Subspecialists: Practice Eligibility Route

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The Practice Eligibility Route for Subspecialists (PER-sub) is for physicians who are practising in a subspecialty in Canada but who are not eligible for the traditional credentials review as a result of completing unaccredited training or no training in the subspecialty.

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

• Royal College certification in a primary specialty that is the entry route to the subspecialty or College of Family Physicians of Canada (CCFP) certification in Family Medicine for Palliative Medicine only
• Proof of a valid, unrestricted licence to practise in Canada
• A scope of practice that meets the criteria set out by and acceptable to the discipline’s specialty committee (this scope will vary by specialty)
• Attestation by 2 referees of the physician’s scope and quality of his/her/their practice
• For Palliative Medicine only: Registration in the Royal College Maintenance of Certification Program (MOC) or the CFPC Maintenance of Certification Program (Mainpro+)

Physicians in subspecialty practice will belong to one of two cohorts:

Cohort 1:

• In practice for 5 + years in Canada in the subspecialty
  • Final 2 years of practice must be in a continuous practice location in Canada

Cohort 2:

• In practice for 1 - 5 years in Canada in the subspecialty
  • Final year of practice must be in a continuous practice location in Canada
  • Proof of completion of training (unaccredited) that is equivalent in length to the requirements set out in the subspecialties training requirements (STR)*

Assessment documentation has not yet been developed for some subspecialties. If you would like to submit an Expression of Interest regarding PER-sub for your subspecialty, please contact persub@royalcollege.ca. We will contact you when we begin to accept applications for your subspecialty.

Key Assessment Deadlines

Please note:

• Submitting an application 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.