US residency, coming back to Canada for fellowship (or just to practice)

LittleBoy45

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May 15, 2016
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Hi, so I'm a Canadian citizen studying abroad with plans to do residency in the US and to return to Canada for fellowship/to practice. I'm eyeing a 4-year Med-Peds residency in the US, where I would get double-certification in IM and Peds. My question is, would I be able to come to Canada after completing this program to go directly into practice or into fellowship (ie a specific peds fellowship)? Or would I have to do an extra year of training beforehand? I hear that some American residency programs differ in length than Canadian programs, and sometimes you need to make up an extra year or so. Would appreciate any advice about this, or if someone knew who to reach out to to find out more.

Also, aside- what exams are required to practice in Canada? I know the MCCQE I + II are required, but what about the NAC? I've heard that's only required if you want to do residency in Canada, but not required if you're doing fellowship or going to practice in Canada. Is that the case? Is it province-specific? Any help would be appreciated, thanks!
 
Sep 20, 2019
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NAC is not required for practice. If you are a US specialist, you can get your fellowship in Canada and after fellowship, you are able to practice. Without fellowship my undestanding is that with LMCC (QE1 and QE2) you can practice, but because IM and PED are separate 4 yr specialties in Canada you need additional 1 year of practicing under supervision of another doctor before being able to practice independently. I know this is the case for IM but for med/ped not sure. Best to email College of Physicians and ask and possibly update us as well.
 
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Iris42

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Jul 2, 2017
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Hey!! Dude combined Med Peds programs are not accredited in Canada even if you do a fellowship. DO NOT pursue any further if you plan to get board certified in Canada. Pick one, either med or Peds, then you'll need 1 additional year as chief (PGY-4 which has to be at least XX% clinical, I think 60%) or ACGME-accredited fellowship to be able to sit the Canadian board exams.
 
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andrek82

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May 11, 2012
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Hey!! Dude combined Med Peds programs are not accredited in Canada even if you do a fellowship. DO NOT pursue any further if you plan to get board certified in Canada. Pick one, either med or Peds, then you'll need 1 additional year as chief (PGY-4 which has to be at least XX% clinical, I think 60%) or ACGME-accredited fellowship to be able to sit the Canadian board exams.
I'm Med Peds all the way, but unfortunately this is correct. Med Peds is no good in Canada. Rules are rules, I'm afraid .
 
Dec 16, 2019
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If we have completed 4 years of IM training in the states, what exams do we need to take to apply for a IM fellowship in Canada? It seems like some Canadian fellowships participate in the match. Are US MDs considered IMGs in Canada? Thanks
 

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