This policy provides an alternative to the requirement of the successful completion of the Licentiate of the Medical Council of Canada (LMCC) qualification.

Even if you are not a licentiate of the Medical Council of Canada, you may be eligible for a certificate of registration if you have successfully completed one of the following exams:

1. USMLE Steps 1, 2 and 3.
2. ECFMG certification plus USMLE Step 3. This applies to international medical graduates (IMGs) who passed USMLE Step 2 Clinical Skills Assessment (CSA) between July 1, 1998 and June 14, 2004.
3. FLEX component 1 and component 2, successfully completed (score of 75 on each component) between January 1, 1992 and December 31, 1994.
4. NBME Part 1, 2 and 3, successfully completed between January 1, 1992 and December 31, 1994.
5. The Comprehensive Osteopathic Licensing Examination (COMLEX – USA) Levels 1, 2 and 3. We require the COMLEX – USA Level 2 Performance Evaluation (PE) component if you completed Level 2 after September 2004. (This applies to graduates of osteopathic schools accredited by the American Osteopathic Association)
6. Examen Clinique Objectif Structuré (ECOS) of the Collège des Médecins du Québec passed between January 1, 1992 and December 21, 2000.

The Registration Committee may direct the Registrar to issue a certificate of registration authorizing independent practice to applicants who have successfully completed one of the alternate examinations above and are otherwise qualified for an Independent Practice Certificate of Registration and satisfy the non-exemptible requirements set out in Section 2(1) of Ontario Regulation 865/93.