Obstetrics and gynecology
In brief
Compare two residencies- 100 spots, 3.8% ranked it first. 0.85 spots per person who ranked it first.
- 5-year residency. Subspecialties include maternal-fetal medicine, reproductive endocrinology and infertility, and gynecologic oncology, planned as 2 years each.
- Average billing $491,071 before expenses. Highest province Alberta $575,500, lowest New Brunswick $307,596. Overhead 30% (2017).
Full breakdown
The 2026 match
- Spots for Canadian grads
- 100100 spots for Canadian gradsFirst-round spots in the 2026 match set aside for grads of Canadian med schools. International grads have their own stream.Source: CaRMS
- Spots per person who ranked it first
- 0.850.85 spots per person who ranked it firstUnder 1.00: more people put it first than there were spots. It compares specialties. It isn’t anyone’s odds, because people rank several programs and programs rank people.Our math100 spots ÷ 0.85 = about 118 people ranked it first. That’s 1.2 people for every spot.Source: CaRMS
- Rank, 1 = hardest
- 15 of 3315 of 33, 1 = hardestOur mathAll 33 match streams sorted by spots per person who ranked it first, lowest first.Source: CaRMS
- People who ranked it first
- About 118About 118 ranked it firstCanadian grads who put it first on their rank list. CaRMS publishes the ratio, not the count, so this is our estimate.Our math100 spots ÷ 0.85 = 118. CaRMS rounds the ratio, so the real count is between 117 and 118.Source: CaRMS
- Empty after the first round (all streams)
- 2Empty after the first round, all streamsSource: CaRMS
- Empty after both rounds (all streams)
- 33 spots still emptyEmpty after the first round: 2. Still empty after the second round: 3. Counts every stream, including international grads, so it is a bigger pool than the Canadian-grad spots.Source: CaRMS
- Applications offered an interview (2025 match)
- 62%62% of applications got an interviewIn the 2025 match, Canadian grads sent 1,489 applications to obstetrics and gynecology programs and 922 got an interview offer. Counts applications, not people: one person usually applies to several programs. 2026 is not published yet.Source: CaRMS
- Filled in round 1 + round 2 (all streams)
- 106 + 2Filled in each round, 2026First round: 106 of 108 spots filled. Second round: 2 of 5 filled, 3 left empty. All streams, including international grads.Source: CaRMS
- Ranked it first and had no residency after both rounds
- 4Ranked it first, no residencyCanadian grads only.Our math2 who took part in the second round and did not match + 2 who did not match in the first round and skipped the second = 4Source: CaRMS
- Ranked it first, matched to family medicine (first round)
- 15Matched to family medicine insteadSource: CaRMS
Ranked it first, by yearRanked it first, 2022 to 2026Source: CaRMS
Billing, 2024-25
Canadian average $491,071$491,071 average billing, 2024-25Average gross clinical payments per physician across Canada, before expenses like staff, rent and insurance. Not take-home pay. Every physician counts once, full time or not.Source: CIHI before expenses. Not take-home pay. Highest province Alberta $575,500, lowest New Brunswick $307,596.
- Canada$491,071
- British Columbia$448,989 -$42,082
- Alberta$575,500 +$84,429
- SaskatchewanNot available
- Manitoba$448,188 -$42,883
- Ontario$537,155 +$46,084
- Quebec$393,957 -$97,114
- New Brunswick*$307,596 -$183,475
- Nova Scotia$380,698 -$110,373
- Prince Edward Island*$479,502 -$11,569
- Newfoundland and Labrador*$341,642 -$149,429
- Yukon*$671,485 +$180,414
* A small number of doctors can swing this. Hidden: CIHI suppresses groups too small to keep anonymous. Not available: CIHI marks it n/a. Neither is zero. Gap shown against Canada.Source: CIHI
Overhead 30%30% overhead, 2017Average overhead doctors in this specialty reported for running their practice, in the CMA’s 2017 survey. Old, so we never subtract it from 2024-25 billing.Source: CMA, reported in 2017. A dated survey figure, so we do not subtract it from 2024-25 billing.
Training
5-year residency. Planned as a 5-year residency.Residency lengthSource: Royal College
| Maternal-fetal medicine | Planned as 2 years, after the OB/GYN residency.Maternal-fetal medicineSource: Royal CollegeAfter medical school: 7 years. |
|---|---|
| Reproductive endocrinology and infertility | Planned as 2 years. Up to 1 year can be done in the third or fourth year of OB/GYN..Reproductive endocrinology and infertilitySource: Royal CollegeAfter medical school: 6 to 7 years. |
| Gynecologic oncology | Planned as 2 years (104 weeks).Gynecologic oncologySource: Royal College |
Its share of first choices is exactly where it was in 2022: 3.8%.