I was wondering if any of you smart chaps have any insight into this situation. I am a Canadian Citizen who went to SGU and am presently an Anesthesiology resident in the US (J1 Visa). Some of you may know that Anesth Residency is 4 years in the states, 5 in Canada. Are there any other specialties with such discrepancy? If so, what are the options? I've attempted to read through all the Canadian legislature BS but it's too much for me to handle right now. Can I sit the Royal College exam with only 4 years of residency training? Will doing a fellowship in the US count as "year 5"? The easiest option is to stay in the states....but my Canadian family and fiancee are pretty important to me. Any words of advice would be appreciated.