All pharmacists in Part A of the Register are subject to random selection for the College's Practice Review process. The Quality Assurance (QA) Practice Review consists of two phases:

Phase I
Every year, 20% of members in Part A of the Register will be selected to take part in Phase I of the practice review process. This means that approximately 2000 pharmacists will be selected to participate each year, and every pharmacist in Part A will be selected to participate in Phase I once every five years.

Candidates who are selected for Phase I are required to complete the Self-Assessment Tool and notify the College of completion within eight weeks.

Phase II
Approximately 240 pharmacists per year are selected for Phase II of the Practice Review, which is the Peer Review, a clinical knowledge and practice-based assessment lasting approximately six hours. Peer Reviews are held quarterly in Toronto at the Ontario College of Pharmacists.

Phase II of the Practice Review is an assessment based on a national model competency document developed by the National Association of Pharmacy Regulatory Authorities (NAPRA). They were further approved by OCP Council in 1997. This competency document was reviewed and updated in 2007.