Postgraduate Education Term for Clinical Fellows

Policy Category: Registration
Under Review: No
College Contact: Registration Inquiries

Downloadable Version(s): Postgraduate Education Term for Clinical Fellows

The College’s registration regulation sets out the requirements which must be met in order for an applicant to be issued a certificate of registration.

If an applicant does not meet the requirements set out in the regulation it may still be possible for an applicant to qualify pursuant to one of the exemption policies.

Please note if you currently hold a certificate of registration in any Canadian jurisdiction except Nunavut you may be eligible for registration in Ontario under new provisions of the Health Professions Procedural Code (the “Code”). Please refer to sections 22.15 to 22.23 of the Code. Please see Legislation and By-Laws for more details.

All applicants must be able to demonstrate that their past and present conduct indicates that they are mentally competent to practise medicine; will practise with decency, integrity and honesty and in accordance with the law; have sufficient knowledge, skill and judgment to engage in the kind of practice authorized by the certificate and can communicate effectively; and will display an appropriately professional attitude.

In addition to the registration regulation and policies, all applicants will also be subject to other CPSO policies and regulations which apply to current registrants. In particular, the Changing Scope of Practice and Re-entering Practice policies, and the regulation pertaining to the use of specialist titles may have relevance for new applicants. All applicants will also be subject to the College’s expectations with respect to continuing professional development.

All applicants may choose to proceed through any other applicable registration policy. In such instances, the provisions in this policy will not apply.


This policy applies to all IMG clinical fellows holding a postgraduate education certificate issued under section 12 of the registration regulations. Under the regulation, the certificate terminates after two years. However, this policy enables the College to renew the certificate for one additional year, without the need for the College’s Registration Committee to approve the third year, provided the applicant continues to meet non-exemptible registration standards.

Under this policy, applicants may request an extension for a third year, but do not have to submit an application form following their second year. Any request for extension beyond 36 months, however, will require review and approval by the Registration Committee along with appropriate documentation submitted by the fellow and the medical school.

In order to apply, the proposed third year must be in the same clinical fellowship program at the same Ontario medical school and enrollment must be continuous from second year; the certificate automatically terminates at the end of the third year of the clinical fellowship.