If you are canadian and are doing your undergrad in the USA then you are still considered a Canadian and apply like all other Canadians.
If you are an American or other nationality studying in the uSA then you can still apply to Canadian schools, however, there are only certain schools that accept "international applicants" and the spots are extremely competative and close to impossible unless you are a superstar.
Yes, it depends on whether you are Canadian citizen or American citizen (or both), and where are you considered to be a resident (for example, if you have gone to a secondary school in B.C., UBC would consider you to be an in-province applicant).
McGill used to let in a few more Americans than it does now. That's a school some Americans can consider. You still need to be competitive for medical school admissions in general but probably not need to be a top-10 U.S. med school material. Regardless, the only way to find out is to apply.
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