Specialists · Practice Eligibility Route

Urology: the Practice Eligibility Route

Requirements as published by the Royal College. Last reviewed August 2026.

Urology at a glance

Required time in training
5 years (surgical specialty: Surgical Foundations required)STR: Five years (65 blocks) of approved residency training in Urology; a block is defined as one complete four (4) week rotation
2026 exam timing
Written in the Fall; Applied in the Fall (same year)
Apply for assessment of training
by August 31 of the year before your exam
Register for the exam
February 1 – April 15 of the exam year
Exam attempts
Maximum 4 attempts per component within a 5-year eligibility period

The Royal College reads your postgraduate training and practice record in Urology against the published Specialty Training Requirements. Those requirements are set out in full below, so you can see how your own training compares before you apply.

What licence can I get, and when?

Certification is national. Licensure is provincial. You do not need Royal College certification (FRCPC) to be licensed. Several provinces license you at an earlier PER stage, and the earliest any province accepts is the eligibility letter alone. The table applies to every specialty that reached exam eligibility through the PER.

Full province table: MCCQE, job offer and licence type
ProvinceMCCQERC writtenRC appliedLicence issuedJob offer
AlbertaRequiredRequiredRequiredFullNot required
British ColumbiaNot requiredRequiredRequiredProvisionalRequired
SaskatchewanRequiredRequiredRequiredProvisionalRequired
ManitobaNot requiredRequiredRequiredProvisionalRequired
OntarioNot requiredRequiredNot requiredProvisional, 3 yearsRequired
Nova Scotia (a)Not requiredNot requiredNot requiredDefined, 6 to 24 monthsRequired
Nova Scotia (b)Not requiredRequiredRequiredFullRequired
New BrunswickNot requiredNot requiredNot requiredSpecial, then DefinedRequired
Newfoundland & Labrador, PEIRequired*Not requiredNot requiredProvisionalRequired

* The MCCQE may be waived where the candidate has five or more years of independent practice abroad. Case by case, never guaranteed.

Educational only. Rules change, and each regulator decides on factors that may not be listed here; Filipe Santos MD does not make licensure decisions. Checked October 9, 2026 against each regulator's pages; Ontario confirmed with the CPSO in October 2026. Confirm with the regulator before you act.

Province notes (Alberta, Nova Scotia, New Brunswick, and the MCCQE) are in the PER guide.

How training is structured

The Royal College sets out the training for Urology in the blocks below. An internationally trained specialist is assessed on whether their own training and practice record is comparable in structure and content.

Requirements document: 2011, Version 1.1, Editorial Revision - January 2014; applies to those who begin training on or after July 1st, 2011 (Revised - Specialty Standards Review Committee - 2011)

1. Foundational training in surgery (Surgical Foundations)
Two (2) years (26 blocks)
Must meet the requirements of the Royal College Surgical Foundations curriculum and be approved by the Urology program director in conjunction with the Surgical Foundations program coordinator; comprising sections 1.1 to 1.3 below.
2. Residency training in Urology
Thirty-nine (39) blocks
Comprising sections 2.1 to 2.4 below.
Required experiences6

Specific experiences the Royal College names for this discipline.

  • 1.1 A minimum of three (3) and a maximum of thirteen (13) blocks of Urology
  • 1.2 A minimum of three (3) blocks of General Surgery
  • 1.3 A minimum of two (2) blocks of Critical Care Medicine, which must include (1.3.1) a minimum of one (1) block on a service that provides initial trauma management (such as Emergency Medicine, General Surgery, trauma team, Orthopedic Surgery, or Plastic Surgery)
  • 2.1 Six (6) blocks of responsibility as most senior resident on the service
  • 2.2 Three (3) blocks of pediatric Urology or the equivalent longitudinal experience
  • 2.3 Exposure to the following Urology subspecialty domains while in Urology rotations (2.3.1 to 2.3.6): andrology, endourology, oncology, reconstruction, transplantation, and voiding dysfunction
Flexible or selective components1

Where the requirements allow a choice.

  • 2.4 A maximum of (3) blocks of research or elective time as approved by the Urology program director

Common questions

What is the Practice Eligibility Route in Urology?

The Practice Eligibility Route (PER) is the Royal College process by which an internationally trained specialist can be assessed for eligibility to sit the certification examination in Urology without repeating a Canadian residency. The Royal College reads your postgraduate training and practice record against the published Specialty Training Requirements for the discipline.

What training does the Royal College expect in Urology?

The Specialty Training Requirements describe five years (65 blocks) of approved residency training in Urology; a block is defined as one complete four (4) week rotation. The full block-by-block structure is set out on this page, taken from the Royal College document for this discipline.

Does meeting the training requirements guarantee eligibility?

No. Eligibility is a committee decision made on your individual file, and other factors are considered. This page reproduces the published requirements so you can see how your own training compares before you apply; it is not an eligibility ruling.

Where do I start?

Read the seven steps in the PER guide, then have your training mapped against the Specialty Training Requirements before you pay any fees. The free PDF for this specialty carries the steps, the document checklist, and the Urology requirements in one file.

The Urology guide as one PDF

The seven PER steps, your document checklist, and the Urology training requirements in a single file. Free. Not sure the PER is your route? The screener checks your file against every route in about two minutes.

or open the PER guide
Other specialties27

Canadian clinical fellowships in Urology are in the Fellowship Finder.

Adapted from the Royal College of Physicians and Surgeons of Canada Specialty Training Requirements for Urology. Not affiliated with or endorsed by the Royal College; every application is reviewed individually and final decisions rest solely with the Royal College. Verify current requirements at royalcollege.ca.