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Residency Training in Canada by Dr. Mohammad AlGhamdi 2016

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    MOHAMMAD ALKHAZIM ALGHAMDI, PT, PHDD I R E C T O R O F M E D I C A L S C H O L A R S H I P D E P A R T M E N T

    S A U D I A R A B I A N C U L T U R A L B U R E A U I N C A N A D A  2 0 1 6

     Residency and fellowship training

    in Canada

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    Introduction

    Historical Legacy 

    PGME Training in Canada

    Statistics

     Application Process

     Arrival

    Outline

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    Introduction

    The Saudi Arabian Cultural Bureau (SACB) inOttawa, Canada has facilitated trainingopportunities for Saudi physicians since 1978.

    Residency and Fellowship training opportunitiesare based on contractual agreements betweenSACB and Canadian medical schools.

    The Medical Admissions Department at SACBassists applicants starting from the applicationprocess and throughout physicians’ medical

    training in Canada.

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    Historical Legacy 

    Canada has been Saudi Arabia’s major partner in medicaleducation for over 30 years.

    This partnership has produced over 4,000 Saudi medicalgraduates; many of whom have now assumed seniorleadership roles within Saudi Arabia’s health care system.

    Today over 1000 Saudi physicians are receivingpostgraduate medical residency training in hospitals acrossCanada and are providing treatment and expert medical

    care to millions of Canadian patients.

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    The Association of Faculties of Medicine*Annual Census of Post-M.D. Training (CAPER)

    Postgraduate Medical Education in Canada

    High School

    UndergraduateMedical Degree

    High School

    UndergraduateDegree

    UndergraduateMedical Degree

    Postgraduate Medical Education Residency 

    Postgraduate Medical Education Fellowship

    Population 35,000,000Total doctors (nottrainees)

    78657

    Medical Schools 17 s

    Medical Students 2700

    Residents 13439

    Fellows 2446

    Teaching (full-time) 13360

    Teaching (part-time) 9603

    Teaching (volunteers) 28537

    Research resources 3 billions $

    Saudi Arabia Canada

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    Related agencies

    http://residentdoctors.ca/http://residentdoctors.ca/

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    0 50 100 150 200

    2009

    2010

    2011

    2012

    2013

    2014

    2015

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    80

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    3

    1

    1

    0 25 50 75 100 125 150 175 200 225 250 275 300

    TORONTO

    BRITISH COLUMBIA 

    MCGILL

    OTTAWA 

    MCMASTER 

     WESTERN ONTARIO

     ALBERTA 

    CALGARY 

    MANITOBA 

    QUEEN'S

    DALHOUSIE

    MONTREAL

    LAVAL

    SASKATSHWAN

    SHERBROOKE

    Saudi Doctors Graduates:The Past 5 Years

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    Number of Graduates 2009-2015

    15

    10

    15 16 16

    10

    16

    21

    30

    56

    48

    71

    46

    35

    0

    10

    20

    30

    40

    50

    60

    70

    80

    2009 2010 2011 2012 2013 2014 2015

       N  u  m   b  e  r  o   f   G  r  a   d  u  a   t  e  s

     Year

     Alberta

    British Columbia

    Calgary 

    Dalhousie

    Laval

    Manitoba

    McGill

    McMaster

    Montreal

    Ottawa

    Queens

    SaskatchewanSherbrooke

    Toronto

     Western

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    O V E R T H E P A S T 3 0 Y E A R S , C A N A D A H A S T R A I N E D M O R E T H A N 4 , 0 0 0

    S A U D I P H Y S I C I A N S . M O R E S A U D I D O C T O R S A R E C U R R E N T L Y B E I N GT R A I N E D I N C A N A D A T H A N A N Y W H E R E E L S E I N T H E W O R L D .

    118

    1098

    0

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    200

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    400

    500

    600

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    800

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    1000

    1100

    1990 / 1991 2015 / 2016

    Development Over the Past 15 Years

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    249270 245 294 278

    2912

    3155 3173 3247 3141

    0

    500

    1000

    1500

    2000

    2500

    3000

    3500

    4000

    2011 2012 2013 2014 2015

    Saudi Arabia Pass Rate All Candidates Pass Rate

    88%

    86%

    83%

    76%75%

    86% 86%

    84%

    76%77%

    65%

    70%

    75%

    80%

    85%

    90%

    2011 2012 2013 2014 2015

    Performance on MCCEE with Respect to AllCandidates

    40-60 % of Saudi medical

    graduates apply for MCCEE

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    RCPSC Certified Physicians(2007-2011)

    8979 84

    98 103

    328354

    355

    409385

    0

    50

    100

    150

    200

    250

    300

    350

    400

    450

    2007 2008 2009 2010 2011

    Saudi Trainees Total IMGs

    20%

    80%

    Saudi Trainees Total IMGs

    The National IMG Database Report 2012(CAPER)

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    Comparison of Saudi Physicians to Other IMGsTraining in Canada (2015)

    CAPER 

    0

    50

    100150

    200

    250

    300

    350400

    450

    Residency Fellowship

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    -10 40 90 140

    McGill

    Toronto

    McMaster

     Western Ontario

    British Columbia

    Ottawa

     Alberta

    Dalhousie

    Kaplan / Language Institute

    Calgary 

    Montreal

    Manitoba

    Queen's

    Laval

    Certificate

    Sponsored Saudi Doctors in CanadianSchools (2015)

    3

    11

    35

    45

    60

    388

    480

    Bachelor

    Certificate

    Preparatory 

    Dentistry 

    PostgraduateStudies

    Residency 

    Fellowship

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    Saudi Physicians and Sponsoring Agency(Data as at Dec. 2015)

    10

    11

    13

    17

    19

    36

    37

    37

    40

    46

    53

    65

    82

    130

    158

    180

    88

    Qassim University 

    King Abdullah Medical City in…

    Jeddah University 

    Umm Al-Qura University 

    Taibah University 

    University of Dammam

    King fahad Specialist Hospital in…

    Ministry of Defence and Aviation

    King Saud bin Abdulaziz…

    King Faisal Specialist Hospital…

    Ministry of Health

    King Fahad Medical City 

    Ministry of National Gard

    King Abdulaziz University 

    Ministry of Education

    King Saud University 

    Other Sponsoring Agencies Other Sponsoring Agencies

    Taif University 9

    Mohammed bin Abdulaziz8

    King Abdullah Uni Hospital7

    Imam University 7

    Jazan University 6

    King Saud Medical City 6

    King Khaled University 5

    Prince Mohammed Med City 5

    King Faisal University 5

    Security Forces Hospital4

    Prince Sattam University 4

    Princess Nourah University 3

    King Faisal Medical City 3Majmaah University 3

    University of Hail3

     Al-Baha University 3

    University of Tabuk 3

    Royal Saudi Land Forces2

    Ministry of Interior1

    Shaqra University 1

    Saudi Bureau deals with 40 Saudi Sponsors

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    Factors for Success

    Contractual Agreements Between SACB and Canadian Medical Schools

    • 5-year agreements with 15 (out of 17) schools.

    • Tuition is unified among all schools.• SACB pays the doctor stipend through the medical schools• Doctor consent to release information for Saudi bureau• Doctors to be back home (Saudi) after training• SACB is the only guarantor for all Saudi trainees

    400

    139

    138

    136

    20

     Academic Merit Awards

    Publication Merit Awards

    Presentation Merit Awards

    Passing Royal College Exam

    Master's / PhD Thesis

     Achievement of SaudiPhysicians

     A generous sponsorship program

    The development of an application system “MAS”

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    Candidate

    Canadian University

    Call for Interview

    Offers

    The Application Process

    Saudi Bureau

    MAS = Medical Application System

    Sponsor

    http://apps.saudibureau.org/medical/http://apps.saudibureau.org/medical/

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    Required Documents

    SACB NominationForm completed bysponsoring agency

    Medical Council ofCanada Evaluation

    Examination (MCCEE)CV

    Personal Statement 

    Medical SchoolTranscripts

    Internship CertificateMedical Diploma

    (MBBS Certificate)Three recent

    Reference Letters

    Choice of specialty

    (as indicated bysponsoring agency on

    Nomination Form)

    Board Certificate(Fellowshipapplicants)

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    Nomination Form

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    MCCEE/ Evaluation Exam

    The Medical Council of Canada Evaluating Examination (MCCEE) is a four-

    hour, computer-based examination offered in both English and French at more

    than 500 centers in 80 countries worldwide.

    International medical students or U.S. osteopathic students in the final 20

    months of their program and international medical school graduates or U.S.

    osteopathic graduates must take the MCCEE as a prerequisite for eligibility to

    the Medical Council of Canada Qualifying Examinations.

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    MCCEE

    This is required for all residency applications to ALL medical schoolsand for fellowship applicants to McGill, Dalhousie and Manitoba. Theremaining universities don’t require the MCCEE for fellowship.

     Very Important Considerations:

     We suggest not to rush into taking the MCCEE exam, especially if you havemore time before the application is needed to be uploaded on our website.Please note that once you have passed the exam, you will not be allowed to re-take it should you wish to try again to improve your score.

    The MCCEE score is one of the key factors in the selection of the doctors for theinterviews, so please make sure to prepare for it to ensure a good score.

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    http://mcc.ca/repository/educational-credential-assessment/

    http://mcc.ca/examinations/mccee/

    http://mcc.ca/repository/educational-credential-assessment/http://mcc.ca/examinations/mccee/http://mcc.ca/examinations/mccee/http://mcc.ca/examinations/mccee/http://mcc.ca/repository/educational-credential-assessment/

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    MCCEE Locations of Prometric Centers

    Saudi Arabia, Qatar and Kuwait

    Men Women

    Saudi Arabia AMIDEAST Saudi Arabia, Al Kindi Plaza AMIDEAST Saudi Arabia, Al Kindi Plaza

    #57, First Floor, Diplomatic Quarters #57, First Floor, Diplomatic Quarters

    Riyadh Riyadh

    Ibrahim Adham Street, Al Hamra District Floor 1 Office 3, Ibrahim Adham StreetJeddah Jeddah

    Eastern Province, Training Centre Entrance C (from the back of the building)

    Dammam Al Khobar

    Qatar New Horizons Computer Training Company 

     Al Waab City B, Salwa RoadDoha

    Kuwait AMIDEAST Kuwait, Sharq, Ahmed Al JaberStreet

    Plot 1, Floor 2, Commercial Bank Building

    Kuwait

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    Required DocumentsCurriculum Vita (CV)

    Must be well written and reflect a summary of the applicant’s basic information, academic

    credentials, professional achievements and experiences, etc.

     Personal Statement 

     A 1-2 page document that provides a brief summary of the applicant’s background andobjectives that motivates their interest in joining the desired program. A reflection on theimpact of Canadian medical training on the applicant’s professional development and in

    particular, the Saudi Health Sector is also recommended.

    Three Recent Reference Letters

    The date of issue of reference letters cannot exceed 1 year from the date ofapplication.

     All letters must be dated, signed and issued on official letter-head.

    If referees wish to provide confidential reference letters, they may send them to SACB’s Admissions Team directly via email.

    Copies of MBBS, Internship and Board Certificates*

     Saudi Passport and Saudi ID

    Please pay special attention to spelling, layout and overall format of alldocuments. Make someone expert to edit/ review it for you…

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    Special Requirement: TOEFL or IELTS Results

    University MCCEE (for fellows) Language Requirement  

    Dalhousie Required TOEFL IBT 24 or ILETS IBT 7.0 each section.

    McGill Required

    (USMLE Step 1 and 2 )

    Not Required

    McMaster Not Required Not Required

    Queens Required Not Required

     Alberta Required TOEFL IBT 24 or ILETS IBT 7.0 each section

    British

    Columbia

    Required TOEFL IBT (minimum 96 with a 24 in each section) or IELTS

    IBT (7.0)

    Calgary Required TOEFL IBT 24 or ILETS IBT 7.0 each section

    Manitoba Required TOEFL IBT (total score of 100 and a score of 24 on section

    but 25 on each of the speaking and listening components)IELTS IBT (minimum 7.0 each section) with an overall band

    score of no less than 7.

    Toronto Not Required Not Required

    Western Not Required Not Required

    Montreal Not Required Test du Française FTI ( minimum 850/990)

    MCCEE is required for all residency programs

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     Application Process: Submission

    Once all documents have been uploaded and any necessaryrevisions have been made, the application will be receivedand complete on MAS. An email notification will be sent tothe applicant confirming this.

    SACB’s Admissions Team is in direct communication withPGME offices throughout the entire process. Any newupdates / important information received from medical

    schools will be relayed to applicants (i.e. updates oninterviews and offers).

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     Application Process:Medical Application System (MAS)

    Please visit the following Bureau’s website for a step-by-step guide on the application andplacement process.

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    Current Application cycle (Up March 15th 2016)

    Currently completingtraining in Canada

     Applying from Saudi Arabia

    Total

    Fellowship Residency Fellowship

    Completedapplications

      199 343 477 1019

    Sent applications 469   1246 1650   3365

    Number ofInterviews

      228 275 124 627

    Final Offers 189 97 139 425

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     Year Residents* Fellow Total Saudi ArabiaResidents (%)

    2010 755 1430 2185 389 (51%)

    2011 697 1394 2091 377 (54%)

    2012 659 1397 2056 381 (58%)

    2013 624 1407 2031 377 (60%)

    2014 605 1499 2104 371 (62%)

    2015 584 1477 2061 385 (66%)

     Visa Funded Positions in Canada

    • Resident numbers decreasing - SA % of positions increasing•

    Source: Canadian Medical council

    l

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     Application Process:Time Frame

    Beginning of new application cycle every March/April

    SACB starts receiving information from Canadian Medical Schoolsregarding:

    available programs

    application deadlines for each program any new processes, changes or requirements from medical schools

    SACB communicates the information received from medical schools to allprospective applicants:

    a comprehensive mass email to all physicians on our contact list announcements and any updates posted to the Bureau’s website

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     Application Process:Time Frame

     With the exception of a few Pediatric Fellowship programs, the following applies to majority of programs:

    Complete applications must be received by SACB between March-May.

    SACB’s admissions team will review application documents submitted on MAS. Complete applications arethen sent to relevant universities between June and August. * * This is subject to program availability and any specific application requirements for some universities, i.e. MCCEE and TOEFL or IELTS.

    Short-lists for interviews are received and selected applicants are contacted by universities between September-November.

    Interviews take place between October-December.

    Time-frame in which interview results are communicated to the candidates is extremely variable (can takeanywhere from 2 weeks to a few months). Usually only candidates that receive offers will be contacted by the program or PGME of the university.  As previously mentioned, some university application systems allow applicants to track the progress of their application (i.e. Toronto,

    McGill). Interview result will be available for applicant to view once the result is updated on the university ’s system.

    Program start dates for most Residency programs range between  April-July of the following year. Startdates for Fellowships are usually more flexible as fellowship training can begin in January, July,

     September or October of the following year.

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     Application Process:Sending Applications to Medical Schools

     Applications are sent to the university ’s PGME PGME office which then channels applications to the respective program.

    Universities of: Dalhousie, McMaster and Toronto SACB admissions team will initiate access for applicant on each university ’s online

    application system (applicant must upload application documents directly).

    University of Ottawa SACB admissions team will send a link to applicant access the system (applicant must upload

    application documents directly).

    McGill University  SACB admissions team will send a link to applicant access the system (applicant must upload

    application documents directly). It is crucial that applicants do this, otherwise application will not be considered.

    Toronto and McGill’s systems allow applicants to track thestatus/progress of their application.

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     Application Process:Interviews

    Programs will short-list the applicants they wish to interview. Once selection is made, applicants will be contacteddirectly by the PGME with the interview invitation.

    One exception however, is McGill: they will contact SACB’s admissions team with the short-list, who will thencontact selected applicants with interview invitation / details.

    Types of Interviews:

    In-Person Interview (usually Residency): with program directors and members of selection committee

    Interviews referred to as “Electives”: are usually longer in duration (i.e. interviews for some fellowshipprograms, Neurology residency programs, and some programs at Dalhousie can take this format).

    Skype/Video-Conferencing (usually for Fellowship, sometimes possible for residency): Video-conference interviews are hosted by the King Faisal Specialist Hospital in Riyadh. For interviews via Skype,candidates will be asked to provide the program with their contact information.

    Please note:

    Interview information is entered and tracked on SACB’s MAS system: applicants will receive an email from MASasking them to confirm interview attendance. A  Visa Support letter that can be included with the candidate’s visaapplication is also generated through MAS.

    SACB’s Legal Affairs Office can help with TRV facilitation (i.e. intervene in cases of delays/ complications).

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     Available Programs

    Information on available programs for Saudi doctors is provided by PGME offices across Canada. This information is then sharedon the Saudi Bureau website.

    For each applicant, applications will be sent to all medical schoolsthat have indicated availability for the respective program.

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    McGill University (Example 2017)

    The following programs are closed for the 2017-2018 academic year. 1) Anatomical Pathology  2) Family Medicine

    3) Family Medicine Emergency Medicine 4) Family Medicine Mother and Child Healthcare

    5) Public Health & Preventative Medicine

    The following programs are open for the 2017-2018 academic year to applicants who are

    training in a residency program in North America. Please do not send any application

     files for the programs below, unless candidates have North American training.

    1) Child & Adolescent Psychiatry  2) Clinical Pharmacology & Toxicology 

    3) Colorectal Surgery 

    4) Medical Microbiology & Infectious Diseases 5) Hematology 

    6) Medical Oncology  7) Pediatric Emergency Medicine

    8) Pediatric Hematology Oncology 

    9) Pediatric Infectious Diseases

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    McGill

     Applicant Eligibility for Residency Programs: We can consider trainees sponsored by your government and born in

    Canada.

    We cannot consider files for applicants who are permanent residents or

    citizens of Canada

    (who are not born in Canada), or for applicants who are applying for permanent residency status.

    Trainees who change their legal status and no longer meet thesecriteria will no longer be

    covered under the agreement and will need to be deregistered.

    El ti d Ob hi

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    Electives and Observerships:Short-Term Medical Training

    The Bureau only facilitates applications for long-term medical training(Residency/Fellowship).

    Physicians interested in applying for Electives/Observerships must do

    so independently by communicating directly with the program of theirchoice.

     We highly recommend that you take an elective/ observation atCanadian medical school. This will improve your CV and chances of

    acceptance…

    There are some consideration, you should know about elective/observation (continue)

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    Elective and observationship

    Electives

    Medically insured of safety of patients examined as well as physicians;

    Trainees are allowed to practice under supervision;

    The duration of elective opportunities vary between one and three months as well asthe cost;

    The opportunities are available throughout the year.

    Observerships

    Trainees are not permitted to examine and diagnose patients.

     AdmissionSuccess

    SufficientTOEFL/IELTSScores & Efficient

    CommutationSkills

    Electives

    Observerships

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    Temporary Resident Visa (TRV)

     You will also need to obtain a (TRV) visa to come to Canada.

    Family members must complete their own application forms.However, you may send their passports and other documentsalong with yours in the same envelope and use one payment

    receipt for the total amount.

    Note: Your spouse and children must meet all of therequirements for temporary residence in Canada.

    It is recommended that you submit your “family ” applicationthrough the nearest VAC. Make sure you obtain the VACtracking number of your submission.

    G id li & Hi t f A l i f I iti l W k

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    Guidelines & Hints for Applying for an Initial WorkPermit in Saudi Arabia

    Canadian Embassy in Riyadh:

    Embassy ’s home page:http://www.canadainternational.gc.ca/saudi_arabia-arabie_saoudite/index.aspx?lang=eng

    Information RE Work Permits:http://www.canadainternational.gc.ca/saudi_arabia-arabie_saoudite/visa.aspx?lang=eng&menu_id=2

    Do your medicals up-front!  www.cic.gc.ca/pp-md/pp-list.aspx

    Contact Saudi Bureau, if have difficulties finding them.

    http://www.canadainternational.gc.ca/saudi_arabia-arabie_saoudite/index.aspx?lang=enghttp://www.canadainternational.gc.ca/saudi_arabia-arabie_saoudite/index.aspx?lang=enghttp://www.canadainternational.gc.ca/saudi_arabia-arabie_saoudite/visa.aspx?lang=eng&menu_id=2http://www.canadainternational.gc.ca/saudi_arabia-arabie_saoudite/visa.aspx?lang=eng&menu_id=2http://www.canadainternational.gc.ca/saudi_arabia-arabie_saoudite/visa.aspx?lang=eng&menu_id=2http://www.cic.gc.ca/pp-md/pp-list.aspxhttp://www.cic.gc.ca/pp-md/pp-list.aspxhttp://www.cic.gc.ca/pp-md/pp-list.aspxhttp://www.cic.gc.ca/pp-md/pp-list.aspxhttp://www.canadainternational.gc.ca/saudi_arabia-arabie_saoudite/visa.aspx?lang=eng&menu_id=2http://www.canadainternational.gc.ca/saudi_arabia-arabie_saoudite/index.aspx?lang=eng

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     Arrival In Canada

    Upon arrival in Canada, physicians are advised to opena sponsored file. The file opening system is can beaccessed via the Saudi Bureau’s website.

    Once this is done, an email notification will be sent tophysicians with the contact information of the Advisor within the Medical Department assigned to assist themthroughout their training.

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    DENTAL Undergraduate

    Master/ PhD

    Internship Residency 

    Fellowship/ surgery 

     ApplicationSaudi Bureau involvement

    Requirements

    MCAT Basic degree

    Saudi Bureauagreement with

    Dalhousi

    Dental and Undergraduate Medical

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    Saudi Doctor representatives

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    Medical Department Contacts

     www.saudibureau.orgInternal Medicine Residency & Pediatric FellowshipLilian Zein:

    [email protected]. 314

     All Residency (except Internal Medicine)

    Rima Bouagada

    [email protected]

    ext. 312

     All Medical Fellowship ProgramsGhada Qadan

    [email protected]. 301

     All Surgical Residency Programs

    Hasan Wais

    [email protected]. 303

     All Surgical Fellowship ProgramsGhada Lteif 

    [email protected]. 317

    Head of department

    Dr Mohammad Alghamdi

    [email protected]

    Ext 300

    http://www.saudibureau.org/mailto:[email protected]:[email protected]://www.saudibureau.org/

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    46/48

    CONCLUSION

    &

    QUESTIONS

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    47/48

    Thank you

    [email protected] 

    mailto:[email protected]:[email protected]

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