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To have your training and/or practice assessed by the Royal College, you are required to pay assessment fees.

If you are writing a Royal College exam, you will also be required to pay exam fees when you register for your exam.

Assessment fees

If you are a physician applying for Royal College certification, you must first apply for a training and/or practice assessment to ensure you have met specialty-specific training and/or practice standards to register for the examination.

It may take from six to eight months to receive your letter of eligibility. Please note that these costs are only for the training and/or practice assessment. Exam fees are paid separately.

Fees are listed in Canadian dollars and are subject to change each year. Fees are collected when you apply.

Effective from January 1 - December 31, 2021

Assessment Fees
Canadian and U.S. medical residents
Assessment of Canadian residency training — specialties and surgical foundations $730
Assessment of Canadian residency training — subspecialties $380
Assessment of ACGME-accredited training in the United States — specialties $1,130
Assessment of ACGME-accredited training in the United States — subspecialties $780
International medical graduates
Assessment of jurisdiction- approved training — specialties $3,660
Assessment of jurisdiction-approved training — subspecialties $1,745
Practice Eligibility Route for subspecialists (PER-sub) $975
Practice Ready Assessment (PRA) $1,030
Practice Eligibility Route (PER) – For those who have completed 2 years of practice in Canada $4,010
Practice Eligibility Route (PER) – For those who have not completed 2 years of practice in Canada $7,000
Subspecialty examination affiliate program (SEAP)
Subspecialty examination affiliate program (SEAP) $1,705
Practice Eligibility Route for the subspecialty examination affiliate program (PER-SEAP) $4,010
Academic certification
Academic certification $5,260
AFC (Diploma)  
AFC (Diploma) - Credentialing and Assessment Fee $965
PER-AFC Diploma - Credentialing and Assessment Fee $1,950

Exam fees

Exam Fees
Surgical Foundations exam $825
Spring and fall comprehensive objective exam
(includes both written and oral/Objective Structured Clinical Examination (OSCE) components)
Spring and Fall written exam $2,200

Other fees

Other Fees
Late fees — for applications received after the deadline
Less than 90 days after deadline: $710
More than 90 days after deadline: $1,410
Appeal of an eligibility ruling: $1,195
Renewal of eligibility
Renewal – spring: $730
Renewal – fall: $380

Payment details

Assessment fees - payment options

  • Credit card (in Canadian dollars only)
  • Cheques must be made payable to “The Royal College of Physicians and Surgeons of Canada” and must bear the current date. Cheques or money order must be sent to the Royal College of Physicians and Surgeons of Canada, 774 Echo Drive, Ottawa, ON K1S 5N8.
  • Cheques in Canadian funds must be drawn on a Canadian bank.
  • Cheques in U.S. funds must be drawn on a U.S. bank. If paying in U.S. funds, consult your bank for the current exchange rate.

Exam fees - online payment process

All exam registration fees must be paid online by credit card. Once your registration form has been submitted, you must submit payment online to complete your exam registration. The online payment link will be included in your exam registration email, which is sent from the Credentials Unit.

Online Payment Steps:

  • Go to the online payment link sent to you in your registration email
  • Login using your Royal College ID
  • Enter your credit card information
  • Click to submit
  • You will receive a confirmation email once your payment has been submitted successfully

Please contact if you have any questions regarding the payment process.


  • Royal College exam fees can be claimed as a non-refundable tuition tax credit. Training and/or practice assessment fees are also included in the tax credit. Tax receipts are issued for the year the exam is written, regardless of when the fee is paid.
  • Receipts are emailed. Duplicate receipts can be requested from

Refund policy

All training and/or practice assessment fees are non-refundable. For exam fees, 20 business days before the first component of the exam, 50% of the exam fees will be refunded. Otherwise, no refund will be provided.

Standards and training requirements

Visit the Information by discipline page to access the Royal College’s standards documents, which define each discipline.

If you are preparing to write a Royal College exam, the Objectives of Training document contains useful information regarding the content for your specialty or subspecialty exam. In addition, the Exam Format document will often list reference materials and practice questions that are specific to your specialty or subspecialty.

To access documents, select your discipline from the dropdown menu. All documents relevant to your discipline will be displayed below the dropdown menu.

Medical regulatory authorities

Visit the list of provincial and territorial medical regulatory authorities (MRA). Depending on your route for assessment, you may need to get in touch with your MRA as part of the process.

In addition, all postgraduate residents and all practising physicians must hold an educational or practice licence from the medical regulatory authority in the province or territory where they study or practise.

Contact us:; Telephone: toll-free 1-800-668-3740 ext. 278 or 419 or 613-730-6278; Fax: 613-730-8261

We recognize exams are a stressful experience and that we are in unprecedented times. The Royal College is committed to communicating with you in a respectful, professional and civil manner. Similarly, we ask the same courtesy is provided to our employees. Thank you!