Positions to train in medicine in Quebec are determined by governmental decree; please see Applicant Categories and Special Admissions Pathways. Students within each cohort compete with each other for a pre-determined number of positions within the particular cohort.

Each year, the Undergraduate Medical Admissions Office determines the number of interviews that will be held for each cohort. When an application is received, it is ranked among others in the same cohort according to academic performance. There is no strict GPA threshold; rather, ranking is based upon the relative strength of an academic performance in a given application in comparison to others in the same cohort. The same process is applied for the Casper test score. On the basis of this preliminary academic or Casper performance ranking, a review of the supporting documents for competitive candidates within a given cohort is carried out. Supporting documents are reviewed for approximately four to six times the number of candidates that we anticipate interviewing; i.e., if we intend to interview 50 people in a particular cohort, an evaluation of supporting documents for the top 200-300 files is conducted in order to determine which 50 candidates will be invited to interview.

For those applicants who are invited to attend the multiple mini-interviews, note that a final rank order list (which includes those who will receive an offer of admission and those who will be placed on a waiting list) is weighted 100% on the interview performance score.

The waiting list remains active for as long as is feasible and necessary; sometimes until the beginning of classes.