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New to Canadian licensure? Pick the sentence that describes you.

Every route to practising medicine in Canada has its own exams, its own regulator, and its own vocabulary. This page sorts them by where you stand today. Each card names the route, the words you will meet, and the page on this site that takes it further.

1Family medicine1 of 6

I trained in family medicine or general practice, and I want to practise in Canada.

Nine provinces run a Practice-Ready Assessment (PRA) for family physicians. You practise under observation for a period, typically around 12 weeks, and a pass leads to a conditional licence with a return of service. Selection is competitive, and each province sets its own exam and currency rules.

Words you will meet: PRA, MCCQE Part I, NAC, TDM, currency of practice, return of service
2Specialists2 of 6

I trained in a specialty, and I want to practise as a specialist.

Two routes lead to specialist practice. The Practice Eligibility Route (PER) is national, document based, and run by the Royal College; it can be started from abroad and leads to certification. The specialist PRA is provincial and workplace based. Four provinces run one, Alberta, Manitoba, Quebec, and Nova Scotia, each for the disciplines it is currently assessing, and each asks for a job offer first.

Words you will meet: PER, Royal College, STR, primary specialty, PRA for specialists
3Supervised roles3 of 6

I want to work in medicine before I hold an independent licence.

Clinical assistant and associate physician roles let you work under a licensed physician's supervision. You are never the most responsible physician. The role is not a licensure pathway on its own, but licensed time in it counts toward the currency requirement of some PRA programs.

Words you will meet: clinical assistant, associate physician, most responsible physician (MRP), supervised practice
4Residency4 of 6

I want to do a residency in Canada.

Residency positions are filled through the CaRMS match. You apply to programs, interview, rank them, and the algorithm matches you. Most programs ask for the MCCQE Part I and the NAC, and most program descriptions say what they want in your CV and personal letter.

Words you will meet: CaRMS, R-1 match, IMG stream, personal letter, CASPer
5Exams5 of 6

I need to pass the exams first.

The Medical Council of Canada (MCC) runs the MCCQE Part I, the NAC Examination, and the TDM Examination. Which ones you need depends on the route and the province. Start with the format of each exam, then build a study plan around it.

Words you will meet: MCC, MCCQE Part I, NAC OSCE, TDM, physiciansapply.ca
6Not sure yet6 of 6

I do not know which of these I am.

Answer a short set of questions about your training, your practice, and your exams, and the screener compares your profile against every family medicine PRA program and every clinical assistant and associate physician licence. Nothing you type is stored.

Takes a few minutes. Specialists get pointed to the PER guide and the specialist PRA page from inside the screener.

The map, in three paragraphs

There are two ways into Canadian practice. You can retrain in a Canadian residency, which means the CaRMS match. Or you can apply as a physician who is already trained, which means one of the practice-ready routes: a PRA if you are a family physician, the PER or a specialist PRA if you are a specialist. The second group is where most of this site lives.

Whichever way you go, three things follow you: the MCC exams you hold, how recently you practised, and your language test. Most routes ask for the MCCQE Part I. Some ask for the NAC or the TDM as well. Every practice-ready assessment program has a currency requirement, and a practice gap of three to five years or more is a problem for all of them. English test results are valid for 24 months.

Licensing itself is provincial. The MCC examines you and the Royal College or the College of Family Physicians certifies you, but the licence comes from the regulator of the province where you will work. That is why the same physician can be eligible in one province and not in the next, and why this site sorts almost everything province by province.

The words you will see everywhere

Short definitions, in the order you are likely to meet them. Each links to the page that goes further.

IMG
International medical graduate: a physician whose medical degree is from outside Canada. Also written ITP, internationally trained physician.
MCC
The Medical Council of Canada. It runs the national exams and the physiciansapply.ca portal where your credentials are source verified.
MCCQE Part I
The MCC's written qualifying exam. Most routes list it, and it is the exam this site's books and daily MCQs prepare you for. Format and blueprint →
NAC Examination
The MCC's clinical skills exam for IMGs, run as an OSCE: a circuit of timed stations with standardized patients. Required by some PRA programs and most residency programs. How it is scored →
TDM Examination
The Therapeutics Decision-Making Examination. Every family medicine PRA except Quebec's and Nova Scotia's requires it. What it tests →
LMCC
The Licentiate of the Medical Council of Canada, the MCC credential granted once you have passed the MCCQE Part I and met its postgraduate training requirement. Regulators refer to it in their licensing rules.
CaRMS
The Canadian Resident Matching Service, which runs the residency match. The first-year match is the R-1. Timeline and data →
PRA
Practice-Ready Assessment. A provincial program that observes you in real practice and, on a pass, licenses you with a return of service. Family medicine programs exist in nine provinces; specialist programs in four. Family medicine PRA programs compared →
PER
The Practice Eligibility Route of the Royal College of Physicians and Surgeons of Canada. It assesses a specialist's training on paper against the Specialty Training Requirements and, if equivalent, opens the door to the certification exams. No return of service. The PER guide →
STR
Specialty Training Requirements: the Royal College document describing what a residency in each specialty must contain. The PER measures your training against it.
Clinical assistant / associate physician
Supervised roles for physicians without an independent licence. Licensed in most provinces, unlicensed in Ontario, Quebec, and the territories. Not a pathway by itself. Province by province →
Currency of practice
How recently, and how much, you practised. Measured in hours or months over the last three to five years, and the requirement candidates most often fail on paper.
Return of service
The commitment to practise in the province, often in a community it designates, after a PRA. Three-year terms are common; Manitoba's training program carries four.
The College
Each province's medical regulatory authority, such as the CPSO in Ontario or the CPSBC in British Columbia. It issues the licence. Every regulator, linked →

Free links for every stage

The links I send clients after a consultation, sorted by stage. Official sources only.

Three things to settle before you compare programs

Most routes ask about at least one of these. Settle them first and the rest of the site reads faster.

1

Which MCC exams do you hold?

Most routes list the MCCQE Part I. Check whether yours also needs the NAC or the TDM before you book anything. Exam dates and deadlines →

2

How recently did you practise?

Count your months as the most responsible physician in the last three and five years. Supervised and unlicensed work count differently in each province, and unlicensed work counts nowhere.

3

Is your language test current?

IELTS Academic 7.0 in each component, OET Medicine grade B, or CELPIP General 9, in one sitting, within the last 24 months. Quebec requires French. Language and immigration links →

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