Updated October 5, 2021

University of Ottawa
Queen’s University
Northern Ontario School of Medicine
University of Toronto
McMaster University
Western University

2022 Cycle Information

Criteria applicable for all medical graduates; for specific information, please see tabs.

The 2022 provincial criteria is currently under review.

Please note that the criteria on this page is from the 2021 match. Updated criteria will be posted on this page in the upcoming months, once it has been reviewed by the province.

CRITERIA APPLICABLE TO ALL MEDICAL GRADUATES

GENERAL INFORMATION The Ontario Faculties of Medicine and Ontario Ministry of Health have agreed to the following policies for the 2022 PGY1 match. It is important to note that individual residency programs may have additional 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 medical 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 THE START OF POSTGRADUATE TRAINING BEYOND JULY 1ST.

LICENSING BODY College of Physicians and Surgeons of Ontario
MATCH STREAMS There will be two parallel streams – CMG and IMG – with designated positions for each stream. There will be no crossovers or transfers between the two streams.
RESTRICTIONS

Please be aware the Ministry of Health has mandated all hospital and health care employers establish, implement and ensure compliance with a mandatory COVID-19 vaccination policy. The Ministry directive can be reviewed here. Residents matched to any Ontario residency program must ensure they are able to comply with the Ministry directive in order to start training on July 1, 2022.  

 It is important to understand this is an evolving issue. You are required to review Provincial, Hospital, University, and Program information to ensure you are in continued compliance with directives.  

All Candidates that have previous post-graduate training in the U.S. or Canada which would be creditable for Royal College of Physicians and Surgeons of Canada or College of Family Physicians of Canada certification are NOT ELIGIBLE for the first iteration. Physicians in practice are not eligible for the R-1 match.

Please be advised that graduates of Osteopathic Medical Schools will be eligible for IMG positions only, and will be required to complete both the MCCQE1 and NAC OSCE as standard Ontario entry criteria.  For more information on accredited Osteopathic programs visit COM Accreditation.

CITIZENSHIP REQUIREMENTS
Accepted Citizenship types
Canadian citizen
Canadian permanent resident
Accepted Citizenship documents
Canadian Birth Certificate or Act of Birth
Passport page showing Canadian Citizenship
Canadian Citizenship Card (both sides of card)
Canadian Permanent Resident Card (both sides of card)
 Certificate of Canadian Citizenship
 Confirmation of Permanent Residence in Canada
Deadline for providing Citizenship documents
File review opening

Legal Status

Proof of valid current citizenship or permanent resident status must be provided by submitting one of the following verifications to CaRMS by the File Review Opening deadline. Failure to provide valid proof will result in your application being removed. No other forms of verification are acceptable:

  1. Notarized/certified photocopy of Birth Certificate/Act of Birth issued by an authority in Canada accompanied by photo ID (must be Canadian government-issued photo ID).
  2. Documents must be notarized/certified photocopies. Notarized/certified copies must not be older than two years from the application submission deadline; otherwise, a new notarized/certified copy is required.
  3. Confirmation of permanent residence must be accompanied by a photo ID (must be a Canadian government-issued photo ID).

CaRMS is partnering with third-party organizations to automate the verification of citizenship/legal status required by postgraduate offices for entry into residency. Third-party verification simplifies the process for applicants and programs. All applicants who do not receive third-party citizenship verification will be required to upload and assign an acceptable proof of citizenship document. Please see additional information here.

ADDITIONAL CRITERIA FOR CANADIAN MEDICAL GRADUATES

A Canadian Medical Graduate (CMG) or U.S. Allopathic Medical Graduate (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).

PROOF OF LANGUAGE PROFICIENCY Applicants must be able to communicate in the language of instruction and patient care of the matching school and training site.
MEDICAL COUNCIL OF CANADA EXAMS Please review individual program descriptions.
OTHER ASSESSMENTS Please review individual program descriptions
RETURN OF SERVICE (ROS) REQUIREMENTS N/A
MEDICAL EDUCATION A Canadian Medical Graduate (CMG) 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).
ADDITIONAL INFORMATION
  1. 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 Colleges and Universities
  2. Matched applicants: CaRMS will provide their electronic data file to the matched university’s postgraduate education office. The postgraduate office will share the information as needed, but not limited to, the Ontario Physician Human Resource Data Centre, Canadian Post-MD Education Registry, the College of Physicians and Surgeons of Ontario, the Royal College of Physicians and Surgeons, the College of Family Physicians of Canada, the Association of Faculties of Medicine of Canada, the Professional Association of Residents of Ontario, teaching hospitals and other training sites, Touchstone Institute and the Ontario Ministry of Health.
  3. Changes: The Ontario Faculties of Medicine and Ontario Ministry of Health reserve the right to make changes to the information published on the CaRMS website pertaining to Ontario postgraduate training without prior notice.
  4. Failure to meet or provide proof of any of the stated requirements may result in the applicant file not being reviewed and removed.

ADDITIONAL CRITERIA FOR INTERNATIONAL MEDICAL GRADUATES

An International Medical Graduate (IMG) is an individual who received their medical degree from a medical school that is listed with the World Directory of Medical Schools (World Directory) published by the Foundation for the Advancement of International Medical Education and Research (FAIMER) and the World Federation for Medical Education (WFME). In Ontario, an International Medical Graduate (IMG) is an individual who received their medical degree from a medical school not accredited by the Committee on Accreditation of Canadian Medical Schools (CACMS) or the Liaison Committee on Medical Education (LCME).

A U.S. Osteopathic Medical Graduate (USMG- Osteo) is an individual who received their medical degree from an accredited Osteopathic medical school.

PROOF OF LANGUAGE PROFICIENCY Language assessment document accepted: TOEFL-iBT

  • Document validity (not expired) by: Must be valid up to the Assignment of applications and documents deadline
  • Minimum score: 93 with a minimum score of 24 on the speaking section

Language assessment document accepted: IELTS Academic

  • Document validity (not expired) by: Must be valid up to the Assignment of applications and documents deadline
  • Minimum score: 7 in each component

Language assessment document accepted: Letter of language proficiency*

*Alternatively, candidates can submit a printout from the World Directory of Medical Schools which clearly states that the language of instruction is English or French.

Language Requirements

Applicants must be able to communicate in the language of instruction and patient care of the matching school. Please review specific program descriptions for more information.

Please note, for the 2022 R-1 Match cycle, the IELTS Indicator will be accepted as a substitute for the Academic Version of the IELTS.

Please note, for the 2022 R-1 Match cycle, the TOEFL iBT Home Edition will be accepted as a substitute for the TOEFL iBT.

MEDICAL COUNCIL OF CANADA EXAMS Examination: MCCQE Part I

  • Date/milestone assessment submission required: File review opening
  • Requirement: Mandatory

Examination: NAC Examination

  • Date/milestone assessment submission required: File review opening
  • Requirement: Mandatory with exceptions*

* MCCQE part II can be used to apply instead of the NAC

For more information on the MCCQE Part 1 click on the following link https://www.mcc.ca/examinations/mccqe-part-i/

For more information on the NAC OSCE click on the following link National Assessment Collaboration | Medical Council of Canada

OTHER ASSESSMENTS N/A
RETURN OF SERVICE (ROS) REQUIREMENTS Return of Service

The Ministry requests all ROS agreements before June 1 of the year they were matched. All agreements should be returned to the Ministry prior to the start of residency training. It is the responsibility of the applicant to confirm eligibility with respect to ROS requirements of other provinces.

More information for IMG ROS can be found here: Return of Service Program

Information about the Ministry’s ROS programs is available at Return of Service Program 

MEDICAL EDUCATION IMGs must be graduates of an acceptable medical school on the World Directory of Medical Schools list.

All IMGs need to have their documents verified through physiciansapply.ca. This process can take several months to complete. Individuals are advised to visit physiciansapply.ca at the point of application.

Documents that are not in English must be accompanied by a notarized/certified translation. Students applying in the last year of medical school will need to submit their most recent marks/transcripts and will need to provide proof of their MD to CPSO prior to the start of residency training.

ADDITIONAL INFORMATION Pre-residency Orientation Programs

All IMG candidates accepted to all residency programs will be required to complete either the Pre-Residency Program (PRP) or the Pre-Residency Program for Family Medicine (PRPFM) prior to entering into a residency program. Matched IMGs will be expected to attend these programs in Toronto, several weeks in advance of the start of their residency program. In some cases, this may result in a delay of the start date of the residency. Additional information on the PRP and PRP FM programs can be found at the following link: Touchstone Institute.

Assessment Verification Period

All IMG candidates accepted to residency training programs will be required to undergo an Assessment Verification Period (AVP). This assessment period is normally 12 weeks in length and is required by the College of Physicians and Surgeons of Ontario to obtain an educational license to enter a residency program. CPSO – International Medical Graduates (IMGs).

IMGs that have failed an AVP and are reapplying through CaRMS are ineligible to apply for training in the same specialty in Ontario but may apply to a different specialty in the first and/or second iteration. IMGs who have withdrawn from a program prior to completion of an AVP must declare so upon application.

Additional Ontario Information:

  1. 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 the current reporting requirements of the Ontario Ministry.
  2. Matched applicants: CaRMS will provide their electronic data file to the matched university’s postgraduate education office. The postgraduate office will share the information as needed, but not limited to the Ontario Physician Human Resource Data Centre, Canadian Post-MD Education Registry, the College of Physicians and Surgeons of Ontario, the Royal College of Physicians and Surgeons, the College of Family Physicians of Canada, the Association of Faculties of Medicine of Canada, the Professional Association of Residents of Ontario, teaching hospitals and other training sites, Touchstone Institute and the Ontario Ministry of Health.
  3. Changes: The Ontario Faculties of Medicine and Ontario Ministry of Health reserve the right to make changes to the information published on the CaRMS website pertaining to Ontario postgraduate training without prior notice.
  4. Failure to meet or provide proof of any of the stated requirements may result in the applicant file not being reviewed and removed.

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