Recommendation 1: We urge various jurisdictions to meaningfully engage Internationally Trained Physicians in all decision-making processes related to their medical licensing so that they can bring their voice, expertise, experiences to the table in order to advocate for more inclusive and fair policies.

Recommendation 2: Provide more transparent and clear information upon pre-arrival and pre-migration to Canada to Internationally Trained Physicians.

Recommendation 3: Eliminate the English proficiency exam when medical training was undertaken primarily in the English language.

Recommendation 4: Prioritize and formalize Internationally Trained Physicians mental healthcare supports upon arrival to Canada and during the licensure process.

Recommendations from MOSAIC and the Alliance of Doctors Denied by Degree

Recommendation 5: Opening up all residency positions (including speciality and subspecialty) to competition by all Canadian citizens and permanent residents who have passed the Medical Council of Canada exams which establish that they have the critical medical knowledge, decision-making ability and clinical skills expected from Canadian medical school graduates and, as such, are qualified to work as resident physicians.

Recommendations from MOSAIC and the Alliance of Doctors Denied by Degree

Recommendation 6: Increasing the number of residency positions to accommodate more candidates.

Recommendations from MOSAIC and the Alliance of Doctors Denied by Degree

Recommendation 7: Implementing Practice Ready Assessments (PRA) of all graduates of international medical schools, including specialists, who meet simple eligibility criteria to determine if retraining is necessary and, if so, to what degree.

Recommendations from MOSAIC and the Alliance of Doctors Denied by Degree

Recommendation 8: Ending the requirement that graduates of international medical schools sign a return of service contract as a condition of working as resident physicians where they ‘agree’ to work in the community and clinic where the government directs them for a specified number of years after they are fully licensed.

Recommendations from MOSAIC and the Alliance of Doctors Denied by Degree

Recommendation 9: Removing exclusive responsibility for the selection of residents from Faculties of Medicine and putting in place oversight to overcome the bias embedded in the system.

Recommendations from MOSAIC and the Alliance of Doctors Denied by Degree

Recommendation 10: Implementing and/or increasing existing oversight and accountability including enforcement powers (such as Fairness Commissioners) of all aspects of the entry to the medical profession to ensure admission to the profession is: (i) fair and free of discrimination, i.e., inclusive and consistent with the principles of a free and democratic society; (ii) impartial; (iii) objective; (iv) flexible and (v) transparent as defined in the Health Professions Review Board’s Best Practices (BC HPRB, n.d.).