Paramedic in Canada: your Express Entry path, step by step

Your way into the Express Entry pool

Every invitation needs a profile in the Express Entry pool. Paramedics usually qualify through:

• Federal Skilled Worker. Experience must be in a TEER 0, 1, 2 or 3 job; this one is TEER 2.
• Canadian Experience Class. For skilled work experience already gained in Canada.

The healthcare draws

These draws rank only people with recent experience in one of the 37 listed health and social services jobs. The panel above shows the latest one and its cut-off. You need at least 12 months of full-time work (or the same part-time) as a paramedic within the last 3 years. The months do not have to be in a row, and the work must match the NOC description of the job.

Getting licensed: COPR's assessment

Licensing by a regulator is required in all provinces. Provincial regulators grant the licence; the Canadian Organization of Paramedic Regulators (COPR) coordinates them nationally. The Paramedic Association of Canada is a membership association, not a regulator.

• The Paramedic Equivalency Assessment System (PEAS): COPR's international assessment for primary and advanced care paramedics, by a Pre-Approved Pathway or a Standard Assessment Pathway. Afterwards COPR sends a recommendation to the provincial regulator, and you contact that regulator for the next steps.
• Not in every province: applicants for British Columbia, Ontario, Quebec and New Brunswick contact that province's regulator instead.
• Pre-approved countries: Australia, New Zealand, South Africa and the United Kingdom, with Ireland, Qatar and the United States added in September 2026.
• Changes ahead: in 2026 COPR moves its assessment criteria to the Canadian Paramedic Competence Framework, and its advanced care paramedic exam follows from the 16 June 2027 sitting.

What paramedics earn

The panel above shows Job Bank's median hourly wage for this occupation across Canada, with pay by province and region on Job Bank.