Working as a doctor in Ontario, CA - What IMGs need to know

  • November 20, 2024
 

Are you an overseas doctor considering a career in Canada?...

..Then look no further! With its stunning landscapes and high quality of life, Ontario is actively seeking international doctors to join its healthcare workforce and invite into its society to help further enhance the medical community. The recent campaign targets IMGs, especially General Practitioners (GPs), consultants, and medical specialists, to address staffing shortages and enhance diversity within the medical profession. Doctors with CCT or CCST qualifications from the UK or Ireland are particularly sought after. With growing demand, doctor jobs in Ontario offer competitive salaries and excellent opportunities for career progression.

Ontario is Canada’s most populous province and home to some of the country’s largest cities, including Toronto, Ottawa, and Hamilton. With its diverse and rapidly growing population, Ontario’s healthcare system offers significant opportunities for IMGs who are interested in pursuing a career in Canadian healthcare.

In this blog, we’ll provide an essential guide to healthcare in Ontario for overseas doctors. We’ll cover the structure of the healthcare system, how to get licensed as a UK or Irish trained doctor, where you might work and what your salary can look like.

 

To answer some of your q’s - here is an overview of Ontario’s Healthcare System

Did you know that Ontario’s healthcare system is publicly funded and provides universal coverage to all residents through the Ontario Health Insurance Plan (OHIP). This means that, regardless of a patient’s financial status, most healthcare services are free at the point of use. Healthcare in Ontario is delivered by a mix of private practitioners, community health centres, hospitals, and long-term care facilities. For GPs, this presents both an opportunity and a responsibility, as likely most of their patients will be covered by OHIP and will not pay directly for most medical services, which can make way for a more personal and consistent doctor-patient relationship.

Ontario's healthcare system is run by the Ministry of Health and Long-Term Care (MOHLTC), which oversees funding, policies, and planning. While OHIP covers most healthcare services, some services such as dental care or prescription drugs may not be fully covered, but this can be covered by individual health insurance.

 

How can you work in Ontario as a UK or Irish trained IMG?

For IMGs, entering Ontario’s healthcare system can be a rewarding but slightly complex process. This is where we, at IMG Connect, will be at your service to help guide you through the intricate process. The first step is ensuring that you meet the qualifications required to practice medicine in the province. The College of Physicians and Surgeons of Ontario (CPSO) is the regulatory body responsible for ensuring that all physicians in Ontario meet the necessary standards.

Here’s a step-by-step look at how IMGs can begin their journey to working in Ontario:

1. Assessing Your Qualifications - the first thing you’ll need to do is ensure that your medical qualifications are recognised in Canada. This involves an assessment by The Medical Council of Canada (MCC). The MCC administers the Medical Council of Canada Evaluating Examination (MCCEE) and also assesses your medical school credentials, read more here for a breakdown of the assessments.

If your medical school isn’t on Canada’s list of accredited institutions, you may be required to complete additional exams or qualifications, for example, the Medical Council of Canada Evaluating Examination (MCCQE) Part 1 is often necessary for IMGs to demonstrate that they meet Canadian medical standards. Read more here for a more in depth look at what you might need under your belt as an IMG.

2. Apply for Registration with the CPSO - once you’ve passed the necessary exams, you’ll need to apply for registration with the CPSO. There are three primary pathways for IMGs:

Independent Practice. If you meet all the requirements, you can apply for an unrestricted medical license to practice independently in Ontario.

Supervised Practice. Some IMGs may need to undergo a period of supervised practice (usually for a year or two) before they are granted independent practice rights. This is common for those with limited Canadian experience or who have not completed their residency training in Canada.

Specialist Registration. If you are a trained specialist, you will also need to pass additional exams related to your specialty before being granted a specialist license.

3. Finding employment opportunities in Ontario - once you are registered with the CPSO and raring to go, you can begin the fun part – searching for an ideal opportunity that fits your personal goals, and this is where one of our specialised recruitment consultants can help you find the perfect match. To streamline this process, you can use a comprehensive account-based portal on an MCC web page, called Physicians Apply, to store your medical credentials and other important documents that will be necessary to apply for a doctor job in Canada. When it comes to choosing the right setting to practice in, you have several options available. The most common settings for physicians in Ontario include:

Hospitals - Ontario’s hospitals are diverse, ranging from large teaching hospitals in urban centres to smaller community hospitals in rural areas. Depending on your specialty, you might find opportunities in both public and private hospitals.

Family MedicineA family doctor is often the primary healthcare provider, especially for patients who live in more rural areas. These settings are used to treat non-emergency medical issues and will often be practicing in a clinic, like a GP surgery, which are often publicly funded.

Specialist care - Ontario has a variety of specialist needs, and many IMGs who have completed specialist training in countries like the UK & Ireland can find work in the province’s various hospitals and clinics.

Community health centres - These centres provide primary care to underserved populations and are often looking for skilled doctors. They are a good option if you want to serve in a multi-disciplinary team and address the needs of specific populations, such as newcomers or low-income individuals.

4. Work permits and immigration – as a Uk or Irish trained doctor, you’ll also need to secure a work permit. Ontario’s immigration system is tied closely to federal immigration policies, and many IMGs enter Canada through the Express Entry program or other pathways that offer skilled workers the chance to become permanent residents. Visit the Canadian Government website here for more details about how to check your eligibility to apply for Express Entry.

As a physician, you may also qualify for specific programs aimed at recruiting skilled medical professionals to Canada. The Ontario Immigrant Nominee Program (OINP) is a popular pathway for skilled workers, including doctors, looking to live and work in Ontario. Find out more here.

 

What can you expect life to look like in Ontario?

You’ll be pleased to know  that Ontario is a culturally diverse province, home to people from all over the world with a healthy population of just over 16 million. Its cities generally offer a high standard of living and excellent work-life balance, however, keeping with current economic trends, the cost of living can be high, particularly in Toronto. This being said, salaries for doctors are very competitive and there are significant benefits to practicing in Ontario. Read on to understand what some of these benefits are.

Salaries – what you earn in Ontario as a doctor can vary, depending on specialisation and what role you are interested in. Top earning doctors in Ontario can see annual salaries of $336,500 on average, where an average salary for a doctor in Ontario can be around $166,000 per anum. There are some ways in which your salary can be affected by your specialisation, for example, the number of hours your role requires you to work, meaning you may have the chance to earn more through longer working hours, or if you are a speci family doctor

Cost of living and Housing - while Ontario offers a high quality of life, it is important to understand the cost of living. Toronto, for example, is one of the most expensive cities in Canada in terms of housing. However, you will see that smaller cities, like Ottawa, Hamilton, or those in more rural Northern Ontario have significantly more affordable options. It's important to plan your housing and lifestyle budget ahead of time to ensure a smooth transition, and if you are taking a role with IMG Connect this is what we will help you to do.

Cultural diversity and Community support - one of the most celebrated things about Ontario is its multiculturalism. The province is home to people from every corner of the world, and this is reflected in the communities, food, festivals, and cultural support networks available. As an IMG, you’ll find a supportive community of fellow medical professionals, and you’ll likely have the opportunity to interact with patients from diverse backgrounds. If you’re interested in learning about some of our previous successful candidates, who’ve forged strong connections in new countries with second languages to master, have a read of some of our IMG Stories available on our website.

Ontario also has a strong IMG community, with many professional networks and organisations aimed at helping you integrate into the Canadian medical system. Programs and mentoring opportunities are often available through the CPSO, medical schools, and other professional groups.

Work-life balance - Ontario’s healthcare system places a significant emphasis on work-life balance. While your work hours can vary depending on your specialty, Ontario offers flexible scheduling for many physicians, especially those working in community settings or clinics. This means you can maintain a balance between your professional responsibilities and personal life, which is crucial if you're relocating with your family.

Challenges and Opportunities for IMGs in Ontario - while Ontario offers numerous opportunities, it’s important to acknowledge some of the challenges that IMGs may face when starting their careers in Canada.

Challenges:

  • Credential Recognition. The process of getting your international qualifications recognized and gaining the necessary certifications can take time. You may need to pass exams, undergo supervised practice, and navigate the regulatory systems carefully.
  • Cultural Adaptation. Though Ontario is welcoming, adapting to a new country, culture, and medical system can take time. You’ll need to familiarise yourself with Canadian medical practices, patient expectations, and the specific health needs of Ontarians.

Opportunities:

  • High Demand for Physicians. Ontario’s population continues to grow, and there is a high demand for medical professionals in both urban and rural areas. If you are flexible about where you practice, you may find numerous opportunities in underserved communities.
  • Support for IMGs. Ontario’s healthcare system and professional organisations offer various support mechanisms for IMGs, including orientation programs, mentorship, and financial assistance in some cases. You are never alone in this process and, again, this is where IMG Connect will be at your side to support you through the process.

 

In a nutshell

Ontario offers a wealth of opportunities for UK & Irish trained doctors who are looking for a job in Canada. Ontario is an attractive destination for IMGs who want to contribute to healthcare while experiencing quality of life in one of the world’s most naturally breathtaking and diversely represented provinces. With a strong healthcare system, a diverse patient population, and numerous employment opportunities, we are confident that we can guide you into the perfect role.

While there are challenges to navigate, including licensing requirements and the need for adaptation, the rewards of working in Ontario’s healthcare system are plentiful.

If you’re an IMG looking to practice in Ontario or any other part of Canada, IMG Connect is here and happy to help! Our expertly-trained team is experienced in guiding doctors through every stage of the recruitment process—from licensing to relocation—so you can start your journey with confidence. Reach out today to learn more about how we can support your medical career in Ontario!

 

Relevant Jobs

88,364 - 119,133

An excellent NHS job opportunity for an experienced Consultant Neurologist to join this NHS Trust as a Consultant working in an established Neurology department in the UK. This NHS job offers CESR Portfolio Pathway support and international applications from IMGs are welcome.

The NHS Trust

This NHS Trust is a key provider of acute health services in the Midlands, offering a comprehensive range of services to its diverse population. The Trust operates across multiple sites, ensuring a broad scope of care and support for its patients. Known for its commitment to delivering high-quality services, the Trust is dedicated to continuous improvement and innovation in patient care. With a strong reputation in Neurology and other specialties, this NHS Trust provides an excellent environment for medical professionals to advance their careers. This NHS job offers the chance to be part of a dynamic and forward-thinking organization that values excellence in clinical care.

The Neurology Department & Team

The Neurology Department at this NHS Trust is well-regarded for its comprehensive services and multidisciplinary approach. The department consists of experienced Consultants, Specialty Doctors, and a highly skilled support team. It offers a full range of services, including both inpatient and outpatient care, along with specialized clinics and state-of-the-art diagnostic facilities. The department fosters a collaborative environment with strong ties to other specialties, enhancing the overall quality of care. As a Consultant Neurologist in this NHS job, you will be part of a supportive team dedicated to providing exceptional care to patients with neurological conditions. This role is ideal for those looking to contribute to a high-performing department while advancing their own careers.

Continued Professional Development

This NHS job offers further training & accreditation within Neurology, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interest. The Trust is committed to the continuous professional development of its staff, providing ample opportunities for career growth. As a Consultant Neurologist, you will benefit from regular CPD sessions, opportunities to attend relevant conferences, and involvement in clinical research. The department also encourages teaching and mentoring, offering a well-rounded environment for professional development. This NHS job ensures that you will have the resources and support needed to excel in your role and advance in your career.

Location

The Midlands is an attractive region in the United Kingdom for international doctors and their families to relocate to. It offers a balanced lifestyle with a lower cost of living compared to larger UK cities. The area is known for its natural beauty, including picturesque countryside and green spaces, making it ideal for outdoor enthusiasts. The region is rich in cultural history, with a variety of museums, theaters, and historic sites to explore. The Midlands also boasts excellent educational institutions and a strong community spirit, making it a great place for families. With convenient transport links to major cities like Birmingham and London, this location offers the perfect blend of rural and urban living for healthcare professionals.

Am I eligible for this role?
UK based candidates:

  • Experience in Neurology

EEA candidates: 

  • Experience in Neurology
  • European Specialist Qualification

Non-EEA candidates:

  • MRCP
  • Experience in Neurology
105,504 - 139,882

A leading NHS hospital in the East of England is looking for a Locum Consultant Ophthalmologist with an interest in Paediatric Ophthalmology. The Ophthalmology department consists of a team of consultant ophthalmologists and is supported by middle-grade doctors. This Ophthalmology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCOphth are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

JOB REQUIREMENTS AND DETAILS

Extensive experience in the specialty of paediatric ophthalmology is required, as well as GMC eligibility via accepted qualifications. Anyone with an interest in Paediatric Ophthalmology should apply. The salary will be between £105,504 to £139,882, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide consultant-level care for patients requiring paediatric ophthalmology services.
  • Work collaboratively within a multi-disciplinary team.
  • Participate in the consultant on-call rota and provide clinical supervision for junior doctors.
  • Engage in service development, clinical governance, and research where appropriate.

LIFE IN THE REGION

This region offers a blend of city and rural living, with a choice between urban centres for convenience and scenic villages for a quieter lifestyle. The area has great transport links, excellent schools, and diverse leisure opportunities, including historic sites, parks, and family-friendly attractions. The region is historically significant, with landmarks dating back to medieval times and strong ties to British aviation history.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists
  • Application support with expert knowledge of NHS specialisms & recruitment practice
  • At least two video calling interview preparation sessions
  • Contract and offer negotiations for salary, relocation packages, tenure, and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:

  • Document gathering and checking
  • COS and Visa Application support if applicable
  • Support sourcing short- and long-term accommodation
  • Travel Arrangements
  • Family support for finding schools and any other aspects of pastoral care
105,504 - 139,882

A leading NHS mental health hospital in the East of England is looking for a Consultant Psychiatrist in General Adult Psychiatry with an interest in acute inpatient care. The psychiatry department consists of a team of consultant psychiatrists and is supported by a large team of middle-grade doctors. This General Adult Psychiatry job is open to both international applications and UK-based doctors, though those with European Specialist or MRCPsych are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

 

  • Consultant level experience in psychiatry

  • Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification

  • Anyone with an interest and prior experience in acute inpatient psychiatry should apply.

  • The salary will be between £105,504 to £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide consultant leadership and psychiatric input into the acute inpatient unit.

  • Work closely with the multidisciplinary team, ensuring strong links with community teams.

  • Supervise junior doctors and support their training and professional development.

  • Participate in strategic planning, governance meetings, and service development.

LIFE IN THE REGION

This region offers a mix of urban and rural living, with vibrant city life and picturesque countryside nearby. Popular areas include city centre locations for convenience and scenic villages for a quieter lifestyle. The area is well connected, with excellent transport links, top-rated schools, and various leisure activities, including shopping, outdoor parks, and cultural events.

Rich in history, this region is known for its medieval architecture and contributions to British heritage, making it an attractive place to live and work.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists

  • Application support with expert knowledge of NHS specialisms & recruitment practice

  • At least two video calling interview preparation sessions

  • Contract and offer negotiations for salary, relocation packages, tenure, and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:

  • Document gathering and checking

  • COS and Visa Application support if applicable

  • Support sourcing short- and long-term accommodation

  • Travel Arrangements

  • Family support for finding schools and any other aspects of pastoral care

105,504 - 139,882

A leading NHS hospital in the East of England is looking for a Consultant Haematologist with an interest in Lymphoma. The Haematology department consists of a team of consultant haematologists and is supported by middle-grade doctors. This Haematology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCPath are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

Extensive experience and independence in haematology is required for this role, and anyone with an interest in Lymphoma should apply. The salary will be between £105,504 to £139,882, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide consultant-level care for patients with general haematological disorders and lymphoma.
  • Work collaboratively within a multi-disciplinary team.
  • Participate in the consultant on-call rota and provide clinical supervision for junior doctors.
  • Engage in service development, clinical governance, and research where appropriate.

LIFE IN THE REGION

This region offers a blend of city and rural living, with a choice between urban centres for convenience and scenic villages for a quieter lifestyle. The area has great transport links, excellent schools, and diverse leisure opportunities, including historic sites, parks, and family-friendly attractions. The region is historically significant, with
landmarks dating back to medieval times and strong ties to British aviation history.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists
  • Application support with expert knowledge of NHS specialisms & recruitment practice
  • At least two video calling interview preparation sessions
  • Contract and offer negotiations for salary, relocation packages, tenure, and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:

  • Document gathering and checking
  • COS and Visa Application support if applicable
  • Support sourcing short- and long-term accommodation
  • Travel Arrangements
  • Family support for finding schools and any other aspects of pastoral care
105,504- 139,882

An NHS hospital in the South East of England is looking for a Consultant Clinical Oncologist with an interest in Breast Oncology. The Oncology department comprises a team of experienced Medical and Clinical Oncologists, supported by a large team of middle-grade doctors and a robust research unit. This Oncology job is open to both international applications and UK-based doctors, though those with European Specialist or a suitable Royal College qualification are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

Full or specialist registration with the General Medical Council (GMC) or eligibility within six months is required for this role. Anyone with an interest in breast cancer should apply. The salary will be between £105,504 and £139,882 per annum, dependent on experience and grade.

CORE DUTIES OF THIS ROLE

  • Manage breast cancer patients, working closely with multidisciplinary teams across the region.
  • Deliver systemic anti-cancer therapies (SACT), including chemotherapy, immunotherapy, and targeted treatments.
  • Participate in breast cancer multidisciplinary team (MDT) meetings.
  • Supervise and teach junior doctors, registrars, and medical students.

LIFE IN THE SOUTH EAST

The South East of England offers a mix of coastal and countryside living, with excellent urban options and picturesque rural retreats. The region provides easy access to London and international travel, making it a convenient yet scenic place to live and work.

The area is home to top-performing schools, a thriving job market, and fantastic leisure activities, including watersports, hiking trails, and cultural festivals. There is a strong medical and academic presence, with opportunities for research and collaboration.

Historically, the region played a key role in shaping England, from medieval battles to its significant contributions to maritime history. The blend of heritage and modern development makes it an exciting place to live and work.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists
  • Application support with expert knowledge of NHS specialisms & recruitment practice
  • At least two video calling interview preparation sessions
  • Contract and offer negotiations for salary, relocation packages, tenure, and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role, including:

  • Document gathering and checking
  • COS and Visa Application support if applicable
  • Support sourcing short- and long-term accommodation
  • Travel arrangements
  • Family support for finding schools and any other aspects of pastoral care

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