Trainees out of province - Canadian

IMPORTANT: In order to pursue any Postgraduate training in Ontario, you must hold a valid license with the College of Physicians and Surgeons of Ontario (CPSO).  It is your responsibility to contact the CPSO for a license application package, as well as to ensure that all licensing requirements are met prior to the elective period.  The license application should be submitted to the CPSO at least two months prior to the elective start date.  You will not be able to commence your rotation without a valid CPSO license. Please visit the CPSO website for application packages. The Inquiries Department at CPSO can be reached at 416.967.2617 or

  1. The applicant must first contact the program to formally request the elective of their choice, and indicate the proposed start and end date of the rotation. For program contact information please see Residency Training Program contact info.
  2. After the program approves the requested elective dates, the applicant must send the following documentation to in the Postgraduate Medical Education office:

    • Date of Birth
    • Start and end date of elective
    • PG level at time of elective
    • Curriculum Vitae
    • Copy of Medical Degree (a photo is acceptable)
    • CPSO number if you have previously been licensed in Ontario
    • A letter of support from the applicants home program stating the dates of the elective they are approving
  3. After the program approves the elective time, the elective application is reviewed and a Letter of Appointment is prepared and emailed to the applicant.  This is completed approximately 2 months prior to the start date of the elective. 
  4. The letter must be signed and returned to the PGME office. Once returned, the PGME office will forward the signed letter of appointment to the College of Physicians and Surgeons of Ontario (CPSO).
  5. The elective applicant will receive, via email from Medical Affairs, a hospital application package that includes training modules to complete, a hospital appointment letter to sign and return, and a health review form to be completed. Elective training cannot begin until Medical Affairs has confirmed that all requirements have been met.  More information on Medical Affairs requirements can be found here. **Please note, if the applicants elective is at a Distributed Site, they will not receive a hospital application package**
  6. Once the signed letter of appointment has been sent to the CPSO, the PGME office will monitor for the issuance of the Postgraduate elective license by the CSPO. An email will then be sent to the Program Director, Medical Affairs, and the applicant, notifying them that the CPSO license has been issued, and all PGME requirements have been met.
  7. Medical Affairs will follow the confirmation of elective email with a confirmation of whether all requirements have been met and hospital privileges are in effect.