Association of International Physicians and Surgeons of Ontario


Minutes of AIPSO Meeting with MOH policy advisor on Feb. 7, 2012

Posted by imdontario on March 1, 2012 at 8:50 PM Comments comments (0)

AIPSO presented a folder of documents to Ms. Buckingham containing material related to the issues faced by International Medical Doctors (IMD) in Ontario.

1. The first document was news’ cutting dated February 2007, exactly FIVE years ago from the current meeting with Ms Buckingham. The news was related to Premier Dalton McGuinty’s meeting with IMDs where he acknowledged about the barriers faced by IMDs and informed that his Government is working to remove/reduce these barriers.

2. Summary of MPP Laurel Broten’s report regarding Opportunities for IMDs was also submitted. This summary includes five main points to integrate more doctors in Ontario. Point number two is directly related to IMDs and talks about creating a transitional License to allow IMDs to practice under supervision.

a. Based on MPP Laurel Broten’s report, in June 2008, Medicine Act was introduced. This act had first two points of Luarel Broten’s report. Point two talks about the transitional License for IMDs.

b. A new Legislation was introduced in November 2008 again based on Medicine Act and Laurel Broten’s report. However, in this legislation only point number one from Medicine Act was covered, while point two related to IMDs was not included.

3. A copy of report published by Fraiser Institute was submitted in which it is highlighted that Canada’s physician to population ratio ranked 26th among 28 developed nations that maintain Universal Health Care. The report further states that in 2010 about 38% of Canada’s physicians were aged 55 or older. The conclusion of this article highlights that in the coming years physician shortage in Canada will grow more acute without the influx of IMDs.

4. Another report with facts and figures compiled by an immigration lawyer was also submitted. This report talks about how the foreign visa trainees get residency and fellowship spots in Canadian Universities and how this impacts residency match chances for Canadian and International medical graduates.

5. A list of other Canadian Provinces’ procedures for issuing Restricted/Transitional licenses was also submitted.

6. A complete set of procedures for International Doctors to get licensed in United Kingdom was also included in the documents submitted.

7. Lastly, reference was given to Minister of Health – Honorable Deb Matthews’s current speech of January 30, 2012, in which she focused on Action Plan to provide faster access to Stronger Family Health Care.

Concerns & Suggestions by AIPSO:

1. International doctors are a different category from medical graduates. Residency requirement is and should be only for fresh graduates without any independent practice experience. As the minimum independent work experience of one year is required for applying for immigration under skilled category, so all the IMDs who came to Canada as immigrants (under skilled category) have one or more years of independent practice experience.

2. Premier promised five years ago to remove barriers for IMD licensing in Ontario to provide faster and better health care to Ontarians. However, after five years, now Minister of Health is still talking about action plan to provide faster and stronger family health care. Transitional License for IMD’s has now become a necessity for Ontarians and is strongly advocated by AIPSO.

3. AIPSO suggest some kind of restricted license, so they can treat patients who are not covered by OHIP, such as first 3 months of landing for new immigrants, Parents and other seniors who visit their relatives in Ontario on new Super Visitor Visa and other Ontario visitors.

4. Other provinces acknowledge IMDs experience and are providing transitional/restricted licenses to them involved in their health care system. However, CPSO asks doctors to get their practice license in other provinces, and then apply for license in Ontario. Practically this means that doctors living in Ontario should leave Ontario and get licensed somewhere else in Canada or the US before coming back.

5. It was also highlighted that Ontario residency programs look for specific scores in the EE and QE exams. MCC exams can’t be retaken when passed. Therefore, when an IMD passes the exam with the scores lower than the Ontario residency program requirements, has no chance of getting a residency in Ontario.

6. AIPSO considers that licensing process in Ontario for IMDs is Human Rights violation. IMDs earn the privilege of immigration to Canada based on their credentials, but when they arrive they are behaved as they have no educational background and most of them have to change their careers in order to survive in the country.

Jack Layton speech regarding IMDs issues, April 12, 2010

Posted by imdontario on April 15, 2011 at 9:15 AM Comments comments (0)

For those of you who missed the full leaders debate, you can see it by using link below. I feel they were generally agree about immigrant abused in the past.

Look for 01:00:30 up to 01:15:00 (or more) about immigration. About IMD Jack Layton said the truth 01:05:00.


Posted by imdontario on September 18, 2010 at 5:16 PM Comments comments (3)

 Please check the ionline petition and sign it. Lets hit our goal of 5000 signatures. share it with yur friends and community.


Toronto Star article "Foreign doctors petition for ability to practice while they wait"

Posted by imdontario on September 15, 2010 at 4:02 PM Comments comments (2)

Foreign-trained doctors Mitra Arjang begin_of_the_skype_highlighting end_of_the_skype_highlighting and Parampal Ghoshal donned their stethoscopes and white gowns on Monday — not to treat patients, but to protest.

Arjang, a general surgeon from Iran, and Ghoshal, a family doctor from India, say they have passed all the qualifying medical exams in Canada but failed to get a residency spot, and hence a licence to practise in Ontario.

With the College of Physicians and Surgeons of Ontario headquarters on College St. as backdrop, the two immigrant physicians launched an online petition Monday asking the province and the regulator to issue restricted licences for foreign doctors to practise in Canada.

Representing the self-advocacy group, the Association of International Physicians and Surgeons of Ontario, they said restricted licences would allow them to work in limited capacity under supervision while working toward a full licence – provided they pass the qualifying academic and clinical exams, but not necessarily with the required residency experience in Canada.

“I wouldn’t mind to work for free in order to get my transitional licence to practise,” said Arjang, vice president of the 12-year-old association.

Arjang passed ten exams in 2008 before she earned – and failed – an interview for a coveted residency spot. Only one of the 12 foreign-trained specialists in her group was accepted, she said.

Although exact data are not available, the association estimates there are 7,500 immigrant doctors living in Ontario, about 2,000 having passed the qualifying exams but unable to secure a residency spot.

Ghoshal, who has 16 years experience in India and the United Arab Emirates, passed her exams last year but did not get a residency interview.

“I feel my skills are wasted, while Canadians are suffering because there is a doctors’ shortage and we can’t practise,” she said.

The regulator licensed 1,536 international medical graduates last year and they accounted for 42 per cent of the 3,638 licences issued. The rest included 1,380 Ontario graduates, 638 from other parts of Canada and 84 from the United States.

College of Physicians spokesperson Kathryn Clarke said the total number of licences issued to foreign-trained doctors has doubled to 10,982 in the last decade, a result of improved licensing information and better assessment programs. Ontario has also increased the number of residency spots for immigrant doctors from 24 to 200 in the past 10 years.

“The system can only accommodate so many. There is certainly a ceiling from the government-funding point of view and the (residency) capacity of academic centres,” said Clarke.

“We can understand the frustration if you pass the exams but still can’t get one of the funded positions.”

Foreign-Born Doctors Give Equal Care (actually Better Care)

Posted by imdontario on August 3, 2010 at 12:57 AM Comments comments (0)

This NEW YORK TIMES report clearly shows that IMDs are the solution to the doctor shortage in Canada. The reasons given by the CPSO (College of Physicians and Surgeons of Ontario) and the program directors of the Universities to NOT ISSUE IMDs a license to practice,  is clearly an obstruction and an in justice to suffering communities.

Foreign-Born Doctors Give Equal Care in U.S

"Patients treated by foreign-born doctors who trained in other countries fare just as well as people treated by doctors educated in the United States, a new study has found."

The study is being published Tuesday in the August issue of the journal Health Affairs. The first author is John J. Norcini, president of the Foundation for Advancement of International Medical Education and Research, in Philadelphia.


The researchers set out to evaluate doctors by assessing the health of their patients. They analyzed records from 244,153 hospitalizations in Pennsylvania from 2003-06. All the patients had congestive heart failure or had suffered heart attacks, conditions that are considered a good gauge of the quality of medical care.


The patients were treated by 6,113 doctors. As in the rest of the country, about three-quarters of them were born and trained in the United States. The rest had trained in other countries, and most were foreign-born; about 400 were Americans who had trained overseas.


The patients of foreign-born international graduates had the lowest death rate, 5 percent, and the patients of American doctors trained overseas had the highest death rate, 5.8 percent. Patients of the American born-and-trained doctors fell in the middle, with 5.5 percent.

Spin "Doctors" Get Away with Murder

Posted by imdontario on July 16, 2010 at 12:06 AM Comments comments (0)

News Release


For Immediate Release

July 15, 2010


Spin "Doctors" Get Away With Murder


Vancouver, B.C...Spin "doctors" in British Columbia and Ontario are getting away with murder. They are trying to convince suffering and dying patients on wait lists they are issuing more medical licenses. All this while there are thousands of competent medical doctors in all provinces immediately available to help at no cost to the system.


"This is scandalous, intolerable, unfair, discriminatory and unjust. Citizens will not take it any more. It is a bloody shame. It puts the incomes of a small number of specialists ahead of the interests, health and well being of the people," says Dr. Jerry Green, M.D. of the Association For Access to Health Care Services.


With a federal election looming at any time and an Ontario provincial election scheduled for 2011, he encourages everyone to contact their MP and MPP insisting that they repair the situation right away.


There are thousands of international and re-entry physicians already residing in Canada who are driving taxis instead of practicing medicine. Established specialists have constructed devious obstructive complicated out-of-step restrictions designed to keep out competition.


British Columbia recently announced that it registered 488 new doctors in 2009. (Some will work part-time, not at all or do research.) Even with that, Minister of Health Kevin Falcon's, best spin is that he can only promise everyone will have a family doctor in 5 years. Some patients can ' ill' afford to wait 5 years because they will die of their illnesses before 2015. Emergency wait times are often as long as 19 hours. Wait times for cancer surgery can be as long as 79 days. While patients wait, cancers spread, diabetes can lead to coma and death, arthritis worsens, pain/suffering can lead to depression and suicide. The province has touted its doubling of medical school enrollment even though this has not solved the doctor shortage. (Current graduates, now half of them are women, refuse to overwork and want to spend time with their families.) The Colleges of Surgeons and Physicians continue to pressure governments to build more medical schools and teaching hospitals...a ridiculously impossible solution that would soon consume the entire provincial budgets.


In Ontario, the College of Physicians and Surgeons shows a 42% increase in the number of licenses issued to physicians in the 2000s over the 1990s. This is an abuse of statistics, since an increase over a small number was not adequate to solve the doctor shortage. This is the best spin doctoring this body can do. As well, for the past 19 months, the Ontario College has been disobeying/thumbing its nose at a new Ontario law (Bill 97, Increasing Access to Qualified Health Professionals for Ontarians Act 2008) that requires it to provide adequate, not simply more, numbers of doctors. The College refuses to issue transitional licenses where doctors can practice under supervision of a licensed physician while they complete required education, gain practical experience and pass all required examinations. Judge Peter Cory recently found the College guilty of performing unfair debilitating devastating deadly physician audits. As a result, the McGuinty government took over the audits, dissolved the College's largest committee (Medical Review) and caused it to lose millions of dollars.


The specialist controlled Colleges claim that they do not want to register foreign doctors because they do not want to "lower the standards". Many wonder about the actual level of these standards. A July 13 article in the Globe and Mail has shown that the Ontario College turned a blind eye to concerns about the competency of a family doctor doing plastic surgery. Subsequently, a patient of this same doctor died following liposuction. Goto: The College has a long history of protecting surgeons who harm patients by performing incompetent surgery. For example, it took the College 10 years to take action against Dr. Errol Wai-Ping. Goto: The College also has a history of attacking doctors for using relatively harmless vitamins and food.


Dr. Green is demanding an end to the spin doctors false misleading claims and a public inquiry.


If this issue goes to court, millions of dollars could be awarded to doctors for loss of practice income and to patients for pain and suffering.

For more information, please contact:

Jerry Green, M.D.

Political Medical Legal


Tel 778.232.0818

Physicians' groups accused of delaying foreign doctors

Posted by imdontario on July 3, 2010 at 3:27 PM Comments comments (0)



Immigration Minister Jason Kenney is accusing physicians' organizations in the provinces of dragging their feet in the effort to speed up recognition of foreign-trained doctors.


Kenney told reporters today that the foot-dragging has a cost to Canada.


"It's no secret that a lot of foreign-trained medical professionals have significant hurdles in getting their credentials recognized," he said. "It's a huge opportunity cost that's lost to us, to encourage foreign-trained medical doctors to come to Canada and have them end up cleaning hotel rooms."


On Monday, Ottawa and the provinces announced a major new deal to speed up foreign-credential recognition for eight professions, including architects and engineers – but not doctors, at least not yet. Physicians won't be coming on board until 2012 with the new "framework," as it's called.


In his testimony to the Commons immigration committee this morning, Kenney said that the physicians' organizations are frustrating his government's efforts speed up the process of recognizing training and education gained abroad.


"There are some of the major professional agencies, let's make no bones about this, who are less willing to collaborate, less willing to streamline the process and cut the red tape," Kenney said.


"Some of them appear to be acting in a way to keep closed labour markets and to keep closed the doors of opportunity for foreign-trained professions, and that is a shame."

(Note: The minister knows the true problem. Who will tackle this issue head on?)


But Kathryn Clarke, senior communications co-ordinator for the Ontario College of Physicians and Surgeons, says that rapid progress is being made in the bid to get foreign-trained doctors working in Canada – by all provinces.


"We effectively are registering international medical graduates on a regular basis," Clarke said. "There are a lot of misconceptions."


She pointed to a recent report from the Ontario physicians' college, showing that international medical graduates have actually received more practicing certificates in the province than domestically-trained doctors between 2002 and 2008 – a result of a nearly quadruple increase since 2000 in issuing those certificates to doctors trained abroad.

(Note: The CPSO statistics are untrue. They include thos ewho come on visa trainee licenses, acadmeic short term licenses and US doctors who want a cross border license in the statistics. This means that we really do not know how many immigrant IMDs who live in Ontario have been licensed and how many s who applied were rejected.)


Clarke also says that all provincial physicians' colleges are currently working together in something called the Federation of Medical Regulatory Authorities, trying to come up with pan-Canadian standards to help doctors move from province to province – and country to country – and still be able to work.


She expects that this body will be coming up with standards in enough time to meet the 2012 deadline announced in Monday's new agreement.


Kenney said that the groups included in the first wave of the program are from the professional organizations that have shown the most eagerness to work with the governments.


"There is a growing pressure and expectation that the licensing bodies will get with the program," Kenney told reporters.

The Big Wait

Posted by imdontario on June 17, 2010 at 10:15 AM Comments comments (0)

"The Big Wait" documentary features the personal journeys of three different international medical doctors over a four year time span. It is a wonderful film to show the frustration International Doctors are going through to enter into health care system in Ontario. 

The film will be screening in Mississauga on Thursday June 24, 1PM - 3:30 PM at the Mississauga Living Arts Centre. Rogers Theatre. The attendance is free. For more in formation about the screening, please check the GUESTBOOK in the website, as Joanne Jackson put the completer information about the event.  

You can  also check the website of the big wait: 

Doctors without Residency

Posted by imdontario on June 13, 2010 at 10:18 PM Comments comments (0)

This short documentary highlights how discrimination prevents foreign-trained doctors from practicing in Canada – even after they've received their Canadian qualifications. Interviews with medical professionals and human rights advocates illustrate how systemic racism plays a role.