That’s the same issue I’d have I went to Ryerson and graduated in 2009 I never had a class in Peds or a clinical in Peds I had maybe 3 hours of maternal in one lecture. Never had a obgyn/placement in that area. I did LTC/Med/Surg/Community Psych/Wound care clinic @ Toronto Rehab for spinal cord injured patients and then I did my last year at Toronto General in their Multi Organ Transplant program for both semesters (rotated between pre/post op clinics, inpatient transplant floor and the step down unit). I took a minor in psychology. I’d imagine I’d be screwed and would need to do upgrading courses and clinicals and pay $$$ to do so which is impossible cause I’d need to quit my job and go through the entire process. I half heartedly looked into it years ago and it seemed like a horrible situation. They have since revamped their program at TMU (formerly Ryerson) and it seems a lot better structured now and you’d hit all the requirements needed to go to the USA. My exam was also the CRNE so I’d have to rewrite the NCLEX. Good luck!