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2017-2018 List of Needed Specialties for Issuing Statements of Need under Category B

Section One: Endorsement as of 2017-2018

(Physicians intending to practice medicine in Quebec: see Section Two.)

Important notes:

2017-2018 Main Match

  • All fields of training have limited endorsement. This reflects evolving pan-Canadian physician workforce planning. If (or where) there are more applications than Statements of Need available for a particular specialty, applications are processed on a first-come, first-served basis from the time the application is received by email.
  • Please note that there are differences in overall duration between many Canadian and United States (US) postgraduate medical education programs. Subsequent training will only be endorsed for one-year Accreditation Council for Graduate Medical Education (ACGME)-accredited programs for the purpose of meeting Specialty Training Requirements (STRs) of the Royal College of Physicians and Surgeons of Canada (RCPSC). Sub-specialty training will only be supported for Pediatrics and Obstetrics/Gynecology as there are no one-year fellowship opportunities.
  • You are encouraged to contact the College of Family Physicians of Canada (CFPC) or the RCPSC early in your training for information about certification requirements and their associated processes and timelines.

Additional notes regarding preliminary year:

  • Applicants who match for both a preliminary year and a residency must apply for a Statement of Need for both at the same time. Subject to the limits on the List of Needed Specialties, the Statement of Need will then be issued for the entire duration of training.
  • Applicants who obtain only a preliminary year or transitional year can receive a Statement of Need for one year NOT subject to the List of Needed Specialties but are required to obtain a second Statement of Need for any additional training.
  • Endorsement for a second Statement of Need is NOT guaranteed. Applicants will be subject to the List of Needed Specialties in effect when they apply for their second Statement of Need.
  • Applicants will be eligible to apply for another Statement of Need in March 2018, only after the National Resident Matching Program (NRMP) releases the results of the 2018 match. Applications will not be accepted until after the match results are released. Should you obtain a position before the match, you will have to wait until the match results are released before you can submit your application for your new Statement of Need.
  • Endorsement of a particular specialty, including general surgery, in previous years does not guarantee that the specialty will be endorsed in 2018 or beyond.

Subsequent training, if your residency started in 2015 or earlier

  • All applications for the fields of sub-specialty training indicated on the List will be endorsed. Other fields of sub-specialty training will NOT be endorsed.
  • Please note that many fields of training offer one-year fellowships that can be used to meet the STRsof the RCPSC. There is unlimited endorsement of these one-year fellowships.
  • For Family Medicine, only the following one year fellowships will be endorsed: Anesthesiology, Emergency Medical Services, Geriatric Medicine, Hospice and Palliative Medicine, and Obstetrics.
  • For General Surgery, only the following one year fellowships will be endorsed: Colorectoral Surgery; or Surgical Critical Care.
  • One-year ACGME and non-ACGME accredited training programs will be endorsed if the RCPSC STRs have been met. The exception is for Family Medicine and General Surgery as indicated above.
  • You are encouraged to contact the CFPC or the RCPSC early in your training for information about certification requirements and their associated processes and timelines.

Subsequent training, if your residency started in 2016 or later

  • Additional training under Category B will only be supported for the purposes of meeting the STRs of the RCPSC. Endorsement for any additional training will only be provided under Category C.
  • If your field of specialty training is equal to or longer in duration than the equivalent training in Canada such as family medicine, general surgery, otolaryngology and integrated plastic surgery, no further training will be supported under Category B after the initial residency. Upon licensure in Canada, additional training may be supported under Category C.
  • For training programs that are shorter in duration than the Canadian equivalent, additional training, in a one-year, ACGME-accredited training program (i.e. 1 year ACGME-accredited fellowship) will be endorsed for the purposes of meeting the RCPSC STRs in the specialty. (E.g. one year of Geriatric Medicine or Palliative/Hospice care after three years of Internal Medicine, or one year of Pediatric Anesthesia after four years of Anesthesiology).
  • One-year ACGME-accredited fellowships for the purposes of meeting the STRs have unlimited endorsement. While there are some one-year fellowships noted on the list, other one-year ACGME accredited programs will also be endorsed. Those noted on the List represent fields of training recognized by the RCPSC.
  • In lieu of the one-year ACGME accredited fellowship noted above, a one-year Chief Resident will also be endorsed for the purpose of completing the RCPSC STRs in the specialty, if the training program is at least 60% clinical activity. (E.g. one year as Chief Resident at PGY4 level after three years of Internal Medicine). This one-year Chief Resident position does not need to be ACGME accredited.
  • Endorsement for one year of a multi-year fellowship or sub-specialty will not be provided (E.g. year one of a three year pediatric emergency medicine training program).
  • For training programs where one-year ACGME-accredited fellowships do not exist, namely Pediatrics and Obstetrics/Gynecology, sub-specialty training, in fields noted on the List of Needed Specialties, will continue to be endorsed so that physicians will be able to complete their specialty training requirements of the RCPSC. Please note that the list of sub-specialties is subject to change and endorsements will be based on the list of approved sub-specialties in the year the Statement of Need is requested.
  • You are encouraged to contact the CFPC or the RCPSC early in your training for information about certification requirements and their associated processes and timelines.

Notations on the List of Needed Specialties

  • STR: unlimited endorsement will be provided for one-year ACGME accredited training for the purposes of meeting the STRs of the RCPSC. For more information about STRs, please see the RCPSC web site
List of Needed Specialties
Specialty Training  2015 # issued 2016 Limit 2016 # Issued 2017 Limit 2018 Limit

Table footnotes

Table footnote *

* British Columbia has the greatest need in family medicine physicians.

Table footnote **

* A decrease is anticipated next year.

Anatomical or General Pathology 16 15 6 25 20
Anesthesiology 14 25 17 20 25
Cardiac Surgery 0 5 0 5 5
Dermatology 0 30 0 30 40
Diagnostic Radiology 9 10 10 10 15
Emergency Medicine (4 year program only recognized by the RCPSC) 11 40 2 30 40
Family Medicine 183 295 189 395Table footnote * 430
General Surgery 13 15 7 10 15
Internal Medicine 196 200 193 180 165Table footnote **
Medical Microbiology 0 5 0 5 5
Neurology (adult only) 13 20 19 20 20
Nuclear Medicine 2 5 0 5 1
Obstetrics and Gynecology 16 20 12 15Table footnote ** 15Table footnote **
Ophthalmology 3 10 1 5 5
Otolaryngology 0 5 0 5 10
Pediatrics 46 55 29 40Table footnote ** 30Table footnote **
Physical Medicine and Rehabilitation 7 15 3 15 15
Plastic Surgery 0 5 1 5 5
Psychiatry (4 year adult program only) 27 60 22 75 45
Radiation Oncology 0 5 0 5 15
Urology 1 5 0 10 15

Sub-specialty Training

For physicians whose residency began in 2015 or earlier, all applications for the following fields of sub-specialty training will be endorsed. Please note that sub-specialty training that does not appear on this List will NOT be supported.

  • Cardiac Surgery - Thoracic Surgery
  • Emergency Medicine - Pediatric Emergency Medicine
  • General Surgery - Pediatric General Surgery
  • General Surgery - Thoracic Surgery
  • General Surgery - Surgical Oncology
  • Internal Medicine - Cardiology
  • Internal Medicine - Clinical Immunology and Allergy
  • Internal Medicine - Critical Care Medicine
  • Internal Medicine - Endocrinology and Metabolism
  • Internal Medicine - Gastroenterology
  • Internal Medicine - Hematology
  • Internal Medicine - Infectious Diseases
  • Internal Medicine - Medical Oncology
  • Internal Medicine - Occupational Medicine
  • Internal Medicine - Respirology
  • Internal Medicine - Rheumatology
  • Neurology - Neurocritical care
  • Obstetrics and Gynecology - Gynecologic Oncology
  • Obstetrics and Gynecology - Gynecologic Reproductive Endocrinology & Infertility
  • Obstetrics and Gynecology - Maternal Fetal Medicine
  • Pediatrics - Adolescent Medicine
  • Pediatrics - Cardiology
  • Pediatrics - Critical Care Medicine
  • Pediatrics - Clinical Immunology and Allergy
  • Pediatrics - Developmental Pediatrics
  • Pediatrics - Endocrinology and Metabolism
  • Pediatrics - Gastroenterology
  • Pediatrics - Hematology/Oncology
  • Pediatrics - Infectious Diseases
  • Pediatrics - Neonatal Perinatal Medicine
  • Pediatrics - Pediatric Emergency Medicine
  • Pediatrics - Respirology
  • Pediatrics - Rheumatology
  • Psychiatry - Child and Adolescent Psychiatry

Fellowship Training

The following list is a sample of one-year ACGME accredited fellowships that can be used to meeting the RCPSC STRs. You may wish to consult the ACGME website for other one year programs that may be used to meeting the RCPSC STRs. You are also encouraged to contact the RCPSC to review certification requirements for your specialty. Please note that for those starting in 2016 or later, one-year ACGME accredited fellowships are no longer supported for family medicine, general surgery, otolaryngology and plastic surgery (if STRs have been met). For those who started in 2015 or earlier, the only one-year ACGME accredited training programs that will be endorsed in Family Medicine and General Surgery are limited to those indicated below.

Fellowship Training
ACGME accredited fellowship If your residency training began in 2015 or earlier If your residency training began in 2016 or later
(estimated)
Anatomical or General Pathology:
1-year ACGME accredited, such as Forensic Pathology or Hematological Pathology
STR STR
Anesthesiology:
1-year ACGME accredited, such as Pain Medicine or Anesthesiology Critical Care Medicine
STR STR
Dermatology:
1-year ACGME accredited
STR STR
Diagnostic Radiology:
1-year ACGME accredited, such as Neuroradiology or Pediatric Radiology
STR STR
Emergency Medicine:
1-year ACGME accredited, such as Emergency Medical Services or Surgical Critical Care
STR STR
Internal Medicine:
1-year ACGME accredited, such as Geriatric Medicine
STR STR
Neurology:
1-year ACGME accredited
STR STR
Ophthalmology:
1-year ACGME accredited
STR STR
Otolaryngology
1-year ACGME accredited
N/A Category C only
Physical Medicine and Rehabilitation:
1-year ACGME accredited
STR STR
Plastic Surgery:
1-year ACGME accredited
N/A Category C only
Psychiatry:
1-year ACGME accredited, such as Forensic Psychiatry or Geriatric Psychiatry
STR STR
Urology:
1-year ACGME accredited
STR STR
Chief Resident:
1-year after any specialty, and must be at least 60% clinical
STR STR
Fellowship Training - Limited
ACGME accredited fellowship If your residency training began in 2015 or earlier If your residency training began in 2016 or later
(estimated)
Family Medicine:
1-year ACGME accredited; training is limited to one of: Anesthesiology, Emergency Medical Services, Geriatric Medicine, Hospice and Palliative Medicine, or Obstetrics
N/A Category C
General Surgery:
1-year ACGME accredited; training is limited to one of: Colorectal Surgery or Surgical Critical Care
N/A Category C

Section Two - Endorsement by Quebec

Category B candidates who intend to return to Quebec upon completion of training in the US must obtain a Letter of Endorsement from the Ministère de la Santé et des Services sociaux du Québec (MSSS). MSSS will provide a Letter of Endorsement for applicants who:

  1. Reside in Quebec;
  2. Have been accepted to and are enrolled in a post-graduate training program in the US in one of the following disciplines:
    • Family medicine
    • Anatomical pathologyFootnote 1
    • Plastic surgery
    • Dermatology
    • Geriatric medicine
    • Internal medicineFootnote 2
    • Physical medicine and rehabilitationFootnote 1
    • Medical oncology (adult only)
    • PsychiatryFootnote 1
    • Psychiatry - Child and Adolescent Psychiatry
    • Rheumatology (adult only)
    • Psychiatry – Geriatric Psychiatry

Candidates must e-mail the following information to MSSS:

  • Full contact information;
  • Proof of residency in Quebec (e.g. photocopy of driver's licence or health insurance card);
  • Medical training completed to date;
  • Location and discipline of training program in US;
  • Duration of training (start and end dates);
  • Attestation of acceptance in the training program in the US;
  • Intended location of practice upon completion of training.

MSSS contact information:

Sébastien Arseneault
Direction du soutien à l’organisation clinique et de la gestion des effectifs médicaux
1075 Ste-Foy Road, 8th Floor
Quebec City, Quebec  G1S 2M1
Fax: 418-266-6978
visaj1@msss.gouv.qc.ca

Note:

Candidates are responsible for familiarizing themselves with the requirements of the Collège des médecins du Québec for obtaining a licence to practice in Quebec, including those for obtaining recognition of equivalency for the doctor of medicine (MD) degree.

Candidates who do not intend to return to Quebec upon completion of training must apply through the lists under section 1 of the 2017 List of Needed Specialties.

Footnotes

Footnote 1

One-year ACGME accredited fellowships will be considered for those specialties.

Return to footnote 1 referrer

Footnote 2

IMPORTANT: In internal medicine, the proposed training must not exceed three years. The MSSS may authorize a renewal of the J-1 Visa after three years if the candidate continues training in one of the disciplines listed above. An application for a J-1 Visa renewal for the purpose of continuing on to a super-specialty or sub-specialty that is not on the above list of disciplines will be denied

Return to footnote 2 referrer