Can I start working in Canada or Germany as a doctor with a job offer even without clearance or licensing?

No, you cannot start working as a doctor in Canada or Germany with just a job offer - licensing is mandatory in both countries.

- Canada: You must have your credentials assessed and obtain a license from the provincial or territorial regulatory authority. This involves exams, credential verification, and sometimes supervised practice.
- Germany: You need to secure a state license ("Approbation"), which requires recognition of your medical qualifications and German language proficiency.

Without the required licensing and clearance, you are not legally permitted to practice medicine in either country.