A fellowship in either country counts as your 5th year of residency. As a US trained physician, you are not considered an IMG and do not fall into that pathway.
You must apply for a preliminary assessment of training by the Royal College of Physician's and Surgeons one year prior to writing the exam. The deadline is April 30th of the year prior to writing the exam. Exam registration deadline is Feb 1 of the year you plan to write.
Applicants who have completed training in the United States
Applicants who have completed some or all of their training in the United States must also complete an
Application for Preliminary Assessment of Training. In order to be eligible to apply, applicants must be currently or previously enrolled in a program accredited by the Accreditation Council for Graduate Medical Education (ACGME).
Applicants are encouraged to read the
Objectives of Training and Specialty Training Requirements for their specialty to ensure they have the adequate duration and type of training.
Applicants with training completed in the United States must include the following with their application:
- the surcharge of $315 for training completed in the United States in addition to the preliminary assessment fee of $585
- Photocopy of success at a screening examination (such as the Medical Council of Canada Evaluating Examinations, or the United States Medical Licensing Examination) for applicants with qualifications from medical schools other than those accredited by the Committee on Accreditation of Canadian Medical Schools or Liaison Committee on Medical Education.
- A signed Release of Information Form (included with the application package)
Following approval of your preliminary assessment, you may register for the Anesthesiology Examination (boards). This is a two part examination including a written component that is administered in the early spring and an oral component administered in the late spring. The written component consists of two three-hour papers one of which is multiple choice and the other is short-answer. The oral component is one two-hour session. Unlike the US boards, the Components of the Canadian Exams are scored together as a whole, you either pass the whole thing or you fail the whole thing and if you fail you have to take both components again.
For more info see
The Royal College of Physicians and Surgeons of Canada Credentials and Examinations Webpage.