Ontario has taken a major step to strengthen its healthcare system and support internationally trained doctors. As of January 1, 2026, the Ontario Immigrant Nominee Program has expanded eligibility for self-employed physicians under the Employer Job Offer Foreign Worker stream. This change directly benefits internationally educated doctors who are already contributing to Ontario’s healthcare system and are ready to build long-term careers in the province.

The OINP self-employed physicians 2026 update reflects Ontario’s focus on reducing healthcare shortages, supporting rural and urban communities, and creating faster pathways to permanent residence for skilled medical professionals. For many international doctors, this update brings long-awaited clarity and opportunity.

OINP Self Employed Physicians 2026 Opens New Doors for Provisional License Holders

Under the updated rules, physicians who are members in good standing with the College of Physicians and Surgeons of Ontario and hold a provisional certificate of registration are now eligible to apply as self employed under the Employer Job Offer Foreign Worker stream. This applies to doctors classified under National Occupational Classification codes 31100, 31101, and 31102, provided they also hold an Ontario Health Insurance Plan billing number.

The OINP self employed physicians 2026 change aligns with recent amendments to the Medicine Act that came into effect on January 1. These legal updates were designed to modernise licensing pathways and better integrate internationally trained doctors into Ontario’s healthcare workforce.

For many physicians, this removes a major barrier that previously prevented them from accessing provincial nomination.

Why Ontario Made This Change

Ontario continues to face strong demand for healthcare professionals across hospitals, clinics, and community health centres. Family doctors, general practitioners, and specialists are in short supply, especially in smaller communities and growing regions.

The OINP self-employed physicians 2026 update supports Ontario’s strategy to attract and retain doctors who are already working in the province. By allowing more provisional license holders to apply, Ontario is recognising their contribution and giving them a clear path to permanent residence.

What Has Changed and What Has Been Removed

The updated regulations expand eligibility for provisional certificate holders who have an OHIP billing number. At the same time, the postgraduate education license has been removed from the list of eligible licenses for self employed applicants. This is because postgraduate license holders are not eligible for an OHIP billing number.

However, doctors with a postgraduate education license may still qualify under the Employer Job Offer Foreign Worker stream if they hold a valid job offer from an Ontario employer. This ensures that only physicians who are actively billing and practising independently can apply as self-employed, while still keeping options open for those in supervised or training roles.

Key Eligibility Overview

Criteria	Requirement
Profession	Physician under NOC 31100 31101 or 31102
License	Provisional certificate from CPSO
Standing	Member in good standing with CPSO
OHIP	Valid OHIP billing number
Work Type	Self employed practice in Ontario
Pathway	Employer Job Offer Foreign Worker stream

This structure ensures that eligible doctors are fully integrated into Ontario’s healthcare system before applying.

How This Benefits International Doctors

For many internationally educated physicians, the journey to practise in Canada involves exams, assessments, and licensing steps. The OINP self-employed physicians 2026 update rewards those who have already completed this process and are serving patients in Ontario. Doctors no longer need to rely only on employer sponsorship or temporary pathways. They can now access provincial nomination directly as self-employed professionals. This makes Ontario more attractive to global medical talent and strengthens its position as a leading healthcare destination.

Why This Matters for Canada’s Healthcare System

Canada’s healthcare system depends on skilled professionals who are trained, licensed, and ready to serve. International doctors play a critical role in filling gaps and reducing wait times. The OINP self employed physicians 2026 update supports Canada’s broader goal of improving access to healthcare and supporting population growth. When doctors settle permanently, communities benefit from continuity of care and long term service.

What Physicians Should Do Next

If you are an internationally trained physician practising in Ontario with a provisional CPSO certificate and an OHIP billing number, this is the right time to review your eligibility. Ensure that your licensing, billing status, and professional records are current. Preparing your documents early can make a significant difference. Provincial nomination applications require accuracy, completeness, and clarity.

OINP Self Employed Physicians 2026 Strengthens Ontario’s Healthcare Future

The OINP self employed physicians 2026 update is a powerful step toward supporting international doctors and strengthening Ontario’s healthcare system. By expanding eligibility and aligning with updated medical regulations, Ontario is creating fair and realistic pathways to permanent residence for skilled physicians.

At ImmigCanada, we closely track every provincial update that impacts healthcare professionals and skilled workers. Our experts help physicians assess eligibility, prepare strong applications, and move forward with confidence. Stay connected with ImmigCanada for trusted updates, expert insight, and the latest developments in OINP and medical immigration pathways.