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Apply for Elective Training

As a postgraduate medical resident, you may register for an elective rotation at the University of Toronto in order to satisfy a specified part of the requirements of the ongoing residency training program in which you are enrolled at your home institution.

Eligibility for Licensure

In order to be considered for elective training, applicants must be eligible for a certificate authorizing postgraduate education (an educational-type medical license) from the College of Physicians and Surgeons of Ontario (CPSO), the body which regulates the practice of medicine in Ontario.The CPSO’s requirements for the licensure of elective residents vary, depending on the applicant’s school of medical degree graduation and on the home institution where the applicant is enrolled in ongoing residency training.

Work Permit Requirement for International Trainees

If you are an applicant who is accepted for elective residency training at the University of Toronto and you are not Canadian citizens or do not have Canadian permanent resident status, you must have a work permit from Citizenship and Immigration Canada (CIC) for the full duration of your elective training.

Required Documents

A residency trainee enrolled in one of the other five Ontario medical schools who wishes to take an elective under the supervision of a University of Toronto postgraduate program director/training program must register for electives using the newly implemented Online Electives System.  However, please be sure to confirm your elective with a supervisor and your home school program director, prior to accessing the system (as it is not an application system).  The trainee will be expected to have the following ready before registering in the system:

  1. Approval of the home school program director
  2. Approval of a UofT Supervisor
  3. Approval of the UofT Program Director (for the training program in which the rotation will be performed)
  4. Up-to-date Curriculum Vitae that includes the applicant’s date of birth, Social Insurance Number (SIN), citizenship status and e-mail address
  5. Proof of citizenship status
  6. Copy of Medical Degree
  7. Complete immunization record
  8. Proof of registration with the Canadian Medical Protective Association (CMPA)
  9. VSS or Attestation

Registration Process

Once the PGME Office receives the required documents from the Online Electives System, an automated email will be sent to the elective applicant with instructions on how to register on-line through the POWER system and print off their Confirmation of Registration form.  With the Confirmation of Registration form, the trainee will be able to register at the appropriate hospital Credentials/Medical Education Office in Toronto and access library services.

Please note that applications to University of Toronto postgraduate medical education departments for elective training must not exceed 15 weeks in duration.

Eligibility for Licensure

In order to take up an elective at the University of Toronto, candidates must be eligible for licensure by the College of Physicians and Surgeons of Ontario (CPSO), the body which regulates the practice of medicine in the province of Ontario. Please visit the CPSO website for Registration Applications and Forms required for the issuance of a certificate of registration.

To ensure that your certificate is issued in time for your elective starting date, we urge you to apply at least 8 to 10 weeks in advance and follow all instructions carefully. This recommendation ensures that supporting documentation is sent to the College in advance of your appointment.

Required Documents

A Canadian residency trainee enrolled in a medical school outside Ontario or in the United States who wishes to take an elective under the supervision of a University of Toronto postgraduate program director/training program must register for electives using the newly implemented Online Electives System.  However, please be sure to confirm your elective with a supervisor prior to accessing the system as this is a registration system.  The trainee will be expected to have the following ready before registering in the system:

  1. Approval of the Home School Program Director
  2. Approval of a UofT Supervisor
  3. Approval of the UofT Program Director (for the training program in which the rotation will be performed)
  4. Up-to-date Curriculum Vitae that includes the applicant’s date of birth, Social Insurance Number (SIN), citizenship status and e-mail address
  5. Copy of Medical Degree
  6. Complete immunization record
  7. Proof of registration with the Canadian Medical Protective Association (CMPA)
  8. VSS or Attestation

Registration Process

Once the PGME Office receives the required documents from the Online Elective System, the elective applicant will be sent an automated email with instructions on how to register on-line through the POWER website and print off their Confirmation of Registration form.  With the Confirmation of Registration form, the trainee will be able to register at the appropriate hospital Credentials/Medical Education Office in Toronto and access library services.

Please note that applications to University of Toronto postgraduate medical education departments for elective training must not exceed 15 weeks in duration. If it does, an application must be made for a regular Postgraduate Education certificate of registration. Please see the CPSO website for additional details.

Eligibility for Licensure

In order to take up an elective at the University of Toronto, candidates must be eligible for licensure by the College of Physicians and Surgeons of Ontario (CPSO), the body which regulates the practice of medicine in the province of Ontario.  Please visit the CPSO website for Registration Applications and Forms required for the issuance of a certificate of registration.

Required Documents

U.S. citizens who wish to take an elective under the supervision of a University of Toronto postgraduate program director/training program must be fully funded for the duration of the proposed elective by an acceptable sponsoring agency (for example, a governmental agency, university or hospital) and submit the following documentation via the University of Toronto residency training program to the University of Toronto PGME Office:

  1. written permission from the University of Toronto program director agreeing to the elective
  2. written permission from current program director at the applicant’s home university
  3. up-to-date curriculum vitae that includes the applicant’s date of birth, Social Insurance Number (SIN), citizenship status and e-mail address
  4. copy of medical degree
  5. complete immunization record
  6. evidence of full financial support from the funding institution/organization for the duration of the elective training
  7. VSS or Attestation

*Please note: Submitted documents must be in pdf or MS Word (.doc or .docx) format. JPEG, TIFF and other photo file formats will NOT be accepted.*

Work Permit

In addition to licensure by the CPSO, trainees who are not Canadian citizens/permanent residents must have a work permit that is valid for the duration of their elective residency. The University of Toronto PGME Office will provide the elective appointee with work permit application information and a Citizenship and Immigration Canada (CIC) approved “Letter of Employment” that will enable the appointee to apply for the appropriate work permit.

NB: CIC requires the “Letter of Employment” to confirm that the foreign national receiving is being remunerated at a rate commensurate with that of a Canadian performing the same duties in the same location of work.  Elective residents must have funding for their elective rotation that meets the requirements of the scale of remuneration of the PARO-CAHO Agreement.

Registration Process

Once the PGME Office receives the required documents from the University of Toronto postgraduate program, a Letter of Appointment (LOA) will be issued to the resident. This letter must be signed by the resident and returned to the PGME Office. A copy will be forwarded to the CPSO.

Along with the LOA, the resident will receive a PIN/password letter. Using the PIN/Password, the resident will be able to register on-line through the POWER website and print off his/her Confirmation of Registration form.  With the Confirmation of Registration form, the trainee will be able to register at the appropriate hospital Credentials/Medical Education Office in Toronto and access library services.

Please note that applications to University of Toronto postgraduate medical education departments for elective training must not exceed 6 months in duration.

Eligibility for Licensure

In order to take up an elective at the University of Toronto, candidates must be eligible for licensure by the College of Physicians and Surgeons of Ontario (CPSO), the body which regulates the practice of medicine in the province of Ontario. Please visit the CPSO website for Registration Applications and Forms required for the issuance of a certificate of registration.

Funding

International trainees who wish to take an elective under the supervision of a University of Toronto postgraduate program director/training program must be fully funded for the duration of the proposed elective by an acceptable sponsoring agency.  Foreign governments and foreign government funded agencies, for example, are considered acceptable sources of funding for non-Canadian residency trainees.  Charitable foundations, private corporations or self-funding are not considered acceptable sources of funding.

Elective residency trainees must have funding for their elective training in accordance with the scale of remuneration of the PARO-CAHO Agreement.

Required Documents

International trainees who wish to take an elective under the supervision of a University of Toronto postgraduate program director/training program must submit the following documentation via the University of Toronto residency training program to the University of Toronto PGME Office:

  1. Written permission from the University of Toronto program director agreeing to the elective
  2. Written permission from current program director at the applicant’s home university
  3. Up-to-date curriculum vitae that includes the applicant’s date of birth, citizenship status and e-mail address
  4. Copy of medical degree (with English translation, where applicable)
  5. Copy of MCCEE results (only if the trainee is currently enrolled in residency training in the U.S.)
  6. Complete immunization record
  7. VSS or Attestation

The CPSO may exempt international trainees from this requirement if the trainee’s request for exemption includes supporting documentation from the University of Toronto Program Director.

*Please note: Submitted documents must be in pdf or MS Word (.doc or .docx) format. JPEG, TIFF and other photo file formats will NOT be accepted.*

Work Permit

In addition to licensure by the CPSO, trainees who are not Canadian citizens/permanent residents must have a work permit that is valid for the duration of their elective residency. The University of Toronto PGME Office will provide the elective appointee with work permit application information and a Citizenship and Immigration Canada (CIC) approved “Letter of Employment” that will enable the appointee to apply for the appropriate work permit.

NB: CIC requires the “Letter of Employment” to confirm that the foreign national receiving is being remunerated at a rate commensurate with that of a Canadian performing the same duties in the same location of work.  Elective residents must have funding for their elective rotation that meets the requirements of the scale of remuneration of the PARO-CAHO Agreement.

Once the PGME Office receives the required documents from the University of Toronto postgraduate program, a Letter of Appointment (LOA) will be issued to the resident. This letter must be signed by the resident and returned to the PGME Office. A copy will be forwarded to the CPSO.

Along with the LOA, the resident will receive a PIN/password letter. Using the PIN/Password, the resident will be able to register on-line through the POWER website and print off his/her Confirmation of Registration form.  With the Confirmation of Registration form, the trainee will be able to register at the appropriate hospital Credentials/Medical Education Office in Toronto and access library services.

Please note that applications to University of Toronto postgraduate medical education departments for elective training must not exceed 6 months in duration.

Eligibility for Licensure

In order to take up an elective at the University of Toronto, candidates must be eligible for licensure by the College of Physicians and Surgeons of Ontario (CPSO), the body which regulates the practice of medicine in the province of Ontario.

 

According to the CPSO’s schedule of requirements, international residents must have completed a minimum of two years’ training in the discipline in which they are seeking an elective (one year for Family Medicine electives).  In addition, the language of patient care during this previous training must have been in English or French. The licensure of international trainees currently in residency training outside Canada and the U.S. as elective residents in Ontario is subject to the review and approval of the CPSO’s Registration Committee. Please visit the CPSO website for Registration Applications and Forms required for the issuance of a certificate of registration.

 

Requirement for a Work Permit

In addition to licensure by the CPSO, trainees who are not Canadian citizens/permanent residents must have a work permit that is valid for the duration of their elective residency. PGME will submit an Offer of Employment for the elective residency to Immigration, Citizenship and Refugees Canada (IRCC, formerly CIC) and provide the international doctor with a IRCC-assigned Offer of Employment (LMIA Exempt) Number as well as a CPSO Letter of Eligibility. This documentation will enable the doctor to apply for the appropriate work permit from IRCC.

 

The process of obtaining a work permit from an IRCC Visa Office commonly requires five months to complete, after PGME has provided the applicant with the necessary supporting documentation. It is recommended that PGME receives confirmation of the elective (with documentation) at least six months prior to the start date.

 

International elective trainees must be remunerated for the duration of the proposed elective by an acceptable sponsoring agency.  Foreign governments and foreign government funded agencies, for example, are considered acceptable sources of funding for non-Canadian residency trainees.  Charitable foundations, private corporations or self-funding are not considered acceptable sources of funding.

 

IRCC requires the Offer of Employment to confirm that the foreign national is being remunerated at a rate commensurate with that of a Canadian performing the same duties in the same location of work. The remuneration of residency trainees in Ontario, including elective residents, must be in accordance with the annualized salary scale that is contained in the collective agreement between the Professional Association of Residents of Ontario (PARO) and the Council of Academic Hospitals of Ontario (CAHO) known as the PARO-CAHO Agreement.

 

Required Documents:

International trainees who wish to complete an elective at the University of Toronto must submit the following documentation to the University of Toronto PGME Office via the University of Toronto residency training program:

 

  1. Written permission from the University of Toronto program director agreeing to the elective
  2. Written permission from current program director at the applicant’s home university
  3. Letter from the international trainee’s sponsoring agency, confirming its approval
    If the international trainee’s sponsoring agency has not signed a postgraduate training agreement with the University of Toronto Faculty of Medicine, then the letter must confirm full financial support for the duration of the elective training and verify that this funding is in accordance with the scale of remuneration for Ontario residency trainees.
  4. Up-to-date curriculum vitae that includes the applicant’s date of birth, citizenship status and e-mail address
  5. Copy of medical degree (with English translation, where applicable)
  6. A photocopy of the page(s) of the appointee’s current passport that contain the appointee’s photograph, personal details, issuing country and passport expiry date.

 

*Please note: Submitted documents must be in pdf or MS Word (.doc or .docx) format. JPEG, TIFF and other photo file formats will NOT be accepted.*

 

Registration Process:

Once PGME receives the required documents from the University of Toronto postgraduate program, a Letter of Appointment (LOA) will be issued to the resident. This letter must be signed by the elective resident and returned to PGME. A copy will be forwarded to the CPSO.

 

Along with the LOA, the resident will receive a PIN/password letter. Using the PIN/Password, the elective resident will be able to register on-line through the POWER website and print off his/her Confirmation of Registration form.  With the Confirmation of Registration form, the trainee will be able to register at the Credentials/Medical Education Office of the appropriate hospital in Toronto and access library services.

 

Please note: The elective training experience must not exceed 6 months in duration.

Statements of Need are issued by Health Canada to medical graduates to assist them to obtain a J-1 Visa to pursue Post-Graduate medical training in the United States. The Statement of Need is one of many requirements of the Educational Commission for Foreign Medical Graduates (ECFMG) that must be met before a J-1 Visa can be issued.  There are two categories when applying for a Statement of Need for Postgraduate Training in the United States, please select the criteria that fit your objective:

  1. Medical Graduates currently enrolled in a Canadian specialty residency training program who wish to pursue a short-term elective or rotation (Category A ST)
  2. Medical Graduates currently enrolled in a Canadian specialty residency training program who wish to pursue a fellowship or RCPSC recognized subspecialty (Category A)

Please note, it can take up to 6 months to obtain a J-1 Visa and a State license, so factor this into your decision as to when you should apply.

Important Notice

The Canadian Medical Protective Agency (CMPA) does not extend coverage beyond the borders of Canada, therefore you will require medical protective coverage for the duration of your training in the United States.  Please see the CMPA website for further details.

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