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Practice Ready Assessment: Licensing IMGs Without Residency

The Practice Ready Assessment (PRA) program offers a supervised workplace-based assessment for experienced international medical graduates (IMGs) to earn a provisional licence to practice medicine in Canada without completing a full residency. This program aims to address the shortage of physicians in certain provinces and provides IMGs with an alternative pathway to licensure. By allowing IMGs to practice in Canada, the program helps to increase the number of healthcare professionals in areas where they are needed most.

what is the practice ready assessment program

The PRA program evaluates an IMG's medical knowledge, clinical skills, and ability to practice safely and effectively in a Canadian healthcare setting. It is typically focused on family medicine, although some provinces may offer PRA streams in other specialties. For instance, some provinces have successfully implemented PRA streams in specialties like emergency medicine and obstetrics.

how to apply for the practice ready assessment program

To apply for the PRA program, IMGs must meet the eligibility criteria set by the province or territory where they wish to practice. This includes having a medical degree from a recognized university, completing a certain number of years of postgraduate training, and passing exams like the Medical Council of Canada Qualifying Examination (MCCQE) Part 1 and Part 2. Applicants can find more information on the eligibility criteria and application process on the IRCC website or by visiting the province's or territory's immigration website.

supervised workplace-based assessment

The supervised workplace-based assessment is a critical component of the PRA program. During this assessment, IMGs work under the supervision of a licensed physician in a clinical setting, where their skills and knowledge are evaluated. The assessment can last several weeks to several months and is designed to ensure that IMGs have the necessary skills and knowledge to practice safely and effectively in a Canadian healthcare setting. This hands-on approach allows IMGs to gain practical experience and build their confidence in a real-world setting.

return-of-service terms

Participants in the PRA program are typically required to commit to a return-of-service agreement, which requires them to practice in a designated area for a certain period of time, usually 2-5 years. This agreement ensures that IMGs contribute to the healthcare system in the province or territory where they were trained and helps to address the shortage of physicians in certain areas. For example, an IMG who participates in the PRA program in a rural area may be required to practice in that area for at least 2 years after completing the program.

provinces offering practice ready assessment streams

Several provinces in Canada offer PRA streams, including Alberta, British Columbia, and Ontario. Each province has its own eligibility criteria and application process, so IMGs should research the specific requirements for the province where they wish to practice. More information on the PRA program and other credential recognition topics can be found on the credential recognition and express entry pages.

The PRA program provides a valuable opportunity for IMGs to gain licensure and practice medicine in Canada without completing a full residency. IMGs should carefully review the eligibility criteria and application process for each province and understand the return-of-service terms before applying. As the healthcare landscape in Canada continues to evolve, programs like the PRA will play an important role in addressing the shortage of physicians and providing quality healthcare to Canadians.

Official current rules are at canada.ca/immigration; this guide is independent reference content.

A small portion of this article — research support, fact-cross-checking, and copy-editing — was assisted by AI tooling. Editorial decisions, source verification, and final sign-off remain with our team. We cite primary sources from canada.ca for every factual claim.

Last reviewed: July 21, 2026

IRCC.com is an independent news site and not affiliated with the Government of Canada.

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