Self-Employed Doctors, This Is Your Chance to Move to Ontario
February 18, 2025
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Ontario's healthcare system is actively recruiting skilled physicians, and for those practicing independently, the path to immigration has become significantly more accessible. Recent updates to immigration programs are designed to attract self-employed doctors, streamlining the application process and opening new doors for international medical professionals.
If you are a self-employed physician considering a move to Canada, read on to discover how you can make your dream of practicing medicine in Ontario a reality.
Does Ontario Need Physicians
Ontario has made these immigration changes to address a growing shortage of physicians. Canada’s aging population and increasing demand for healthcare services have intensified the need for more medical professionals. Several provinces, including Prince Edward Island, Saskatchewan, Newfoundland and Labrador, and Manitoba, have introduced incentives to attract skilled healthcare workers.
To further support physician immigration, Immigration, Refugees and Citizenship Canada (IRCC) launched category-based selection draws in 2023 for candidates with experience in high-demand occupations, including healthcare. The latest IRCC Immigration Levels Plan, announced in October 2024, highlights healthcare, trades, and French-language proficiency as priority categories in 2025. These efforts demonstrate Canada’s commitment to addressing physician shortages and ensuring quality healthcare access nationwide.
Updates to Ontario’s Immigration Requirements For Self-Employed Persons
Ontario’s updated immigration policy shift removes a major obstacle that previously prevented many immigrant self-employed physicians from obtaining Canadian permanent residency. As a result, more physicians can now establish their practices in Ontario, helping to improve healthcare access across the province.
Self-employment Work Experience
Under the updated regulations, Ontario has made self-employment work experience count toward eligibility for certain immigration streams. Specifically, self-employed physicians can now apply through the following Ontario Immigrant Nominee Pathways (ONIP).
- Express Entry: Human Capital Priorities Stream,
- Express Entry: French-Speaking Skilled Worker Stream, and
- Employer Job Offer: Foreign Worker Stream.
Previously, many physicians in Ontario struggled to meet the eligibility criteria because they were considered self-employed rather than employees. These new modifications ensure that self-employed medical professionals no longer face this barrier, opening doors for them to secure Canadian permanent residency.
Eligibility Requirements for Self-Employed Physicians
The OINP has allowed self-employed physicians to count their work experience under specific National Occupational Classification (NOC) codes. Eligible applicants must demonstrate self-employment experience under one of the following NOC categories:
- NOC 31100: Specialists in clinical and laboratory medicine,
- NOC 31101:Specialists in surgery, and
- NOC 31102:General practitioners and family physicians.
These changes align with federal policies and create a more inclusive immigration framework for medical professionals. If physicians meet the outlined requirements, they can use their work experience to qualify for these OINP streams.
Express Entry Changes
The Express Entry system is one of the most popular pathways for skilled workers to gain Canadian permanent residency. However, before these changes, self-employed physicians were often excluded from the Express Entry: Human Capital Priorities and French-Speaking Skilled Worker streams due to work experience restrictions.
With the recent amendments, self-employed physicians can now use their independent practice experience to meet the work experience criteria. This means more medical professionals can qualify for Express Entry draws and secure Canadian permanent residency without requiring a job offer from a Canadian employer.
Employer Job Offer: Foreign Worker Stream
Another significant improvement is within the Employer Job Offer: Foreign Worker stream. Previously, physicians needed a formal job offer from an Ontario employer to qualify. Since most doctors operate independently, this requirement made it nearly impossible to apply through this stream. The new changes remove this obstacle, allowing physicians to qualify without a job offer. To be eligible, applicants must:
- Apply under NOC codes 31100, 31101, or 31102,
- Be registered and in good standing with the College of Physicians and Surgeons of Ontario in one of the following certificate categories (independent practice, academic practice, and postgraduate education) and
- Be eligible to receive payment for publicly funded health services.
These adjustments provide greater flexibility for physicians to obtain Canadian permanent residency while continuing to serve communities in need.
Other Requirement Updates
The OINP's recent changes are consistent with earlier modifications made at the federal level. The Canadian government introduced a temporary public policy that makes it easier for self-employed physicians to qualify for the Canadian Experience Class (CEC) and the Federal Skilled Worker Program (FSWP).
Previously, self-employed physicians had difficulty meeting the eligibility criteria for these federal programs. This was primarily because the CEC required work experience as an employee rather than an independent practitioner. The new public policy allows physicians to count their self-employment experience toward meeting these requirements, eliminating a significant hurdle.
This policy exempts physicians from the standard requirement of continuous arranged employment for at least one year after obtaining Canadian permanent residency. This change allows doctors to establish medical practices in Canada without unnecessary administrative burdens.
Learn more about how to qualify for the OINP.
What Are the Benefits of Being a Self-Employed Physician in Ontario?
For physicians seeking professional autonomy and a rewarding career, Ontario offers a compelling environment for self-employment. Physicians benefit from several distinct advantages beyond contributing to a robust healthcare system.
Professional Autonomy and Flexibility
Self-employment provides significant control over one's practice. Physicians can set their hours, choose their patient load, and specialize in areas that align with their interests. This flexibility allows for a better work-life balance, catering to individual needs and preferences. This autonomy extends to practice management, allowing physicians to implement their preferred models of care and administrative procedures.
Financial Potential
While income varies based on specialty and practice management, self-employed physicians have the potential for higher earnings compared to salaried positions. They directly benefit from the success of their practice and can implement strategies to optimize revenue. Furthermore, they may have opportunities for additional income streams through consulting, research, or teaching.
Direct Patient Relationships
Self-employment fosters stronger patient-physician relationships. Physicians can dedicate more time to individual patients, building trust and providing personalized care. This direct interaction can lead to greater job satisfaction and fulfillment in community service.
Entrepreneurial Opportunities
Self-employment allows physicians to act as entrepreneurs, building and growing their businesses. They can innovate in their field, implement new technologies, and create specialized clinics or services to meet community needs. This entrepreneurial spirit can lead to professional growth and recognition within the medical community.
Contribution to the Healthcare System
Self-employed physicians play a vital role in Ontario's healthcare system, filling critical gaps in service and providing essential care to diverse populations. They contribute to the overall health and well-being of the community, making a tangible difference in people's lives.
Tax Advantages
Self-employed individuals often have access to certain tax deductions related to business expenses, which can reduce their overall tax burden. These deductions can include costs related to office space, equipment, professional development, and other business-related expenditures. However, consulting with a tax professional is crucial to understand the specific regulations and ensure compliance.
Professional Development and Networking
Self-employment encourages continuous learning and professional development. Physicians are motivated to stay updated with the latest advancements in their field to provide the best possible care. They also have opportunities to network with other professionals, collaborate on research projects, and contribute to advancing medical knowledge.
Learn more about why it is a good idea to live and work in Ontario.
FAQs
Are There Specific Resources For Internationally Trained Physicians in Ontario?
Yes, organizations like the CPSO and settlement service providers offer resources and support for internationally trained physicians. Research these resources to understand licensing requirements and settlement services.
What if my Medical Qualifications Are Not Fully Recognized in Canada?
You will likely need to undergo an assessment by the Medical Council of Canada (MCC) and potentially complete further training or examinations to meet Canadian standards.
Do I Need a Lawyer or Immigration Consultant?
While not mandatory, professional guidance can be beneficial. A Regulated Canadian Immigration Consultant (RCIC) or immigration lawyer can navigate the complexities of the process, ensuring your application is complete and accurate. Be sure to choose a reputable and authorized professional.