Pediatrics
In brief
Compare two residencies- 153 spots, 4.2% ranked it first, down from 5.7% in 2022. 1.19 spots per person who ranked it first.
- 4-year residency. Subspecialties include neonatal-perinatal medicine, pediatric emergency medicine and pediatric critical care, planned as 2 years each.
- Average billing $358,961 before expenses. Highest province Ontario $373,167, lowest New Brunswick $212,048. Overhead 24% (2017).
Full breakdown
The 2026 match
- Spots for Canadian grads
- 153153 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
- 1.191.19 spots per person who ranked it first1.00 or more: at least one spot for every person who put it first. It compares specialties. It isn’t anyone’s odds, because people rank several programs and programs rank people.Our math153 spots ÷ 1.19 = about 129 people ranked it first.Source: CaRMS
- Rank, 1 = hardest
- 25 of 3325 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 129About 129 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 math153 spots ÷ 1.19 = 129. CaRMS rounds the ratio, so the real count is 129.Source: CaRMS
- Empty after the first round (all streams)
- 21Empty after the first round, all streamsSource: CaRMS
- Empty after both rounds (all streams)
- 11 spots still emptyEmpty after the first round: 21. Still empty after the second round: 1. 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)
- 71%71% of applications got an interviewIn the 2025 match, Canadian grads sent 2,322 applications to pediatrics programs and 1,651 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)
- 160 + 22Filled in each round, 2026First round: 160 of 181 spots filled. Second round: 22 of 23 filled, 1 left empty. All streams, including international grads.Source: CaRMS
- Ranked it first and had no residency after both rounds
- 3Ranked it first, no residencyCanadian grads only.Our math3 who took part in the second round and did not match + 0 who did not match in the first round and skipped the second = 3Source: CaRMS
Ranked it first, by yearRanked it first, 2022 to 2026Source: CaRMS
Billing, 2024-25
Canadian average $358,961$358,961 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 Ontario $373,167, lowest New Brunswick $212,048.
- Canada$358,961
- British Columbia$355,271 -$3,690
- Alberta$350,018 -$8,943
- SaskatchewanNot available
- Manitoba$281,813 -$77,148
- Ontario$373,167 +$14,206
- Quebec$349,613 -$9,348
- New Brunswick*$212,048 -$146,913
- Nova Scotia$274,221 -$84,740
- Prince Edward Island*$284,062 -$74,899
- Newfoundland and Labrador*$267,929 -$91,032
- Yukon*$236,669 -$122,292
* 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 24%24% 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
4-year residency. Planned as a 4-year residency.Residency lengthSource: Royal College
| Neonatal-perinatal medicine | Planned as 2 years, after the pediatrics residency. Some Quebec programs allow an earlier start..Neonatal-perinatal medicineSource: Royal CollegeAfter medical school: 6 years. |
|---|---|
| Pediatric emergency medicine | 26 blocks (2 years). Up to 13 blocks (1 year) can be done during your residency..Pediatric emergency medicineSource: Royal CollegeAfter medical school: 5 to 6 years. |
| Pediatric critical care medicine | Planned as 2 years.Pediatric critical care medicineSource: Royal College |
21 spots were empty after the first round. The second round filled all but 1.