Mili80, I think that the restrictions on your work permit are standard for all inland spousal OWPs. My husband’s restrictions are as follows:
1. Not authorized to work in childcare, primary/secondary school teaching, health service field occupations.
2. Unless authorized, prohibited from attending any educational institution or taking any academic, professional or vocational training course.
3. Not valid for employment in business related to the sex trade such as strip clubs, massage parlours or escort services.
Again, I don’t think the OWPis reliant on the medical in any way~ the medical is for the permanent residence part of the application.
My bet is that the restriction from working with kids or vulnerable adults (health services) is because OWP holders haven’t yet had their background check done ~ so there is no way of knowing (until this is done) if there is something in the person’s background that would be a red flag for working with kids or people who are elderly/disabled.