LEGEND
![]() |
document accepted |
---|---|
![]() |
document not accepted |
Language proficiency documents must be valid by (not expired) up to July 1, 2026, unless otherwise indicated below.
LANGUAGE EXAM | Nova Scotia, New Brunswick and PEI1 |
Quebec | Ontario2 | Manitoba3 | Alberta4 | British Columbia5 |
Canadian English Language Proficiency Index Program (CELPIP) – General* | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
IELTS ACADEMIC – On a computer at a test venue** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
IELTS ACADEMIC – On paper at a test venue** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
IELTS ACADEMIC – Online from home** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
IELTS INDICATOR | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
Letter of language proficiency*** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
Occupational English Test (OET) Medicine – on a computer at a test venue**** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
Occupational English Test (OET) Medicine – On paper at a test venue**** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
Occupational English Test (OET) Medicine – At home**** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
TOEFL IBT | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
TOEFL CBT | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
TOEFL PBT | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
World Directory of Medical School (FAIMER) print out | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
*CELPIP: must have minimum score of 9 in each of the four skills in the same sitting
**IELTS ACADEMIC: must have minimum score of 7.0 in each of the four skills in the same sitting
***Letter of language proficiency is a letter from your Dean attesting that your medical school program of instruction was completed solely in English or French.
****OET MEDICINE: must have minimum grade of B in each of the four skills in the same sitting
- NOVA SCOTIA: Proof of English proficiency is not required for Canadian Medical Graduates.
- ONTARIO: Applicants must be able to communicate proficiently in the language of instruction and patient care of the matching school and training site.
- MANITOBA: If you graduated from an English medical school in Canada or the United States, you are exempt from providing proof of language proficiency.
- ALBERTA: Applicants who are training at Quebec medical schools or the University of Ottawa (French Stream) may be required to provide proof of English language proficiency as determined by the CPSA. Applicants should not contact CPSA directly about their eligibility for licensure.
- BRITISH COLUMBIA:
- Applicants are considered to have met the English Language proficiency requirements if the language of instruction at medical school was English, and the primary language of patient care was English.
- English Language Proficiency Requirements for graduates of Quebec Medical Schools:Candidates who attended medical school in Quebec where the language of instruction or the primary language of patient care was not English, must fulfill the English Language Proficiency requirements of the College of Physicians and Surgeons of BC.
Language proficiency documents must be valid by (not expired) up to July 1, 2026 unless otherwise indicated below.
LANGUAGE EXAM | Nova Scotia, New Brunswick and PEI1 |
Quebec | Ontario2 | Manitoba3 | Alberta4 | British Columbia5 |
Canadian English Language Proficiency Index Program (CELPIP) – General* | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
IELTS ACADEMIC – On a computer at a test venue** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
IELTS ACADEMIC – On paper at a test venue** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
IELTS ACADEMIC – Online from home** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
IELTS INDICATOR | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
Letter of language proficiency*** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
Occupational English Test (OET) Medicine – on a computer at a test venue**** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
Occupational English Test (OET) Medicine – On paper at a test venue**** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
Occupational English Test (OET) Medicine – At home**** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
TOEFL IBT***** | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
TOEFL CBT | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
TOEFL PBT | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
World Directory of Medical School (FAIMER) print out | ![]() |
See program descriptions | ![]() |
![]() |
![]() |
![]() |
*CELPIP: must have minimum score of 9 in each of the four skills in the same sitting
**IELTS ACADEMIC: must have minimum score of 7.0 in each of the four skills in the same sitting
***Letter of language proficiency is a letter from your Dean attesting that your medical school program of instruction was completed solely in English or French.
****OET MEDICINE: must have minimum grade of B in each of the four skills in the same sitting
- NOVA SCOTIA: All applicants whose first and native language is not English must demonstrate English Language Proficiency. This requirement is fulfilled if you provide proof that:
-
- You currently hold an independent medical licence in any province or territory in Canada; OR
- You received your undergraduate medical education or your postgraduate training in English from one of the following countries: Australia, Bahamas, Bermuda, British Virgin Islands, Canada, Ireland, New Zealand, Singapore, South Africa, United Kingdom, United States of America, US Virgin Islands, Anguilla, Antigua and Barbuda, Barbados, Dominica, Grenada, Grenadines, Jamaica, St. Kitts and Nevis, St. Lucia, St. Vincent, Trinidad and Tobago; OR
- your postgraduate training did not occur in one of the countries listed above, but it was conducted in English and the primary language for patient care was in English; OR
- you have achieved one of the above English Language Proficiency test results.
- ONTARIO:Applicants must be able to communicate proficiently in the language of instruction and patient care of the matching school and training site.
- MANITOBA:Candidates are exempted from English language proficiency testing if their undergraduate medical education was taken in English in one of the below countries that have English as a first and native language: Australia, Bahamas, Bermuda, British Virgin Islands, Canada, Ireland, New Zealand, Singapore, South Africa, United Kingdom, United States of America, US Virgin Islands – Caribbean Islands: Anguilla, Antigua and Barbuda, Barbados, Dominica, Grenada, Grenadines, Jamaica, St. Kitts and Nevis, St. Lucia, St. Vincent, Trinidad and Tobago.
- ALBERTA: Unless exempt, applicants need to submit an academic version of an English Language Proficiency (ELP) test as per the CPSA’s English Language Proficiency requirements.
- BRITISH COLUMBIA:Applicants are considered to have met the English Language proficiency requirements if the language of instruction at medical school was English, AND the primary language of patient care was English. Complete details of the English Language Proficiency requirements can be found on the College of Physicians and Surgeons of BC website.
Helpful links
Provincial Criteria
Newfoundland and Labrador | Nova Scotia, New Brunswick and PEI | Quebec*** | Ontario** | Manitoba | Saskatchewan | Alberta | British Columbia* | |
---|---|---|---|---|---|---|---|---|
Canadian Birth Certificate or Act of Birth | ![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
Canadian Citizenship Card (Both Sides of Card) | ![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
Certificate Of Canadian Citizenship | ![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
Confirmation of Permanent Residence in Canada | ![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
Canadian Permanent Resident Card (Both Sides of Card) | ![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
Passport page showing Canadian Citizenship | ![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
Proof of pending Canadian citizenship/pending permanent residency | ![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
Record of Landing, clearly showing the date of landing in Canada | ![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
Valid Canadian Visa/Permit authorization | ![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |