A fellow is a postgraduate medical education learner undertaking post-certification training outside the specialty or subspecialty training requirements of the Royal College of Physicians and Surgeons of Canada (RCPSC) or the College of Family Physicians of Canada (CFPC). A fellowship cannot generally be credited toward national certification requirements.

Fellowships must:

• have clearly defined written educational goals and objectives, as per the standards of the College of Physicians and Surgeons of Ontario (CPSO)
• be affiliated with an accredited residency training program with a designated fellowship director/supervisor
• include formal periodic and final evaluations of performance (minimum of four per year)

Fellows will receive a certificate of completion of training upon confirmation of satisfactory completion by the fellowship director and supervisor. The term of a fellowship is generally a minimum of six months and can be renewed up to three years. Any additional period must be approved by the CPSO.

There is a three-year limit of licensure for all clinical fellowships. Please note that a clinical fellowship does not lead to any type of Canadian certification.

If admitted, all foreign clinical fellows must undergo a Pre Entry Assessment Program.