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  • Writer's pictureHossein Alavi, RCIC

Immigrating to Canada as a Healthcare Professional through Express Entry's Category-Based Selection

Canada continues to welcome healthcare professionals from around the world to join its robust healthcare system. If you're a foreign-trained healthcare worker without a Canadian job offer, the Express Entry's Category-Based Selection offers a promising pathway to permanent residency. This guide will help you understand how to navigate this process, identify your occupation's National Occupational Classification (NOC) code, determine if your occupation is regulated, and comprehend the licensing requirements for practicing in Canada.

healthcare professionals

Why Choose Express Entry's Category-Based Selection?


Obtaining a job offer in Canada can be challenging for foreign-educated healthcare professionals due to licensing requirements and the need for Canadian work experience. To address this, the Canadian government introduced the Category-Based Selection under the Express Entry system. This program prioritizes candidates in specific occupations—particularly in healthcare—even if they do not have a Canadian job offer.


Eligibility Requirements


General Express Entry Requirements


Before you can be considered under the healthcare occupations category, you must first meet the eligibility criteria of one of the federal Express Entry programs:


  • Federal Skilled Worker Program (FSWP)

  • Canadian Experience Class (CEC)

  • Federal Skilled Trades Program (FSTP)


Each program has its own set of requirements related to work experience, education, language proficiency, and other factors. It's essential to determine which program you qualify for and ensure you meet all its criteria.


Eligibility for the Healthcare Occupations Category


In addition to meeting the general Express Entry requirements, to be eligible under the healthcare occupations category, you must:


  • Have accumulated at least 6 months of continuous full-time work experience (or an equal amount of part-time work experience) within the past 3 years.

    • The work experience must be in a single occupation listed in the table below.

    • The experience can be in Canada or abroad.

  • Meet all of the requirements specified in the instructions for that round of invitations.

Eligible Healthcare Occupations


The following is a comprehensive list of healthcare occupations eligible under the Category-Based Selection, along with their 2021 NOC codes, TEER (Training, Education, Experience, and Responsibilities) categories, and whether they are regulated occupations in Canada.


You can click on each NOC Code and the Regulatory Information to view detailed information about the occupation, including job duties, qualifications, and regulatory requirements for different provinces in Canada.

Occupation

2021 NOC Code

TEER Category

Regulated Occupation

Audiologists and speech-language pathologists

1

Chiropractors

1

Dentists

1

Dietitians and nutritionists

1

Educational counsellors

1

General practitioners and family physicians

1

Instructors of persons with disabilities

2

Kinesiologists and other professional occupations in therapy and assessment

1

Licensed practical nurses

2

Massage therapists

2

Medical laboratory assistants and related technical occupations

3

Medical laboratory technologists

2

Medical radiation technologists

2

Medical sonographers

2

Nurse aides, orderlies, and patient service associates

3

Nurse practitioners

1

Nursing coordinators and supervisors

1

Occupational therapists

1

Optometrists

1

Other assisting occupations in support of health services

3

Other practitioners of natural healing

2

Other professional occupations in health diagnosing and treating

1

Other technical occupations in therapy and assessment

2

Paramedical occupations

2

Pharmacy technical assistants and pharmacy assistants

3

Physician assistants, midwives, and allied health professionals

1

Physiotherapists

1

Psychologists

1

Registered nurses and registered psychiatric nurses

1

Respiratory therapists, clinical perfusionists, and cardiopulmonary technologists

2

Specialists in clinical and laboratory medicine

1

Specialists in surgery

1

Therapists in counselling and related specialized therapies

1

Traditional Chinese medicine practitioners and acupuncturists

2

Veterinarians

1

(Note: "Varies" indicates that regulation depends on the province or territory. Always refer to the official Canadian Information Centre for International Credentials (CICIC) website to verify if your occupation is regulated in your intended province or territory.)


Understanding NOC Codes and TEER Categories


What is the NOC System?


The National Occupational Classification (NOC) system is Canada's standardized method to describe and classify occupations. It plays a crucial role in the immigration process, determining eligibility for various programs.


What are TEER Categories?


The TEER system classifies occupations based on the level of Training, Education, Experience, and Responsibilities required. The categories range from TEER 0 to TEER 5:

  • TEER 0: Management occupations.

  • TEER 1: Occupations that usually require a university degree.

  • TEER 2: Occupations that usually require a college diploma, apprenticeship training of 2 or more years, or supervisory occupations.

  • TEER 3: Occupations that usually require a college diploma, apprenticeship training of less than two years, or more than six months of on-the-job training.

  • TEER 4: Occupations that usually require a high school diploma or several weeks of on-the-job training.

  • TEER 5: Occupations that usually require short-term work demonstration and no formal education.


How to Find and Verify Your NOC Code


  • Visit the NOC Website: Go to the NOC official page.

  • Select the 2021 Version: Ensure you're viewing the NOC 2021 version, as codes and classifications have been updated.

  • Search for Your Occupation: Use the search function to find your job title.

  • Review the Job Description and Duties: Match your actual job duties with those listed to confirm it's the correct NOC code.

  • Note the TEER Category: This will help you understand the level of education and experience expected.


Determining if Your Occupation is Regulated


In Canada, many healthcare professions are regulated to ensure public safety and maintain high standards. Regulation means you must obtain a license or certification from the appropriate regulatory body to practice your profession.


How to Find Out if Your Occupation is Regulated


  • Visit the Canadian Information Centre for International Credentials (CICIC): The CICIC website provides detailed information on regulated occupations in Canada and links to provincial and territorial regulatory bodies.

  • Check Provincial Regulations: Regulation can vary by province or territory. Ensure you check the specific requirements for the region where you intend to settle.


healthcare professionals with Canadian elements in the background

Licensing Requirements in Canada


General Steps to Meet Licensing Requirements


  1. Identify the Regulatory Body: Each province or territory has its own regulatory authority for healthcare professions.

  2. Visit the Regulatory Body's Website: Obtain detailed information on credential assessments, required examinations, language proficiency tests, application procedures, and fees.

  3. Credential Evaluation:

    • Educational Credential Assessment (ECA): Required for immigration purposes to verify your foreign education.

    • Professional Credential Assessment: Conducted by the regulatory body to determine if your education and experience meet professional standards.

  4. Language Proficiency: Prove proficiency in English or French through accepted tests like IELTS, CELPIP, or TEF Canada.

  5. Examinations: Prepare for and pass any required national or provincial licensing exams.

  6. Bridging Programs: Consider enrolling in programs designed to help internationally educated professionals meet Canadian standards.


Specific Requirements for Certain Occupations


Specialists and Family Physicians (NOC 31100, 31101, 31102)


If your primary occupation is one of the following:

  • Specialist in clinical and laboratory medicine (NOC 31100)

  • Specialist in surgery (NOC 31101)

  • General practitioner or family physician (NOC 31102)


You are required to obtain an Educational Credential Assessment (ECA) report for your primary medical diploma from the Medical Council of Canada (MCC). The MCC has been the designated professional body for doctors since April 17, 2013.

If your primary occupation falls outside these categories, you may have your credentials assessed by another designated organization.


Pharmacists (NOC 31120)


If you are a pharmacist (NOC 31120) and you need a license to practice (for example, if you will be caring for patients in settings such as community pharmacies, hospital pharmacies, long-term care facilities, or other practice environments), your credentials must be assessed by the Pharmacy Examining Board of Canada (PEBC). The PEBC has been the designated professional body for pharmacists since January 6, 2014.

If you're working in a role where a license is not required—such as in the pharmaceutical industry or certain government positions—you may have your credentials assessed by another designated organization.


Examples of When a License is Required


  • Community Pharmacy: Dispensing medications directly to patients.

  • Hospital Pharmacy: Providing pharmaceutical care within a hospital setting.

  • Long-Term Care Facility: Managing medication therapy for residents.

  • Other Practice Settings: Any environment where you are responsible for patient care as a pharmacist.


Credential Assessment Organizations


  • Medical Council of Canada (MCC): www.mcc.ca

  • Pharmacy Examining Board of Canada (PEBC): www.pebc.ca

  • Other Designated Organizations: For occupations not requiring assessment by MCC or PEBC, credentials can be assessed by organizations like World Education Services (WES), International Credential Assessment Service of Canada (ICAS), among others.



CRS Score Trends for Healthcare Professionals


Understanding the Comprehensive Ranking System (CRS) score requirements is crucial for planning your Express Entry application. The Category-Based Selection for healthcare occupations has shown significantly lower CRS score thresholds compared to general draws, highlighting the high demand for healthcare professionals in Canada.


Category-Based Selection Draws for Healthcare Occupations


Between June 2023 and July 2024, there have been five Category-Based Selection draws specifically for healthcare professionals, resulting in 12,850 Invitations to Apply (ITAs) issued. The CRS scores for these draws ranged from a low of 422 to a high of 476.


  • Lowest CRS score: 422

  • Highest CRS score: 476

  • Most recent draw: July 5, 2024, with a CRS cutoff of 445 and the highest number of ITAs issued in a single draw under this category.


Comparison with General and CEC Draws


When comparing these figures to the general and Canadian Experience Class (CEC) draws, the advantages for healthcare professionals become apparent.


  • Most recent CEC draw: September 19, 2024, with a CRS cutoff score of 509.

  • Most recent general draw: April 23, 2024, with a CRS cutoff score of 529.


The significantly lower CRS scores in the healthcare category-based draws indicate the Canadian government's prioritization of healthcare professionals to address the country's healthcare needs.


Implications for Applicants


  • Higher Chances of Selection: Lower CRS cutoffs mean that healthcare professionals have a higher chance of receiving an ITA even with a lower CRS score compared to other applicants.

  • Strategic Advantage: If your CRS score is below the thresholds commonly seen in general draws, applying under the healthcare category can enhance your chances of selection.

  • Stay Updated: Keep an eye on the latest draw results and CRS score trends to better assess your likelihood of receiving an ITA.


Steps to Understand and Meet Licensing Requirements


  • Start Early: Begin the credential assessment and licensing process as soon as possible.

  • Gather Necessary Documents: Collect transcripts, degrees, professional certifications, and detailed descriptions of your work experience.

  • Prepare for Examinations: Allocate sufficient time to study for required exams.

  • Improve Language Skills: If necessary, take language courses to enhance your proficiency.

  • Stay Organized: Keep track of application deadlines, fees, and required documentation.


Helpful Resources



Tips for a Successful Express Entry Application


  • Complete an Educational Credential Assessment (ECA):

    • Required for Express Entry to verify your foreign education.

    • Ensure you use the designated organization appropriate for your profession.

  • Maximize Language Scores:

    • Higher scores in language proficiency tests can significantly increase your Comprehensive Ranking System (CRS) points.

  • Gather Documentation Early:

    • Prepare all necessary documents, including identification, education credentials, proof of work experience, and language test results.

  • Create a Detailed Express Entry Profile:

    • Accurately input all information to avoid discrepancies.

    • Keep your profile up-to-date with any changes in your circumstances.

  • Stay Informed:

    • Regularly check the Immigration, Refugees and Citizenship Canada (IRCC) website for updates on immigration policies and programs.


After Receiving Permanent Residency


  • Plan for Licensing:

    • Begin the licensing process as early as possible, even before arriving in Canada.

  • Networking:

    • Connect with professional associations and attend industry events.

  • Continuous Learning:

    • Consider additional courses or certifications to enhance your qualifications.


Frequently Asked Questions (FAQs)


1. Do I need to be licensed in Canada to apply for Express Entry as a healthcare professional?


No, you do not need to be licensed in Canada to apply for Express Entry. The Express Entry system assesses your eligibility based on factors like age, education, work experience, and language proficiency. Licensing is required after you immigrate to Canada and wish to practice your profession. However, starting the licensing process early can be beneficial, as it can be time-consuming.


2. Can I apply for Express Entry if I have foreign work experience in a healthcare occupation?


Yes, you can apply for Express Entry with foreign work experience. For the healthcare occupations category, you must have at least 6 months of continuous full-time work experience (or equivalent part-time) within the past 3 years in a single eligible occupation, either in Canada or abroad.


3. Is an Educational Credential Assessment (ECA) mandatory for healthcare professionals?


Yes, an ECA is generally required to verify that your foreign education is equivalent to a Canadian credential. For certain professions like physicians and pharmacists, you must obtain your ECA from designated professional bodies:

  • Physicians: Medical Council of Canada (www.mcc.ca)

  • Pharmacists: Pharmacy Examining Board of Canada (www.pebc.ca)

For other healthcare professions, you can use other designated organizations like World Education Services (WES).


4. Will my lack of Canadian licensing affect my Express Entry Comprehensive Ranking System (CRS) score?


No, the CRS score is calculated based on factors like age, education, language proficiency, and work experience. Licensing status does not directly impact your CRS score. However, being licensed or in the process of obtaining licensure may enhance your employability in Canada after you become a permanent resident.


5. Can I begin the licensing process before arriving in Canada?


Yes, you can and it is often recommended to start the licensing process before arriving in Canada. Many regulatory bodies allow internationally educated professionals to begin credential assessments and even sit for some exams from abroad. Starting early can help you enter the Canadian workforce more quickly after immigration.


6. Do I need to meet the requirements of a federal Express Entry program to apply under the healthcare occupations category?


Yes, you must first meet the eligibility criteria of one of the federal Express Entry programs—FSWP, CEC, or FSTP—before you can be considered under the healthcare occupations category. Meeting the category-specific requirements is in addition to, not a substitute for, the general Express Entry requirements.


Conclusion


As we've explored in this blog, Canada's Express Entry program offers a diverse range of opportunities for skilled professionals in various sectors like healthcare. Navigating the intricacies of immigration can be complex, but with the right guidance, your dream of living and working in Canada can become a reality.


That's where we, at Immigrative Visa Services Inc., step in. As a dedicated team of Regulated Canadian Immigration Consultants (RCICs), we specialize in providing personalized immigration solutions. Our extensive experience and detailed understanding of the Canadian immigration process make us your ideal partner in this journey.


What We Offer at Immigrative:


  • Profile Review: We meticulously evaluate your professional background, education, and other critical factors to assess your eligibility for various immigration programs.

  • Customized Consultation: Our consultations are tailored to your unique circumstances, providing you with a clear understanding of your immigration options.

  • Strategic Planning: We help you strategize the best approach to maximize your chances of success in the Express Entry pool.

  • Application Assistance: From document preparation to submission, we guide you through every step of the application process.

  • Updates and Support: The world of immigration is ever-evolving. We keep you updated on the latest changes and provide continuous support throughout your immigration journey.


Embarking on the path to Canadian residency is a significant step, and it's vital to ensure that every aspect of your application is handled with expertise and care. Schedule an initial consultation with us at Immigrative Visa Services Inc. to review your profile and explore your eligibility under the various Express Entry categories. Together, we can unlock the door to your future in Canada.


Disclaimer:

This blog post is intended for general informational purposes only and does not constitute legal advice. For personalized advice regarding your specific immigration situation, it is recommended to consult with an authorized immigration professional.


About the Author:

This blog post is authored by Hossein Alavi, RCIC, a seasoned Regulated Canadian Immigration Consultant and the founder and CEO of Immigrative Visa Services Inc. and EduPal Canada. With over ten years of experience in the education and immigration sectors, he is dedicated to assisting individuals and companies with their Canadian immigration needs. Contact Immigrative Visa Services Inc. today to schedule your consultation and take the first step toward realizing your Canadian dream.


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