Pathways that follow Independent licensure Specialists Apply for exam eligibility from the Royal College of Physicians and Surgeons of Canada (Approved jurisdictions or PER) Pathway (E) If exam eligible, apply to CPSNS for Defined Licence eligibility assessment Secure a job offer Apply to CPSNS for Defined Licence Pathway (F) If exam eligible through the PER route and applying for licensure after passing the exam, apply to CPSNS for Full Licence eligibility assessment Secure a job offer Apply to CPSNS for Full Licence Pathway (G) If ineligible, contact Nova Scotia Health for endorsement for Practice Readiness Assessment Go Back