The agreement applies to physicians in Quebec or France who are legally authorized to practice medicine and have a qualification from an authority that is recognized or designated by Quebec or France. The MRA sets out the requirements for practice in Quebec and France, which are listed below.
Documents to consult (in French only)
- Liste des spécialités prévues à l’entente (énumérées à l’annexe I de l’ARM)
- Règlement sur la délivrance d’un permis et d’un certificat de spécialiste du Collège des médecins du Québec pour donner effet à l'arrangement conclu par l'Ordre en vertu de l'Entente entre le Québec et la France en matière de reconnaissance mutuelle des qualifications professionnelles
Other routes to the permit to practice:
The agreement does not apply to physicians who completed their medical training or residency program in a faculty of medicine outside Canada, the United States or France or who practice a specialty that is not listed in the Quebec-France agreement. These physicians may also take the following routes to the permit to practice:
Permit under the Quebec-France MRA pursuant to section 35 of the Medical Act
Practice Ready Assessment (PRA)
Pursuant to section 35 of the Medical Act, the CMQ may issue a restrictive permit (Quebec-France MRA) in accordance with guidelines established for applicants who are eligible under the Quebec-France agreement on workforce mobility (see the excerpt - in French only). Requirements include completion of a three-month adaptation/assessment period during which the physician’s readiness to practice is assessed.
The CMQ’s Committee on Admission to Practice (CAP) is responsible for reviewing credentials and issuing permits.
The permit is restricted with respect to three aspects:
- place of practice (only authorized to practice in a health care institution; the permit does not authorize “independent” or private practice);
- the professional acts authorized;
- validity (1 year, renewable annually).
A restrictive permit may be converted into a regular permit subject to certain requirements.
Please see the page Converting a restrictive permit into a regular permit.
Requirements – for practice in Quebec
- You have a State Doctor of Medicine degree from a faculty of medicine that is located and provides training in France.
- You completed your postgraduate training (residency/internship) in general medicine or in one of the other specialties listed in the agreement at a French university.
- You have a specialist’s certificate (or equivalent credential*) from a French university in one of the other specialties listed in the agreement.
- You are a member in good standing of the Conseil national de l’Ordre des médecins in France, registered on the Roll of the Ordre des médecins in France as a general practitioner or specialist without any practice restrictions or limitations resulting from an administrative measure, voluntary undertaking or disciplinary or criminal ruling. Nor are you the subject of any proceedings that could lead to a conviction or sanction that might have an impact on your registration with the CMQ.
- You practiced competently in the area of medical expertise for which the restrictive permit application is being submitted for 12 months during the two years preceding your application.
- You successfully completed an adaptation/assessment period.
- You participated in the ALDO-Quebec educational activity within a maximum period of one year after your permit was issued.
* According to Section 10 of Chapter I, Title IV of the Mutual Recognition Agreement (MRA) of physicians’ professional qualifications, “in order to determine whether the specialized medical training corresponds to one of the fields listed in Schedule I, the Collège des médecins du Québec takes into account the opinion of a Qualification Board, excluding however an opinion on training acquired outside France.”
Therefore, the Committee on Admission to Practice (CAP) of the CMQ takes into consideration the opinion of a Qualification Board and will review all documents submitted by the applicant who received their specialist’s qualification by an ordinal qualification commission.
The CMQ attaches paramount importance to the years of postgraduate medical studies leading to a specialized studies diploma (DES) or a complementary specialized studies diploma (DESC), specific and qualifying for the specialty. The specialist’s qualification obtained in France by an ordinal qualification commission does not always guarantee the exact match with the specialty in Quebec.
Since the full process is lengthy (9 to 18 months on average) and you must maintain your clinical experience, we encourage you to keep practicing as you complete the steps.
Note that the CMQ does not intervene at all steps of the process.
The deadlines indicated at certain steps are given as an indication. They can vary significantly depending on the individual background of the candidates.
Any candidate for a restrictive permit has the right to report a situation of harassment and to request information and advice in relation to this situation, or even file a complaint with their assessment environment or the Commission des normes, de l’équité, de la santé et de la sécurité du travail (CNESST).
The harassment prevention and complaints policy of the assessment setting explains the steps to follow. Further details concerning the resource to which the candidate can refer to, in the event of a harassment situation, will be provided when the assessment period is launched.
The candidate must also notify the CMQ as soon as the assessment environment has been informed of a harassment situation.
Requirements – For practice in France
With respect to the provision relating to the Mutual Recognition Agreement (MRA), the “Décret 2010-1125 du 23 septembre 2010 relatif aux procédures d’autorisation d’exercice des titulaires de titres de formation obtenus dans la province de Québec pour les professions de médecins […]” [Decree 2010-1125 of September 23, 2010 regarding the procedures for authorizing holders of credentials obtained in the Province of Quebec to practice the medical profession] sets out the requirements of section L. 4111-3-1 of the Code de la santé publique [Public health code].
This Decree sets out the Eligibility criteria, Procedure, File content, Individual authorization to practice and Registration on the Roll of the Order.
The process in France may take a few weeks. If you do not receive a response, please write again.
The MRA applies to physicians who:
- have a Doctor of Medicine degree from one of Quebec’s four faculties of medicine (M.D. – Quebec);
- have completed postgraduate training in family medicine or in one of the specialties listed in the agreement in a program accredited in Quebec; (Residency – Quebec);
- have a credential in general medicine or in one of the specialties listed in the agreement from a Quebec university (specialist’s certificate in family medicine or in another specialty listed in the agreement – Quebec);
- are registered on the Roll of the CMQ as a general practitioner / family physician or specialist without any practice restrictions or limitations resulting from an administrative measure, voluntary undertaking or disciplinary or criminal ruling (member in good standing of the Collège des médecins du Québec).
As provided for in section D.4111-22 of the Code de la santé publique, physicians whose specialty is listed in Schedule 1 who apply for authorization must submit their file by registered mail with acknowledgement of receipt to the Conseil national de l’Ordre des médecins in France.
Once the file is complete, the Conseil national de l’Ordre des médecins has one month to issue an opinion that must be sent to the Ministry of Health (sections D.4111-23 and D.4111-24 of the Code de la santé publique).
The Minister of Health must then render a decision regarding the physician’s individual authorization to practice.
Liste des spécialités québécoises et françaises comparables (in French only).
In accordance with the order of September 23, 2010 that sets out the documents that must be provided for the examination of applications submitted by holders of credentials obtained in the Province of Quebec in order to practice medicine in France, all physicians must complete the application for authorization form and attach the following documents:
- a copy of the degrees, certificates and other credentials attesting to completion of medical training;
- a certificate from the Collège des médecins du Québec certifying that the degrees, certificates and other credentials attesting to completion of medical training issued pursuant to its legislative, regulatory or administrative provisions correspond to the specialties listed in Schedule I;
- a copy of the permit to practice;
- proof of registration with the Collège des médecins du Québec (no more than 3 months old);
- certificates specifying practice in the area of medical expertise for which the application for authorization is being submitted during the two years preceding the application;
- a certificate from the Collège des médecins du Québec confirming the absence of any disciplinary or criminal sanction that might prohibit or restrict practice of the profession in Quebec (no more than three months old);
- a sworn statement certifying that the applicant is not the subject of any proceedings that may lead to a conviction or sanction that might have an impact on registration with the Order.
Conseil national de l'Ordre des médecins
4, rue Léon Jost
75855 PARIS Cedex 17
Tel.: 01 53 89 32 00
Fax: 01 53 89 32 01
Individual authorization to practice and registration on the Roll of the Order
Authorization from the Minister to practice alone does not authorize the recipient to practice medicine in France.
Indeed, as provided for in section L.4111-1 of the Code de la santé publique, no one may practice medicine in France unless they are registered on the Roll of the Ordre des médecins.
As soon as physicians receive the ministerial order authorizing them to practice, they must contact the Order’s departmental board in their place of practice to start the registration process.
Questions about medical practice in France?
Please contact the Conseil national de l’Ordre des médecins
Steps to practicing medicine in Quebec for IMGs
To practicing medicine in Quebec for IMGs :
In case of dissatisfaction
You can file a complaint if you are dissatisfied or have difficulty in obtaining a permit or becoming a member of the Order.