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Fact Sheet · April 2026

International Medical Graduates: From Post-M.D. Training to Practice

International medical graduates — physicians who earned their medical degree outside Canada — are a significant part of Canada's physician workforce. This fact sheet snapshots their place in postgraduate training and their transition into practice.

Before — the legacy PDF

The original CAPER fact sheet as a flat PDF document

A flat, downloadable document. Charts are baked-in images with no alt text; the data can't be searched, copied, or read by assistive technology. One of ~40 fact-sheet PDFs.

After — web-native & accessible

IMGs in Canadian post-M.D. training

CAPER tracks IMGs enrolled in Canadian residencies and fellowships to give a national overview of training participation.

2,529 IMGs (citizens / permanent residents) in post-M.D. training
17% of all post-M.D. trainees in Canada
Distribution of IMGs across broad specialties (2024–25, CC/PR)
  • Medical Specialties 1,233
  • Family Medicine 897
  • Surgical Specialties 260
  • Lab Medicine Specialties 122
  • Areas of Focused Competence 17

Source: CAPER Annual Census + National IMG Database.

From training to practice

CAPER also tracks IMGs after they complete Canadian postgraduate training, to help illuminate national practice patterns.

76.3%

of IMGs who exited post-M.D. training in 2023 were confirmed practising in Canada two years later (2025). The remaining 23.7% could not be located in available data sources — a limitation of confirming practice location, not confirmed absence from the workforce.

Practice location of IMGs two years post-training (2025), by setting (CC/PR)
  • Large Urban 426
  • Town 37
  • Rural 32
  • Small City 7

Practice setting classifications follow Statistics Canada geographic definitions. 2025 figures reflect the most recent published data at time of analysis.

Why this matters

Understanding where IMGs train and practise informs physician workforce planning, training-capacity discussions, and provincial and national policy. CAPER supports these discussions with consistent, longitudinal data — without attribution or interpretation.

Download the original PDF ↗