Breadcrumbs
Returning Learner (All Other Training Start Dates)
International MD on Work Permit
MILESTONES - Recommended dates and actions to help keep your registration on track. These milestones are based on a work-back timeline from specific training start date.
DEADLINE - Specific dates by which required items must be completed.
MONITOR REGULARLY
(start renewal at least 6 months before expiry if needed)
- Monitor your expiry dates on your work permit and passport and ensure timely renewal if they expire during the academic year. Work closely with your assigned visa administrator to ensure all required documentation is provided.
- Do not submit your work permit application until you receive the necessary approvals from your assigned visa coordinator
- To avoid delays, begin the renewal process at least six months before the expiry date.
COMPLETE IMMEDIATELY
(upon receiving e-mail from PGME with POWER login credentials)
Log in to the POWER registration system
- Access POWER
- Sign your Letter of Appointment (LOA)
- UTORid activation is a one-time process. Returning learners only need to activate if they haven't done so before. To check, visit: Verify UTORid Status and activate if needed.
4 MONTHS PRIOR TO TRAINING START DATE
- Order your Level 3 Vulnerable Sector Screen/Check (VSS/VSC)
- If you have already submitted a VSS/VSC in the previous academic year and it has not expired, see the 2 MONTHS PRIOR TO TRAINING START DATE milestone for details on how to complete a background attestation
- Check your immunization Alerts in POWER
- Review any missing or expired immunization requirements under the “Messages” section on the initial view page in POWER
- Confirm Expiry Dates:
- Go to the "Immunization" tab in POWER and check the expiration dates for your TB Test and Mask Fit Test.
- If expires before the next academic year, renewal is required. Submit completed form(s) to the PGME Form Site
TB Test (Renew every 12 months if previous test was negative)
- Complete the TB Renewal Test Form
- Must be signed by a clinic/healthcare professional (not yourself)
Mask Fit Test (Renew every 24 months)
- Complete the Mask Fit Test Form.
- Must be signed by a clinic/healthcare professional (not yourself)
3 MONTHS PRIOR TO TRAINING START DATE
Log in to your CPSO members portal to review the specific requirements for renewal. See the CPSO Annual Registration Renewal page.
CPSO Registration Steps:
- Sign Your Letter of Appointment (LOA) - Complete this step in POWER before registering with CPSO.
- PGME Sends Your LOA - Sent to CPSO in mid-April.
- Monitor Your CPSO Portal - Processing takes 3-5 weeks. Check regularly for updates.
- Missing LOA? - If not in your CPSO account by end of May (or 30 days after submission), email pgme.registration@utoronto.ca to request a resend.
Important Notes
- Use your training site or home program office address for your CPSO license.
- Update your CPSO contact info if you previously listed the UofT PGME Office to prevent misdirected communications
Do not begin medical practice or training until you receive official confirmation from CPSO. Practicing without registration is an offence under the Regulated Health Professions Act.
2 MONTHS PRIOR TO TRAINING START DATE
- Renew your Canadian Medical Protective Association (CMPA) coverage.
- Your CMPA coverage start date MUST align with your training start date in POWER. For example, if your training begins on July 1, 2024, your CMPA coverage must also start on July 1, 2024, even if your first hospital shift is scheduled for a later date.
- CMPA sends daily data updates to PGME which may take up to 48 hours for your coverage to be reflected in your POWER account
- Check VSS expiry date and complete a Background Attestation in POWER
- Renew any of the Hospital Health and Safety Policy Modules
- CHECK under ‘Messages’ in Initial View on POWER to see which modules require renewal
1 MONTH PRIOR TO TRAINING START DATE
📅 DEADLINE: Submit your TB and/or Mask Fit Tests to the PGME Form Site if renewal required.
20 BUSINESS DAYS PRIOR TO TRAINING START DATE
📅 DEADLINE: Complete any required Hospital Health and Safety Policy Modules in POWER
- Check the ‘Messages’ section in the Initial View on POWER to see if any modules require renewal.
10 BUSINESS DAYS PRIOR TO TRAINING START DATE
📅 DEADLINE: If your VSS/VSC has expired, submit your Level 3 Vulnerable Sector Screen/Check (VSS/VSC) report or proof of payment confirming your application for a Level 3 VSS/VSC to the PGME Form Site.
5 BUSINESS DAYS PRIOR TO TRAINING START DATE
📅 DEADLINE:
- If your CMPA coverage is not reflected in your POWER account by this date, send your CMPA Statement of Coverage to postgrad.med@utoronto.ca
- If your CPSO license is not reflected in your POWER account by this date, send your CPSO Certificate of Licensure to pgme.registration@utoronto.ca
📅 DEADLINE: Pay the 2025-2026 Registration Fee - $980.00 CND (non-refundable)
To prevent delays in starting training, all learners must submit their registration at least 10 business days in advance. This allows time to resolve any registration issues and meet hospital-specific registration deadlines.
- Payment can be made only after completing all required registration steps.
- Payments can be made via: Visa, MasterCard or American Express in POWER under the ‘Payment’ tab
- If your appointment is less than a full year, your fee will be prorated (e.g., July to September)
CONFIRM REGISTRATION COMPLETED
- Check POWER Messages on your Initial View Screen– You are fully registered if you see:
“Your registration is complete. Please select ‘Reg. Confirmation’ on the POWER menu. You will be able to print your Registration Confirmation, please ensure you select the correct training session. The registration confirmation may be needed by your hospital teaching site, U of T libraries or TCard office.” - A Confirmation of Registration Letter can only be printed once all registration requirements are marked as complete in POWER. CPSO, CMPA, or any other requirements cannot be waived for this
Please note that after completing PGME registration, learners must also register with their training hospital and meet hospital-specific deadlines. Early PGME registration submission ensures all necessary steps are completed on time to start training.
Need More Support?
Check out these additional resources to help you navigate registration and training.
- Review the PGME Registration Process FAQs for common registration inquiries
- Explore additional Learner Resources for support before and during training
- PGME General Registration Contacts for assistance with registration related questions
- The Office of Learner Affairs (OLA) supports resilience, wellness and personal growth. Explore their services and book an appointment.