Psychiatrists are provincially licensed medical doctors who have completed a minimum of five years of additional accredited training following four years of general medicine training. After successfully completing the training requirements and examinations, they are certified as specialists by the Royal College of Physicians and Surgeons of Canada (RCPSC). This is required for specialty registration at the provincial level. In Québec, the Corporation professionnelle des médecins du Québec (CPMQ) conducts its own specialist certification program. This is a requirement for specialist recognition in that province, even if the physician has received RCPSC certification.