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Examinations Required for a Postgraduate Training Licence

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Preamble 

The Medical Practitioners Regulations1 requires that the Council of the College, by way of policy, determine the examinations and assessments required to be on the Education Register. 

There are three licence types that fall under the Education Register, specifically: 

  1. Postgraduate Training licence2, which is required for participation in a postgraduate training program including electives at Dalhousie University; 
  1. The Postgraduate Practising licence3, which has two separate policies addressing the examination requirements for both Internal Moonlighting4 and External Moonlighting5; and 
  1. The Clinical Assessment licence6, which is used in a variety of circumstances, the examination requirements for which are at the discretion of the Registrar. 

Undergraduate medical students enrolled in the Faculty of Medicine at Dalhousie University do not require a licence, though the Medical Practitioners Regulations1 require their names be maintained on a list at the College. There are no examination requirements to be maintained on the list of medical students. 

Purpose 

This policy describes the examination requirements for the Postgraduate Training licence for postgraduate trainees enrolled in a postgraduate training program including electives with the Faculty of Medicine at Dalhousie University. 

For Graduates of Canadian Medical Schools  

  1. The MCCQE Part I must be attempted prior to starting their postgraduate training program. 
  1. The postgraduate trainee must provide their result to the College within 2 weeks of receiving the result, failing to comply may impact ongoing licensure. 
  1. The College will provide the results of all failed attempts to the Associate Dean of Postgraduate Medical Education (PGME) and the relevant Program Director. The postgraduate trainee is expected to work with their Program Director to set up an appropriate educational plan. 
  1. In the case of more than one failed attempt, the College will require the postgraduate trainee to participate in a targeted remediation program with adequate protected time to allow successful completion of the examination on the next attempt.  

Graduates of Non-Canadian Medical Schools  

Successful completion of one of the following is required for graduates of non-Canadian medical schools:  

  • Medical Council of Canada Evaluating Examination (MCCEE) or the MCCQE Part I; or 
  • United States Medical Licensing Examination (USMLE) Steps 1 and 2; or  
  • National Board of Medical Examiners (NBME) Parts I, II and III; or 
  • Federation Licensing Examination (Flex) Components 1 and 2; or 
  • Comprehensive Osteopathic Medical Licensing Examination (COMLEX) Levels 1 and 2. 

Waiver of requirements for graduates of non-Canadian medical schools applying for electives  

Non-Canadian medical graduates who are currently in training in a country designated by The World Bank7 as a low-income country with a GDP per capita of $1045 or less applying for an elective in a Dalhousie Faculty of Medicine residency training program are exempted from the above examination requirement.   

Resources

  1. Medical Practitioners Regulations 
  2. Postgraduate Training Licence 
  3. Postgraduate Practising Licence 
  4. Postgraduate Practising Licence – Internal Moonlighting 
  5. Postgraduate Practising Licence – External Moonlighting 
  6. Clinical Assessment Licence 
  7. The World Bank Country Classifications 

Applicable Legislation: Medical Practitioners  Regulations – Section 25 (1) (b) 

Approved by: Registration Policy Committee, Executive Committee  

Approval date: April 15, 2021 & April 26, 2021

Review date: April 2023