Applicants must have their Royal College certification or its equivalent, three letters of recommendation and demonstrate experience or an aptitude for research. Those applicants that are from countries in which the language of instruction is not English must have successfully completed one of the following examinations;

1. Test of English as a Foreign Language (TOEFL)
2. Michigan English Language Assessment Battery (MELAB)
3. International English Language Testing System (IELTS)
4. The Certificate of Proficiency in English (COPE)
5. Uof T School of Continuing Studies Academic Preparation Course

The results of the examinations must meet the standards set out by the office of Postgraduate studies of the University of Toronto;

The fellowship coordinator screens all applications and those that have met the criteria are presented to the individual committees to review. The committees meet regularly and applicants are chosen on merit. We actively encourage international applicants however preference is given to Canadian Citizens and permanent residents of Canada.

PRE-ENTRY ASSESSMENT PROGRAM (PEAP) FOR IMGs ENTERING
POSTGRADUATE MEDICAL EDUCATION IN ONTARIO

ALL international medical graduates (IMGs) are now required to undergo a Pre-entry Assessment Program (PEAP) and obtain a license from the CPSO (the College of Physicians and Surgeons of Ontario) prior to full acceptance into an Ontario fellowship program.
Candidates in a fellowship PEAP will be evaluated based on their general knowledge and competency in the specialty in which they are certified, and appropriate for practice in the discipline in which they are entering fellowship training.

It is normally 4 weeks in duration, but can be extended by the Program Director up to a maximum of 12 weeks if necessary.
The PEAP allows assessment of candidates in a supervised clinical, multidisciplinary environment where there is patient input on an ongoing basis. Assessment is also to ensure that candidates are: mentally competent to practice medicine; able to practice with decency, integrity and honesty and in accordance with the law; have sufficient knowledge, skill and judgment to engage in postgraduate medical training as authorized by the educational license; can communicate effectively, and display an appropriate professional attitude.

Normally, it takes 4-6 months for oversees IMGs to complete the Visa application process and the CPSO’s required registration documentation.
All fellowship opportunities commencing after January 1, 2003 will follow the new PEAP system.

Medical Council of Canada Evaluating Exam (For fellows)

Fellows are currently exempt from writing the MCCEE by virtue of a letter to CPSO from the Postgraduate Dean. The PEAP process replaces the need for a letter to request the exemption. A fellow’s general knowledge and competency appropriate for practice in his/her specialty will be assessed during the PEAP. Individuals who are deemed not to have general knowledge and competency appropriate for practice in their specialty cannot enter fellowship training.