Yes, and in Manitoba the Nurse Practitioner is the key to it. An NP can be the authorizing prescriber for a med spa or a nurse-led injectables practice without being on the premises. A physician can only direct a clinic they actually practise in. So the practices asking us for help across Manitoba need NPs, and we do not have enough of them.
This is general information, not regulatory advice. Physicians in Manitoba are regulated by the College of Physicians and Surgeons of Manitoba (CPSM) and nurses, including Nurse Practitioners, by the College of Registered Nurses of Manitoba (CRNM). We checked both colleges' standards in August 2026. Confirm what applies to you with your own college before you take on a practice.
Why Manitoba is an NP province
Under CPSM rules a physician cannot be the Medical Director of a clinic they do not practise in. That rules out the arrangement most other provinces rely on, where a physician oversees a nurse-led practice from elsewhere. A Nurse Practitioner is not caught by that rule. An NP registered with the CRNM can assess clients, prescribe and authorize treatment within their scope and competence.
The practical result: for a solo nurse injector in Winnipeg, Brandon or Steinbach who does not have a physician working in their clinic, an NP is the route to practising properly.
What the work is
- Assess each client and issue a client-specific order. A telehealth assessment is acceptable. A standing order with nobody assessing the individual is not.
- Keep the practice's orders and protocols current for the treatments it actually offers.
- Review charts and be satisfied with consent and documentation.
- Be reachable for complications, including a suspected vascular occlusion.
This is genuine clinical oversight with your name and registration behind it. If an arrangement only wants a signature, it is the wrong arrangement.
If you are a Manitoba physician
You can still be the Medical Director of a clinic where you practise. If you work in, or are willing to work from, an aesthetic clinic, tell us: some practices want exactly that. What you cannot do under CPSM rules is direct a clinic you never practise in.
How it works with Plus One MD
You tell us your registration, the treatments you are comfortable overseeing, how many practices you want and where. We check your registration against the college register and introduce only practices that fit. You choose every practice you take on, and you can say no to any of them. Fees are agreed directly between you and each practice. Manitoba is a new province for us, so the first directors we onboard get first pick of the practices there.
New to the role? Read how to become a Medical Director first, then how Manitoba compares with the other provinces.
See also Winnipeg, NPs as Medical Directors across Canada and the ten questions to ask a practice first.
Manitoba Nurse Practitioner? We need you.
Winnipeg, Brandon or anywhere in the province. Tell us your registration and what you are willing to oversee, and choose from the practices we introduce.
Join the network How to become a Medical DirectorQuestions Manitoba NPs and physicians ask
Can a Nurse Practitioner be a Medical Director in Manitoba?
Yes. An NP registered with the CRNM can act as the authorizing prescriber for an aesthetic nursing practice, within their scope and competence, and does not have to be on-site.
Can a physician be a remote Medical Director in Manitoba?
No. Under CPSM rules a physician cannot be the Medical Director of a clinic they do not practise in. A physician can direct a clinic where they do practise.
Does the NP have to be on-site in Manitoba?
No. Each client must be genuinely assessed, which can be by telehealth, and receive a client-specific order.
Do I have to live in Winnipeg?
No. You need to be registered in Manitoba. Because an NP can do the role remotely, you can oversee a practice anywhere in the province.
How is a Medical Director paid?
Fees are agreed directly between you and each practice. Plus One MD does not set, publish or take a share of a Medical Director's terms.
General information for Manitoba Nurse Practitioners and physicians, checked against CPSM and CRNM standards in August 2026. Not medical, legal, regulatory, or compliance advice. Plus One MD is not affiliated with or endorsed by the CPSM or the CRNM. Confirm current requirements with your own college and your liability protection provider.