Practice Eligibility Route to certification for specialists (PER)
The Practice Eligibility Route (PER) is a route to certification for internationally trained physicians who are already licensed and practising as specialists in Canada.
Certification is granted after all of the following are completed:
The credentials review is an assessment of your postgraduate medical education (PGME) and your current practice. It consists of the following components.
1. PGME and practice documentation: We require proof that you have completed the specialty training requirements and are recognized as a specialist in the jurisdiction where you trained; and that you have practised as an independent specialist in the specialty for the past five years.
2. Certificate of Professional Standing: A current Certificate of Professional Standing is required to prove that you are a member in good standing with your medical regulatory authority.
3. Scope of practice review: Your declared scope of practice (Form D) is reviewed by members of your discipline’s specialty committee. The review is to ensure that your current practice profile has the necessary breadth to be assessed for certification in the specialty.
Note: If your current practice profile doesn’t meet that of a Royal College specialist, you will not be able to continue with the PER route. However, you can submit additional information on your practice for a second review, if appropriate.
4. Multisource feedback (MSF) survey: Feedback on your professional competencies relating to the CanMEDS roles is gathered and then benchmarked against scores from similar practices. This process allows you to reflect on your performance across the range of CanMEDS roles and to identify your areas of strength and areas for growth.
- Information on PER multisource feedback (MSF) reports
5. Feedback from chief of staff (or other relevant supervisor): Your supervisor verifies your declared scope of practice and answers a confidential questionnaire about the quality of your practice.
Maintenance of Certification for the Practice Eligibility Route (MOC PER)
Enrolment in the Royal College’s Maintenance of Certification Program for the Practice Eligibility Route (MOC PER) allows you to develop an individualized MOC PER learning and activities plan that addresses your learning needs relevant to your professional practice as identified in your MSF report.
After receiving your MSF report, you will be emailed a MOC PER learning and activities plan template to complete.
Requirements for MOC PER
- Complete a minimum of 160 MOC credits within a 24-month period.
- Complete a minimum of 80 credits in each 12-month period.
Previous enrolment in the MOC Program
Because MOC PER learning and activities are based on the outcomes identified in your MSF report, no credit for previous MOC activities will be given toward the MOC PER requirements.
Examination and practice-based assessment
The Practice Eligibility Route (PER) provides two options for assessment:
Route A: The existing Royal College certification exams
Route B: A highly structured practice-based assessment (limited availability)
Note: Route B is currently only available for Psychiatry, but other specialties will be phased in.
- Click here to see the availability of Route A and B for your specialty.
- Click here for more information on the exam/assessment format for your discipline.
- Eligibility to apply
- Apply for the Practice Eligibility Route
- Credentialing fees
- Working with your medical regulatory authority
The Royal College of Physicians and Surgeons of Canada
774 Echo Drive
Ottawa ON K1S 5N8
Telephone (toll-free): 1-800-267-2320