Route 2 – Practice Ready Assessment (PRA)

The Practice Ready Assessment process offered by the College of Physicians and Surgeons of Alberta (CPSA) is an alternative pathway to obtain an Independent License to practice medicine in the province. However, only IMGs who have at least 2 full years (24 months) of recognized postgraduate medical training in Family Medicine, or at least 36 months of postgraduate training in other specialty (except radiology) and who haven’t been out of practice for more than 3 years at the time when they satisfy the college requirements to apply may qualify for that pathway.

Practice Ready Assessment determines if an applicant whose postgraduate medical education meets the college requirements is ready for independent practice in Alberta. To be eligible for independent practice in Alberta, a physician must be on the General Register, or on the Provincial Register Conditional Practice as a physician in independent practice is authorized to practise medicine within his/her scope of practice, is responsible and accountable for his/her medical practice and does not require another physician to be responsible for or oversee any aspect of their medical practice. Successful completion of Family Medicine or of Specialty residency in Canada and both the Licentiate of the Medical Council of Canada (LMCC) and certification of the College of Family Physicians of Canada (CFPC) ( and the Royal College of Physicians and Surgeons of Canada (RCPSC) ( is required for full registration in Alberta.

Physicians (including IMGs) who don’t hold such national certification, but who have completed a minimum amount of postgraduate training may be placed on the CPSA Provincial Register Conditional Practice upon successful completion of the Practice Ready Assessment process administered through the Provincial Physician Assessment Program (PPAP).  Participation in PPAP is possible only after an applicant applies for a practice permit and only after the CPSA Registration Department determines whether that applicant meets the requirements of the General Register, or must undergo a PPAP assessment. Assessments are composed of two parts: a Preliminary Clinical Assessment and a Supervised Practice Assessment. The need for the preliminary assessment can vary depending on where the physician received medical training.

In order to be considered for the CPSA Practice Ready Assessment through PPAP, an IMG must:

Have completed successfully a post-graduate program outside of Canada in Family Medicine, or another Specialty recognized by the CPSA with a duration of at least:

    • 24 months in Family Medicine containing 4 months of Community-based Primary Care and a minimum of eight weeks each of three of the following: Pediatrics, Obstetrics and Gynecology, Surgery, and Internal Medicine


  • 48 months in another Specialty (graduates from programs with a duration of 36 may be considered for the Provisional Register as a non-specialist) and acceptable specialty certification from the jurisdiction of training

NOTE: The last does not apply to radiology/diagnostic imaging

Not have been out of practice or formal postgraduate training in a medical discipline in which the applicant intends to practise in Alberta for more than 3 years before submitting the application

NOTE: If an applicant has been out of practice or formal postgraduate training for more than 3 years, the applicant has to have returned to clinical practice or formal postgraduate training for at least 12 months before sending his/her application.

Have passed the Medical Council of Canada Evaluating Examination (MCCEE) before submitting the application

Have passed either the academic version of the International English Language Testing System (IELTS-Academic), or the Internet Based Test of English as a Foreign Language (iBT-TOEFL) within 24 months before submitting the application achieving the minimum score of 7.0 in each of the components on IELTS/Academic, or of 24 in each of the components on iBT-TOEFL

NOTE: The iBT-TOEFL scores will be valid no longer than December 31, 2017 and IELTS/Academic will be the only English language proficiency test accepted by the CPSA effective January 1, 2018. It is essential that an applicant checks the most current updates on the provincial English language proficiency requirements at the time when it is necessary to take the test and demonstrate the required test results.

Visit the CPSA website and get thorough information about the eligibility criteria, the application process and the most current updates concerning IMGs who wish to apply for Independent Practice permit in Alberta

NOTE: Don’t start the application process if you miss to satisfy any of the basic and additional eligibility requirements for the Provisional Register Conditional Practice as stated by the CPSA at the time of submitting your application

Apply for Independent Practice permit to the CPSA Registration Department through his/her account to which the applicant will be re-directed from the CPSA website and share his/her medical credentials already verified by the MCC Physician Credentials Repository ( and exam results stored in the applicant’s account with CPSA

Use his/her account and submit a Review of Qualifications for Alberta paying the required for this service fees ($200 no-refundable assessment fee to CPSA in addition to the $195 charged to the account)

Receive email from the CPSA with notification about the results of the assessment after his/her qualifications have been reviewed by the college. If the applicant is not deemed eligible, he/she will be provided by the college with an explanation about the reasons that make him/her ineligible to apply. If eligible, the applicant will be granted access to the complete application in with detailed instructions on how to proceed
If determined eligible, follow the steps exactly as outlined by the CPSA in their Review of Qualifications results e-mail.

NOTE: IMGs must have their credentials source verified by when granted access to the complete application.

If determined eligible for the Provisional Register Conditional Practice, receive the CPSA formal Review of Qualifications /Eligibility letter specifying the applicant’s scope of practice apply for AHS sponsorship approved positions within that scope of practice

NOTE: If a physician applicant does not meet the full requirements of the General Register they must undergo a PPAP assessment

Apply for AHS sponsorship approved physician positions within that scope posted on
Secure an Alberta Health Services (AHS) sponsorship position within six months from the date on which the formal CPSA Eligibility Letter is issued and follow the CPSA requirements to move on to PPAP assessment

NOTE: If the CPSA does not receive a sponsorship form from AHS on the applicant’s behalf within six months, the applicant’s file will be closed and the applicant you will not be granted access to the application for registration process with the CPSA.

Get familiar with the updates concerning sponsorships as provided on the CPSA website at the time the AHS sponsorship position has been secured

Receive an acknowledgement letter by the CPSA outlining the next step in the PPAP assessment process and return a signed letter of understanding with his/her availability dates for the assessment

Begin the Preliminary Clinical Assessment as assigned by the CPSA

NOTE: If your Preliminary Clinical Assessment is successful and you qualify for registration, the College will issue you a practice permit and you will be entitled to practise medicine in Alberta and move on to the last step of the assessment.

Upon successful completion of the Preliminary Clinical Assessment, get access provided by CPSA to the complete application in and follow the CPSA detailed instructions on how to proceed in order to obtain the independent licence to practice and move on to the last part of the assessment process – the Supervised Practice Assessment