Professional licensing

Why you see this The MCC accepts translations from three providers only, and you deal with them directly.

Comes after: Open a physiciansapply.ca account and confirm your identity

1. Providers: ITC Global, NATIONS Translation Group or Straker. You pay them directly; the MCC does not refund translations that are not accepted.
2. Upload the original with the translation exactly as you received it, without adding or removing pages.
3. Translate the back of a credential only if it has vital information or stamps not on the front.

How you know it is done When the translation is uploaded with the original, or if all your documents are already in English or French.

Why you see this The MCC sends your degree to ECFMG, which asks your university directly. You must submit and pay this before applying for the MCCQE.

Comes after: Open a physiciansapply.ca account and confirm your identity

1. From your account, submit the verification request for your degree and pay. The MCC reviews the documents and tells you if anything needs fixing.
2. Also verify the credentials your route needs: internship, postgraduate training and specialist certificate. Each credential has its own fee.
3. If ECFMG verified your documents before (for example EPIC or USMLE), still submit and pay, then send your number by message so the earlier verification may be reused.
4. If you need an immigration Educational Credential Assessment (ECA), the MCC is the designated body for physicians. It is for immigration only and does not let you practise.

Fee: CAD 232 · Source verification, per credential (non-refundable) · Medical Council of Canada

How you know it is done When the request is submitted and paid.

Why you see this We found no published national rule for universities that cannot reply because of war or conflict, such as in Sudan.

Comes after: Open a physiciansapply.ca account and confirm your identity

1. If the university does not reply, ECFMG re-sends every two months, up to three requests. After that nothing more happens until the university replies.
2. You may ask for courier delivery at your own cost.
3. Write to the MCC and CPSNB, explain your situation and ask about any alternative arrangement.
4. Do not rely on anyone offering verification or substitute documents that do not come from the university.

How you know it is done When you have a written answer from the MCC.

Why you see this The ball is with your university. Meanwhile you can work on language and exams.

Comes after: Request source verification of your medical degree (SVR)

1. ECFMG usually sends the documents to the university within 5 days and usually updates your status within 5 to 10 days of receiving the verification certificate.
2. If your request is more than two years old, contact the MCC: a new request at the current fee may be needed.

Published processing time: No time is guaranteed. University replies can take three months or longer. (the body’s time, not your own time to complete)

How you know it is done When your degree status reads “verification returned – passed”.

Why you see this The common standard lets a regulator accept evidence other than a test. But the MCC eBook says a test is generally still required if you studied in a country whose first language is not English, even when teaching was in English.

1. Evidence that may be accepted: medical education or training in English (its weight fades over time), medical exams passed in English, or documented practice in English.
2. CPSNB accepts: a current Canadian medical licence, education or training in English in a country where English is an official language, training in English with patient care in English, or practice mainly in English. CPSNB does not say whether Sudan counts, so ask.
3. If CPSNB does not accept it, you will need a language test.

How you know it is done When you know in writing whether your evidence is accepted or a test is needed.

Why you see this These are the tests and scores in the regulators’ common standard. Your province’s rules follow.

1. OET Medicine is preferred: grade B in each component.
2. Or IELTS Academic: 7.0 in each of the four components. Or CELPIP General: 9 in each component.
3. The result must be from within 24 months before you apply for registration. The regulator may waive this if you have worked or trained in English since the test.
4. CPSNB: all three tests in the same sitting; results are valid for 24 months and must be source-verified.
5. New Brunswick also accepts French: TEF Canada (reading 248–262, writing and speaking 371–392, listening 298–315) or TCF Canada (reading 524–548, writing and speaking 14–15, listening 523–548).

How you know it is done When you have a result with the required scores from the last 24 months.

Why you see this It is required for residency in Canada and for the LMCC you need for a full licence, and most PRA programs use it.

Comes after: Request source verification of your medical degree (SVR)

1. From your account: Examinations, then “Apply for an exam”. Once accepted you have 12 months to book and sit it (extendable once).
2. Booking is at Prometric centres only, first come first served, up to five months ahead. Remote proctoring is paused from the August 2026 session.
3. The exam is one day: 230 multiple-choice questions in two sections.
4. 2027 sessions: Jan 19–Feb 11, Apr 27–Jun 1, Aug 10–Sep 7 and Oct 5–26.
5. You have four attempts only, with a full one-year wait after the third result. The pass score is 439 (scale 300–600).
6. If something goes wrong on exam day, report it within 7 days and request reconsideration within 15 days of the result. The only possible outcome is No Standing (not counted as an attempt), never a pass.

Fee: CAD 1500 · MCCQE application · Medical Council of Canada

Fee: CAD 120 · Eligibility window extension (if needed) · Medical Council of Canada

Fee: CAD 1200 · Appeal (if needed) · Medical Council of Canada

Published processing time: Up to four weeks for the application. Results four weeks after the last day of the session (five for April). (the body’s time, not your own time to complete)

How you know it is done When a pass result appears in your account.

Why you see this It is required to apply to the residency match. PRA-NB also suggests it, per the MCC eBook.

Comes after: Request source verification of your medical degree (SVR)

1. Your degree must be “reviewed and accepted” in your account. The MCCQE and NAC can be taken in either order.
2. Apply during the session’s application window and rank up to three centres. It runs twice a year (spring and fall), in person in Canada only.
3. Half a day: 12 clinical stations. In English at all centres and in French at some.
4. You have three attempts, not in consecutive sessions. The pass score is 577 (scale 500–700); results come about eight weeks later.
5. The result has no time restriction, but only your most recent result counts.

Fee: CAD 3320 · NAC application · Medical Council of Canada

Published processing time: Up to four weeks for the application. (the body’s time, not your own time to complete)

How you know it is done When a pass result appears in your account.

Why you see this Most PRA programs require it, including PRA-NB per the MCC eBook. Passing it alone does not get you into a program.

Comes after: Request source verification of your medical degree (SVR)

1. Your degree must be “reviewed and accepted”. You do not need program approval to apply.
2. Four hours at a Prometric centre: 55 cases, about 110–140 questions, in English or French, in Canada and abroad.
3. Four attempts only, pass or fail. After a fail you cannot apply to the next consecutive session, and after three fails in a row you wait a year.
4. The MCC publishes no result validity. Programs set their own window.
5. PRA-NB refers eligible candidates to sit the TDM unless they hold a current pass. It is offered in English or French.

Fee: CAD 2850 · TDM application · Medical Council of Canada

Published processing time: Up to five business days for the application. (the body’s time, not your own time to complete)

How you know it is done When a pass result appears in your account.

Why you see this A free one-time virtual consultation of about an hour. It is a pilot with limited spots.

Comes after: Check that your medical school and degree are acceptable

1. Fill in the expression-of-interest form on the service page and check the eligibility criteria.

How you know it is done When you know your route, with or without the consultation.

Why you see this CaRMS’s general rule: citizen or permanent resident at the time of application, and pending applications are not accepted. Provinces differ; details follow.

1. There are province-specific exceptions. Read CaRMS’s citizenship summary for your province before paying.
2. CaRMS’s 2026 table shows protected persons as eligible in New Brunswick, but Dalhousie writes “citizen or permanent resident at the time of application”. Ask Dalhousie.
3. The 2027 provincial criteria were not yet posted when we read the page.

How you know it is done When you know whether you are eligible for this year’s match.

Why you see this An international graduate without completed postgraduate training enters residency through the match.

Comes after: Take the MCCQE (Medical Council of Canada Qualifying Examination)Take the NAC Examination (clinical, in Canada)

1. Residency for New Brunswick is through Dalhousie, including a “New Brunswicker IMG” stream. IMG positions require a return of service with the sponsoring Ministry of Health.
2. Share your MCCQE and NAC results with CaRMS before file review (usually late November).
3. You need a Medical Identification Number for Canada (MINC). The MCC issues it, with written consent, to applicants to its exams.
4. In CaRMS Online: register and pay, prove citizenship (share your MCC identity validity period or upload a document), upload your transcript and MSPR, request references, apply to programs, attend virtual interviews, then submit your rank order list.
5. Read the provincial criteria and pay attention to return-of-service requirements.
6. 2027 dates: citizenship proof through the MCC by October 16, 2026; applications by November 26, 2026 at noon ET; match day March 2, 2027. Your degree must be completed by July 1 of the match year.
7. The fees page shows two tables. Confirm the fee before paying.

Fee: CAD 301.6 plus tax · Match participation fee (includes four programs) · CaRMS

Fee: CAD 66.26 plus tax · Each additional program · CaRMS

How you know it is done When you submit your rank order list.

Why you see this CaRMS matches your rank list with the programs’ lists.

Comes after: Apply to the CaRMS R-1 Main Residency Match

1. When you receive the result, record it here.

How you know it is done When you know the result.

Why you see this You can apply in a later cycle. We have not read CaRMS’s rules for later rounds.

Comes after: Match result

1. Read CaRMS’s page on later rounds and consider the MCC’s free consultation.

How you know it is done When you decide your next step.

Why you see this Every regulator requires recent practice, and each PRA program sets its own threshold.

1. Ask PRA-NB in writing about its threshold before paying exam fees.

How you know it is done When you know whether your practice is recent enough.

Why you see this Twelve regulators take this application through the account; Ontario is not one of them.

Comes after: Request source verification of your medical degree (SVR)

1. For PRA-NB, the intended scope must be family practice. Answer every question carefully: errors delay the review.
2. The CPSNB credential review fee is $450, non-refundable, and does not guarantee eligibility.
3. The application is prefilled from the documents in your account. The regulator may ask for more documents and its own fee.
4. A refund needs the regulator’s approval and carries a $70 administrative fee.

Fee: CAD 240 · MCC Application for Medical Registration · Medical Council of Canada

How you know it is done When the application reaches the regulator.

Why you see this For specialists trained outside Canada, the US and approved jurisdictions, in a recognized primary specialty that is substantially equivalent.

Comes after: Request source verification of your medical degree (SVR)

1. Apply through the Royal College eBooking platform: CV, degree, internship documents, a signed letter from the program director with training dates and rotations, and a CanMEDS competence attestation.
2. The degree, internship and training documents are verified through physiciansapply.
3. Deadline: April 30 of the year before a spring exam, or August 31 of the year before a fall exam.
4. No practice time is needed for exam eligibility. Fees are non-refundable; we could not read the amount on the Royal College site.

Published processing time: Assessing a complete application can take three to six months. (the body’s time, not your own time to complete)

How you know it is done When you receive the ruling letter.

Why you see this The letter says whether you are eligible for the exam, or what additional training is required.

Comes after: Specialist: apply to the Royal College Practice Eligibility Route (PER)

1. Reconsideration is possible only on substantive new information or a policy error. The Executive Director’s decision is final, with no appeal.
2. When you receive the decision, record it here.

How you know it is done When the letter arrives.

Why you see this The ruling letter states the additional residency training required.

Comes after: The Royal College eligibility ruling

1. Additional training usually means residency in Canada, through the CaRMS match. Change your answers here to see the residency route.

How you know it is done When you know the required training and how to get it.

Why you see this You have a five-year eligibility period and four attempts per exam component.

Comes after: The Royal College eligibility ruling

1. Registration: Sept 1–Nov 4 of the year before a spring exam, or Feb 1–Apr 15 for a fall exam.

How you know it is done When you pass the exam.

Why you see this The CFPC recognizes training and certification from Australia, Ireland, the UK and the US.

1. Read the Equivalent Jurisdictional Pathway page and check your training meets its conditions.

Fee: CAD 533 · Equivalent Jurisdictional Pathway application · College of Family Physicians of Canada

Fee: CAD 3518 · Certification fee (from March 1, 2026) · College of Family Physicians of Canada

How you know it is done When you receive CFPC certification.

Why you see this Substantially equivalent training opens the approved-jurisdiction route. We could not read the list on the Royal College site.

1. Open the approved-jurisdictions page on the Royal College site, check that your country of training is listed and read the conditions.
2. If your country is not listed, change your answer here to see the PER route.

How you know it is done When you know whether your training is from an approved jurisdiction.

Why you see this PRA-NB is an alternative route for internationally trained family physicians. Meeting the criteria does not guarantee selection.

Comes after: Check that your medical school and degree are acceptable

1. Citizen, permanent resident, or legally entitled to live and work in New Brunswick.
2. Two years of training (or internship) and one year of independent licensed practice, or one and two, leading to recognition and practice in family medicine.
3. Rotations: 8 weeks of family medicine and 4 weeks each of surgery, internal medicine, paediatrics, emergency medicine, obstetrics and gynaecology and psychiatry.
4. 450 hours of practice in the last three years and an MCCQE pass, with preference for a NAC pass. No more than one unsuccessful Canadian PRA attempt in five years.
5. Applications are open on an ongoing basis: apply as soon as your documents are ready.

How you know it is done When you know you meet the requirements.

Why you see this CPSNB emails the decision and next steps. It may ask for more documents.

Comes after: Family medicine: check the PRA-NB requirementsSubmit the Application for Medical Registration (AMR) to CPSNB through physiciansapplyTake the MCCQE (Medical Council of Canada Qualifying Examination)

1. When you receive the decision, record it here.

How you know it is done When you receive the decision.

Why you see this If you ask in writing, the Registrar must refer your application to the Committee, which reports to Council.

Comes after: CPSNB decides your eligibility

1. The fair registration law requires CPSNB to give you written reasons for a refusal.
2. We found no deadline for the request in the version of the Act we read.

Fee: CAD 200 · Supplemental review of file · CPSNB

Fee: CAD 2500 · Appeal of a registration application to the Committee · CPSNB

How you know it is done When you file the request or decide not to.

Why you see this Ranking follows the length and relevance of family practice, recent practice, rotations and MCC exam scores.

Comes after: CPSNB decides your eligibilityTake the TDM Examination (therapeutics decision-making)

1. After the TDM: an interview with the Selection Panel, then interviews with the Horizon and Vitalité health authorities, then final selection.
2. Competition is high: the Annual Report’s 2025 statistics show 135 applications received, 50 candidates interviewed, 10 licensed from cohort 1 and 9 enrolled in cohort 2.
3. When you receive the result, record it here.

How you know it is done When you know the result.

Why you see this A March 2026 government release mentioned plans for further cohorts, but their dates are not confirmed. How long eligibility lasts is not published.

Comes after: PRA-NB selection: TDM, interview and matching with the health authorities

1. Keep your recent practice and language result current, and ask CPSNB about the next cohort.

How you know it is done When you are selected or choose another route.

Why you see this The Special licence is for demonstrated need, under supervision, in the roles and places the health authority sets.

Comes after: Request source verification of your medical degree (SVR)

1. Routes include: a Royal College practice-eligibility letter (PER) with a year of independent practice after certification, an accredited residency in Canada or the US, a two-year fellowship in Canada, or two years as most responsible physician in Canada or the US.
2. Contact the recruitment offices at Horizon and Vitalité (NBhealthjobs.com).
3. Continuing licensure depends on ongoing supervision by a designated supervisor and continued privileges or employment.

Fee: CAD 450 · Credential review · CPSNB

Fee: CAD 2300 · Annual licence · CPSNB

How you know it is done When CPSNB issues the licence with its conditions.

Why you see this Residency needs an educational registration with CPSNB; its length depends on the specialty.

Comes after: Match result

1. Your program and the regulator explain the registration you need.
2. At the end you take the CFPC or Royal College certification exam.

How you know it is done When you complete residency and pass the certification exam.

Why you see this The Royal College requirement for certification through PER.

Comes after: Register for and pass the specialty exam

1. Two full-time years in one location, with at least half your practice in the specialty, then an assessment with multisource feedback. The provisional licence for this practice comes from CPSNB.

How you know it is done When you receive Royal College certification.

Why you see this The assessment evaluates knowledge, skills and suitability to provide safe care, under licensed New Brunswick physicians, in English or French.

Comes after: PRA-NB selection: TDM, interview and matching with the health authorities

1. The second cohort had expert sessions, a simulation day and a three-week clinic observership before the assessment.
2. Successful candidates sign a three-year return-of-service agreement with the Department of Health. Its terms are not yet published.

How you know it is done When you complete the assessment.

Why you see this An over-time assessment counts as a PRA attempt.

Comes after: Orientation and the 12-week field assessment

1. When you receive the result, record it here.

How you know it is done When you know the result.

Why you see this Other consequences are not published.

Comes after: Field assessment result

1. Ask CPSNB and PRA-NB in writing about your options, and see other provinces’ roadmaps.

How you know it is done When you decide your next step.

Why you see this CPSNB issues the licence with any conditions. The licence class for a PRA-NB graduate is not stated on the pages we read.

Comes after: Field assessment result

1. Documents: ID, proof of eligibility to work in Canada, a criminal record check, the language result, certificates of professional conduct from every licensing body, references and credentials.
2. The annual licence fee is halved if issued after June 30.

Fee: CAD 300 · Registration on the Medical Register · CPSNB

Fee: CAD 2300 · Annual licence · CPSNB

How you know it is done When your licence is issued.

Why you see this Any patient contact during training needs a New Brunswick licence. Registration covers the full training period.

Comes after: Match result

1. Apply through the CPSNB member portal and choose the licence type.
2. Trainee licences expire on June 30, with a notice by May 1.
3. Sign the return-of-service agreement with the sponsoring ministry before starting.

How you know it is done When you start residency.

Why you see this It is part of the common standard for a full licence.

Comes after: Take the MCCQE (Medical Council of Canada Qualifying Examination)ECFMG contacts your university and the MCC updates your status

1. Requirements: an acceptable school, an MCCQE pass, a verified degree and nothing owing to the MCC.
2. If you applied for the MCCQE after January 26, 2026, it is issued automatically at no cost. If earlier, apply under Other Service Requests and pay $50.
3. It is now a digital number; paper certificates are not issued automatically.

How you know it is done When an LMCC number is issued.

Why you see this New pathways to the Regular licence took effect in January 2026.

Comes after: Post-eligibility documents and the licenceSpecialist: a Special licence with health-authority sponsorship

1. Routes: CFPC, Royal College or CMQ certification; five full continuous years on a Defined licence as most responsible physician; or a College-approved comprehensive clinical assessment with two continuous years as most responsible physician in New Brunswick.
2. The licence expires on December 31 each year, with a notice by November 1. Renewal includes an enhanced criminal record check.
3. With a Regular licence you may join the Atlantic Registry (Nova Scotia, Newfoundland and Labrador, PEI) for $500 a year.

Fee: CAD 2300 · Annual licence · CPSNB

Fee: CAD 300 · Change of licence · CPSNB

How you know it is done When you hold a Regular licence.

Why you see this Family medicine: training and certification the CFPC approves for certification without exam (Australia, Ireland, the UK, the US). Specialty: Royal College approved jurisdictions within accepted dates (Australia, Ireland, the UK, the US, New Zealand, Hong Kong, Singapore, South Africa, Switzerland).

Comes after: Request source verification of your medical degree (SVR)

1. Submit the AMR to CPSNB and meet the pre-screening requirements (school, right to work, language, 450 hours in three years, good character).

Fee: CAD 450 · Credential review · CPSNB

Fee: CAD 300 · Registration · CPSNB

Fee: CAD 2300 · Annual licence · CPSNB

How you know it is done When you hold a Regular licence.