Canada has just made immigration history.

On February 19, 2026, Immigration, Refugees and Citizenship Canada (IRCC) issued 391 Invitations to Apply (ITAs) under a brand-new category: Physicians with Canadian work experience. This marks the first draw under this targeted stream and features one of the lowest CRS cut-off scores in Express Entry history.

According to Immigration, Refugees and Citizenship Canada, candidates required:

• A minimum CRS score of 169

• An Express Entry profile submitted before January 3, 2026 at 3:25 a.m. UTC

This is the second-lowest CRS score ever recorded in Express Entry, surpassed only by the 2021 pandemic-era draw with a CRS of 75.

What Is the New Physicians Category?

The Physicians with Canadian work experience category was introduced in December 2025 as part of Canada’s broader strategy to address physician shortages nationwide.

This category-based selection allows IRCC to specifically invite doctors who:

• Meet eligibility for one of the three Express Entry programs:

  • Federal Skilled Worker Program

  • Canadian Experience Class

  • Federal Skilled Trades Program

• Have at least 12 months of full-time Canadian work experience (or equivalent part-time) within the past three years

• Worked in one of the eligible physician occupations included in the category

• Meet all conditions outlined in the Ministerial Instructions

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Express Entry Draw Trends in 2026

So far in 2026, IRCC has largely focused on candidates already inside Canada — especially those with:

• Provincial nominations

• Canadian work experience

• French-language proficiency

Here’s a breakdown of draws this year:

Total ITAs Issued in 2026 (So Far)

In total, IRCC has issued 30,848 ITAs in 2026.

ates, Category-based Express Entry

Why Is This CRS Score So Significant?

A CRS score of 169 is extraordinarily low compared to typical Express Entry cut-offs, which often range between 450–520 for general draws.

This demonstrates how powerful category-based selection has become.

Instead of inviting candidates solely based on high CRS scores, IRCC is now targeting individuals in occupations facing national shortages — particularly in healthcare.

For eligible physicians working in Canada, this draw could represent a once-in-a-decade opportunity to secure Permanent Residency in Canada.

What This Means for Immigration Strategy in 2026

Canada’s 2026 Express Entry strategy clearly prioritizes:

• In-Canada applicants

• Provincial Nominees

• Healthcare professionals

• French-speaking candidates

This shift signals that Canadian work experience and targeted occupations may carry more weight than ever before.

If you are currently working in Canada, your pathway to PR could be stronger than you think.

How ICC Immigration Can Help You Secure Your Future in Canada

With immigration policies evolving rapidly, having the right guidance is crucial.

ICC Immigration is dedicated to helping individuals choose structured, reliable pathways toward Permanent Residency in Canada, rather than relying on uncertain or risky alternatives.

Our experienced professionals carefully assess your background and recommend the most suitable immigration program based on your qualifications and long-term goals.

Our Services Include:

Permanent Residency Applications

Whether through Express Entry, Provincial Nominee Programs (PNPs), or other economic pathways, we manage your application to ensure accuracy and efficiency.

Work Permits and Study Permits

Temporary status can be a stepping stone to PR. We guide you through obtaining work or study permits that strengthen your future Canada PR application.

Family Sponsorships

If you have eligible relatives in Canada, we assist in reuniting families through sponsorship programs designed to secure permanent status.

Expert Legal Guidance

Canadian immigration regulations can be complex. Our team ensures your application complies with the latest IRCC policies, increasing approval chances and reducing risks.

Instead of leaving your future uncertain, take control by selecting a pathway that provides stability, security, and long-term opportunity in Canada.

Whether you are already in Canada or planning your immigration journey, ICC Immigration is ready to support you every step of the way.

Final Thoughts

The first Physicians with Canadian work experience draw under Express Entry is a clear signal that Canada is actively addressing healthcare shortages while reshaping its immigration priorities.

With one of the lowest CRS cut-offs in Express Entry history, this draw highlights the growing importance of category-based selection in 2026.

If you’re considering applying for Canada Permanent Residency, now is the time to evaluate your eligibility and prepare strategically.