Updated July 19, 2017
University of Ottawa
Northern Ontario School of Medicine
University of Toronto
For purposes of clarity Ontario has accepted the following definitions:
A Canadian Medical Graduate or U.S. Medical Graduate (CMG/USMG) is an individual who received their medical degree from a medical school accredited by the Committee on Accreditation of Canadian Medical Schools (CACMS) or the Liaison Committee on Medical Education (LCME). From here on in this will be referred to as a CMG.
An International Medical Graduate (IMG) is an individual who received their medical degree from a medical school that is not accredited by the Committee on Accreditation of Canadian Medical Schools (CACMS) or the Liaison Committee on Medical Education (LCME). From here on in this will be referred to as an IMG.
Medicine Subspecialty Match
First and Second Iteration
The Ontario Faculties of Medicine and Ontario Ministry of Health and Long-Term Care have agreed to the following policies for the 2018 Medicine Subspecialty Match. It is important to note that individual programs may have specific criteria that are used to review applications. Please carefully review the program specific criteria as well as the provincial criteria listed below. All matched applicants must meet the criteria for registration with the College of Physicians and Surgeons of Ontario (CPSO) for postgraduate education.
ANY DELAYS IN PROVIDING ALL REQUIRED DOCUMENTATION TO CPSO MAY RESULT IN A DELAY IN ISSUANCE OF A CERTIFICATE OF REGISTRATION AND A DELAY IN START OF POSTGRADUATE TRAINING BEYOND JULY 1ST.
Training Level and Program
Who can Apply:
- Current residents who will be completing PGY3 training in Core Internal Medicine on or before June 30, 2018 (Notes 1 & 2 & 3).
- Trainees enrolled in accredited Core Internal Medicine (Note 1) Royal College or ACGME Accredited program.
Sponsored Residents (Foreign Governments) or Trainees on work permits may apply directly to the school/program for subspecialty training. These positions are supernumerary and not part of the CaRMS Medicine Subspecialty Match process.
- Exceptions to the Training Level and Program Criteria for applicants to the following programs can be found in the Royal College Specialty Training Requirements:
- Critical Care Medicine, Clinical Pharmacology, Pain Medicine, Palliative Medicine and Occupational Medicine. Royal College
- PGY3 residents with completion dates between July 1 and December 31, 2018 are also eligible but must declare their completion date on the application form and request a late start.
- Residents who are planning to complete a “Chief Medical Resident (CMR)” year are eligible to apply in their PGY4 year provided that:
- The PGY4 year is supported outside of the usual funding source (e.g. Provincial government funding). The year cannot be self-funded, and
- The Resident remains registered in an accredited Core Internal Medicine program for the full length of the Chief Medical Resident year.
Must be a Canadian Citizen/Permanent Resident and must submit one of the following verifications to CaRMS by the Rank Order List deadline. (Photocopies acceptable). No other forms of verification are acceptable:
- Notarized/certified photocopy of Birth Certificate issued by an authority in Canada with any photo ID, or
- Notarized/certified photocopy of Canadian Passport, or
- Notarized/certified photocopy of Canadian citizenship certificate, Record of Landing; or
- Notarized/certified photocopy of Permanent Resident Card/Canadian Citizen Card – copies of both sides of card must be provided and legible.
Previous Subspecialty Training /Transfers
Trainees currently enrolled in subspecialty training are not eligible. The medicine subspecialty match cannot be used for transfers.
Practice Status (including those on restricted licenses)
Practicing physicians are not eligible for this match. They may apply for a limited number of subspecialty training positions through the Re-Entry Program MOHLTC
Requirements for IMGs:
- Proof of MD degree
IMGs must be graduates of an acceptable medical school on the World Directory of Medical Schools A notarized/certified copy of medical school marks/transcripts and medical degree/diploma must be submitted. Documents that are not in English must be accompanied by a notarized translation.
IMGs must have written and passed the Medical Council of Canada Evaluating Examination (MCCEE). Statement of results must be provided by the File Review Date. Please review specific program descriptions for more information.
- Language Proficiency
Must provide proof of English or French language proficiency through ONE of the following:
- International English Language Testing System (IELTS) with a minimum score of 7 in each component, OR
- TOEFL-Ibt – passing score of 93 including a minimum score of 24 on the speaking section, OR
- A pass result in the French proficiency test administered by the Collège des Médecins du Québec, OR
- Candidates for whom their primary and secondary, or medical school education was conducted in English or French, the Ontario medical schools will accept Language Proficiency Attestations as follows:
- Primary and Secondary Education: Mailed directly from the Senior Academic Administrators of both schools to the program confirming that all of the candidate’s primary and secondary education was conducted completely in English or French.
- Medical School: Mailed directly from the Dean of the candidate’s medical school confirming that the language of instruction and patient care was conducted completely in English or French, OR
- World Directory of Medical Schools Language Option – If the instruction and the language of patient care at the undergraduate medical school was conducted completely in English or French, then a candidate can submit to the Program a copy or printout of the World Directory of Medical Schools website listing the medical school which clearly states that the language of instruction is English or French.
Please review specific program descriptions for more information.
IMGs must meet the criteria for registration with the College of Physicians and Surgeons of Ontario (CPSO) for postgraduate education. See the CPSO’s website for information: CPSO
All IMGs need to have their documents verified through physiciansapply.ca. Any IMGs who has not yet had their documents verified by physicianapply.ca will be required to do so. This process can take several months to complete. Individuals are advised to visit http://physiciansapply.ca/ at the point of application.
5. Return of Service
IMGs are required to sign a return of service contract with the Ministry of Health and Long Term Care of the Province of Ontario in accordance with the conditions of the Ministry’s return of service (ROS) programs. Ontario IMGs will not be required to fulfill an additional ROS, but should contact the MOHLTC regarding current ROS commitment.
For information about the ROS requirement, please contact:
Health Workforce Education Strategy Unit.
Ministry of Health and Long-Term Care
Tel: (416) 327-8339
Any candidate with an ROS commitment in any jurisdiction or the Canadian Forces must declare it on his/her application.
Any candidate with an ROS commitment in another jurisdiction must submit an undertaking from his/her provincial government/Health Care Authority or other entity that the entity will permit the candidate to complete his/her ROS in Ontario before beginning the ROS in the other jurisdiction. Candidates with a ROS commitment to the Canadian Forces should contact the Ministry’s Program Officer.
Any candidate with an ROS commitment in another jurisdiction must submit an undertaking that he or she will complete his/her ROS in Ontario before beginning the ROS in the other jurisdiction (Note 3). Candidates with a ROS commitment to the Canadian Forces should contact the Ministry’s Program Officer.
The ROS to Ontario must commence within the timeframe set out in the ROS contract with Ontario and is to be done in a location as approved by the Ontario Ministry of Health and Long-Term Care, in accordance with that contract.
Permanent Residents: Successful applicants who hold Permanent Resident status in Canada will be required to disclose their Country of Citizenship to the postgraduate medical education office in order to comply with current reporting requirements of the Ontario Ministry of Advanced Education and Skills Development.
Matched Applicants: CaRMS will provide their electronic data file to the matched university’s postgraduate education office. The postgraduate office will share the information with the Ontario Physician Human Resource Data Centre, the provincial licensing body, the provincial resident organization, the teaching hospitals and other training sites, and the Ontario Ministry of Health and Long-Term Care.
Changes: The Ontario Faculties of Medicine and Ontario Ministry of Health and Long-Term Care reserve the right to make changes to the information published on the CaRMS website pertaining to Ontario postgraduate training without prior notice.
Failure to meet or provide proof of any of the stated requirements may result in applicant file not being reviewed.