How Hard Is It to Get Into the Best Medical Schools in Canada as an International Student?

Finding the best medical school in Canada as an international student can feel overwhelming, especially when options are limited and competition is intense. 

If you’re thinking about studying medicine in Canada, you might be wondering how to get one of the very few seats available for international students, who make up less than 1% of all medical students. 

This article covers how the Canadian medical education system works, the steps of the admission process, and the tuition costs you can expect each year.  

What are the best medical schools in Canada for international students?

Medical schools in Canada are consistently ranked among the best globally.

Each year, more than 14,000 applicants compete for around 3,000 seats with fewer than 10 reserved for international students. This makes Canadian medical schools among the most competitive in the world.  

There are 18 medical schools in Canada, and only 3 of them accept international students:

To illustrate the level of competition, here are some facts: 

  • At McGill University, no international applicants were offered a place in the preparatory year during the last four years
  • At the University of Alberta, 85% out of the 192 available spots are reserved for Alberta residents, and the rest are for non-Alberta residents 
  • The University of Montreal offers only two places for international students in its preparatory year and another two for the MD Programme

The University of Toronto used to accept international students too, but this has changed. 

The government of Ontario is banning international students from enrolling in Ontario-based medical schools, effective starting from the 2026 fall entry. The legislative change was implemented as a solution to keep more students in-province after graduation, in order to address doctor shortages in underserved regions. 

Find your medical degree in Canada  

How does medical education in Canada work?

A Medicine Degree (MD) Programme in Canada lasts four years and focuses on a curriculum that prepares students for every kind of career in medicine. 

  1. The first two years (pre-clinical or pre-clerkship) are spent learning and attending courses to build foundational knowledge in medical sciences.
  2. The last two years (clerkship programme) are spent in hospitals and clinics, applying the medical knowledge learned in the previous years. Clerkship is meant to provide hands-on experience in core specialities like surgery, pediatrics, or psychiatry. 

After graduation and completion of the Medical Council of Canada Qualifying Examination, doctors must undergo a residency programme to become licensed and work in specialized fields. Residency takes from two to seven years. 

What is residency matching, and how does it work?

Residency matching is a process facilitated by the Canadian Resident Matching Service (CaRMS) to connect medical students with residency programmes, based on their specialities, preferences, and qualifications.

Instead of applying individually to each programme, applicants and residency programmes rank each other, and the system matches them based on mutual preferences. 

There are only 37 residency programmes available in Canada, and the requirements for them differ by province, due to local health priorities or language. 

However, if you’ve been matched with a residency programme, you are legally bound to attend it and vice versa. 

How is the admission process at the best medical schools in Canada?

The admissions process for medical schools in Canada usually involves three steps: 

  1. Meeting eligibility requirements
  2. Completing one or more interviews
  3. Receiving an offer of admission

Step 1: Requirements criteria 

Admission requirements differ across medical schools, but they generally include eligibility criteria, academic performance, a personal statement, and letters of recommendation. 

When it comes to eligibility aspects, most Canadian medical schools expect applicants to finish basic science courses before starting their programme. 

Besides these prerequisites, some schools use the Medical College Admission Test (MCAT).

MCAT is a computer-based examination with 230 questions to assess critical thinking, problem-solving, and knowledge of natural, behavioural, and social science concepts necessary to study medicine. 

However, the MCAT is not a mandatory requirement for every Canadian medical school. 

As a general rule, though, the selection committees evaluate the academic performance of their applicants to understand their potential. They consider grade point average (GPA) to determine if the applicants have the capacity to pursue medical studies. 

Students also need to prepare an autobiographical sketch or essay to reflect their personality and accomplishments, and reference letters from faculty members or previous employees. 

Step 2: Interviews

If the requirements criteria are met, the next step is to complete one or more interviews. 

There are several models of interviews in Canadian medical schools:

  • The panel interview, where a mix of community members, faculty representatives, medical students, and practising psysicians interview the applicant
  • Multiple mini interview (MMI), which measures communication skills through different scenarios where the applicant interacts with patients and colleagues
  • CASper or Computer-Based Assessment for Sampling Personal Characteristics evaluates personal and professional characteristics like empathy, ethics, and communication 
  • TAAMUS, which is an aptitude test in French required only at Université de Sherbrooke

Step 3: Offer of admission

If the applicant demonstrates the academic and non-academic capabilities to pursue a medical degree, the school will propose an offer of admission. 

The admission conditions may require international students to cover the full cost of medical education, agree not to apply for residency training in Canada, and return to their country of origin to practice medicine. 

How much does medical school cost in Canada for international students?

If we take into consideration education and non-education related expenses, the total cost of medical education in Canada may exceed $100,000. 

There are scholarships and bursaries available; still, more than 80% Canadian medical graduates reported debt directly related to their medical education.

Tuition costs depend significantly on the university and province, but international students typically pay more than twice as much as Canadian residents. International students might pay even more when compared with the fees paid by the in-province residents.

Let’s take the first-year tuition at McGill University as an example:

  • Canadian residents: $25,956
  • In-province residents: $6,231
  • International/visa students: $64,382

At the University of Montreal, tuition is slightly more affordable, but the trend for international students remains the same, with costs nearly triple compared with those of domestic in-province students.  

  • Canadian residents: $14,023
  • In-province residents: $5,631
  • International/visa students: $39,978

Another cost to consider is the non-refundable fee that every Canadian medical school charges to open an application file. Usually, this fee ranges between $120 - $220, depending on the school.

Is Canada a realistic option for international students?

Studying medicine in Canada as an international student is extremely difficult, as only a few spots are available. Some schools restrict access to residency training and accept international applicants only if they agree to return to their home country to practice medicine after graduation.   

Schools prioritise Canadian citizens and permanent residents and have developed programmes to encourage them to stay in their provinces. For example, the Ontario government invested $88 million to cover the tuition costs of 1,000 students who agree to stay in the province and practice family medicine. 

As study opportunities become more limited in countries that were once the first choices for many international students, destinations like Singapore or South Korea are gaining momentum. This is reflected in the growing number of international students we have seen in recent years. 

Sources used and checked in February 2026:

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