In Canada, the thirteen (13) medical regulatory authorities (as listed in Appendix C) are responsible by law for licensing physicians to practice medicine within their own provincial or territorial jurisdiction. Any inquiry regarding licensure in Canada should be directed to the relevant licensing authority.
The Medical Council of Canada was established in 1912 by authority of the Canada Medical Act. One of the original purposes of the MCC is to establish and promote a qualification in medicine known as the Licentiate of the Medical Council of Canada (LMCC). The LMCC is one of the requirements of the medical regulatory bodies for the issuance of a license to practice medicine in Canada.
This LMCC qualification is granted to graduate physicians, whether they are Canadian graduates, American graduates or IMGs, who have passed the Qualifying Examination Parts I and II conducted by the MCC.
With respect to applying for an MCC examination, the MCC defines an “International Medical Graduate (IMG)” as a physician whose basic medical degree was conferred by a medical school not accredited by the Committee on Accreditation of Canadian Medical Schools or the U.S. Liaison Committee on Medical Education, but listed in the World Directory of Medical Schools published by the World Health Organization (WHO) or in the on-line directory published by the Foundation for the Advancement of International Medical Education and Research (FAIMER), entitled International Medical Education Directory (IMED). Canadian citizens who have taken their medical training outside Canada or the U.S. are considered to be IMGs, whereas foreign citizens who have graduated in medicine from a Canadian or American medical school are considered to be Canadian or American medical graduates.
The MCC defines an “International Medical Student (IMS)” as a student in the final clinical year of a medical school listed in the World Directory of Medical Schools or IMED (as defined above for IMGs), who is fully expected to complete all requirements to graduate and receive the final medical diploma within nine (9) months following the date of the MCCEE session applied for.
Canadian educational institutions may require success on the Evaluating Examination as a prerequisite for entry into further training programs in Canada.
As of 2004, the final medical diploma is sent to the issuing university (or college if applicable) for all candidates applying for the MCCEE. Although the source verification process does not need to be completed in order to be admitted to a MCCEE session, source verification must be completed or in process for eligibility for the MCCQE Part I for candidates who passed the MCCEE in 2004 or 2005. Source verification of the diploma MUST be completed for the MCC Qualifying Examination Part II (MCCQE Part II) In cases where verification cannot be obtained, approval of the Executive Director will be required. Without exception, for eligibility to sit the MCC Qualifying Examination Part I (MCCQE Part I), an IMG must have a valid pass standing on the MCC Evaluating Examination.
Because of a joint accreditation mechanism of medical schools in Canada and the United States, graduates of an American medical school that has been accredited by the U.S. Liaison Committee on Medical Education (LCME) are exempt from the requirement to take the MCCEE. Graduates from U.S. Schools of Osteopathic Medicine accredited by the American Osteopathic Association are not exempt from writing the MCCEE.
With a pass standing on the MCCQE Part I and proof of satisfactory completion of at least 12 months of postgraduate clinical medical training, officially confirmed and subject to the approval of the MCC Executive Director, a candidate is eligible for the MCCQE Part II. The postgraduate training may be completed anywhere in the world. Compulsory clinical training/internship (at a postgraduate training level) required before the degree (diploma) is awarded may be considered as postgraduate training. However, additional supporting documentation will be required. Any previously outstanding documentation required by the MCC must be submitted and approved prior to submission of a MCCQE Part II application, including completion of the source verification for candidates who passed the MCCEE in 2004 or later. With confirmation of having satisfied all of the eligibility requirements, and success on the MCCQE Part II, a candidate is issued the LMCC and his/her name is entered in the Canadian Medical Register.
Information Pamphlets and Application Forms for the Qualifying Examination Parts I and II are available on the MCC Website (www.mcc.ca - select Publications, then click on Pamphlets).
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