Statement of Need for Canadian permanent residents

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sev

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According to Health Canada's website, the process for obtaining a Statement of Need for J-1 sponsorship as a Canadian permanent resident is pretty straightforward.
However, Canadian permanent residents are required to be in Canada for 2 out of every 5 years to maintain PR status. So, if I take part in a US residency program, I would lose my PR status for not meeting the Residency Obligation and would not be able to serve the 2 year home requirement in Canada, as I would no longer be admitted.

Has anyone run into this issue before? It seems that if you are a Canadian PR with a Statement of Need issued from Canada, you'll inevitably lose your PR status by the time you finish the program in the US. Is there a way around this?
 
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