Association of International Physicians and Surgeons of Ontario

Internationally Trained Medical Doctors in Canada............

 If an IMG is qualified, do we have the political will to act to get them into residency, now that 800 Saudi residents are going home on September 1,2018?


Why are you unable to work as a doctor in Canada? There is no money to pay you - it has nothing to do with your competence. IMDs have passed every exam required and still been denied a license to practice. Now we know why!

The Invisible International Medical Doctor in Ontario and Canada 

WARNING:  Only 6 percent can ever practice (July 16, 2015)

If you are a foreign doctor planning to immigrate to Ontario and Canada - know that it is over 94% (ninety-four percent) likely that you will NEVER EVER be able to practice medicine again.

Containment: The REAL Reason why QUALIFIED IMDs cannot get into practice - numbers are controlled by the powers that be. 

Even if you pass all the Canadian exams (Medical Council of Canada (MCCEE, MCCQE1 and 2), NAC OSCE, Ontario licensing exams CE1 and CE2, CEHPEA interviews, CaRMS applications etc.) - you will be obstructed and excluded at every turn. Only a lucky few will get in. It is very subjective and less than 5% get in. Over 1800 qualified doctors DO NOT get in every year.

Many of you will come with lots of money made from being well known doctors in your home country. You will probably be all right not working as a doctor here. You will pay atrocious amounts in Canadian tax (on income you made outside Canada!) and fly home off and on to work.

But if you come with little savings, and hope to work as a doctor, you will likely be a security guard, store worker, waiter, cleaner, taxi driver and the list goes on.  


Immigration To Canada For Doctors video    Part 1    Part 2    Part 3   Part 4 

Study:              Internationally trained doctors provide same level of heart attack care as Canadian physicians

Study:              Study Finds Foreign-Trained Doctors Provide Same Quality at their U.S. Educated Colleagues 

The Reality  -  Doctors Without Residency: Why can’t foreign-trained doctors find work in Canada?

The Irony -     Desperately Seeking Doctors in Canada  Part 1   Part 2   Part 3   Part 4   Part 5

Further Irony - Canadian docs! How does it feel to be denied practice? Click here Original News Report

AIPSO since 1998

The Association of International Physicians and Surgeons of Ontario (AIPSO) is a non-profit, independent professional association which represents physicians and surgeons trained and licensed in jurisdictions outside Canada. AIPSO's mission is to ensure that internationally-trained physicians are integrated effectively and equitably into the Canadian health care system. Read more

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News and Articles

Now the truth is revealed! We have the numbers now.  The university program directors willingly train over 800 Saudi residents but claim they have no place for our own IMGs who have made Canada their home (August 2018). see CBC and London Free Press 

 SOLUTION: EMPLOY qualified IMDs to fill the residencies once the Saudi residents leave (Sept 2018) GLOBE AND MAIL


Canada’s medical residency system is leaving some graduates in limbo (April 4, 2018)

German doctor frustrated by rules that prevent him from practising in N.S.

Licensing body says qualifications not recognized (Oct 19, 2017)

International graduate awarded $40,000 in landmark discrimination case (July 5, 2016)

Ontario has NO MONEY to hire more physicians. (Dec 5, 2015)

Foreign Trained Doctor Sues Canadian Discriminatory Policy  (April 13, 2015)

A Sad Place - Past, Present and Future (Mar 15, 2015)

Foreign medical grad finds Ontario system tough to crack (OCT 2014)

Things are anything but rosy for foreign-trained doctors (Aug 28, 2014)  

Perspective of an Overseas Medical Student (CI News, Aug 1, 2014) 

Nothing to do with qualifications of IMDs, just the lack of finance (Edmonton Journal June 26, 2014) 

Quebec Charter risks repelling foreign doctors (Montreal Gazette Nov 16, 2013) 

IMD wife cannot get registered here to work, so McMaster paediatric neurosurgeon leaves for Texas  (Hamilton Spectator Sep 20, 2013)

Foreign Trained MDs being shut out (so whats new?) Aug 14, 2013 Montreal Gazette 

Overseas-trained doctor prepared to hunger strike (July 20, 2013)

UK to Sell Residency Training Spots (Just Like Canada has Silently Done for Years) June 26, 2013

Wikileaks : The Truth about "containing" doctor numbers (posted Feb 3, 2013)

Another illusion (Nov 27, 2012)

Foreign Trained Doctor Wins Licensing Lawsuit (Aug 25, 2012)

Award winning foreign doctor had to train in the US, denied for 7 years  in Canada (Aug 13, 2012)

Ontario and other provinces in blatant discrmination (July 25, 2012)

Stop Visa Trainees Program Now! Help Our Own Citizens (June 19, 2012) 

Institutionalised Discrimination Against IMDs (April 20, 2012)

Analysis: Canadian Medical Association Journal: The Use of provisional (transition) licences in Canada

The only solution to the doctor shortage - transitional licences for qualified IMDs (31st March 2012)

Controlling the number of doctors is what it is all about (10th Dec 2011)

Royal College of Physicians and Surgeons endorses the Preceptor Program - Kudos to Dr Andrew Padmos 

Ontario College even refuses to register IMD fully licensed in New Brunswick!! (1st Aug 2011) 

A Malicious and Defamatory Statement (July 12, 2011) 

Institutional Underemployment - welcome to the new paradigm (July 1st 2011 Canada Day)

What does an unemployed well qualified doctor do for another year? (CaRMS match 2011)

More Doctors registered? Medical Doctors or Spin Doctors? (14 May 2011) Dr Rocco Gerace

Physician groups delaying foreign doctors by Canadian Minister of Immigration

Oxford trained doctor unable to work in Canada  

Ontario halts fast-tracking foreign MDs" Dr Murray Urowitz

What is the true number of IMDs who got residency in 2011? What is the total number of qualified IMDs who did not 

That'll be cash or visa

The Canadian Election 2011 - Questions for Mr Harper, Mr Ignatieff and Mr Layton 

The Canadian General Election - Questions to Ask Your MP candidate.

Makes no sense to empower non doctors to do the work of doctors (18 Mar 2011) 

Recruiting Foreign Doctors a Necessary Short-Term Solution (15 Mar 2011) 

Exam standards discriminates against foreign trained doctors (26 Jan 2011)




House of Commons Committee on Health (and an initial response)

Summary of the Doctor Shortage Problem

1. There are over 1 million people who do not have family doctors

2. The wait times for most surgery and even for specialist consultation runs into many months. Patients often get far more sick during the wait, jeopardising their successful recovery.

 The Solution.

1. There are over 7500 internationally trained doctors who have immigrated to Canada. More than half (over 3500) have passed all the Canadian medical licensing exams. But they are not allowed to practice and help address the doctor shortage.

2. Many internationaly trained doctors (IMDs) have trained overseas and worked for years in their specialty or family practice. They have also passed Canadian exams. They are not give a chance to be assessed for full practice. Can we not use community preceptors as they do in other jurisdictions? Can these IMDs not be given transition licenses? Can the College of Physicians and Surgeons explain why they are not pursuing this option? 

3. Other IMDs need a residency training positions in Canada. Yet even though the universities claim there are nor residencies available, nearly 800 foreign doctors sponsored by their governments are taking up valuable residency positions. This is a waste of Canadian training resources. Can we not have a moratorium of foreign visa trainees?


Discrimination - Will the Ontario government take heed?

 "The onus is now on medical schools to change their ways. The schools must remember, or the government must remind them, that they are funded to work for the good of all Quebecers, and not just the medical elite. More than 2 million Quebecers are depending on progress in this."

Will the ONTARIO government take action in the public interest?

Foreign-trained doctors get a taste of justice


The Quebec Human Rights Commission has earned its pay with this week's report on why foreign-trained doctors find it so difficult to practise here, while over 2 million Quebecers lack access to a family doctor. The response from the province's medical schools on the other hand is cause for alarm -and firm action.


The commission undertook, on its own initiative, a three-year examination of the question. Quebec is short 1,100 family doctors, although hundreds of foreign doctors are here, unable to practise.

Before a foreign-trained doctor can apply for a residency in a Quebec hospital -the last step in the process of being licensed to practise here -he or she must pass an "equivalency exam" given by the Quebec College of Physicians. Only those who pass the exam are eligible to apply for residency. That's a sensible system. Quebecers do need protection from so-called doctors whose training elsewhere might be below Canadian standards.

But this vigilance alone can't explain why the province's four faculties of medicine left residency positions vacant rather than allocate them to foreign-trained doctors. In 2007, the year the commission examined, every single graduate from Quebec's medical school was offered a residency. But only a third of foreign-trained, QCP-certified doctors were accepted. So 85 residency positions were left empty while 174 foreign-trained, Quebeccertified doctors were left to wonder why they had bothered immigrating.

The commission found that medical faculties had used unverified criteria in making these decisions, and said prejudice and subjectivity could, and did, play a role.

Shamelessly, the medical schools resisted the findings this week, saying that even foreign-trained doctors who passed the QCP test are sometimes deemed unlikely to succeed, in part because they don't know the Quebec medical system. How's that for a Catch-22? And how's that for pre-judging: These foreigners aren't likely to succeed here because they're foreigners. There's an ugly name for that kind of thinking.

The commission has set out sensible remedies. It has ordered the Health Department to insist that medical faculties fill residency positions; that the college of physicians ensure the universities recognize foreign-trained doctors' degree equivalency; and that medical faculties set up objective ways of evaluating residency applications. We hope the ministry will cooperate vigorously.

Bias can be difficult to detect and eradicate. And in some high-profile cases, human rights commissions across Canada have detected bias where almost nobody else could see any, which has brought the whole role of such commissions into some disrepute.

But this case is not one of those. To the Quebec Commission's credit it set out in a methodical way to identify unreasonable barriers, and is now trying to dismantle them.

The onus is now on medical schools to change their ways. The schools must remember, or the government must remind them, that they are funded to work for the good of all Quebecers, and not just the medical elite. More than 2 million Quebecers are depending on progress in this.

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