Complex sentence: Like in Germany, the medical profession in Canada and the US is not regulated at the federal level, but at the state, provincial or territorial level (e.g. the Medical Board of California and the College of Physicians and Surgeons of Ontario).
Split into simpler sentences: Like in Germany and the USA, the medical profession in Canada is not regulated at the federal level. The Canadian medical profession is regulated, instead, at the provincial or territorial level (e.g. the College of Physicians and Surgeons of Ontario).