Yes you will indeed have to do a 30-minute French and 30-minute English interview. I honestly don’t think they’re too harsh on grammar etc, they just need to see that you’re able to communicate your ideas. They say the minimum is an ER risk assessment. Honestly if you did a clinical elective entirely in French and you didn’t have any major issues, you should be ok. Saying a couple words in English is not a dealbreaker.
All this stems from the fact that there have been cases of almost unilingual Francophone or Anglophone residents struggling majorly in clinical settings over the years when it’s clear that you need to be functional in both languages, even in McGill hospitals and especially in psychiatry.