The R-1 Main Residency Match is the national application and matching process for entry into Canadian postgraduate medical training programs (PGY-1).
Applicant eligibility depends on where and when you completed your medical training. There are three main applicant types:
- Canadian Medical Graduates (CMGs) – graduates of Canadian medical schools.
- International Medical Graduates (IMGs) – graduates of medical schools outside Canada.
- U.S. Medical Graduates (USMGs) – graduates of U.S. allopathic or osteopathic medical schools.
Each applicant type must meet basic national and provincial eligibility criteria to participate in the match.
Before registering, it’s important to:
- Determine your applicant type and review the basic eligibility requirements.
- Review the provincial criteria for the provinces where you are interested in applying.
- Understand which residency programs you are eligible to apply to, based on your applicant type and provincial criteria requirements.
Use the tabs below to find eligibility criteria to participate in the R-1 Main Residency Match
BASIC ELIGIBILITY
To participate in the R-1 match, you must:
- be a Canadian citizen or a permanent resident of Canada. Some exceptions may apply.
- be a medical student or graduate who has obtained, or is in the process of obtaining, a medical degree by July 1 of the match year from an institution that meets one of the following criteria:
- Canadian medical school that is accredited by the Committee on Accreditation of Canadian Medical Schools (CACMS) or;
- A U.S allopathic medical school that is accredited by the Liaison Committee on Medical Education (LCME), with an MD graduation date of on or before June 30, 2025.
- have had no previous RCPSC/CFPC/ACGME accredited postgraduate training, if applying in the first iteration of the match. Some exceptions may apply.
FIRST AND SECOND ITERATION
The R-1 match is run in two phases, called iterations.
First Iteration
The first iteration is open to all applicants who meet the basic eligibility criteria and have had no previous RCPSC/CFPC/ACGME accredited postgraduate training in Canada or the U.S. Some exceptions may apply.
Second Iteration
The second iteration is open to all applicants who meet the basic eligibility criteria, including applicants who are only eligible for the second iteration based on the provincial criteria and/or have previous RCPSC/CFPC/ACGME accredited postgraduate training in Canada or the U.S.
ADDITIONAL REQUIREMENTS
You will be required to have obtained your Medical Identification Number for Canada (MINC) and enter it into your application.
In addition to basic eligibility requirements, individual provinces and residency programs may have specific requirements and restrictions as provincial governments and faculties of medicine are responsible for the management, organization and delivery of health care services for their province.
Refer to the provincial criteria of the province you are interested in training in, as well as the program descriptions for more information.
Potential additional requirements by province
- Proof of language proficiency requirement (Refer to the Summary of language proficiency requirements)
- The Casper test (refer to the program descriptions)
- The Family Medicine Professional Choices Assessment (FMProC)
Medical students or graduates who have obtained or are in the process of obtaining a medical degree from an allopathic medical school in the U.S can either be considered Canadian Medical Graduates (CMG’s) or International Medical Graduates (IMG’s) within the residency application process, depending on their graduation date. This differentiation is due to changes made in the joint accreditation process of medical schools in the U.S and Canada.
- If you graduated from a U.S. allopathic medical school before July 1, 2025, you are considered a Canadian Medical Graduate (CMG). Refer to the CMG tab for eligibility requirements.
- If you graduated on or after July 1, 2025, you are considered an International Medical Graduate (IMG). Refer to the IMG tab for eligibility requirements.
BASIC ELIGIBILITY
To participate in the R-1 match, you must:
- be a Canadian citizen or a permanent resident of Canada. Some exceptions may apply.
- be a medical student or graduate who has obtained, or is in the process of obtaining, a medical degree by July 1 of the match year from an institution that meets one of the following criteria:
- An international medical school listed with the World Directory of Medical Schools that is recognized in Canada or;
- A U.S allopathic medical school that is accredited by the Liaison Committee on Medical Education (LCME), with a MD graduation date of on or after July 1, 2025 or;
- A U.S osteopathic medical school.
- have written and passed:
- have had no previous RCPSC/CFPC/ACGME accredited postgraduate training, if applying in the first iteration of the match. Some exceptions may apply.
Some provinces may allow exceptions to either exam. Refer to the Summary of MCC Examination requirements.
FIRST AND SECOND ITERATION
The R-1 match is run in two phases, called iterations.
First Iteration
The first iteration is open to all applicants who meet the basic eligibility criteria and have had no previous RCPSC/CFPC/ACGME accredited postgraduate training in Canada or the U.S. Some exceptions may apply.
Second Iteration
The second iteration is open to all applicants who meet the basic eligibility criteria, including applicants who are only eligible for the second iteration based on the provincial criteria and/or have previous RCPSC/CFPC/ACGME accredited postgraduate training in Canada or the U.S.
ADDITIONAL REQUIREMENTS
You will be required to have obtained your Medical Identification Number for Canada (MINC) and enter it into your application.
In addition to basic eligibility requirements, individual provinces and residency programs may have specific requirements and restrictions as provincial governments and faculties of medicine are responsible for the management, organization and delivery of health care services for their province and may have differing regulations in place.
Refer to the provincial criteria of the province you are interested in training in, as well as the program descriptions for more information.
Provincial assessments
If you are interested in applying to the provinces of British Columbia, Alberta, or Quebec, you are required to complete an assessment before you are able to apply through CaRMS:
- British Columbia: UBC Clinical Assessment Program.
- Alberta: Alberta International Medical Graduate Program.
- Quebec: Recognition of the equivalence of an M.D. degree
Potential additional requirements
- Proof of language proficiency requirement (Refer to the Summary of language proficiency requirements)
- The Casper test (refer to the program descriptions)
- The Family Medicine Professional Choices Assessment (FMProC)
Provincial criteria can vary significantly due to factors such as:
- local healthcare priorities
- language requirements
- return-of-service obligations
- provincial assessments.
Consequently, not all are eligible to apply to all residency programs as eligibility can differ from one province to another.
Application Streams
Applicants apply to residency programs through application streams, which are groups of residency positions set aside for specific applicant types, based on their education. These streams are determined by provincial ministries of health, which allocate positions according to workforce planning priorities and eligibility criteria.
Each stream is limited to certain applicant groups — for example, there are streams open only to Canadian Medical Graduates (CMGs), or only open to International Medical Graduates (IMGs) who meet specific provincial assessment requirements.
Your eligibility to apply to an application stream depends on where and when you completed your medical degree and additional requirements set by the province offering the stream.
In addition to basic eligibility requirements, there are also individual provincial requirements that may differ between provinces as provincial governments are responsible for the management, organization and delivery of health care services for their province and may have differing regulations in place.
Refer to the provincial criteria of the province you are interested in training in, as well as the program disciplines and locations you are interested in applying in by consulting program descriptions and for more information.
Provincial requirements by province
Summary of citizenship requirements
Summary of MCC examination requirements
Summary of language proficiency requirements
Summary of eligibility for practicing physicians
Individual provincial criteria
The Association of Faculties of Medicine (AFMC) is the academic partnership of Canada’s Faculties of Medicine and is the national voice for academic medicine in Canada. The resolutions outlined below partially inform the eligibility criteria for the match.
AFMC motion
Be it resolved by the AFMC Board of Directors that effective July 1, 2025:
- That all graduates of Canadian medical schools be assured access to a residency position in Canada to complete training necessary to enter practice,
- That access to postgraduate training organized by the Residency Match in Canada be through a defined and transparent process for eligible graduates of CACMS accredited medical schools and also for eligible graduates of international medical schools,
- That these processes must be defined by July 1 of the calendar year to ensure proper implementation can occur,
- That we affirm that eligibility for a postgraduate training program is determined by each Canadian medical school,
- That participation in the first iteration of the Canadian Residency Match be restricted to eligible graduates of CACMS accredited schools or international medical schools, who have had no previous RCPSC/CFPC/ACGME accredited postgraduate training.
R-1 Match Policies
- Letter of reference policy
- Interview format policy
- Transcript translation policy
- Applicant release policy
- Match Violation Policy
- Canadian Medical Graduate (CMG) & U.S Allopathic Medical Graduate (USMG)
- International Medical Graduate (IMG)
- Provincial criteria
- Match Policies
Updated September 28, 2022
2024 Cycle Information
Canadian Medical Graduate (CMG) and U.S. Allopathic Medical Graduate (USMG)
BASIC ELIGIBILITY
To participate in the R-1 match, you must:
- be a Canadian citizen or a permanent resident of Canada;
- be a medical student or graduate who has obtained, or is in the process of obtaining, a medical degree by July 1 of the match year from an institution that is accredited by the Liaison Committee on Medical Education/Committee on Accreditation of Canadian Medical Schools (LCME/CACMS)
FIRST AND SECOND ITERATION
The R-1 match is run in two phases, called iterations.
- The first iteration of the match is open to applicants who have had no previous RCPSC/CFPC/ACGME accredited postgraduate training. Preliminary training in the United States is considered accredited postgraduate training for the purposes of R-1 match first iteration eligibility.
- The second iteration of the match is open to:
- applicants that were eligible for the first iteration but did not apply or did not match; and
- applicants who are only eligible for the second iteration based on the provincial criteria and previous postgraduate training.
ADDITIONAL REQUIREMENTS
You will be required to have obtained your Medical Identification Number for Canada (MINC) and enter it into your application.
In addition to basic eligibility requirements, there are also individual provincial requirements established at the provincial level. Refer to the provincial criteria of the province you are interested in training in, as well as the program descriptions for more information.
Potential additional requirements
- Proof of language proficiency requirement (Refer to the Summary of language proficiency requirements)
- The Casper test (Refer to the Summary of provincial and other assessment requirements
- The Family Medicine Professional Choices Assessment (FMProC)
Updated September 28, 2022
2023 Cycle Information
Second iteration
Updated September 28, 2022
2023 Cycle Information
Second iteration
Provincial criteria
In addition to basic eligibility requirements, there are also individual provincial requirements that may differ between provinces as provincial governments are responsible for the management, organization, and delivery of health care services for their province and may have differing regulations in place.
Refer to the provincial criteria of the province you are interested in training in, as well as the program disciplines and locations you are interested in applying to by consulting program descriptions and for more information.
Provincial requirements by province
Summary of citizenship requirements
Summary of MCC examination requirements
Summary of language proficiency requirements
Summary of provincial and other assessment requirements
Summary of eligibility for practicing physicians
Individual provincial criteria
The Association of Faculties of Medicine (AFMC) is the academic partnership of Canada’s Faculties of Medicine and is the national voice for academic medicine in Canada. The resolutions outlined below partially inform the eligibility criteria for the match.
AFMC motion
Since Canadian medical schools are the principal source of the physician workforce for Canada
Be it resolved by the AFMC Board of Directors:
- That all graduates of Canadian medical schools be assured access to a residency position in Canada to complete training necessary to enter practice,
- That access to postgraduate training organized by the Residency Match in Canada be through a defined and transparent process for eligible graduates of LCME/CACMS accredited medical schools and also for eligible graduates of international medical schools,
- That these processes must be defined by July 1 of the calendar year to ensure proper implementation can occur,
- That we affirm that eligibility for a postgraduate training program is determined by each Canadian medical school,
- That participation in the first iteration of the Canadian Residency Match be restricted to eligible graduates of LCME/CACMS accredited schools or international medical schools, who have had no previous RCPSC/CFPC/ACGME accredited postgraduate training.
Approved by AFMC Board, May 2nd, 2006.
London, Ontario
R-1 Match Policies
- Letter of reference policy
- Interview format policy
- Transcript translation policy
- Applicant release policy
- Match Violation Policy