Requirements For Registration Under the Canadian Free Trade Agreement (CFTA)
[formerly the Agreement on Internal Trade (AIT)]

What is the Canadian Free Trade Agreement?

The Canadian Free Trade Agreement (CFTA) is an agreement amongst the federal, provincial and territorial governments of Canada. One of its purposes is to eliminate barriers to labour mobility within Canada. The CFTA entitles physicians who have an independent practice licence in another Canadian province or territory to apply for a licence in Manitoba without having to undergo significant additional training, examination or assessment. The applicant must still apply for a licence in Manitoba and may not practise in Manitoba using a licence issued by another jurisdiction. The usual credentialing requirements and fees apply. The College will still assess the applicant’s fitness to practice, criminal record, and complaints and discipline history, and may refuse licensure if it is necessary to protect the public interest. The College will also assess whether any conditions or restrictions on the candidate’s licence can be accommodated, and licensure in Manitoba may be refused if a condition or restriction cannot be accommodated by an equivalent condition or restriction in Manitoba. Additional requirements may be imposed if the applicant has not recently practised medicine in the field in which the applicant is seeking registration and licensure.

Physicians with a provisional/conditional licence in another Canadian jurisdiction may apply under CFTA if there are no conditions or restrictions on the candidate’s licence, or if there are conditions or restrictions on the candidate’s licence that can be accommodated in this jurisdiction, and if the candidate has undergone an assessment in the licensing province that is acceptable to the CPSM. The credentialing requirements, fees, assessments respecting public safety issues and recent practice requirements also apply to applicants who hold a provisional/conditional licence in another Canadian jurisdiction.
  1. In addition to meeting the above requirement, a person seeking registration
    1. who has been registered in another jurisdiction(s) must provide a certificate of standing of recent date in that jurisdiction(s). Evidence of standing must be sent directly to the College offices from the respective organization.
    2. must provide a Medical Identification Number for Canada (MINC) number. If you do not have a MINC number one will be assigned to you prior to registration.
    3. must provide a criminal record check satisfactory to the College (A Criminal Record Check must be provided to the College of Physicians and Surgeons of Manitoba. You may attend at a local RCMP detachment or your local law enforcement agency. You must ensure that the Check contains a Vulnerable Sector Search. Once the check has been completed, you must send the original to the College offices.)

Documentation and fees required. All documents must be originals or notarized photocopies. If you are registered with, you do not need to submit copies of the documents which are in your profile, but must select document sharing with the College. It is the applicant’s responsibility to ensure that the documentation is complete.  NOTE THATthe College reserves the right to request additional documentation following the review of the application.
  1. Application for Medical Registration.
  2. Graduation diploma (with translation in English, if applicable).
  3. Documentation of  all approved training experiences and medical qualifications (including certifications) listed in the application.
  4. Evidence of identity (Canadian passport/birth certificate; passport and one of the following: permanent resident status, valid work permit, Canadian citizenship)
  5. You will be required to pay the following fees at the time you submit your application for medical registration:  $195 Medical Council of Canada fee; $210 CPSM Review of Qualifications fee
Additional Requirements:
  1. Once a position has been obtained in Manitoba, and before registration is issued, the applicant will be required to appear for a personal interview. Registration and licence fees and evidence of identity (Canadian passport/birth certificate; passport and one of the following: permanent resident status, valid work permit, or Canadian citizenship) are due prior to commencing practice.
  2. Persons who are registered may be issued one of the following licences:
    (a)    Full: A licence entitling the holder to practise independently in accordance with his experience will be issued on payment of the licence fee (Canadian currency, at par, Winnipeg).
    (b)    Monthly Term: A licence for a calendar month or portion thereof may be issued at a reduced fee. This is primarily designed for those doing a locum tenens who will not be practising for more than five calendar months in the licence fee year.
    (c)    Residents in Training Programs: Medical graduates who meet the requirements for full registration may on request be issued a licence entitling practice only within the residency program. The application for this licence must be accompanied by a letter from the University of Manitoba, Postgraduate Medical Education, confirming the residency appointment. The fee for this licence is approximately 25 percent of the full licence fee. This licence may be extended to a full licence.
  3. Professional Liability Insurance
    All licensed physicians must be a member of the Canadian Medical Protective Association, or carry a policy of professional liability insurance of at least $10,000,000.00 issued by a company licensed to carry on business in the province of Manitoba.
Warning Notices

The College cannot be responsible for delays in registering persons who have not submitted their application and documents well in advance of arrival in Manitoba. The College cannot be responsible for delays due to incomplete documentation.

Applicants are cautioned that they must not engage in practice in this province until such time as registration and licensure are completed.

It is contrary to The Medical Act for any medical practitioner to employ an assistant who is not duly qualified and licensed.

To avoid delays in processing your application, please ensure the documentation is complete.

Please contact the College directly if you require clarification on any of the items or if you have any questions regarding the application process