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Multiple routes to certification

Find the route that's right for you

Physicians who practise in Canada follow various training pathways to become specialists. Society needs to ensure they are all appropriately certified. To meet this need, the Royal College has established a number of routes to certification for specialists and subspecialists. Routes to certification include the following:


For Canadian and US medical residents »

The Traditional Route to Certification is intended for those who completed their postgraduate residency training in a Canadian program accredited by the Royal College.

or,

an ACGME accredited program within the United States.


For International medical graduates (IMGs) »

Jurisdiction Approved Training is intended for International Medical Graduate’s (IMG) who have completed specialty training outside of Canada or the United States in an approved jurisdiction.

Practice Ready Assessment is a process administered through the Provincial Medical Regulatory Authorities. This route is for IMGs with specialist certification from their country of origin.

Individual Competency Route is available to IMGs who already have specialist certification from an international jurisdiction but still require additional training to meet the Canadian standard.


For licensed specialist physicians practicing in Canada without Royal College certification »

Practice Eligibility Route for Specialists (PER) applies to physicians practising as specialists in Canada without Royal College certification.

Practice Eligibility Route for Subspecialists (PER-sub) has been established for Royal College Fellows who are practicing in a newly approved subspecialty or, subspecialty converting from Accreditation without Certification to certification by examination, before accredited training existed in Canada.

CMQ-Certified Specialist Route is intended for Physicians certified through examination by the Collège des médecins du Québec in a specialty or subspecialty recognized by the Royal College.


For academic physicians working in health science centres »

Academic Certification is intended to assist Canadian faculties of medicine and universities in the recruitment and retention of specialists as full-time clinical faculty at the rank of Associate or Full Professor.


Areas of Focused Competence (Diploma) Program »

Area of Focused Competency (Diploma)
Members with the added qualification of Diplomate or Diplomate Affiliate of the Royal College of Physicians and Surgeons of Canada will be known nationally and internationally as individuals who have sought to advance their knowledge and expertise with additional complementary skills and competencies.