How to Become a Physician Assistant in Nova Scotia
Do you need a licence?
Licence required
You must be registered with the College of Physicians and Surgeons of Nova Scotia to work as a physician assistant in Nova Scotia or to use a protected title.
- Protected titles
- physician assistant, P.A.
Show the source
“All physician assistants practising in Nova Scotia must hold a Physician Assistant Licence. Only persons holding a Physician Assistant Licence may use the designation ‘physician assistant’ or ‘P.A.’ or any derivation or abbreviation of those designations.”
From cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass..., checked October 10, 2026.
At a glance
- Licence status
- Licence required See the source
- Routes
- Not stated by the regulator Check with College of Physicians and Surgeons of Nova Scotia
- Annual fees
- Not stated by the regulator Check with College of Physicians and Surgeons of Nova Scotia
Your roadmap
The steps are not listed yet.
Check the current steps with College of Physicians and Surgeons of Nova Scotia.
Requirements
Education
Applicants must be a graduate of a Canadian PA program recognized by PACCC, an American program accredited by ARC-PA, or a UK program accredited by or accepted for registration with the GMC.
Source
“Applicants must be a graduate of one of the following: - a Canadian physician assistant program recognized by the Physician Assistant Certification Council of Canada (PACCC), or - an American physician assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), or - a physician assistant program accredited by the General Medical Council (GMC) in the United Kingdom (UK), or accepted for registration by the GMC.”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass...
Experience
To be considered current for practice, a physician assistant must have practised at least 450 hours within the last five years before the proposed practice start date in Nova Scotia.
Source
“To be considered current for practice, a physician assistant must have engaged in practice for at least 450 hours within the last five years to the proposed practice start date as a physician assistant in Nova Scotia.”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass...Candidates must not have been out of practice for more than five years.
Source
“Candidates must not have been out of practice for more than five years.”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass...
Police check
Applicants must provide a criminal record screening report.
Source
“Provide a criminal record screening report7”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass...
Insurance
Applicants must have professional liability insurance.
Source
“Must have professional liability insurance.10”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass...
Good character
Applicants must demonstrate capacity, competence and character.
Source
“Demonstrate capacity, competence and character9”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass...
Other
Applicants must hold certification by examination from PACCC, NCCPA, or the Royal College of Physicians.
Source
“Applicants must hold certification by examination as administered by one of the following: - The Physician Assistant Certification Council of Canada (PACCC)3 or - The National Commission on Certification of Physician Assistants (NCCPA)4 or - The Royal College of Physicians5*”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass...Applicants must be employed or have a confirmed offer of employment in a College-approved physician extender program.
Source
“A Physician Assistant Licence will only be issued to candidates who meet the requirements of this policy and who are employed, or who have a confirmed offer of employment, to practise as a physician assistant within a College-approved physician extender program.”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass...Applicants must demonstrate English language proficiency.
Source
“Demonstrate English language proficiency6”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass...Applicants must be Canadian citizens or legally entitled to live and work in Canada.
Source
“Canadian citizenship or legally entitled to live and work in Canada”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass...Applicants must participate satisfactorily in a continuing professional development program.
Source
“Participate satisfactorily in a continuing professional development program8”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass...
Already licensed in another province?
Not stated
The pages do not state how someone already licensed in another Canadian province or territory can register in Nova Scotia. Source
“A Physician Assistant Licence can only be registered on the Conditional Register maintained by the College.”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass...
Processing time: Not stated by the regulator Check with College of Physicians and Surgeons of Nova Scotia
Credential assessment
Not stated by the regulator Check with College of Physicians and Surgeons of Nova Scotia
Exams
-
Physician Assistant Certification Council of Canada (PACCC) certification exam
Source
“Applicants must hold certification by examination as administered by one of the following: - The Physician Assistant Certification Council of Canada (PACCC)3”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass... -
National Commission on Certification of Physician Assistants (NCCPA) certification exam
Source
“- The National Commission on Certification of Physician Assistants (NCCPA)4”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass... -
physician associate national examination (PANE)
Source
“In the UK, the Royal College of Physicians5 administers the physician associate national examination (PANE) which will become the physician associate registration assessment (PARA) in September 2025.”
cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass...
Language tests
Not stated by the regulator Check with College of Physicians and Surgeons of Nova Scotia
Canadian experience
Not stated by the regulator Check with College of Physicians and Surgeons of Nova Scotia
Supervised practice
Not stated by the regulator Check with College of Physicians and Surgeons of Nova Scotia
Demand and pay
| Where | Low | Median | High | Outlook |
|---|---|---|---|---|
| Nova Scotia | $34.24 | $46.11 | $58.81 | Good (4 of 5) |
| Canada | $24.09 | $46.81 | $60.26 | — |
Physician assistants in other provinces and territories
- British Columbia Not confirmed yet
- Alberta Licence required
- Saskatchewan Not confirmed yet
- Manitoba Licence required
- Ontario Not confirmed yet
- Quebec Not confirmed yet
- New Brunswick Licence required
- Prince Edward Island Not confirmed yet
- Newfoundland and Labrador Not confirmed yet
- Yukon Not confirmed yet
- Northwest Territories Not confirmed yet
- Nunavut Not confirmed yet
Sources checked
- Physician assistant licence: requirements and conditions | College of Physicians and Surgeons of Nova Scotia cpsns.ns.ca/registrants/physician-assistants/policies/physician-ass... · fetched October 10, 2026
Frequently asked questions
2
Do you need a licence to work as a physician assistant in Nova Scotia?
Yes. Registration with the College of Physicians and Surgeons of Nova Scotia is required to practise in Nova Scotia, and to use the title physician assistant or P.A.
Which exams are required?
Physician Assistant Certification Council of Canada (PACCC) certification exam, National Commission on Certification of Physician Assistants (NCCPA) certification exam, physician associate national examination (PANE).
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