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Mobility of Paramedics

The labour mobility provisions of the Canadian Free Trade Agreement are intended to ensure that certified paramedics can obtain equivalent certification in any other province, subject to some exceptions.

The Agreement and the Ambulance Sector

Since 2008, the various organizations certifying paramedics in each Canadian province have been working together to compare the different levels of practice in the ambulance sector.

Based on this assessment, each province determined what changes were needed in their training of paramedics in order to standardize skill levels. Each province also developed its own requirements regarding language proficiency and knowledge of the legal and regulatory context as well as of the clinical intervention protocols in effect.

Paramedics from other provinces and territories can apply for recognition in order to be able practice their profession in Québec by following the procedure described below.

How to Apply

Paramedics who are certified in another province and who would like to work in Québec must complete the appropriate “Application for recognition” form. This form can be obtained by contacting the Direction adjointe des services préhospitaliers d'urgence of the Ministère de la Santé et des Services sociaux (MSSS).

Direction adjointe des services préhospitaliers d'urgence
Ministère de la Santé et des Services sociaux
1075, chemin Sainte-Foy, 9e étage
Québec (Québec) G1S 2M1
418 266-5805
registre@urgences-sante.qc.ca

The completed “Application for recognition” form must be sent to Dr. Colette D. Lachaîne, National Medical Director of Prehospital Emergency Services, at the above address.

The following documents must be included with the form:

  1. birth certificate (original);
  2. proof of secondary school studies in French (diploma) in order to be exempted from the Office québécois de la langue française examination, where applicable;
  3. copy of the paramedic permit and/or licence issued by the regulatory bodies of the province of origin (this proof must be provided by each regulatory body of the jurisdictions of origin);
  4. proof of certification and good standing at the time of application, with or without restriction to a specific jurisdiction;
  5. letter(s) issued by the regulatory body(ies) of the province(s) of origin attesting that the paramedic has had a clean disciplinary record for the past two years;
  6. proof of clinical practice during the last four months (proof provided by the employer);
  7. Canadian police certificate (criminal record check by name and date of birth). The certificate must be provided by the Royal Canadian Mounted Police, a police service or an authorized body (e.g., Canadian Corps of Commissionaires) and must include a criminal record check for people who may work with vulnerable people (e.g., children, older adults);
  8. photocopy of the Class 4A driver's licence or equivalent licence recognized by the Société de l'assurance automobile du Québec (SAAQ);
  9. two recent passport-size colour photos.

Once the application has been approved, the applicant must:

  1. demonstrate his/her proficiency in French by passing an Office québécois de la langue française examination, where applicable;
  2. demonstrate his/her knowledge of the legal and regulatory context as well as of the clinical intervention protocols used by paramedics in the delivery of prehospital emergency services in Québec through a written examination;
  3. complete refresher training (maximum 40 hours) with assessment on Combitube use, associated resuscitate/do-not-resuscitate protocols, the administration of medications including naloxone, vacuum mattress and Oxylator® use, the breathing difficulty protocol, including the use of a continuous positive airway pressure (CPAP) machine. This refresher training includes a written and practical assessment of specific skills based on differences between the scope of practice in Québec and the province of origin.

Exams will be held based on the applications received so that a group can be formed. Fees of $125 per day of clinical training will be charged. A non-refundable deposit of $250 must be paid before the first day of training, with the balance due 10 days before clinical training begins.

Only applicants who pass these assessments and provide all the required documents can be granted recognition to work as paramedics in Québec.

Obtaining a paramedic card does not guarantee a job in Québec. Some ambulance services employers may use recruitment exams to select their new employees. Applicants are responsible for contacting potential ambulance services employers in the region they would like to work in to validate their needs for new employees and the applicable salary scale.

If you have any questions about this procedure, contact:

Direction adjointe des services préhospitaliers d'urgence
Ministère de la Santé et des Services sociaux
1075, chemin Sainte-Foy, 9e étage
Québec (Québec) G1S 2M1
418 266-5805
registre@urgences-sante.qc.ca

Useful Links

Agreement on Internal Trade This link will open in a new window.

Class 4A driver's license

Assessment of knowledge of the French language

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