Surgical training in Canada is a product of its needs and resources, its ethnic background, and its association with a large and very friendly neighbor to the south.
There are centers in Canada where density of population and research and treatment facilities warrant the highest degree of surgical specialization. In contrast, sparsely settled areas isolated by great distances and vagaries of the weather need general surgeons who can deal with everyday problems and emergencies in the small local hospitals.
Stemming as it did from France and the British Isles, Canada has kept bonds that show clearly in the training and qualification of its surgeons. The Royal Colleges of Surgeons with their great tradition and demanding admission examinations have long been a challenge to young Canadians seeking academic recognition. The primary examinations of the English College were held in Canada in 1929, 1930, and 1931. The senior Canadian surgeons responsible for