“The Myth of Canada: The Exclusion of Internationally Trained Physicians” is a community-engaged research report by Evelyn Encalada Grez, Paola Ardiles Gamboa and Simran Purewal—research associates and investigators at Simon Frase University. The report was published in early 2023 and focuses on the experiences of Internationally Trained Physicians (ITPs) when migrating to Canada, specifically when seeking to practice medicine in B.C. Its recommendations focus on addressing barriers ITPs face in this process.
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Immigration and settlement
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.
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Recommendation 2:
Provide more transparent and clear information upon pre-arrival and pre-migration to Canada to Internationally Trained Physicians.
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Recommendation 3:
Eliminate the English proficiency exam when medical training was undertaken primarily in the English language.
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Recommendation 4:
Prioritize and formalize Internationally Trained Physicians mental healthcare supports upon arrival to Canada and during the licensure process.
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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.-
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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.-
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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.-
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Recommendations from MOSAIC and the Alliance of Doctors Denied by Degree
Recommendation 11: Requiring representation of graduates of international medicals schools on all committees and other forums which make decisions that effect graduates of international medical schools’ access to the medical profession.-
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