The Health Professions Act (HPA) authorizes the government to make regulations under the HPA for each health profession designated under the HPA.

Regulations have been created for each profession to delineate reserved titles, scopes of practice and the restricted activities that only members of the regulated professions are authorized and permitted to engage in.

See the BC laws website for the regulations for the various regulated health professions.  The General Regulation applies to all of the HPA-governed professions and sets out common requirements.



Scope of Practice

The Podiatrists Regulation defines the meaning of ‘podiatric medicine’:

“podiatric medicine” means the health profession in which a person provides the services of prevention, treatment and palliation of diseases, disorders and conditions of

(a)    the foot, and

(b)    the bones, muscles, tendons, ligaments and other tissues of the lower leg that affect the foot or foot function,

but does not include any treatment of the foot or lower leg that may affect the course of treatment of a systemic disease unless the treatment of the foot or lower leg is provided in collaboration with a medical practitioner; …

The regulation defines the restricted acts for podiatry:

(1) A registrant in the course of practising podiatric medicine may do any of the following:

(a)    make a diagnosis identifying, as the cause of signs or symptoms of the individual, a disease, disorder or condition of the foot or lower leg;

(b)    perform a procedure on tissue below the dermis of the foot or lower leg;

(c)    set or cast a fracture of a bone of the foot or lower leg;

(d)    reduce a dislocation of a joint of the foot or lower leg;

(e)    administer intravenous fluids by injection;

(f)     for the purpose of arthroscopic surgery of the ankle, put an instrument or a device, hand or finger into an artificial opening into the body;

(g)    apply

(i)     laser, for the purpose of cutting or destroying tissue, or

(ii)    X-rays, for diagnostic or imaging purposes, excluding X-rays for the purpose of computerized axial tomography;

(h)    issue an instruction or authorization for another person to apply, to a named individual,

(i)     ultrasound for diagnostic or imaging purposes, excluding any application of ultrasound to a fetus,

(ii)    electromagnetism for the purpose of magnetic resonance imaging, or

(iii)  X-rays for diagnostic or imaging purposes, including X-rays for the purpose of computerized axial tomography;

(i)     in respect of a drug specified in Schedule I or II of the Drug Schedules Regulation, B.C. Reg. 9/98,

(i)     prescribe the drug,

(ii)    compound the drug,

(iii)  dispense the drug, or

(iv)  administer the drug by any method;

(j)     conduct challenge testing for allergies

(i)     that involves injection, scratch tests or inhalation, if the individual being tested has not had a previous anaphylactic reaction, or

(ii)    by any method, if the individual being tested has had a previous anaphylactic reaction.

Reserved Titles

The Podiatrists regulation reserves the following titles to registrants of the College:

–  podiatrist

–  podiatric surgeon

–  doctor

–  surgeon

The restriction does not apply to persons who use:

–  the title “doctor” or “surgeon” in a manner authorized by another statute that regulates a health profession, or

–  an academic or educational designation that the person is entitled to use.