Provinces-recruting doctors

[wyly]

No, not really, says my lifelong friend who works in this field in Edmonton. Docs who have trained in Western Europe, NZ, Australia, USA and South Africa are fastracked because the quailty of training in those countries is very simliar to ours.

that's what I posted...there is no fixed rate for accreditation, and you're wrong regarding the USA, a MD can practice in a specialty in the US without ever being certified which is not acceptable here...each one of those countries is there no general fast track each individual is still judged separately, it may well be that most are qualified and result in fast tracking...

Of course, relatively few docs from those places apply because they have no economic or professional need to leave their home countries.

true enough, there is no incentive for them to leave they have every luxury that we enjoy...if they leave it's for the a change of scenery and adventure...

Persons trained elsewhere are often required to more or less start over.

depends on country as you mentioned, from India it's generally a long process...you would think Israel would have an excellent MDs my MD friend related to me how a Israeli MD was fast tracked because he appeared to be a star candidate, schooling, references, everything...he was fired after 6 months as it was judged he was at best equal to a 3rd yr Canadian med student...

Answering questions won't get you accredited, unless the questions are on board exams taken by all.

they are, interview process is an important step...as my friend comments "after a few failed attempts they learn to tell us what we want to hear and revert to type once admitted"...

Many well trained docs fail language exams, also required to demonstrate mastery of English.

Accreditation is not granted because you are willing to work in Dognuts, AB.

yes the language requirement is rigid but individual provinces can and have granted accreditation to MDs if they agree to work in rural regions(I don't make this stuff up), they free to move anywhere in Canada afterwards but they can't practice their trade...

[jacee]

Why don't we educate enough doctors to filll our needs?

[wyly]

Why don't we educate enough doctors to filll our needs?

lack of funding...there are more applicants within Canada than there is room for in the Universities, plus there's a shortage of instructors, MDs are often to busy to teach...it's a catch 22 and can't be corrected quickly without large injections of cash...

[dre]

there is no mandatory two year residency program, candidates are judged individually residency requirements are based on qualifications of applicant, some do as little as 6 months others can skip the residency entirely if he/she is deemed a star candidate... a MD friend of mine is one of those who makes those decisions and mrs wyly has also been involved in the process...

how does a MD shortage drive up cost? MD pay rate does not go up with demand...

you make sound as if the certification process "gaunlet" is means to discourage MDs, the process is a quality safeguard... foreign MDs are welcome to practice here but they must be of a proven quality equal to that of Canadian trained MDs there can no lowering of standards...A shortage of residency slots is due more to a lack of space and funding than anything else...

All scarcity drives up costs. The more the goods and services you produce are in demand the more bargaining power you have whether youre dealing with a bulk purchaser like the provincial governments or a single consumer.

[fellowtraveller]

Why don't we educate enough doctors to filll our needs?

in part because it is very expensive to train doctors. Although med students pay more tuition at universities their annual taxpayer subsidy is much higher than, for example, a liberal arts student.

You know, the subsidy that you want to be 100% by providing free education for everybody at every level for as long as they wish.

I do not persoanlly see the need to further subisidize anybody who is going to earn the kind of bucks that a physician is pretty much guaranteed to make for 40 years after graduation.

[wyly]

in part because it is very expensive to train doctors. Although med students pay more tuition at universities their annual taxpayer subsidy is much higher than, for example, a liberal arts student.

You know, the subsidy that you want to be 100% by providing free education for everybody at every level for as long as they wish.

I do not persoanlly see the need to further subisidize anybody who is going to earn the kind of bucks that a physician is pretty much guaranteed to make for 40 years after graduation.

well there's no shortage of applicants despite the cost so there's no need for subsidies to encourage enrollment...where subsidies or even free education might help is if graduates agreed to locate to remote or rural communities for x amount of years of service in exchange for free training, I believe the military had a similar training for service agreement with it's MDs...but even that's irrelevant because the educational system is operating at maximum capacity...

[lukin2066]

With Ontario's budget woes I don't see things improving anytime soon as far as pay for doctors.

[Canuckistani]

the educational system is operating at maximum capacity...

What do you mean by that? If we chose, surely we could expand med school spaces? Seems a better idea to train them at home than import them. When we import a doctor from a 3rd world country, we deprive the country that spent money training them of their services, a form of neocolonialism. Meanwhile the medical associations here severely restrict entry of these doctors, so many of them wind up driving cabs. Where's the sense in that?

[Topaz]

What do you mean by that? If we chose, surely we could expand med school spaces? Seems a better idea to train them at home than import them. When we import a doctor from a 3rd world country, we deprive the country that spent money training them of their services, a form of neocolonialism. Meanwhile the medical associations here severely restrict entry of these doctors, so many of them wind up driving cabs. Where's the sense in that?

There's also a downside too. Some doctors from India or a Middle-east countries with a thick accent when they speak English is hard to understand. I've had to ask them to repeat what they have said several times , which makes me and them uncomfortable.

[Canuckistani]

There's also a downside too. Some doctors from India or a Middle-east countries with a thick accent when they speak English is hard to understand. I've had to ask them to repeat what they have said several times , which makes me and them uncomfortable.

Sometimes cultural issues arise too. There was that woman that was not comfortable treating Lesbians, doctors who in their home country are used to deference by patients being accused of arrogance, etc. But none of that really matter that much. What matters in my mind is that we should be training Canadians for the jobs we need, give the people here a chance at a good life. And of course they will have the training and cultural attitudes that work best for Canada.

[dre]

Sometimes cultural issues arise too. There was that woman that was not comfortable treating Lesbians, doctors who in their home country are used to deference by patients being accused of arrogance, etc. But none of that really matter that much. What matters in my mind is that we should be training Canadians for the jobs we need, give the people here a chance at a good life. And of course they will have the training and cultural attitudes that work best for Canada.

Doesnt matter... we have no choice.

http://www.boardoftrade.com/files/Images/policy/ProvBudgetLtr-2010-11-graph3.gif

That absolutely cannot continue. It will pave us under.