this post was submitted on 24 Apr 2025
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Quebec passes law requiring doctors to work in the public system for 5 years after med school. Doctors will also need to obtain special authorization to work in the private system (www.cbc.ca)
submitted 1 week ago by HiddenLayer555@lemmy.ml to c/canada@lemmy.ca
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[–] dwazou@lemm.ee 38 points 1 week ago* (last edited 1 week ago) (4 children)

Every year, Canadian Medical Schools train far less doctors than France, Germany, Britain, Australia or Spain.

Canadian provinces make it extraordinarily difficult for foreign-trained doctors to practice. It doesn't matter how knowledgeable and good you are. They will do everything they can to prevent you from working

It's an absolute disgrace. It's like the goal is to ensure there are as few doctors as possible.

Unfortunately, the public isn't really aware of this. And because the public isn't aware, the political class doesn't act.

[–] DeathsEmbrace@lemm.ee 6 points 6 days ago* (last edited 6 days ago)

They want money to flow to their educational institutions and would lose out allowing foreign degrees and some of them don't think other countries are up to the same standards.

Edit:Not just doctors any foreign degree not EU or American is impossible or close to.

[–] cyborganism@lemmy.ca 8 points 1 week ago

The collège des médecins, the authority on how many people can study to become medical doctors, is a god damn bottleneck. They're in on it. They limit the number of people who can become doctors to keep the demand and wages high.

[–] corsicanguppy@lemmy.ca 5 points 1 week ago (1 children)

They will do everything they can to prevent you from working

My doctor called it a certification exam to prove an incoming doctor can do the work. He came from Hongkong.

He says certification, you say conspiracy, different PoV I guess.

[–] HellsBelle@sh.itjust.works 6 points 1 week ago* (last edited 1 week ago)

According to the Medical Council of Canada there's a lot more to it than a single certification exam.

  • Complete a language test (for those whose first language is not French or English)
  • Verify your medical credentials
  • Pass the MCCQE Part I

Canada’s national standardized exam assessing candidates at a level expected of a student about to graduate with a medical degree in Canada.

  • Pass the NAC Examination

Prepare for and challenge Canada’s national standardized exam that assesses international medical students’ and IMGs’ readiness to enter supervised training in Canada.

  • CaRMS match

Available for international medical graduates (IMGs) who have not completed postgraduate training or who have completed postgraduate training outside of Canada and are willing to retrain.

  • Practice-Ready Assessment programs

In this pathway, IMGs can apply to provincial Practice-Ready Assessment (PRA) programs to complete a clinical workplace-based assessment over a period of 12 weeks (unpaid).

  • International residency programs

The College of Family Physicians of Canada (CFPC), the Royal College of Physicians and Surgeons of Canada (RCPSC), and the Collège des médecins du Québec (CMQ) set requirements and any applicable assessments for these pathways to licensure.

[–] OminousOrange@lemmy.ca 1 points 1 week ago

That, and foreign trained doctors can often be thrown into situations during their Canadian training that they weren't originally trained for. An ophthalmologist into an emergency room, for example.

[–] SoftestSapphic@lemmy.world 14 points 1 week ago

If you want doctors to stick around you have to offer a city where a doctor's wage is worth living on

[–] Cort@lemmy.world 8 points 1 week ago (2 children)

Would this prevent doctors from going to private practice in another province?

[–] Grabthar@lemmy.world 7 points 1 week ago (1 children)

It sounds like both doctors and dentists licenses in Canada are restricted at the provincial level. So they could move, but would have to recertify in another province. I know for some of the dental schools, you can graduate and go through the licensing process in any province, but for others, you can only practice dentistry in the province of the school you graduated from. That prevents out of province kids from going to Manitoba for one of a handful of placements and then immediately going back after graduating. Medical is probably similar. It sounds like there are a lot of high barriers in place to keep their investments secure, but those also prevent us from recognizing the qualifications of immigrants. Sadly, I hear a lot of complaints about that from taxi drivers.

[–] MNByChoice@midwest.social 5 points 1 week ago (2 children)

Sounds like a lot of hassle. Does this keep the salaries of doctors high or the supply of doctors low?

[–] Grabthar@lemmy.world 3 points 6 days ago

Provinces actually cap what a doctor can charge the system. Family doctors basically have to run a business and bill the insurance plan of their province, and there are limits to how much they can charge per year. This keeps salaries lower than in the private sector, which can charge some provinces much more for the same services. It is a big part of the drive for doctors to go private. Many doctors are also expected to do walk-in clinic and ER hours, or to supervise new doctors in their province as well, but I don't know if that applies to the private ones. I hear that the waning supply of public doctors makes it harder to train new doctors in their residency years. Canada has been aggressively growing its population through immigration for the last decade, but hasn't addressed the doctor supply problem, so this is reaching a breaking point for the health care system. Ideally they would be attracting doctors and nurses to come to Canada as part of that immigration, which they try to do, but then they want them to take equivalencies which often amount to going through med school all over again. Without having the people to train them. And to have them pay for it while starting out in a new country with a high cost of living. So the system keeps salaries low and supply low, and they set up rules to trap doctors in their province so they can't escape it.

[–] Makhno@lemmy.world 2 points 1 week ago (1 children)

If they revoked licenses for evasion

[–] Cort@lemmy.world 0 points 1 week ago

Ah, that makes sense since the licenses aren't federally issued