
Clinical supervision and consultation are offered virtually throughout Ontario.
Please note: Any formal CPSO-directed supervision arrangement is subject to the individual requirements of the CPSO. The proposed Clinical Supervisor must be approved by the CPSO, and supervision must be conducted in accordance with the applicable undertaking, order, registration condition, or supervision plan.
Clinical supervision involves structured oversight and ongoing assessment of a physician’s practice. Its purpose is to support safe and effective patient care, ensure that the expected standard of practice is being met, and assist the supervised physician in developing or maintaining clinical competence.
Depending on the physician’s individual circumstances and CPSO requirements, supervision may include:
Reviewing selected patient records and clinical documentation
Discussing assessments, diagnoses, treatment plans, and follow-up care
Reviewing prescribing practices and medication management
Evaluating clinical reasoning and decision-making
Discussing risk assessment, capacity, consent, and patient safety
Reviewing adherence to professional, ethical, and regulatory expectations
Providing educational guidance and constructive feedback
Preparing supervision reports or documentation when required
Communicating with the CPSO or another approved organization where authorized and required
Supporting a physician who is changing their scope of practice or returning to clinical practice
The frequency, format, level, and duration of formal supervision will be determined by the applicable CPSO requirements and the Clinical Supervisor’s assessment of the arrangement.
CPSO Clinical Supervision
Professional consultation is available to physicians who are not subject to formal CPSO supervision but would benefit from confidential discussion with a psychiatrist.
Consultation may focus on:
Complex psychiatric presentations
Diagnostic clarification and differential diagnosis
Psychopharmacology and medication management
Treatment planning and clinical formulation
Suicide risk, self-harm, violence risk, and patient safety
Capacity, consent, and substitute decision-making
Challenging clinical interactions
Professional boundaries
Documentation and record-keeping
Ethical or regulatory concerns
Coordination of care with psychotherapists and other professionals
Managing uncertainty or complexity in psychiatric care
Developing or changing a clinical scope of practice
Returning to practice following an extended absence
Physician wellness and the emotional impact of clinical work
Consultation is collaborative and educational. Unless a separate formal agreement is established, the consulting psychiatrist does not assume responsibility for the physician’s patients and does not become the Most Responsible Physician.
Psychiatric Consultation for Physicians
Our Psychiatrist
Associate Medical Director & Associate Psychiatrist
Board-Certified Psychiatrist
Dr. John Chardavoyne, MD
Rates
Clinical Supervision & Psychiatric Consultation
Clinical Supervision Session | 30 minutes | $150
Clinical Supervision Session | 60 minutes | $300