Requirements for Postgraduate Training in the USA Medical graduate currently enrolled in a Canadian specialty or subspecialty residency training program who wishes to pursue a fellowship [Category A]

Table of Contents

Who can apply under Category A?

Applicants must be currently enrolled in a Canadian medical specialty and nearing completion of the residency or in a subspecialty residency training program.

Which types of fellowship training programs are endorsed for a Statement of Need?

Fellowship training programs which are accredited by the Accreditation Council on Graduate Medical Education (ACGME) are endorsed for a Statement of Need.

Other fellowship programs in the United States that are not ACGME-accredited may also be endorsed by provincial and territorial ministries of health for a Statement of Need. The Exchange Visitor Sponsorship Program, Educational Commission for Foreign Medical Graduates (EVSP/ECFMG), may sponsor these non ACGME-accredited fellowship programs because they are recognized by the relevant American Board of Medical Specialties for the purpose of J1 sponsorship. The duration of this non-standard fellowship training may vary in length and the duration must be defined at the onset of training by the host institution’s Graduate Medical Education Committee. The duration may be less than a year and up to three years. The EVSP maintains a list of these programs on its website.

What documents do I need to submit for my initial application?

1. Application Form

Complete and sign the PDF version of the application form.

2. Proof of Canadian Citizenship/Permanent Residency

Submit a notarized or certified copy of one of the following documents:

  • Canadian citizenship card
  • Canadian Passport
  • Record of birth in Canada
  • Permanent Resident Card

3. Dean's Letter of Support

Provide a letter of support from a Dean (or Assistant/Associate Dean) of Postgraduate Medical Education.

Procedure: Contact the Postgraduate Medical Education Office (PME) and request a Letter of Support of the proposed training, signed by the Dean or Associate Dean of PME and addressed to the provincial or territorial ministry of health or equivalent. Send your request by email with "Your Name, Statement of Need and J-1 Visa Request" in the subject line to the PME (it is recommended that you copy your provincial ministry of health on this request) and include the following information.

  • your name, address, phone number, email
  • your current residency (specialty and/or subspecialty) program: what and when
  • the location and type of the proposed fellowship or subspecialty program
  • proof of acceptance into a United States fellowship or subspecialty training program, such as a copy of your contract or letter of offer
  • the start and end dates of the fellowship or subspecialty program

Upon approval of your request, the PME will issue the Letter of Support and send an email to the provincial or territorial ministry of health with the Dean's Letter of Support as an attachment (and a copy of your request, as decided by PME) with a copy to Health Canada

4. Provincial/Territorial Letter of Endorsement

Provide a Letter of Endorsement from a Canadian provincial or territorial ministry of health or equivalent stating that there is a need for qualified practitioners in the proposed medical specialty training, and that the training is consistent with the province's or territory's physician resource planning.

Procedure: Contact the provincial or territorial ministry of health or equivalent to request its endorsement of the proposed training. Send your request by email with "Your Name, Statement of Need and J-1 Visa Request" in the subject line to the provincial or territorial ministry of health and include the following information:

  • your name, address, phone number, email
  • your current residency (specialty and/or subspecialty) program: what and when
  • the location and type of the proposed fellowship or subspecialty program
  • proof of acceptance into a United States fellowship/subspecialty training program, such as a copy of your contract or letter of offer
  • the start and end dates of the fellowship or subspecialty program
  • proof of permanent residence in the province, if required by your province
  • your reasons for pursuing fellowship/subspecialty training in the United States and the benefit to Canada

Upon approval of your request, the provincial or territorial ministry of health will issue the Letter of Endorsement then send it by email as an attachment to Health Canada with a copy to you.

5. Letter of Offer/Training Contract/U.S. Match Webpage

Provide a copy of one of the following.

  • A letter of offer for a fellowship or a subspecialty from the clinical training program in the United States. The letter must be on the institution's letterhead and should be accompanied by your signature of acceptance of the offer.
  • A training contract for a fellowship or a subspecialty from the clinical training program in the United States. The training contract should bear your signature indicating you have accepted the offer.
  • The secure web page confirming you have matched to a clinical training program in the United States.

6. Consent to the Disclosure of Personal Information to Provincial and Territorial Governments for Recruitment Purposes. Complete and sign the PDF version of the Consent Form for Recruitment. (Optional)

What documents do I need to submit to obtain a subsequent Statement of Need for additional training?

If you already have a Statement of Need, and you wish to obtain a new Statement of Need for additional training, please submit the following documents.

  • Application Form, as above.
  • Letter of Offer/Training Contract/U.S. Match Webpage, as above
  • Provincial/Territorial Letter of Endorsement, as above.

Who do I contact for additional information?

If you have questions about determining your category or require additional information about applying for a Statement of Need, please contact the Program Administrator using the following email address: j1visa@hc-sc.gc.ca.

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