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What a doctor trained abroad needs to register in Canada

Read from the regulator's own documents. Each step shows what it costs, who usually pays, and the date we last checked it. Enter your details and we tell you which of these you already meet.

Family doctors certified in Australia, Ireland, the UK or the US (CFPC certification without examination)

College of Physicians and Surgeons of Ontario · ~6 months · ~CAD 4,897 · 10 steps

For family physicians holding FRACGP, FACRRM, MICGP, MRCGP or DABFM who practised in that country. Source verification, CFPC certification without examination and a job lead to a CPSO certificate to practise independently in scope; the MCCQE makes it fully independent.

  1. 1
    Acceptable medical degree (a school in the World Directory of Medical Schools)
  2. 2
    Confirm your medical school is listed in the World Directory of Medical Schools (search.wdoms.org)
  3. 3
    Family medicine certification from Australia (FRACGP or FACRRM), Ireland (MICGP), the United Kingdom (MRCGP) or the United States (DABFM)
  4. 4
    Registered and practising family medicine in the country that certified you, with no gap in licence or practice over two years in the last three
  5. 5
    Source verification of your degree, training and certification on physiciansapply.ca (CAD 150 account, CAD 232 per credential)
    ~10 weeks · ~CAD 846 · you pay · Source ↗
  6. 6
    Certificates of good standing from your regulator and your certifying college, under six months old
    ~4 weeks · you pay · Source ↗
  7. 7
    English: IELTS Academic 7.0 in every component or OET Medicine B in every sub-test, one sitting, within 24 months (CELPIP 9 and French tests also accepted)
    you pay · Source ↗
  8. 8
    CFPC certification without examination (CAD 533 application, CAD 3,518 certification)
    ~12 weeks · ~CAD 4,051 · you pay · Source ↗
  9. 9
    Job offer in Ontario and a work permit, then the CPSO certificate (provisional, independent in scope; the MCCQE makes it fully independent)
    ~8 weeks · who pays varies · Source ↗
  10. 10
    Overseas Employment Certificate from the Department of Migrant Workers, through a DMW-licensed recruitment agency or an employer the DMW allows to hire directly (Filipino workers)
    who pays varies · Source ↗

Specialists through the Royal College's Practice Eligibility Route (supervised practice up to three years)

College of Physicians and Surgeons of Ontario · ~9 months · ~CAD 2,114 · 10 steps

For specialists who completed their training outside Canada and the United States. The MCCQE (which carries the LMCC), acceptance into the Royal College's Practice Eligibility Route and a supervised post lead to a provisional CPSO certificate for up to three years while the Royal College exam and time in practice are completed.

  1. 1
    Acceptable medical degree (a school in the World Directory of Medical Schools)
  2. 2
    Confirm your medical school is listed in the World Directory of Medical Schools (search.wdoms.org)
  3. 3
    Completed specialty training with a specialty certificate (the Royal College assesses it against its own programme)
  4. 4
    Source verification of your degree and specialty certificate on physiciansapply.ca (CAD 150 account, CAD 232 per credential)
    ~10 weeks · ~CAD 614 · you pay · Source ↗
  5. 5
    Pass the MCCQE (CAD 1,500; at Prometric centres in over 70 countries, four sessions a year), which carries the LMCC
    ~20 weeks · ~CAD 1,500 · you pay · Source ↗
  6. 6
    Acceptance into the Royal College's Practice Eligibility Route
    ~16 weeks · you pay · Source ↗
  7. 7
    Certificates of good standing from every regulator you have been registered with
    ~4 weeks · you pay · Source ↗
  8. 8
    English: IELTS Academic 7.0 in every component or OET Medicine B in every sub-test, one sitting, within 24 months (CELPIP 9 and French tests also accepted)
    you pay · Source ↗
  9. 9
    Supervised post at a named Ontario location and a work permit, then the provisional CPSO certificate (up to three years)
    ~8 weeks · who pays varies · Source ↗
  10. 10
    Overseas Employment Certificate from the Department of Migrant Workers, through a DMW-licensed recruitment agency or an employer the DMW allows to hire directly (Filipino workers)
    who pays varies · Source ↗

Residency through CaRMS (Canadian citizens and permanent residents)

College of Physicians and Surgeons of Ontario · ~18 months · ~CAD 5,202 · 8 steps

For doctors who are Canadian citizens or permanent residents and need Canadian postgraduate training. The MCCQE and the NAC Examination, source verification and a CaRMS match lead to residency and a postgraduate education certificate; each province adds its own criteria.

  1. 1
    Medical degree from a school in the World Directory of Medical Schools recognised in Canada
  2. 2
    Canadian citizenship or permanent residence
  3. 3
    Source verification of your degree on physiciansapply.ca (CAD 150 account, CAD 232 per credential)
    ~10 weeks · ~CAD 382 · you pay · Source ↗
  4. 4
    Pass the MCCQE (CAD 1,500)
    ~20 weeks · ~CAD 1,500 · you pay · Source ↗
  5. 5
    Pass the NAC Examination (CAD 3,320)
    ~20 weeks · ~CAD 3,320 · you pay · Source ↗
  6. 6
    English: IELTS Academic 7.0 in every component or OET Medicine B in every sub-test, one sitting, within 24 months, where the province or programme asks
    you pay · Source ↗
  7. 7
    Match into a residency through CaRMS (provincial criteria, return-of-service in some provinces)
    ~40 weeks · who pays varies · Source ↗
  8. 8
    Overseas Employment Certificate from the Department of Migrant Workers, through a DMW-licensed recruitment agency or an employer the DMW allows to hire directly (Filipino workers)
    who pays varies · Source ↗

Rules checked 25 Oct 2026 · outcomeOS describes each regulator's published rules; it does not advise on your individual case. · Privacy · Terms

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