Nova Scotia Immigration

Labour Market Priorities for Physicians

Nova Scotia Labour Market Priorities for Physicians - Discover eligibility and Express Entry tricks to secure Canadian PR through this high-demand pathway.

Last updated: July 16, 2025

Canada’s Atlantic province of Nova Scotia urgently needs doctors—and the Nova Scotia Labour Market Priorities for Physicians stream turns that demand into a lightning-fast route to permanent residency. Unlike the stand-alone Physician Stream, this option rides on the federal Express Entry system, rewarding you with a priceless 600-point CRS bonus once nominated. Let’s dive into every detail you need to clinch success.

1. How the Labour Market Priorities for Physicians Stream Works

The pathway is invitation-only: you cannot apply until Labour, Skills and Immigration (LSI) drops a Letter of Interest into your Express Entry inbox.

Process Overview

Key Actor

Timeline

Create Express Entry profile & forward number to LSI

You

Day 0

Sign “approved opportunity” with NSHA/IWK

You & Employer

--

LSI issues Letter of Interest (LOI)

Province

Varies

Apply to NSNP within 30 days

You

Day 1 - 30 post-LOI

Receive nomination & accept in Express Entry

Province & You

2 - 4 weeks

Submit PR file to IRCC

You

≤ 6 months

1.1 The Letter of Interest (LOI) Mechanism

Only candidates whose Express Entry profile numbers have been reported to LSI - and who hold a signed job offer - receive an LOI. Miss the 30-day filing window and you must wait for another draw.

1.2 Role of NSHA & IWK in Recruitment

The Nova Scotia Health Authority (NSHA) and the Izaak Walton Killam (IWK) Health Centre issue “approved opportunities” on official letterhead, verifying role, salary, and work site.

2. Full Eligibility Checklist

Requirement

Details

NOC Codes

31102 – General/Fam­ily Physicians 31100 – Specialists in Clinical & Laboratory Medicine 31101 – Specialists in Surgery

Job Offer

Full-time, permanent, signed by NSHA/IWK & applicant

Return-for-Service

Two-year commitment to live & work in Nova Scotia

Express Entry

Profile must meet FSW, FST, or CEC criteria

LOI Deadline

Apply to NSNP within 30 days of LOI issue date

Settlement Funds

Show IRCC-mandated proof of funds unless CEC-exempt

Legal Status

Must hold valid status in current country of residence

2.1 Approved Opportunity & NOC Codes

Only the three physician NOC codes qualify - dentists, pharmacists, and nurse practitioners must look elsewhere.

2.2 Two-Year Return-for-Service Agreement

You and the provincial Department of Health & Wellness sign a Return-for-Service (RFS) contract. Breaking it can trigger repayment of provincial bonuses and jeopardize your PR status.

2.3 Express Entry Work-Experience Rules

To enter the Express Entry pool, you need at least one year of full-time equivalent professional experience within the past ten years; specialists often qualify under the Federal Skilled Worker Program.

3. Step-by-Step Application Timeline

3.1 Submit Express Entry Profile & Notify LSI

After uploading IELTS/CELPIP or TEF scores and an Educational Credential Assessment (if you studied abroad), email your profile number to your NSHA/IWK recruiter - they pass it to LSI.

3.2 Receive LOI & File NSNP Application in 30 Days

The online form demands PDFs of your passport, job offer, signed RFS agreement, proof of funds, and résumé. Application fees: CAD 0 for this provincial stream. Expect nomination in roughly three weeks.

4. Funding & Settlement Proof Requirements

4.1 Minimum Settlement Funds by Family Size

Family Members

IRCC Funds (CAD)

1

14,690

2

18,288

3

22,483

4

27,297

5

30,690

(Updated January 2025) - Funds can be cash, term deposits, or investment certificates readily convertible to cash.

4.2 Cost-Saving Tips for Relocation

  • Negotiate a relocation allowance with NSHA/IWK - up to CAD 10,000 for flights and movers is common.
  • Opt for short-term hospital housing during your first 90 days to avoid hotel bills.

5. Maximizing Your Express Entry CRS Score

5.1 Language Boosters & Credential Assessments

Scoring CLB 10 on IELTS (8/7.5/7/7) can add 69 CRS points over CLB 7. Pair this with dual-language testing in French for extra gains.

5.2 Provincial Nomination’s 600-Point Bonus

Once you accept Nova Scotia’s nomination, your CRS rockets above recent cut-off levels (usually 520–540), virtually guaranteeing an Invitation to Apply (ITA) at the next federal draw.

6. Conclusion & Next Steps

The Nova Scotia Labour Market Priorities for Physicians stream blends provincial urgency with Express Entry efficiency, giving international doctors a streamlined, high-certainty route to Canadian permanence. Secure a signed opportunity, watch for your Letter of Interest, and file a spotless application within 30 days - then get ready to don your white coat on Nova Scotia’s scenic shores.

Frequently Asked Questions

Do I need a separate LMIA?

No - provincial nomination replaces the need for a Labour Market Impact Assessment.

Can I switch specialties after nomination?

Only within your approved opportunity’s scope; major changes require LSI approval.

Is a language test waived if my med school was English?

Express Entry always needs valid test scores, regardless of training language.

What if my LOI expires?

Re-notify LSI after 60 days; they may issue a new LOI if vacancies persist.

Are part-time or locum contracts eligible?

No - only full-time, permanent offers qualify.

Can my spouse work while I complete my RFS?

Yes - they can apply for an open work permit once you obtain your PGWP-exempt work permit or enter Canada as a PR.