IMD Routes to Licensure in Ontario
Healthcare system in financial crisis The TRUE reason why IMDs are excluded and public shortchanged?
That'l be cash and visa Let's use our training resources for Canadians first
Foreign Born Doctors Give Equal Care The New York Times reports that IMDs have lower mortality rates.
Losing Patients with the Canadian Health Care System The rich and politically connected go to the US?
Physician shortage is a CRISIS ! Between 663,000 and 879,000 Ontarians without family doctors...
Foreign visa trainees clog medical schools
The Ottawa Citizen
Re: Opposition pushes Finley to disclose immigration 'losers', April 29.
One of the significant problems facing foreign-trained and landed-immigrant doctors who have written and passed the licensing exams is the fact that there is a shortage of residency positions at
As an immigration lawyer, I am aware that there are 800 to 1,000 resident positions across
The general public is not aware of this situation. At the
My phone call confirmed that
In 2007, 298 foreign trained Canadian and immigrant doctors were matched for resident positions. Yet 1,486 were qualified (passed the Canadian licensing exams). About 80 per cent went unmatched or 1,188 more doctors who could be working and practising in
Five University of Manitoba 2007 successful medical graduates were not matched for a residency position. In 2008, 13 were not matched. These are Canadian doctors, who passed the licensing exam and could not find residency positions in
There is a finite number of attending physicians and resident positions across
While the Canadian Medical Association may argue it is a different program for the FVTs , it is different only insofar as the sponsoring countries pay their salaries and an annual $24,000 fee per resident, which is quite a financial boon for the hospitals.
Fund resident spots for foreign-trained MDs
The Ottawa Citizen
Tuesday, May 06, 2008
Re: Foreign trainees aren't taking up MD resident spots, May 3.
I believe that Dr. Stephen Kravcik's letter actually supports the basis of Julie Taub's call for an immediate moratorium on foreign visa trainees ("Foreign visa trainees clog medical schools," May 1).
First, Dr. Kravcik states that foreign visa trainees (FVTs) are not taking up spaces allocated to international medical graduates (IMG) in
This, of course, means that the ministry of health will have to fund these spots. These additional funds will compensate the universities for the loss of income from foreign governments.
Dr. Kravcik's analogy of the car and bus further proves the point. Whatever vehicles -- facilities and trainers -- that are available should be used to train doctors for the Canadian population. Let both the car and bus carry our IMGs into medical practice.
As to the level of scrutiny afforded to FVTs, it is true that they do not require any of the Canadian qualifications before they are allowed to treat patients. On the other hand, IMGs must pass at least four examinations before they can even start to apply for a residency.
Our organization agrees with Dr. Kravcik that it is truly honourable to train physicians for other countries. However, it does not make sense to do so to the detriment of doctors who have already migrated here. We are the hands that
As for the cultural issue, the IMGs who are Canadians or landed immigrants are not only from the Middle East but also from Europe, South America and
A moratorium on foreign visa trainees is an urgent priority if we are to place the over 1,000 qualified IMGs who have passed the exams in
Joshua Thambiraj, MD, FRCS,
President, Association of International Physicians and Surgeons of
Faculties should debate balance for medical post-grads
The Ottawa Citizen
Re: Foreign visa trainees clog medical schools, May 2.
Letter writer Julie Taub identifies an important issue facing
Residency training is a prerequisite for medical practice in
IMGs are landed immigrants, permanent residents of
Ms. Taub asserts that the motivation for having FVTs is that they represent a "financial boon for (the) hospitals." A less cynical view would also appreciate that while FVTs do provide a revenue stream to Canadian faculties of medicine (not hospitals), they also enrich education and training environments by providing diversity and have played an essential role in the provision of medical services in Canadian healthcare facilities and in the education and training of medical students and junior trainees.
Mr. Taub is right to raise the issue. We may not have struck the right balance between Canadian medical graduates, IMGs and FVTs within the current demographic context. AFMC is therefore calling for a dialogue within
This dialogue must begin with, and be shaped by, a number of guiding principles including: the primary obligation of Canadian faculties of medicine to help educate physicians to meet the needs of Canada; the international obligation of Canadian faculties of medicine to contribute to the medical workforces in other countries, and the need for fees received from sponsoring governments to cover the actual costs for training.
Only through such a principles-based dialogue will
Nick Busing, MD,
President and CEO
Association of Faculties of Medicine of
Doctor shortage doesn't have to be
Glut of physicians who cannot earn accreditation
John Ivison, National Post Published: Tuesday, April 29, 2008
The same thought struck during a cursory examination of
Yet, there is a glut of doctors trained abroad who have moved to
The hospitals claim the reason so many potential doctors were turned down was because of a teacher shortage. But here's the real kicker: While university hospitals have been rejecting doctors who might have moved into towns and cities across Canada to provide the health care that Canadians expect and deserve, they have been accepting trainees from foreign countries in record-breaking numbers -- all of whom come here at their governments' expense and then return home once fully trained.
The numbers of foreign visa trainees rose to 2,082 in 2006-07, from 937 a decade ago, according to the Canadian post-MD Education Registry. The reason they are accepted in such numbers is that foreign governments (mainly from the
The University of Ottawa Faculty of Medicine was at pains to point out that there is a tiered level of acceptance, starting with Canadian medical graduates, followed by international medical graduates who might stay in
At least, that's the way the system should work. Anecdotal evidence suggests otherwise -- a scenario that is perhaps not unrelated to the $200-million cash injection coming from the Saudi Arabian government, among others.
It is a situation that infuriates Julie Taub, an immigration lawyer in
The granting of immigration visas is an area of federal responsibility and