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International medical graduates

International medical graduates are candidates who have completed postgraduate residency training outside of Canada or the United States. To be eligible for Royal College exams, candidates do not have to live in Canada or hold Canadian citizenship.

Obtaining a licence to practise in Canada

The Royal College does not grant licences to practise. Each province and territory has a medical regulatory authority that is responsible for setting the licensing criteria for that province/territory. Contact your medical regulatory authority to inquire about obtaining a licence to practise.

Approved jurisdictions

The Jurisdiction Approved Training route is for international medical graduates who have completed specialist training that was planned, supervised, and accredited by one of the Royal College’s approved jurisdiction’s, and completed in the country of the jurisdiction. (note: not all specialties are approved in each jurisdiction).

Please note that fees paid for an application for exam eligibility do not cover examination fees.

Candidates pursuing this route must meet the following eligibility criteria to apply:

  • Medical specialty training completed outside Canada and the United States in one of the Royal College’s approved jurisdictions
  • Time in training substantially equivalent to the Royal College specialty training requirements/training experiences in your discipline

Candidates must submit the following with their application:

  • Copy of your CV
  • Copy of your medical degree (scan or photo)
  • Confirmation of completion of internship (if applicable to your specialty)
  • Details of training rotations/experiences, specifying time in months spent in different areas of training — see Specialty Training Requirements/Training Experiences relative to your specialty for more information
  • Document signed by your Program Director/Supervisor attesting to your periods of training
  • Letter of attestation of competence from your Program Director/Supervisor which specifically outlines your competencies around the seven roles of the CanMEDS framework

* Please submit your training documents to Physicians Apply for source verification, including documentation of internship (if applicable).

How do I apply?

You can apply for assessment by registering with the Royal College and submitting your application through our online platform by the deadlines outlined below.

You will require a Royal College ID to complete this process. If you do not have a Royal College ID, complete the registration form before registering through our online platform at https://booking.royalcollege.ca. Please use Google Chrome as your browser. If you’re an existing candidate/applicant who has a Royal College ID number and has never logged into the system, you can click on “Reset your password” or “Forgot your ID” if necessary. Please read the instructions beforehand.

Submitting an application by the deadline does not guarantee the assessment process will conclude by the exam registration deadline.

Key Assessment Deadlines

The deadline to apply for exam eligibility occurs the year before you wish to take your exam.

  • For spring exams, the deadline is April 30.
  • For fall exams, the deadline is August 31.

If you miss the deadline, late fees will be applied.

Questions?

Please reach out to imgcredentials@royalcollege.ca for questions pertaining to this route or the application process.

Approved-jurisdiction routes

Note: Not all specialties and subspecialties are accepted in each jurisdiction. Review your jurisdiction and list of specialties accepted for additional information. For your training to be assessed, it must be completed in the country of the approved jurisdiction.

Country

Jurisdiction

Specialties and Subspecialties

Dates of acceptable training

Australia and New Zealand

The Australian and New Zealand College of Anaesthetists

Anesthesia
Anesthesia training done from 1985 to 1992 completed under the auspices of the Faculty of Anaesthetists of the Royal Australasian College of Surgeons is acceptable.

1992 to present

The Australasian College for Emergency Medicine (ACEM)

Emergency Medicine

1993 to present

Australasian College of Dermatologists

Dermatology

2000 to present

Australasian Faculty of Rehabilitation Medicine

Physical Medicine and Rehabilitation

2000 to present

Australasian Faculty of Occupational Medicine

Occupational Medicine

2000 to present

Australian Faculty of Public Health Medicine

Community Medicine (Public Health and Preventive Medicine)

2000 to present

Royal College of Pathologists of Australia

Anatomical Pathology, General Pathology

2000 to present

Royal Australian and New Zealand College of Psychiatrists

Psychiatry

2000 to present

The Royal Australian and New Zealand College of Obstetricians and Gynecologists (RANZCOG)
The Australian Medical Council

Obstetrics and Gynecology
Subspecialties of Obstetrics & Gynecology

1996 to present

The Royal Australian and New Zealand College of Ophthalmologists

Ophthalmology

1995 to present

The Royal Australasian College of Surgeons
The Australian Medical Council

Specialties: Cardiac Surgery (Cardiothoracic Surgery), General Surgery, Neurosurgery, Orthopedic Surgery, Otolaryngology, Plastic Surgery, Urology
Subspecialties: Pediatric General Surgery, Vascular Surgery, Thoracic Surgery (Cardiothoracic Surgery)

1985 to present

The Royal Australian and New Zealand College of Radiologists

Diagnostic Radiology, Radiation Oncology

1975 to present

The Royal Australian College of Physicians
The Australian Medical Council

Specialties
Adult Internal Medicine: Internal Medicine (General Medicine), Medical Genetics (Clinical Genetics), Neurology, Nuclear Medicine
Pediatrics: Hematological Pathology (Clinical Hematology & Oncology), Pediatrics, Medical Genetics (Clinical Genetics), Neurology, Nuclear Medicine, Physical Medicine & Rehabilitation (Rehabilitation Medicine)
Subspecialties:
Adult Internal Medicine: Cardiology, Clinical Immunology & Allergy (Immunology & Allergy), Clinical Pharmacology, Critical Care Medicine (Intensive Care Medicine), Endocrinology & Metabolism (Endocrinology), Gastroenterology (Gastroenterology & Hepatology), Geriatric Medicine, Hematology, Infectious Diseases, Medical Oncology, Nephrology, Palliative Medicine, Respirology (Thoracic Medicine), Rheumatology
Pediatrics: Cardiology, Pediatric Emergency Medicine, Clinical Immunology & Allergy (Immunology & Allergy), Critical Care Medicine (Intensive Care Medicine), Endocrinology & Metabolism (Endocrinology), Gastroenterology (Gastroenterology & Hepatology), Hematology, Infectious Diseases, Neonatal-Perinatal Medicine, Nephrology, Palliative Medicine, Respirology (Thoracic Medicine),Rheumatology

1990 to present

 

Hong Kong

The Hong Kong Academy of Medicine
The Hong Kong College of Anesthesiologists
The Hong Kong College of Radiologists
Hong Kong College of Community Medicine
Hong Kong College of Emergency Medicine
Hong Kong College of Obstetrics and Gynaecologists
College of Ophthalmologists of Hong Kong
Hong Kong College of Orthopaedic Surgeons
Hong Kong College of Otorhinolaryngologists
Hong Kong College of Paediatricians
Hong Kong College of Pathologists
Hong Kong College of Physicians
Hong Kong College of Psychiatrists
College of Surgeons of Hong Kong

Anesthesia, Diagnostic Radiology (Radiology), Nuclear Medicine, Radiation Oncology (Clinical Oncology), Community Medicine (Public Health and Preventive Medicine), Emergency Medicine, Obstetrics & Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Pathology, Psychiatry

1994 to present

 

Singapore

The Academy of Medicine, Singapore
The Division of Graduate Medical Studies
The National University of Singapore

Specialties: Anaesthesia (Anesthesiology), Cardiac Surgery (Cardiothoracic Surgery), Community Medicine (Public Health & Preventive Medicine), Dermatology, Diagnostic Radiology, Emergency Medicine, General Surgery, Hematological Pathology (Pathology), Internal Medicine, Neurology, Neurosurgery, Nuclear Medicine, Obstetrics & Gynecology, Otolaryngology, Ophthalmology, Orthopaedic Surgery, Pediatrics, Physical Medicine and Rehabilitation (Rehabilitation Medicine), Plastic Surgery, Psychiatry, Urology
Subspecialties: Medical Oncology, Occupational Medicine, Thoracic Surgery, Cardiology, Endocrinology and Metabolism (Endocrinology), Gastroenterology, Geriatric Medicine, Hematology, Infectious Diseases, Nephrology (Renal Medicine), Pediatric General Surgery (Pediatric Surgery), Respirology (Respiratory Medicine), Rheumatology

2000 to present

 

South Africa

The Health Professions Council of South Africa
The Colleges of Medicine of South Africa

Specialties: Anatomical Pathology, Anaesthesia (Anesthesiology), Cardiac Surgery (Cardiothoracic Surgery), Community Medicine (Public Health & Preventive Medicine) (Community Health), Dermatology, Diagnostic Radiology (Radiology), General Pathology (Clinical Pathology), General Surgery, Hematological Pathology, Internal Medicine (Physicians), Medical Genetics, Medical Microbiology (Microbiological Pathology), Neurology, Neurosurgery, Nuclear Medicine, Obstetrics & Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Psychiatry, Radiation Oncology, Urology, Vascular Surgery
Subspecialties: Thoracic Surgery, Cardiology, Critical Care Medicine, Hematology (Clinical Hematology), Developmental Pediatrics, Endocrinology and Metabolism (Endocrinology), Forensic Pathology, Gastroenterology, Geriatric Medicine, Medical Biochemistry (Chemical Pathology), Medical Oncology, Neonatology, Nephrology, Occupational Medicine, Pediatric General Surgery (Pediatric Surgery), Pediatric Neurology, Respirology (Respiratory Medicine), Rheumatology

1974 to present

 

Switzerland

Swiss Medical Association

Specialties: Anaesthesia (Anesthesiology), Cardiac Surgery (Cardiothoracic Surgery), Dermatology, General Surgery, Hematological Pathology (Immunohematology), Internal Medicine, Nuclear Medicine (Radiology and Nuclear Medicine), Neurology, Neurosurgery, Obstetrics & Gynecology, Occupational medicine, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pathology, Pediatrics, Physical Medicine and Rehabilitation, Plastic Surgery, Psychiatry, Urology
Subspecialties: Thoracic Surgery, Cardiology, Clinical Immunology and Allergy, Clinical Pharmacology, Critical Care Medicine (Intensive Care Medicine),  Endocrinology and Metabolism (Endocrinology), Forensic Pathology (Forensic Medicine), Gastroenterology, Hematology, Nephrology, Pediatric General Surgery (Pediatric Surgery), Pediatric Neurology, Respirology, Rheumatology

2000 to present

 

United Kingdom
and
Ireland
Edinburgh
London
Glasgow
England

The Royal College of Anaesthetists (UK)

Anesthesia

1990 to present

The College of Anaesthetists
Royal College of Surgeons of Ireland (R.C.S.I)

Anesthesia

1996 to present

Joint Committee on Higher Training in Accident & Emergency Medicine
Faculty of Accident & Emergency Medicine (UK) / The Royal College of Emergency Medicine (RCEM)

Emergency Medicine

1993 to present

The Royal College of Obstetricians and Gynaecologists (UK)

Specialties: Obstetrics & Gynecology
Subspecialties: Gynecologic Oncology, Gynecologic Reproductive Endocrinology & Infertility (Reproductive Medicine), Maternal-Fetal Medicine

1984 to present

The Royal College of Ophthalmologists (UK)

Ophthalmology
Prior to 1988 Ophthalmology was a specialty recognized by:

  • The Royal College of Surgeons in Edinburgh
  • The Royal College of Surgeons of England
  • The Royal College of Physicians and Surgeons of Glasgow
  • The Royal College of Surgeons of Ireland

1988 to present

The Royal College of Paediatrics and Child Health (UK)

Specialties: Pediatrics
Subspecialties: Neonatal Medicine, Pediatric Endocrinology, Pediatric Gastroenterology, Pediatric Hematology/Oncology (Pediatric Oncology), Pediatric Infectious Diseases (Pediatric Infectious Disease and Immunology), Pediatric Nephrology, Pediatric Neurology, Pediatric Respirology (Pediatric Respiratory Medicine), Pediatric Rheumatology

1972 to present

The Royal College of Pathologists (UK)
Joint Committee on Higher Pathology Training (JCHPT)

Anatomical Pathology (Histopathology), Medical Biochemistry (Chemical Pathology)

1996 to present

The Royal College of Physicians of Edinburgh
The Royal College of Physicians of London
The Royal College of Physicians and Surgeons of Glasgow
The Joint Committee on Higher Medical Training

Specialties: Community Medicine (Public Health & Preventive Medicine), Dermatology, Hematological Pathology, Internal Medicine, Medical Genetics (Clinical Genetics), Medical Microbiology (Medical Microbiology and Virology and Infectious Diseases), Neurology, Nuclear Medicine, Physical Medicine and Rehabilitation (Rehabilitation Medicine)
Subspecialties: Cardiology, Clinical Immunology and Allergy (Immunology or Allergy), Clinical Pharmacology (Clinical Pharmacology & Therapeutics), Endocrinology and Metabolism (Endocrinology & Diabetes Mellitus), Gastroenterology, Geriatric Medicine, Hematology, Infectious Diseases (Medical Microbiology and Virology and Infectious Diseases), Medical Oncology, Nephrology (Renal Medicine), Palliative Medicine, Pediatric Cardiology, Respirology (Respiratory Medicine), Rheumatology

1972 to present

The Royal College of Physicians of Ireland
Irish Committee on Higher Medical Training

Specialties: Dermatology, Internal Medicine, Neurology, Occupational Medicine, Pediatrics, Physical Medicine and Rehabilitation (Rehabilitation Medicine)
Subspecialties: Cardiology, Clinical Pharmacology (Clinical Pharmacology & Therapeutic), Endocrinology & Metabolism (Endocrinology), Gastroenterology, Geriatric Medicine, Hematology, Nephrology, Palliative Medicine, Respirology (Respiratory Medicine), Rheumatology

1994 to present

The Royal College of Psychiatrists (UK)

Psychiatry

1975 to present

The Royal College of Surgeons of Edinburgh
The Royal College of Surgeons of England
The Royal College of Physicians and Surgeons of Glasgow
The Royal College of Surgeons of Ireland
The Scottish Royal Colleges’ Board for the Recognition of Surgical Posts – Basic Surgical Training: The Hospital Recognition Cte (HRC)
The Joint Committee on Higher Surgical Training

Basic Surgical Training
Specialties: Cardiac Surgery (Cardiothoracic Surgery), Diagnostic Radiology, General Surgery, Neurosurgery, Orthopedic Surgery (Trauma and Orthopedic Surgery), Otolaryngology, Plastic Surgery, Radiation Oncology, Urology
Subspecialties: Thoracic Surgery (Cardiothoracic Surgery), Pediatric General Surgery

1976 to present

The Royal College of Radiologists (UK)

Radiation Oncology (Clinical Oncology), Diagnostic Radiology (Clinical Radiology)

1975 to present

Already practicing as a specialist? (any jurisdiction)

Practice Eligibility Route

The Practice Eligibility Route (PER) is for internationally trained physicians who may or may not have started practice, to apply for an assessment in order to receive Royal College exam eligibility and ultimately certification. This path is designed for recognized primary specialties only. (Certification in a sub-specialty requires certification in a primary specialty).

Please note that fees paid for an application for exam eligibility do not cover examination fees.

Candidates pursuing this route must meet the following eligibility criteria to apply:

Candidates must submit the following with their application:

  • Copy of your CV
  • Copy of your medical degree (scan or photo)
  • Confirmation of completion of internship (if applicable to your specialty)
  • Details of training rotations/experiences, specifying time in months spent in different areas of training — see Specialty Training Requirements/Training Experiences relative to your specialty for more information
  • Document signed by your Program Director/Supervisor attesting to your periods of training
  • Letter of attestation of competence from your Program Director/Supervisor which specifically outlines your competencies around the seven roles of the CanMEDS framework

* Please submit your training documents to Physicians Apply for source verification, including documentation of internship (if applicable).

There are 3 steps to the PER process:

An affirmative preliminary assessment does not guarantee success in subsequent steps of the PER application process.

  1. Credentials Review and Determination of Exam Eligibility
    • The Practice Eligibility Route application form will collect information on your training and practice (if applicable). The Royal College will review your training documents and rotations to ensure equivalence of your training to the specialty training requirements/training experiences in your discipline. This equivalence is necessary to move forward in the process. Note: Training documents must be submitted to www.physiciansapply.ca for source verification.
    • Success at this step will result in the Royal College issuing a ruling letter for examination eligibility in your respective specialty.

  2. Royal College Specialty Exam
    • If you have received a ruling letter for exam eligibility, you will be required to register and pay for the exam using our eBooking system. The exams are on fixed dates and take place annually.
    • Examinations generally consist of 1–2 components, typically a written examination component followed by an applied component. For your specialty specific examination information, please review the Information by Discipline page.
    • Your exam eligibility is valid for a period of 5 consecutive years. All components must be completed successfully within the 5-year period; if not, you will receive a “No further eligibility” ruling letter.

    You do not need to be a resident of Canada at the time of the exam, however you must take the exam at a Royal College examination centre in Canada.

  3. Time in Practice requirement
    • Along with successful completion of all applicable examination components, you must complete a minimum of 5 years of practice in the specialty in any jurisdiction with the final 2+ years of practice in a continuous practice location in Canada. You can then apply to the Royal College for assessment of your time in practice. You must work with the appropriate medical regulatory authority (MRA) to acquire a licence to practise in Canada and complete the minimum two-year requirement.
    • If you complete all of the training requirements, examination components, time-in-practice requirements, and receive results from a successful assessment of time in practice in Canada, you will be eligible for Royal College certification and invited to join the Royal College as a Fellow

How do I apply?

You can apply for assessment by registering with the Royal College and submitting your application through our online platform by the deadlines outlined below.

You will require a Royal College ID to complete this process. If you do not have a Royal College ID, complete the registration form before registering through our online platform at https://booking.royalcollege.ca. Please use Google Chrome as your browser. If you’re an existing candidate/applicant who has a Royal College ID number and has never logged into the system, you can click on “Reset your password” or “Forgot your ID” if necessary. Please read the instructions beforehand.

Submitting an application by the deadline does not guarantee the assessment process will conclude by the exam registration deadline.

Key Assessment Deadlines

The deadline to apply for exam eligibility occurs the year before you wish to take your exam.

  • For spring exams, the deadline is April 30.
  • For fall exams, the deadline is August 31.

If you miss the deadline, late fees will be applied.

Questions?

Please reach out to per@royalcollege.ca for questions pertaining to this route or the application process.

 

Looking for affiliate status in a sub-specialty?

Subspecialty Examination Affiliate Program (SEAP)

If you are an internationally trained subspecialist in Canada and you are not Royal College certified in your primary specialty, you may be eligible to apply for assessment through the Subspecialty Examination Affiliate Program (SEAP), or the Practice Eligibility Route for the Subspecialty Examination Affiliate Program (PER-SEAP).

If you are granted eligibility to take your exam, eligibility is granted for a 5-year period. If you pass, you will be provided a Royal College attestation of its successful completion and invited to join the Royal College as a Subspecialist Affiliate.

Affiliate status allows you to maintain engagement with the Royal College and to participate in the Maintenance of Certification (MOC) Program, but it does not confer Royal College certification or fellowship.

Apply for an assessment through SEAP

You can apply for an assessment through SEAP if you are an internationally-trained physician who is registered with a postgraduate office in an accredited Royal College subspecialty training program and you are not Royal College certified in a primary specialty.

You can apply for a training assessment by contacting us at credentials@royalcollege.ca.

*Note: SEAP is designed to provide affiliate status in a sub-specialty and attestation of success at the sub-specialty exam. This does not confer certification.

Open for applications

May 1 - August 31

Late fees apply September 1 to October 31 (no further applications will be accepted after October 31)

Note:

  • Applying by the deadline does not guarantee the assessment process will conclude by the exam registration deadline,as not all steps in the assessment process are within the control of the Royal College.
  • Fees paid for an assessment of training do not cover examination fees.

Practice Eligibility Route for the Subspecialty Examination Affiliate Program (PER-SEAP)

Apply for an assessment through PER-SEAP

You can apply for an assessment through PER-SEAP if you are an internationally trained subspecialist who is already licensed and practising as a subspecialist in Canada and you are not Royal College certified in a primary specialty.

You can apply for a training assessment by contacting us at credentials@royalcollege.ca.

Open for applications

May 1 - August 31

Late fees apply September 1 to October 31 (no further applications will be accepted after October 31)

Note:

  • Applying by the deadline does not guarantee the assessment process will conclude by the exam registration deadlineas not all steps in the assessment process are within the control of the Royal College.
  • Fees paid for an assessment of training do not cover examination fees.

The credentials review is an assessment of your postgraduate medical education (PGME) and your current practice. It consists of the following 4 components:

  1. PGME and practice documentation: We require documentation that you have:
    • completed all postgraduate subspecialty training requirements of the jurisdiction in which the training occurred,
    • a minimum of 24 months of postgraduate training in the subspecialty in the jurisdiction of training, and are recognized as a subspecialist in the jurisdiction where you trained; and
    • practised as an independent specialist in the subspecialty for the past 5 years, with the final 2 years in a continuous practice location in Canada in the subspecialty.

    • Note: Practice during a fellowship or postgraduate medical education (PGME) is not considered independent practice; it is considered a learning experience for the specialty.

      Required documents and instructions on source verification by physiciansapply.ca

  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. 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.

  4. Feedback from chief of staff (or other relevant supervisor): Your chief of staff will comment on your scope of practice and answers a confidential questionnaire about the quality of your practice.

Not sure which route applies to you?
Contact us at credentials@royalcollege.ca for help getting started.