Postgraduate Elective Training – Learners who are Canadian Citizens or Permanent Residents

Eligibility:

• Must be currently registered and in good standing with their residency or clinical fellowship program.
• Must be eligible for and maintain a Postgraduate Education Certificate from the College of Physicians and Surgeons of Ontario (CPSO).
  • Those training outside of Ontario must be eligible for and obtain this certificate
  • Those training within Ontario must maintain their existing certificate
• Pre-approval must be obtained from the following, prior to submitting an elective application: 
  • Your home institution program director
  • The elective supervisor/preceptor
  • The University of Toronto program director

Duration

• If your elective exceeds 4 months (15 weeks) in duration, additional documentation may be required. Please contact uoftpgelectives.pgme@utoronto.ca for guidance before submitting your application.

Key Details

• Application Timeline: Applications must be submitted at least 3 months (90 days) before the start date of your elective.
• Submission Process: All applications must be submitted through the PGME Electives Online System. This system is used exclusively to approve pre-arranged electives and does not function as a request or holding system.
• Requirements: Visit the PGME Electives Online System to view the complete list of required documents for your application.
• Elective Administration Processing Fee: $200 CAD per academic year (non-refundable)*
  *Approved by the U of T Governing Council – Business Board
  
  If you are applying under an IIAA, the elective administration processing fee is NOT required.
• All other applicants must pay the non-refundable $200 administrative processing fee per academic year.

How to pay the Elective Administration Processing Fee:

Go to the Payment Portal by clicking: Canadian/Permanent Resident Elective Administration Processing Fee

• Select “I have an account already” or “New User”
• Login using your username and password (case sensitive)
• Select “Administration Processing Fee” and click “Continue”
• Add the academic year (e.g., 2025–2026 if your elective occurs in that academic year.)  as an add-on, select continue and complete payment.

NOTE: Ensure you keep a copy of your payment receipt and upload it as part of your application.

• Approval: Approval will be communicated via email, along with instructions for completing registration requirements with the Postgraduate Medical Education (PGME) Office.
• Evaluations: If required, please bring the evaluation form from your home institution.
• Certificate: NOT issued for elective training completion.

Eligibility

• Must be currently registered and in good standing with their residency or clinical fellowship training program.
• Must meet eligibility for licensure for a Postgraduate Education Certificate from the College of Physicians and Surgeons of Ontario (CPSO).
• Pre-approval must be obtained from the following, prior to submitting an elective application: 
  • Your home institution program director
  • The elective preceptor or supervisor/preceptor
  • The University of Toronto program director

Duration

• If your elective exceeds 4 months (15 weeks) in duration, additional documentation may be required. Please contact uoftpgelectives.pgme@utoronto.ca for guidance before submitting your application. 

Key Details

• Application Timeline: Applications must be submitted at least 4-6 months (150-180 days) before the start date of your elective.
  • If a Program Learning Agreement (PLA) is required (typically for U.S. schools), please reach out at least 6 months in advance to allow time for University of Toronto legal team review.
• Submission Process: All applications must be submitted through the PGME Electives Online System. This system is used exclusively to approve pre-arranged electives and does not function as a request or holding system.
• Requirements: Visit the PGME Electives Online System to view the complete list of required documents for your application.

Elective Administration Processing Fee: $200 CAD per academic year (non-refundable)*
*Approved by the U of T Governing Council – Business Board

If you are applying under an IIAA, the elective administration processing fee is NOT required.

• All other applicants must pay the non-refundable $200 administrative processing fee per academic year.

How to pay the Elective Administration Processing Fee:

Go to the Payment Portal by clicking: Canadian/Permanent Resident Elective Administration Processing Fee

• Select “I have an account already” or “New User”
• Login using your username and password (case sensitive)
• Select “Administration Processing Fee” and click “Continue”
• Add the academic year (e.g., 2025–2026 if your elective occurs in that academic year.) as an add-on, select continue and complete payment.

NOTE: Ensure you keep a copy of your payment receipt and upload it as part of your application.

• Approval: Approval will be communicated by email, along with instructions for completing registration with the Postgraduate Medical Education (PGME) Office. If a Pre-Entry Assessment Program (PEAP) is required, this will be indicated with your approval.
• Evaluations: If required, please bring the evaluation form from your home institution.
• Certificate: NOT issued for elective training completion.