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 Medicine – A 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
JOB REQUIREMENTS AND DETAILS
- FRCPath or equivalent and Full GMC Registration are required.
- The salary will be competitive and dependent on experience.
CORE DUTIES OF THIS ROLE
- Provide histopathology services for diagnostics.
- Participate in the Bowel Cancer Screening Programme.
- Collaborate in academic and educational activities.
- Contribute to digital Histopathology system development.
LIFE IN THE REGION
The position is based in a city offering a mix of urban amenities and scenic rural living options. Families will find excellent schools, easy access to transport, and a range of leisure activities. The region has a rich cultural and historical significance.
An NHS district general hospital in the North of Scotland is looking for a Consultant Clinical Oncologist with an interest in Lung, Head & Neck, or Breast cancer. The oncology department comprises a team of 7 consultants and is supported by a large team of middle grade doctors. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCR (or equivalent) 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
FRCR, full GMC registration with specialist registration or within 6 months of CCT, along with broad experience in prescribing radiotherapy and SACT, are required for this role, and anyone with an interest in Lung, Head & Neck, or Breast radiotherapy should apply. The salary will be between £107,144 and £142,369 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
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Manage a subspecialty caseload in Lung, H&N or Breast radiotherapy, delivering high-quality care and treatment planning.
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Participate in MDT meetings, clinical governance, research and teaching activities.
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Contribute to acute oncology on-call cover and peripheral clinics across the region.
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Lead or support the development of new services or innovations in clinical delivery within the department.
LIFE IN THE SCOTTISH HIGHLANDS
This job is based in the Scottish Highlands, a region known for both its bustling city of Inverness and rural escapes like Beauly or Fort Augustus.
The Highlands offer excellent schools, strong transport links including rail and air connections, and year-round recreational options from hiking to arts festivals. The city also has a vibrant cultural and social scene for families and professionals alike.
Rich in heritage, the Highlands are home to some of Scotland’s most renowned history—from clan culture to castles—making this region both a scenic and significant 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:
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CV Preparation with a bespoke session with one of our specialists
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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 to your new role including:
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Document gathering and checking COS and Visa Application support if applicable
-
Support sourcing short- and long-term accommodation
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Travel Arrangements Family support for finding schools and any other aspects of pastoral care
An NHS acute hospital in the South East is looking for a Specialist Acute Physician with an interest in Same Day Emergency Care and Ambulatory Medicine. The Acute Internal Medicine department comprises a team of 13 consultants and is supported by a large team of middle grade doctors. This Acute Medicine job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) qualifications 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
MBBS or equivalent, full GMC registration, MRCP, and a minimum of 4 years’ post-graduate NHS experience (with at least 2 years in Acute Medicine) are required for this role, and anyone with an interest in expanding SDEC and short stay services should apply. The salary will be between £96,990 - £107,155 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
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Provision of the Acute Internal Medicine service, including same day emergency care, inpatients on the AMU, and the Short Stay Unit
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Receiving referrals from primary care to provide clinical advice and triage for potential admissions
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Supervision of junior doctors and alternative workforce, including advice on treatment plans
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Participation in clinical education and governance activities, and supporting development of the department
LIFE IN THE SOUTH EAST
This role is based in a major coastal city in the South East, with nearby living options ranging from lively urban centres to scenic rural towns. The region offers strong transport connections, reputable schools, and a wide range of leisure pursuits including historic attractions, beaches, and outdoor activities. Known for its maritime heritage, this area has longstanding ties to British naval and defence 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 to 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
An NHS teaching hospital in the West Midlands is looking for a Locum Consultant in Microbiology with an interest in clinical microbiology, infection control, and antimicrobial stewardship. The Microbiology department comprises a team of 5 consultant microbiologists and is supported by a large team of middle grade doctors. This Microbiology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCPath qualifications 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
FRCPath (or equivalent) and significant experience in microbiology and infectious diseases are required for this role, and anyone with an interest in antimicrobial stewardship and infection control should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
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Provide clinical microbiology advice for inpatients and outpatients, including infection control and antimicrobial therapy recommendations.
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Participate in multidisciplinary team meetings such as OPAT, diabetic foot, and spinal infection MDTs.
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Be part of a 1:7 on-call rota, providing microbiology advice out-of-hours to hospital and community services.
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Contribute to laboratory report validation, audit activities, and CPD, including teaching junior doctors and medical students.
LIFE IN STOKE
This role is based in Stoke-on-Trent. Many staff choose to live in Stoke itself for urban convenience, or in nearby towns like Stone or rural Cheshire for a quieter lifestyle. The area is well-served by excellent transport links, schools, and local amenities, with plenty of leisure activities including country parks, theatres, and restaurants. Stoke-on-Trent has a rich industrial heritage and is famously known as the heart of the UK’s pottery industry, offering cultural and historical interest alongside modern healthcare innovation.
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 to 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
An NHS teaching hospital in the North of England is looking for a Consultant in Medical Oncology with all interests considered. The oncology department comprises a team of consultants and is supported by a large team of middle grade doctors. This Medical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration or MRCP (UK) 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 GMC registration with a licence to practise and inclusion (or eligibility within 6 months) on the Specialist Register in Medical Oncology are required for this role. The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
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Manage and treat patients with cancers as part of the site-specific MDTs.
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Provide on-call and acute cover for oncology inpatients and new inpatient referrals on a rotational basis (1 week out of 8).
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Attend weekly multi-disciplinary meetings.
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Hold an honorary lecturer position at a local medical school and participate in undergraduate teaching.
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Participate in clinical research as appropriate.
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Train and teach specialty trainees in medical oncology.
LIFE IN THE NORTH OF ENGLAND
This role is based in the North of England, a region that offers the perfect balance of urban convenience and rural charm. Residents can enjoy city living in York or find quieter settings in the nearby countryside and villages. The area boasts outstanding schools, excellent transport links, and a wide variety of cultural, sporting, and outdoor activities. With its strong ties to Britain’s industrial heritage and the beautiful countryside on its doorstep, the North of England is a popular choice for healthcare professionals relocating to the UK.
HOW WILL IMG CONNECT SUPPORT YOU?
-
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 to 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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