Fellowship application guidelines

As a Clinical Fellow, you must meet the minimum eligibility requirements for licensure with the College of Physicians and Surgeons of Ontario (CPSO) to take up training at the University of Toronto. The Medical Council of Canada Evaluating Examination (MCCEE) is not accepted as an alternative to specialist recognition. (As decided by the Postgraduate Dean, Temerty Faculty of Medicine)

• Specialist Status: You must have completed residency training in the base specialty, base subspecialty, or a complimentary specialty, prior to commencing fellowship training in LMP. 
• Medical Practice License: You may be working with patients and/or patient records. You must have a valid Certificate of Registration for Postgraduate Education from the College of Physicians and Surgeons of Ontario (CPSO) or a valid CPSO Independent Practice License. If you do not have a licence, you must contact the CPSO for an application package and apply directly to the CPSO at the same time as applying to the University of Toronto. You must have an Independent Practice License to train as a Fellow at St. Michael's Hospital. 
• Malpractice Insurance: You must have malpractice insurance with the Canadian Medical Protective Association (CMPA). You can get coverage once you are issued with a CPSO Certificate of Registration is issued.
• MCCEE: Although not a requirement, we advise you to take the Medical Council of Canada Evaluating Examination and provide a copy of the pass letter from the Medical Council when applying. 

International applicants

In addition to the above, you need:

• Language Requirements: If your first language and/or language of medical school and patient care was neither English nor French, you are required to take the TOEFL iBT. If you completed your residency in Canada, you do not need to submit TOEFL scores. Minimum acceptable scores: overall score of 93 with a minimum score of 24 on the Speaking section. You must have taken the test within the last two years and submit your test results when applying. 
• Work Permit (VISA): You require a work permit if you are not a Canadian citizen or Permanent Resident. The Temerty Faculty of Medicine Postgraduate Medical Education Office will provide the necessary document(s) as required from the Canadian government office (Canadian Embassy, Consulate, High Commission, etc.) in your country of origin. You will have to pay a non-refundable visa-processing fee at the time of application. 
• Pre-Entry Assessment Program: If you are an International Medical School Graduate, you must complete the Pre-Entry Assessment Program (PEAP) prior to commencing a Clinical Fellowship training program. The program is from four to 12 weeks in duration and is administered by LMP faculty. 

National Residency Matching Program (NRMP)

If you have also applied to the US match through the National Residency Matching Program (NRMP), please be advised that the University of Toronto is a participating institution and adheres to the match policy.

The policy states that "Applicants who have matched to a program or have accepted a position during the Supplemental Offer and Acceptance Program (SOAP), shall not apply for, discuss, interview for, or accept a concurrent year position in another program prior to the NRMP granting the requested waiver".

View the policies on the NRMP website.

Applications for July 2025 are now closed. 

You must ask three referees to send reference letters directly to the LMP Postgraduate Programs Office (pathology.residency@utoronto.ca).

For those applying to the Transfusion Medicine AFC Fellowship, one reference letter must be from your current Program Director.

We will disregard any additional letters or reference letters received after the application deadline. Applications with no reference letters will be rejected. 

Due to the high volume of applications, we are unable to inform you if all/any reference letters have been received. Please check with your references directly. 

If you have funding external to the University of Toronto supervisor or if you intend to be self-funded, you must supply written evidence of sponsorship/funding.

If you are from a country with a sponsorship agreement with our PGME office

Do not apply through this web page. You must apply directly through the PGME's STAR system.

Further information on sponsored fellowships. 

Fellowships available for 2025-2026 (applications now closed)

• Bone and Soft Tissue Pathology
• Breast Pathology
• Cardiovascular Pathology 
• Cytopathology
• Dermatopathology
• Endocrine Pathology
• Gastrointestinal (GI) Pathology
• Genitourinary (GU) Pathology
• Gynecologic Pathology
• Head and Neck Pathology
• Hematological Pathology
• Liver Pathology
• Lung Pathology
• Medical Microbiology
• Neuropathology
• Pediatric Hematological Pathology
• Pediatric Pathology
• Perinatal Pathology
• Renal Pathology
• Surgical Pathology
• Transfusion Medicine 

Fellowships can be funded by a variety of sources, including hospital funds, pharmaceutical firms, agencies and institutions, etc.

You can also self-fund your Fellowship training but must supply written evidence of funding.

The University of Toronto, Temerty Faculty of Medicine also has sponsorship agreements with various governments regarding training at the University.

If you are an applicant from one these countries, you must have the approval of the sponsor involved. Your sponsor must contact the Temerty Faculty of Medicine Postgraduate Medical Education Office (PGME) directly with approval before formally applying to a program.  

Regardless of the source of funding, foreign national applicants must be remunerated at a rate commensurate with that of a Canadian performing the same duties in the same location of work as the foreign national.