International Medical Graduates (IMGs) are Physicians who were trained outside of Canada. Apart from acclimating to a different country, different weather, perhaps a different language and different customs, another challenge IMGs face when arriving in Canada is often ensuring English skills (written and oral) are high enough to meet admission requirements for different health care careers, and to find a career that allows IMGs to utilize the skills they have acquired outside of Canada.
There are several options for IMGs, with one of them including becoming a Physician Assistant. I have outlined the PA pathway from an IMG perspective, and have also included other health care career options too.
IMG to Physician Assistant
IMGs MAY APPLY TO ALL 3 CANADIAN PA PROGRAMS
To become a Physician Assistant as an IMG, you must complete an accredited Physician Assistant Program in Canada. IMGs cannot skip or advance past any aspects of the program due to their prior medical education. To complete a PA program successfully, you must complete both the first didactic year and second clinical rotation year, finishing all courses for the program. Luckily, the PA program is approximately only 2 years (~24 months), and if you have completed your undergraduate degree, in addition to your graduate degree and with your health care experience, it is likely you qualify to apply to all 3 civilian PA programs in Canada (Manitoba, University of Toronto, and McMaster).
TO APPLY YOU MUST BE A CANADIAN CITIZEN OR PR
All PA program candidates must be Canadian citizens or permanent residents in Canada. A permanent resident is someone who is a citizen of another country, but has immigrated to Canada. Students and workers who are on temporary work visas are not considered permanent residents. You are not considered a permanent resident or citizen by marriage. Canadian citizens are those that may have been born in Canada, or have a parent born in Canada. You can also apply to be a Canadian Citizen if you have had Permanent Resident status, and have physically lived in Canada for 1460 days during the six years prior to your Canadian Citizen application with adequate knowledge of English.
ENGLISH LANGUAGE REQUIREMENTS
The IMG applying for PA programs must meet English language requirements, and this differs for each school.
- University of Manitoba PA Program’s English Language Proficiency states several ways you can meet their requirements, an example including that you must score 567 on paper-based TOEFL, or 86 Internet-based -iBT. Or you may be exempted if you hold a university degree or high school degree from one of these countries.
- PA Consortium links to English Language Requirements including minimum scores for the TOEFL, MELAB, IELTS, International Baccalaureate English, GCSE/IGCSE/GCE/AICE English Courses, ELDA/COPE, CanTEST, CAEL, and Cambridge English Language Assessment. If you meet the program requirements, but not the English requirements, you may qualify for an English transition program. Be sure to contact the PA program to learn about your options
- McMaster’s PA program also outlines English proficiency test minimum scores for the IELTS, CAE, PTE, CAEL, MELAB and TOEFL as well as a few exemptions.
Once you have completed a Physician Assistant Program, you are to write the PA Entry Exam administered by the Physician Assistant Certification Council of Canada (PACCC).
IMG to Clinical Assistant
The College of Physicians and Surgeons of Manitoba have a Clinical Assistant position that is open to IMGs who qualify. Be sure to carefully check the University of Manitoba and CPSM websites carefully for the most up to date information on application criteria.
Requirements include:
- having a medical degree from an approved faculty of medicine, OR
- be licensed/registered to provide health care under an Act of the Manitoba Legislature, OR
- be a graduate of an accredited Physician Assistant or Clinical Assistant training program, OR
- be certified as an Emergency Medical Attendant – Level III
In addition the Clinical Assistant candidate must undergo a Clinical Assistant Assessment, which assesses several medical competencies including History Taking, Physical Examination, Communication Skills, and Written as well as Oral Documentation Skills. There are several stations with a standardized patient.
If you’d like to learn more information, visit the Physician and Clinical Assistants of Manitoba.
IMGs becoming Physicians
Becoming a Physician in Canada as an international medical graduate is difficult and competitive. There are several routes you can take:
The first being you apply to residency program in the specialty of interest through CaRMs, of which a small percentage of spots are reserved for International Medical Graduates either in a separate stream or the same stream as Canadian Medical graduates. This may take several tries to get in if the IMG candidate is successful.
IMGs may also consider starting their medical education from the very beginning, that is, applying to medical school and starting the medical training from scratch. This would involve 4 years undergraduate, with 2-6 years of residency, with 1-2 years fellowship.
Resources for IMGs to transition to Physician positions
- Saskatchewan International Physician Practice Assessment (SIPPA) program is to assess the readiness of Internationally Trained Physicians to practice medicine in Saskatchewan.
- College of Physicians and Surgeons of British Columbia: IMGs may practice under or provisional class where they practice under supervision, or through full class
- University of Manitoba: IMG Program was set in place to allow international medical graduates to obtain licenses to practice medicine in underserviced areas in Manitoba.
- Nova Scotia offers information on their website about IMG Residency Positions, as well as an option for entering 3rd year medicine at Dalhousie University. Once you complete this 3rd year you’ll be elgible for 1st round of CaRMs match as a Dalhousie graduate.
- Newfoundland and Labrador formerly had a CSAT program (Clinical Skills Assessment and Training Program) but this has been discontinued in 2013. They have also published a PDF guide for IMGs looking to practice in Newfoundland and Labrador.
IMGs and other Health Care Careers
Many IMGs also consider other allied health professions, such as applying to other professional schools or degree programs such as Physiotherapy, Occupational Therapy, Social Work, Respiratory Therapy, Medical Radiation Technologist, X-Ray/Ultrasound Technician, Lab Technician, Personal Support Worker (PSW), Health Care Aide, Health Policy Researcher/Analyst, Health Care Administrator, Research Assistant / Associate, Athletic therapist, Pharmacy Technician, EMG Technician, the list can go on and on.
This way, the IMG can stay within the field of healthcare and utilize some skills in order to transition to their life here in Canada.
A few resources for IMGs to find careers and bridging programs in Canada:
- Skilled Immigrant InfoCentre: Alternative Careers for Foreign Trained Physicians
- HealthForceOntario: International Education Health Professions (IEHPs) Access Centre
- HealthForceOntario: Alternative Career Options for IEHPs
- Michener Institute Bridging Program for IEHPs (Medical Laboratory Science, Radiation Technology)
- Michener Institute: All Programs