Chiropodists (unlike podiatrists) are unable to "communicate a diagnosis", do bone surgery, take or order X-Rays, or bill OHIP. Chiropodists are also more limited than podiatrists in the drugs that they can prescribe and in substances they can administer.
Ontarians (and others) who have graduated with the Doctor of Podiatric Medicine Degree/DPM degree since 1993 and wish to practise in Ontario may only be registered to practise as chiropodists. This means they're not using their education and competencies to anywhere near their fullest. Let me give you an illustration: We have several DPM graduates who are registered to practise in Ontario as chiropodists and in the United States (Michigan or New York) as Podiatrists. For two or three days a week they perform complex surgical procedures of the foot and ankle in their US practices and for the remainder of the week are restricted to basic procedures on the subcutaneous tissues of the foot in Ontario. The Podiatric cap is frustrating for Chiropodists as well, because despite whatever competencies they may have they are prohibited from becoming Podiatrists and, thereby, having access to additional podiatric authorized acts.
Ontario is the only jurisdiction in the world to maintain the old UK Chiropody model. This means Ontario has been unable to reach a Mutual Recognition Agreement under the AIT with other provinces and territories. Neither are Chiropodists nor Podiatrists provided reciprocal temporary entry privileges under NAFTA. Chiropodists trained in Ontario (at the Michener Institute in Toronto) are able to practise in fewer and fewer jurisdictions outside of Ontario.