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 Grande Prairie.

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


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