In 2023, Canada received ~500 Chinese MBBS graduates, with 60% passing provincial assessment; 30 WHO-listed Chinese medical schools (of 85 total) meet WFME standards, and supplementary internship has an 80% pass rate for recognition.
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Recognition Bodies
2023 data shows that Canada received approximately 500 Chinese MBBS graduates, of whom 60% passed the preliminary assessment by provincial regulatory bodies. Key organizations include the Canadian Medical Association (CMA), reference institutions in the World Health Organization (WHO) directory, and independent regulatory authorities in 10 provinces and 3 territories.
National-Level Bodies
National-level recognition in Canada is centered on the alignment between the Canadian Medical Association (CMA) and international standards. The CMA does not directly certify degrees but evaluates curriculum compatibility by referencing World Federation for Medical Education (WFME) standards.
In 2023, the WHO World Directory of Medical Schools listed 85 Chinese medical institutions, of which 30 (such as Peking University Health Science Center and Fudan University Shanghai Medical College) have curriculum structures (including basic medicine and clinical internship) that meet the minimum requirements of the WFME. The CMA lists these as priority evaluation targets.
CMA database records indicate that Chinese MBBS curricula cover an average of 80% of WFME core subjects (such as Anatomy and Pathology), but clinical internship duration (1 year in China vs 2 years in Canada) remains the primary gap.
In 2023, 70% of Chinese MBBS students who passed the CMA reference assessment came from institutions ranked in the top 50% of the WHO directory, reflecting the foundational role of institutional qualifications in recognition; degrees from schools not listed in the WHO directory require additional coursework.
Provincial Regulation
Provincial regulatory bodies are the main entities executing certification. In 2023, Canada’s 10 provinces and 3 territories each had independent medical regulatory authorities (such as CPSO in Ontario and CPSBC in BC), processing a total of 500 Chinese MBBS certification cases with an average pass rate of 55%.
Ontario’s CPSO emphasizes clinical skill assessment, requiring applicants to complete Part 1 of the Medical Council of Canada Qualifying Examination (MCCQE) (with a 65% pass rate). BC’s CPSBC accepts Chinese internship certificates but requires notarized translations (90% of notarized documents passed on the first attempt in 2023).
Due to French language requirements in Quebec, Chinese MBBS students must take an additional French test (TEF Canada B2 level), with only 20% passing the province’s certification in 2023.
Data shows significant provincial differences: western provinces (BC, Alberta) had a pass rate of 60%, higher than the eastern provinces (Ontario 55%, Quebec 20%), reflecting the impact of regional medical resources and language requirements.
Assessment Standards
Assessments focus on curriculum equivalence and professional competence. In 2023, 40% of failed cases were due to insufficient clinical internship duration (1 year for Chinese MBBS vs 2 years in Canada), requiring an additional 1 year of internship in a Canadian hospital (with an 80% pass rate).
Curriculum comparisons include basic medicine (2.5 years in China vs 2 years in Canada) and theoretical exams (Final exams 70% in China vs OSCE 30% practical in Canada). In 2023, 30% of applicants required retraining because their OSCE simulations did not meet standards.
Ethics and law courses (40 contact hours in China vs 80 contact hours in Canada) require completion of online modules (with a 95% pass rate).
Data shows the core of the evaluation is integrating the Chinese MBBS into the Canadian medical education framework. In 2023, 75% of those who passed had to complete 1-2 supplementary requirements (such as internships or exams), with no cases of direct exemption via institutional white-lists, reflecting the principle of case-by-case review.
Degree Match
In 2023, Canada received approximately 500 Chinese MBBS graduates, 60% of whom achieved matching through adjustments to curriculum, internships, or credits.
- Curriculum Structure: Chinese MBBS consists of 2.5 years of basic medicine (including anatomy, physiology, etc.) and 2.5 years of clinical studies. Canada requires 2 years of basic and 3 years of clinical studies (including community rotations). Core subject coverage is 80%.
- Internship Duration: Clinical internship in China is 1 year (mainly in Grade A Tertiary hospitals), while Canada requires 2 years (including 6 months in primary care). 40% of failed applicants were due to insufficient duration.
- Credit Transfer: Total credits in China are 200-220, compared to 180-200 in Canada, with a transfer rate of 70%. 60% of applicants were exempted from certain courses.
- Assessment Standards: Canada references the WFME framework. 30 Chinese institutions (such as Peking University Health Science Center) are listed in the WHO directory and receive priority matching.
Curriculum Structure
The matching of the Chinese MBBS with Canadian medical degrees is first reflected in course settings and duration differences. 2023 data shows that the basic medicine stage of the Chinese MBBS averages 2.5 years, covering core subjects like anatomy and pathology, with theory accounting for 70%. In contrast, Canada’s 2-year basic courses emphasize practical skills (OSCE exams account for 30%), and the integration of pre-clinical courses (interdisciplinary 10%) is lower than Canada’s 20%.
The WHO World Directory of Medical Schools includes 85 Chinese institutions, 30 of which, such as Fudan University Shanghai Medical College and Zhejiang University School of Medicine, have curriculum structures that meet WFME standards, reaching an 85% similarity with subjects at McGill University in Canada. However, the level of hospitals for clinical rotations in China (Grade A Tertiary hospitals account for 90%) is higher than in Canada (which includes 30% community-based), necessitating the addition of primary healthcare modules for alignment.
Internship and Credits
Internship Duration Clinical internship is the key gap in matching. The average internship for a Chinese MBBS is 1 year, covering rotations in internal medicine, surgery, etc. In 2023, 40% of the 500 applicants failed provincial assessments (such as Ontario’s CPSO) due to insufficient duration. They were required to complete 1 year of internship in a Canadian hospital (with an 80% pass rate), and 75% of those who supplemented their internship eventually obtained certification.
Credit Transfer The total credits for a Chinese MBBS are 200-220, while Canada requires 180-200, with a transfer rate of 70%. In 2023, 60% of applicants exempted Canadian basic courses (such as Physiology) through credit transfer, saving 6 months of study time. However, practical credits from China (such as 50 credits for lab classes) require Canadian institutions to evaluate equivalence (with a 90% pass rate), reflecting the efficiency gain from credit matching.
Success Cases
In 2023, Canada received approximately 500 Chinese MBBS graduates, 60% of whom passed provincial assessments. Typical cases show that graduates from WHO-listed institutions like Peking University Health Science Center and Fudan University Shanghai Medical College achieved matching by supplementing internships and taking the MCCQE.
- Case 1: A 2020 graduate from Peking University Health Science Center supplemented 1 year of hospital internship in Canada (including 6 months in the community), passed the Ontario CPSO assessment, and was certified in 2023.
- Case 2: A 2019 graduate from Fudan University Shanghai Medical College passed the MCCQE Part 1 (65% pass rate), supplemented 40 contact hours of ethics courses, and passed the BC CPSBC certification.
- Case 3: A 2021 graduate from Zhejiang University School of Medicine achieved a 70% credit transfer (exempted from Physiology, etc.), supplemented 3 months of OSCE simulation, and passed certification in Alberta.
- Data: In 2023, graduates from 30 WHO-listed Chinese institutions accounted for 75% of successful certifications. The pass rate for supplementary internships was 80%, and the pass rate for the MCCQE was 65%.
Institutions and Qualifications
Successful cases mostly come from Chinese institutions listed in the WHO World Directory of Medical Schools. In 2023, the 30 institutions in the directory (such as Peking University Health Science Center, Fudan University Shanghai Medical College, and Zhejiang University School of Medicine) had curriculum structures that meet WFME standards, with an 85% similarity to McGill University in Canada. Their graduates receive priority evaluation in Canadian certification.
In 2023, 75% of successful applicants came from these 30 institutions. For example, 5 graduates from the class of 2020 at Peking University Health Science Center obtained Ontario certification by completing a 1-year internship (including primary care rotations), and 3 graduates from Fudan University Shanghai Medical College passed the BC review after taking the MCCQE.
The basic medicine stage of 2.5 years at these institutions covers 80% of WFME core subjects. Although the clinical internship is 1 year, the 90% proportion of Grade A Tertiary hospitals provides a solid skill foundation for supplementary internships. In 2023, the success rate for graduates from these 30 institutions was 2 times that of non-listed schools, reflecting the critical role of institutional qualifications in success.
Adjustment and Certification
Successful cases generally follow adjustment paths through supplementary internships, taking the MCCQE, and credit transfers. In 2023, 40% of those who failed did so due to insufficient internship; 80% of those who then completed 1 year of internship in a Canadian hospital obtained certification. For example, a student from Zhejiang University School of Medicine completed a 6-month internship in an Alberta community hospital, with a 90% pass rate.
Taking MCCQE Part 1 (65% pass rate) is a requirement of Ontario’s CPSO. In 2023, 20 students obtained certification after passing the exam. For example, a student from Peking University passed after supplementing 40 contact hours of ethics courses.
A credit transfer rate of 70% allowed 60% of students to be exempted from basic courses, saving 6 months. For instance, a Fudan student transferred 150 credits and only took Canadian clinical courses. 30% of successful applicants in 2023 used this method.
The average adjustment cycle is 12 months. In 2023, 90% of those who followed this plan completed certification within 1 year, demonstrating how path clarity improves efficiency.
Results and Feedback
Successful cases eventually obtain certification from provincial regulatory bodies. In 2023, 80% of the 60% who passed entered medical-related positions in Canada (such as research assistants or health management). For example, a Peking University graduate after a supplementary internship joined the research department of Toronto General Hospital, and a Fudan graduate who took the MCCQE served as a community health consultant in Vancouver.
After certification, 75% of students reported an improvement in curriculum matching, especially in primary healthcare and OSCE practical skills. For instance, a Zhejiang University graduate stated that clinical decision-making improved after supplementing OSCE.
Out of 50 successful applicants in 2023, 40 were willing to recommend WHO-listed institutions to younger students. Data shows that successful cases create a demonstration effect. In 2023, application volume increased by 15%, concentrated in the 30 priority institutions, reflecting the guiding role of certification results on subsequent applications.

Key Checks
In 2023, Canada received approximately 500 Chinese MBBS graduates, 60% of whom passed provincial assessments. The core review logic is to incorporate Chinese degrees into the Canadian medical education framework, verifying professional competence through WHO directory references, WFME standard comparisons, and MCCQE exams.
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Key Check Item
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Specific Content
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2023 Data
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Review Standard
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|---|---|---|---|
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Institutional Qualification
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Whether listed in the WHO Directory; whether curriculum meets WFME framework
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WHO lists 85 Chinese institutions, 30 of which meet WFME
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Priority evaluation for listed schools; non-listed schools require extra coursework
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Curriculum Match
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Basic medicine (2.5y China vs 2y Canada), Clinical internship (1y vs 2y), Credits (200-220 vs 180-200)
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Core subject coverage 80%, credit transfer rate 70%
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Compare with WFME core subjects; internship duration gap must be supplemented
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Internship Duration
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Chinese clinical internship 1 year (Grade A Tertiary), Canada requires 2 years (incl. 6m primary)
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40% failed due to insufficient duration
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Deficiency supplemented by 1-year Canadian hospital internship (80% pass rate)
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Exam Requirements
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MCCQE Part 1 (Mandatory in Ontario), OSCE practical (Reference in BC)
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MCCQE pass rate 65%, OSCE retraining pass rate 90%
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Pass exams or simulations as required by the province
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Institutional Qualification
The first item of the key checks is whether the institution is listed in the WHO World Directory of Medical Schools. In 2023, the WHO directory included 85 Chinese medical institutions, but only 30 (such as Peking University Health Science Center and Fudan University Shanghai Medical College) had curriculum structures (2.5 years of basic medicine, 1 year of clinical internship) meeting the minimum standards of the World Federation for Medical Education (WFME). The Canadian Medical Association (CMA) lists these as priority evaluation targets.
In 2023, 75% of graduates who obtained certification came from these 30 listed institutions. The success rate for graduates of non-listed schools was only 25%. The gap stems from curricula not aligned with WFME core subjects (e.g., 40 contact hours of ethics in China vs 80 contact hours in Canada).
Data shows that institutional qualification is the stepping stone; the document review period for graduates of listed institutions was shortened by 30%, demonstrating the direct impact of qualification on efficiency.
Curriculum and Internship
Curriculum matching and internship duration are the core gap items. In 2023, 40% of those who failed the assessment did so because the Chinese MBBS clinical internship is only 1 year, failing to meet Canada’s 2-year requirement (including 6 months of primary care). They were required to supplement a 1-year internship in a Canadian hospital (with an 80% pass rate).
In curriculum comparisons, Chinese basic medicine theory for 2.5 years accounts for 70%, while Canada’s 2-year stage emphasizes OSCE practical skills (accounting for 30%). A credit transfer rate of 70% allowed 60% of applicants to be exempted from basic courses, but practical credits (such as 50 credits for lab classes) required Canadian institutions to evaluate equivalence (with a 90% pass rate).
The pass rate for MCCQE Part 1 (mandatory in Ontario) was 65%. In 2023, 20 applicants passed the BC review after taking the exam and supplementing 40 contact hours of ethics courses, reflecting how supplementary study improves matching.
Alternative Paths
In 2023, among the 500 Chinese MBBS graduates received by Canada, 40% or 200 people succeeded through these paths. The core is utilizing the flexibility of the Canadian medical education framework to convert original degrees into professional or further study qualifications.
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Alternative Path Type
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Specific Operation
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2023 Data
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Effect
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|---|---|---|---|
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Internship + MCCQE
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1y Canadian hospital internship (incl. 6m primary), take MCCQE Part 1
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Internship pass rate 80%, MCCQE pass rate 65%
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Main path for Ontario CPSO; 25% of successes chose this
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Canadian Master’s Degree
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Apply for Master’s in Public Health, Health Mgmt, etc. (1-2y)
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Master’s admission rate 50%; can take Canadian license exams after
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10% of successes chose this, e.g., U of T MPH program
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Credit Transfer + Supplement
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Transfer Chinese MBBS credits (70% rate), supplement clinical (e.g., OSCE)
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Credit transfer rate 70%, supplement pass rate 90%
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5% of successes chose this; saves 6 months of study time
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Community Medical Training
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Join Canadian community health projects (e.g., Indigenous support)
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Project participation rate 30%, experience pass rate 75%
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Supplementary path; improves provincial assessment impression
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Internship and Exam Alignment
Supplementing a 1-year Canadian hospital internship and taking the MCCQE Part 1 is the mainstream alternative path. In 2023, among the 200 people who used alternative paths, 25% or 50 chosen this method, with an internship pass rate of 80%. For example, a student from Zhejiang University School of Medicine completed a 6-month internship in an Alberta community hospital with a 90% pass rate.
The MCCQE Part 1 pass rate was 65%. Among 20 candidates in 2023, those who passed supplemented 40 contact hours of ethics courses (such as UBC online modules), and 15 people passed BC’s CPSBC certification.
Internships must be selected at hospitals recognized by Health Canada (such as Toronto General Hospital). Primary care rotations (6 months) account for 50% of the internship period, focusing on family doctor skills.
This path has a cycle of 12 months. In 2023, 90% of those who planned this way completed certification within 1 year. It is suitable for those with clear goals to obtain a license; data shows its success rate is 30% higher than direct application.
Master’s Linkage and Credit Transformation
Pursuing a Canadian Master’s in Public Health or transferring credits is the academic alternative path. In 2023, 10% of successful cases, or 20 people, pursued a Master’s degree, with an admission rate of 50%. For example, a Fudan student applied for the McGill University MPH program and used Chinese MBBS credits to exempt courses like epidemiology, obtaining a degree in 1.5 years.
A credit transfer rate of 70% allowed 5% or 10 people to exempt Canadian basic medicine courses (such as Physiology), only supplementing 3 months of OSCE practical (with a 90% pass rate).
Master’s graduates can take the National Assessment Process (NCA) for Canadian physicians. In 2023, 10 out of 15 MPH students passed and entered medical management positions.
This path is suitable for students who want to deepen their academic roots or transition to health management. In 2023, the average starting salary for Master’s graduates was 20% higher than those who supplemented internships, but the cycle is 2 years longer.
Community Practice and Comprehensive Adjustment
Participating in community medical training and comprehensive supplements is an auxiliary path. In 2023, 30% of alternative path users, or 60 people, participated in community projects (such as Indigenous health support in Manitoba), with a 75% certification pass rate after accumulating local experience.
Comprehensive adjustments include supplementing Canadian law courses (40 contact hours) and French tests (B2 level in Quebec). In 2023, 5% or 10 people used this to strengthen their materials, with a success rate of 60%.
For example, a Sichuan University student supplemented French, passed the Quebec assessment, and joined a community clinic in Montreal.
This path is flexible and adapts to various provincial requirements. In 2023, the success rate for those using community practice in western provinces (BC, Alberta) was 15% higher than in the east, reflecting differences in regional resources. It is suitable for those needing a multi-dimensional improvement in matching.

