IMG Secrets

Ultimate Beginner Guide for CaRMS Residency Match in Canada

If you’re an international medical graduate (IMG) with aspirations of practicing medicine in Canada through a residency program, the CaRMS matching process might initially appear bewildering. In this article, I’m here to demystify the entire CaRMS matching journey in a straightforward and accessible manner.

I’ll begin by discussing the fundamental eligibility criteria that you need to meet. We’ll also delve into the examination prerequisites and the essential English language testing requirements. I’ll clarify whether having a USMLE score can be an advantage in this process.

Next, we’ll explore the two CaRMS matching cycles that occur annually, giving you a sense of the timeline. I’ll also explain the significance of the Medical Identification Number of Canada, often referred to as MINC.

Furthermore, we’ll dive into specific provincial requirements, particularly if you’re considering practicing in provinces like British Columbia, Alberta, or Quebec. Each province can have its unique criteria and considerations.

Finally, we’ll explore the concept of Casper, an important element in this process that you should be aware of. Together, we’ll navigate this intricate journey and make it more comprehensible for yo

1. Basic Eligibility Requirements

There are three fundamental eligibility requirements for pursuing a residency in Canada, and let’s break them down:

  1. Canadian Permanent Resident or Citizen: To begin with, you must hold either Canadian permanent resident status or be a Canadian citizen. This is a notable distinction from the U.S., where you can apply for residency without requiring any visas or a green card. It’s an important criterion to keep in mind when comparing the two systems.

2. World Health Organization Recognition: Your medical college or medical school needs to be recognized by the World Health Organization (WHO). You can easily verify this by visiting the World Directory of Medical Schools website, wdoms.org. Let’s walk through an example to illustrate this. I’ll navigate to the World Directory of Medical Schools website, click on ‘Search the World Directory,’ and select a country and city. For instance, I’ll choose Bangalore, India. Here, you’ll find a list of all medical schools or colleges in Bangalore. This process can be applied to any country or city you’re interested in. Next, click on a specific medical school; let’s say, ‘Bangalore Medical College and Research Institute.’ You’ll find four tabs: ‘School details,’ ‘Contact information,’ ‘Program details,’ and ‘Sponsor notes.’ What you’re looking for is the ‘Canada’ note under ‘Sponsor notes.’ This indicates that your medical college has granted you the eligibility to register with the Medical Council of Canada and subsequently participate in the CARMS matching process. If you were interested in pursuing a medical career in the U.S., you’d look for a similar note from ECFMG (Educational Commission for Foreign Medical Graduates), USA.

These eligibility requirements are pivotal in ensuring that you’re on the right track to pursuing your medical career in Canada. By following these steps, you can confirm your eligibility and take the necessary steps to achieve your goals in the Canadian healthcare system.

3. Graduation Date: The third essential eligibility requirement hinges on your graduation date, which is a crucial factor. To be eligible for the residency match, your graduation must occur before July 1st of the year in which you intend to commence your residency. Let me illustrate this with a practical example: Suppose your aspiration is to embark on your residency in 2025. In that case, your graduation date must fall before July 1st, 2025.

For Canadian medical graduates, the process unfolds as follows: If they plan to initiate their residency in 2025, they kickstart their application journey in September of 2024 when the application period opens. This process spans several months, and ideally, before the anticipated residency commencement in July, they receive notification of their successful match. This allows them to seamlessly transition from their final year of medical school directly into their residency, creating a smooth, uninterrupted pathway.

However, as an international medical graduate (IMG), you are subject to the same graduation requirements. In my personal view, expediting your internship completion is advantageous. This approach provides an added layer of security because many countries only issue graduation certificates once the internship is finalized. It’s important to note that this process differs from Canada, and it’s a point worth considering for IMGs.

By understanding and adhering to these graduation requirements, you can navigate the complexities of the Canadian residency matching process with greater confidence and clarity.

2. Examination Requirements

The examination requirements often stand out as a source of concern for many international medical graduates (IMGs). The landscape of these examinations in Canada has undergone several changes over the years, and it can be quite overwhelming to navigate. When I began my journey in Canada, there was an exam called MCCEE, short for “Evaluating Examinations.” Thankfully, MCCEE is no longer part of the process, and Canada has also phased out MCCQE2.

As of now, to simplify things, you primarily need to focus on two exams: MCCQE1 (Medical Council of Canada Qualifying Examination Part 1) and NAC (National Assessment Collaboration), which is an OSCE (Objective Structured Clinical Examination)-based assessment. The good news is that all provinces in Canada currently require these two exams. However, there’s a catch that many IMGs wonder about: “Can I use my USMLE scores for the Canadian application?”

At the time of writing this article, the only province that allows you to use USMLE or NBME (National Board of Medical Examiners) scores in place of MCCQE1 is Nova Scotia. Please note that this could change, so it’s essential to stay updated on provincial requirements.

There are also some exceptions related to NAC. If, by any chance, you completed MCCQE2 (which is no longer offered) in the past, you can use it for applications in Quebec and Ontario. Yes, it can get quite confusing!

The purpose of this video is precisely to bring clarity to these complex processes. Many IMGs find it challenging to navigate this journey despite the information available online and in various videos. That’s why we offer coaching and guidance for IMGs. You can book our services atΒ www.IMGsecrets.com. We’ve even assisted IMGs during their residency matching applications to ensure they avoid common pitfalls and present pristine applications, significantly increasing their chances of successfully matching. Hopefully, this explains how you can benefit from our assistance in this intricate process.

3. English Language Requirements

Let’s dive into the English examination requirements for CARMS matching, which can be a bit of a labyrinth to navigate. As of the time I’m recording this, there are three different English exams you can use. Here’s a breakdown:

  1. CELPIP (Canadian English Language Proficiency Index Program): If you opt for CELPIP, make sure you take the general version of the exam, and you must score more than nine in all modules within the same setting.

  2. IELTS (International English Language Testing System): I personally took IELTS when I moved to Canada, and it’s a versatile option. You can take it on paper or on a computer, and it doesn’t matter if you take it in your home country. The key requirement here is that you must achieve a score of more than seven in the same examination setting. In other words, you can’t score a seven in writing on one day and a seven in reading on another day; all the sevens must be obtained in the same exam session.

  3. OET (Occupational English Test): The OET is a viable option if you take it on a computer. However, if you choose to do the paper version of the test or take it in your home country, be aware that some provinces may not accept it. Yes, it can indeed be perplexing.

To simplify, the safest bet, in my opinion, is to either take the CELPIP or consider IELTS. I can personally vouch for IELTS as a relatively straightforward exam. With a bit of preparation, it’s quite achievable to score more than seven.

Navigating these English language proficiency exams can be challenging, but understanding the specific requirements and choosing the right test for your situation will greatly enhance your chances of meeting the CARMS matching criteria.

4. Two Iteration Cycles

In Canada, the CARMS matching process unfolds in two distinct phases: the first iteration and the second iteration. These phases serve to streamline the selection process and accommodate candidates with diverse backgrounds. Let’s break it down:

  1. First Iteration: This phase is primarily designed for international medical graduates (IMGs) who received their training outside of the USA or Canada, typically in their home countries. If you completed your medical education in the USA, it’s typically considered accredited training. However, for IMGs like yourself, your training falls under the category of non-accredited training. Therefore, you would apply during the first iteration cycle.

  2. Unfilled Spots: During the first iteration cycle of CARMS matching, it’s possible that some residency spots remain unfilled. Now, you might be wondering why they don’t simply take more IMGs to fill these vacancies. There are several reasons for this, including program preferences, accreditation standards, and other complexities. Nonetheless, for IMGs who do not secure a match in the first iteration or did not apply during this cycle, there’s still hope.

  3. Second Iteration: IMGs have the option to apply during the second iteration cycle. In this phase, you can strive to secure a residency program that aligns with your aspirations. It’s another opportunity to pursue your medical career goals in Canada.

In the USA, a somewhat similar process exists. If you don’t receive a match in the initial cycle, there’s a process known as the Supplemental Offer and Acceptance Program (SOAP). However, it’s worth noting that in the USA, you have only a limited window of a few days to apply through SOAP and successfully secure a residency match.

I wanted to highlight these differences to provide you with a comprehensive understanding of the residency matching process in Canada. It’s clear that you’re deeply interested in pursuing your medical career in Canada, and I hope this information proves valuable as you navigate your journey.

5. Medical Identification Number of Canada (MINC)

Obtaining the MINC number, which stands for the Medical Identification Number of Canada, is a crucial step in your journey towards applying for Canadian residency matching. This number serves as a unique identifier for each physician practicing in Canada and consists of 12 characters. Let’s break down what each part signifies:

  1. First Two Characters: These represent the country you are in. For example, for Canada, it’s represented by ‘CA.’

  2. Next Two Characters: This segment signifies your degree. If you hold an MD degree, it will be represented as ‘MD.’

  3. Seven Unique Identifier Characters: Following the country and degree, there are seven characters that create a unique identifier for you.

  4. Last Character: The final character serves as a check to verify for errors and maintain accuracy.

The MINC number is nationally recognized by the Federation of Medical Regulatory Authorities of Canada, ensuring consistency throughout your medical practice within the country. The structure of the MINC number is clearly defined, and the MINC website provides examples of how it would look for individuals from different countries and with different degrees.

For instance, if you are from Canada and hold an MD degree, your MINC number could appear as ‘CA MD 1 2 3 4 5 6 7 8’ (this is just an illustrative example). This number is essential for your Canadian residency matching application, so be sure to obtain it as part of your preparation to pursue your medical career in Canada.

6. Specific Provincial Requirements

Navigating the Canadian residency matching process can be intricate, and it’s important to be aware of specific provincial requirements, especially if you have your sights set on British Columbia, Alberta, or Quebec. Let’s delve into these provincial nuances:

  1. British Columbia (BC): BC has instituted what’s known as the Clinical Assessment Program, and participation in this program is a requirement for IMGs. It’s worth noting that the program director has expressed a commitment to enhancing the process for IMGs, with the potential for increased IMG participation in BC. Keep an eye on developments in this province.

  2. Alberta: In Alberta, you’ll need to complete the Alberta IMG Program. The advantage here is that Alberta offers several options for IMGs to fulfill this requirement, and physical presence in the province is not mandatory. This flexibility can be beneficial for those seeking opportunities in Alberta.

  3. Quebec: Quebec tends to focus on IMGs who possess strong proficiency in French, both written and spoken. If you excel in French, then Quebec could be a promising option for you. However, if your French language skills are not at an advanced level, it might be more practical to direct your efforts toward other provinces.

To sum it up, each province in Canada may have its own unique requirements and preferences, so it’s essential to do your research and align your qualifications and language skills accordingly. The path to matching in Canada involves understanding and meeting these specific provincial requirements, and I hope this information helps clarify your options and choices in pursuing your medical career.


CASPER, the online situational judgment test, serves as a crucial evaluation tool for assessing an individual’s situational awareness and their ability to make sound decisions, especially in high-stress situations. Let’s delve deeper into what CASPER assesses and the key concepts it encompasses:

CASPER delves into a wide range of important concepts, including:

  1. Collaboration: It evaluates your ability to work effectively within a team or group setting, assessing your capacity to cooperate and contribute constructively.

  2. Communication: CASPER gauges your communication skills, including your proficiency in conveying information clearly and empathetically.

  3. Empathy: Your capacity to understand and relate to the emotions and perspectives of others is assessed, highlighting your empathy and interpersonal skills.

  4. Ethics: CASPER examines your ethical reasoning, considering how you approach moral dilemmas and make decisions that align with ethical principles.

  5. Motivation: It assesses your motivation and commitment to your chosen path or profession, including your dedication to your goals.

  6. Equity: The test evaluates your understanding and commitment to fairness and equity in various situations, emphasizing your sense of justice.

  7. Problem Solving: CASPER looks at your problem-solving abilities, scrutinizing how you approach and resolve complex challenges.

  8. Professionalism: It assesses your professionalism, including your adherence to ethical standards, responsibility, and integrity in your chosen field.

  9. Resilience: CASPER examines your resilience, measuring your ability to bounce back from adversity and maintain your performance under pressure.

  10. Self-awareness: Your awareness of your own strengths, weaknesses, and emotional responses is considered, reflecting your self-awareness and emotional intelligence.

Collectively, CASPER provides valuable insights into how individuals handle real-world scenarios that require a combination of these essential attributes and skills. It’s a comprehensive tool that aids in the evaluation of candidates for various professional and educational programs, ensuring they possess the qualities necessary to succeed in challenging situations.



For international medical graduates (IMGs), the path to Canadian residency through CARMS matching can indeed seem like a complex and intense journey, especially in provinces like British Columbia, Saskatchewan, and Alberta. It’s completely understandable if you find this process overwhelming, but I want to reassure you that you’re not alone in this.

We are here to offer our guidance and expertise to assist IMGs like you in navigating this intricate process. Our team is well-versed in helping IMGs from various backgrounds, and we can simplify the journey for you. By seeking our professional assistance, you can elevate your application to a level of strength, especially in today’s highly competitive environment where numerous IMGs vie for limited residency spots.

Once you successfully secure a residency position, you’ll be on your way to becoming a fully licensed physician in Canada, which is a significant achievement.

Now, if you’re an IMG who has already completed residency or postgraduate training in your home country, there are pathways to apply for clinical fellowships and explore opportunities to work as an attending or consultant physician in Canada with a full license. I have a video (image Video) available that explains this process, but if you need personalized guidance to choose the right path, please don’t hesitate to reach out to us.

Feel free to ask any questions in the comments below, and I’ll do my best to provide timely responses. Take care, stay safe, and I look forward to speaking with you soon.

Dr. Rajeev Iyer, MBBS, MD, FASA Associate Professor of Anesthesiology Univesity of Pennsylvania, Philadelphia, USA

The opinions expressed here are of the author and do not represent the opinion of the University of Pennsylvania or any other organization.

The screenshots of these images are sourced from the original website, and their copyrights are owned by the original creators. They are being utilized here solely for illustrative purposes.

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