Ontario - CaRMS

Updated November 4, 2025

University of Ottawa
University of Toronto
McMaster University
Western University

2027 Cycle Information

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

Please note that the criteria on this page is from the 2026 match. Updated 2027 provincial criteria will be posted on this page in the upcoming months, once it has been reviewed by the province.

Criteria for all medical graduates

CRITERIA FOR ALL MEDICAL GRADUATES
GENERAL INFORMATION	For Entry in the 2027-2 Academic Year It is important to note individual programs may have specific criteria 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 1.
LICENSING BODY	College of Physicians and Surgeons of Ontario
SOURCE OF FUNDING	Pediatric Subspecialties – Ministry of Health and Non-Ministry of Health Colorectal Surgery – Ministry of Health
TRAINING LEVEL ELIGIBILITY	All Pediatrics residents in ACGME-accredited Pediatrics programs who are interested in applying for a Pediatrics subspecialty program in Canada will need to have their training assessed by the RCPSC in comparison to Canadian training. A resident who has or will complete their Pediatrics residency in an ACGME-accredited program in the U.S. will need to complete an approved PGY-4 year in a core RCPSC Pediatrics program in Canada to be eligible to apply for subspecialty training in Canada. The RCPSC assessment of U.S. training will establish what is needed during the PGY-4 year. U.S residents interested in doing a PGY-4 year in a Canadian core Pediatrics program will need to reach out to the residency programs individually and explore if this opportunity is available. OR If a resident is completing a PGY-4 chief resident year in an ACGME-accredited program in the U.S., the RCPSC assessment of training will establish if the resident is eligible for the RCPSC examinations/fellowship. For more information on having your training assessed, please contact Chantal Benoit at the Royal College of Physicians and Surgeons of Canada (cbenoit@royalcollege.ca) Subspecialty: Pediatrics subspecialties Training level: Current resident Eligibility details: Ministry of Health/Non-Ministry of Health Funded Positions: Current residents who are enrolled in Royal College accredited Pediatrics programs who will be completing PGY3 training on or before December 31, 2026. Residents with completion dates between July 1 and December 31, 2026, must declare their completion date on the application form and request a late start. Subspecialty: Pediatric Critical Care Medicine Training level: Current resident Eligibility details: Residents in identified Royal College of Physicians and Surgeons of Canada accredited programs with a pathway to the above Pediatric Subspecialties are eligible to apply. Subspecialty: Pediatric Emergency Medicine Training level: Current resident Eligibility details: Residents in identified Royal College of Physicians and Surgeons of Canada accredited programs with a pathway to the above Pediatric Subspecialties are eligible to apply. Subspecialty: Pediatric Palliative Medicine Training level: Current resident Eligibility details: Residents in identified Royal College of Physicians and Surgeons of Canada accredited programs with a pathway to the above Pediatric Subspecialties are eligible to apply. Subspecialty: Colorectal Surgery Training level: Current resident Eligibility details: Current residents who are enrolled in Royal College accredited General Surgical programs who will be completing general surgery training no later than December 31, 2027. Residents with completion dates between July 1 and December 31, 2027, must declare their completion date on the application form and request a late start.
RESTRICTIONS	The Spring Subspecialty Residency Match cannot be used for transfers or re-entry. Sponsored Residents (Foreign Governments) or Trainees on work permits must apply directly through the school’s PGME office for subspecialty training. These positions are supernumerary and not part of the CaRMS Pediatric Subspecialty Match process. Please be aware that most, if not all, hospitals in Ontario have mandatory immunization policies in place that require, in the absence of a valid medical or human rights exemption, proof of vaccination. Each university will have guidelines on mandatory health screening requirements and exemption request process. Please visit the individual Universities website for more information.
MATCH STREAMS	Competitive streams
CITIZENSHIP REQUIREMENTS	See the Summary of citizenship requirements.
PROOF OF LANGUAGE PROFICIENCY	See the Summary of language proficiency requirements.

Additional criteria for CMGs

ADDITIONAL CRITERIA FOR CANADIAN MEDICAL GRADUATE
MEDICAL COUNCIL OF CANADA EXAMS	Please review individual program descriptions for additional information.
RETURN OF SERVICE (ROS) REQUIREMENTS	N/A
MEDICAL EDUCATION	Please review individual program descriptions for additional information.
ADDITIONAL INFORMATION	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 of Colleges, Universities, Research Excellence and Security. Matched Applicants: CaRMS will provide their electronic data file to the matched university’s postgraduate education office and other relevant departments in the matching University. The postgraduate office will share the information as needed, but not limited to, the Ontario Physician Reporting Centre, Canadian Post-MD Education Registry, the College of Physicians and Surgeons of Ontario, the Royal College of Physicians and Surgeons of Canada, 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. Revisions to Eligibility Criteria: The Ontario Faculties of Medicine and the 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. Failure to meet or provide proof of any of the stated requirements may result in an applicant’s file being removed at any point during the match.

Additional criteria for IMGs

ADDITIONAL CRITERIA FOR INTERNATIONAL MEDICAL GRADUATES
MEDICAL COUNCIL OF CANADA EXAMS	Examination: MCCQE Part I Requirement: Mandatory with exceptions Date/milestone assessment submission required: File review opening The CPSO has updated the pathways to registration information. Please see the CPSO website. IMGs who are currently in Canadian residency training programs who are applying to subspecialty programs must satisfy all CPSO requirements for educational licensure, including relevant licensing examinations in effect at the time of application. Medical Council of Canada (MCC) examination data and documents are only accepted as transfers from physiciansapply.ca. Instructions on how to transfer documents from physiciansapply.ca to your CaRMS account can be found here.
RETURN OF SERVICE (ROS) REQUIREMENTS	Return of service for IMGs The Ministry of Health requests all ROS agreements before July 1^st  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 If you have further questions, please contact the Ministry of Health at PPUProgramOfficer@ontario.ca PLEASE NOTE: APPLICANTS ARE REQUIRED TO FULFILL A ROS COMMITMENT IN ONTARIO IMMEDIATELY UPON COMPLETION OF YOUR TRAINING.
MEDICAL EDUCATION	IMGs must be graduates of an acceptable medical school on the World Directory of Medical Schools list. A copy of medical school marks/transcripts and medical degree/diploma must be submitted. Documents that are not in English must be accompanied by a translation. All IMGs are required to have their documents verified through physiciansapply.ca.
ADDITIONAL INFORMATION	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 of Colleges, Universities, Research Excellence and Security. Matched Applicants: CaRMS will provide their electronic data file to the matched university’s postgraduate education office and other relevant departments in the matching University. The postgraduate office will share the information as needed, but not limited to, the respective University, with the Ontario Physician Reporting Centre, Canadian Post-MD Education Registry, the College of Physicians and Surgeons of Ontario, the Royal College of Physicians and Surgeons of Canada, 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. Revisions to Eligibility Criteria: The Ontario Faculties of Medicine and the 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. Failure to meet or provide proof of any of the stated requirements may result in an applicant file being removed at any point during the match.