C-sectionInternational Medical Graduates

The majority of Canada’s enhanced surgical skills (ESS) family practitioners were recruited overseas, acquiring postgraduate surgical training, up to and including a foreign fellowship, prior to immigrating to rural Canada.

Training in Surgery and Operative Delivery

There are two Canadian medical schools which offer a third year Residency (R3) 12 month postgraduate ESS program – the University of Saskatchewan at Prince Albert, and the University of Alberta at Fort McMurray

Training in Operative Delivery including Caesarean Section

Many of Canada’s medical schools offer a 3-6 month R3 training program for rural family physicians seeking to offer surgical services limited to operative delivery

McGill University


University of Manitoba 

University of British Columbia 


  1. Iglesias S, et al. Advanced skills by Canada’s rural physicians. Can J Rural Med, 1999, 4(4); 227-233