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Issue 07 June 2011

Doctor Drain Turns to Gain
Institutional Partnerships
Our Forums
Canadian Students
  Studying Abroad

    Step 1: Take the exams
    Step 2: Learn more
    Step 3: Obtain a residency
    Step 4: Obtain a license
    Step 5: Find a job
Important Websites

The MCCEE (Medical Council of Canada Evaluating Exam)

Your first step to working as a physician in Canada!

List of countries where you can take the MCCEE:
Find a center in your country where you can take the MCCEE:
Information about the MCCEE:

Note: The MCCEE is required only of International Medical Graduates (IMGs) who wish to work in Canada. The MCCQE Part 1 and MCCQE Part 2 are required of all physicians (IMGs and Canadian medical school graduates).

Doctor drain turns to gain: Physicians move north

National Post • Sept. 9, 2010
by Tom Blackwell

For years, an exodus of doctors to the United States helped fuel Canada's growing shortage of medical staff, and gave emotional ammunition to opponents of Canadian-style health-care reform in the States.

But medical recruiters and migration statistics suggest a surprising new trend has emerged over the past few years: a net movement of physicians from the United States to Canada.
The reasons they are coming are equally unexpected: pay that is reportedly much better in some specialties; more freedom in their practices; and uncertainty about the impact of health reform in the United States.

"Canada is the number one spot in the world for doctors to come and work, live and play," said John Philpott, CEO of CanAM Physician Recruiting in Halifax. "Talking to physicians in the United States, they're shocked how much more money they can make in Canada."
The flip side of the equation seems to be true as well, with fewer Canadian doctors answering the call to practice in the States, once seen as a Mecca of better remuneration and more comfortable work environments.

"I have calls from American companies on a regular basis asking me to find them Canadian doctors, and I have to say 'that ship has sailed,'" said Susan Craig of Toronto-based Susan Craig Associates, which recruits doctors for both American and Canadian employers. "We used to place an ad and we'd be flooded with doctors. That's not the case now."

Statistics released annually by the Canadian Institute for Health Information first suggested, five years ago, that the number of doctors returning to Canada after departing the country for other places was greater than the number leaving, ending a net out-migration that had lasted for more than a decade.

The impression remained, however, that Canadian doctors were still flocking to the United States. During the recent debate over the U.S. health-care reform proposals, opponents frequently cited Canada's system as an example to be avoided, and pointed to the supposed exodus of doctors southward as evidence that it was broken.

More detailed CIHI statistics reveal a different picture, however. The number of doctors returning to Canada from the U.S., specifically after working here previously, has exceeded those going in the opposite direction every year since 2004.

On top of that, the number of American-trained doctors who came here for the first time jumped to 52 in 2008 from a low of nine in 1995. Neither set of statistics includes doctors trained in other countries who were working in the U.S. and left for Canada recently.

"HealthForce Ontario, the provincial agency that recruits doctors and other medical workers, has lured an increasing cadre of MDs from the U.S. since it launched three years ago. The number jumped to 87 last year from 10 in 2007, and has already reached 66 by this July.

Health Match BC, a similar agency, attracted 19 U.S. doctors in 2008, 20 in 2009 and expects to top 30 this year," said CEO John Mabbott.

No one suggests, though, the numbers match the flight south of Canadian physicians during the 1990s.

At that time, provincial governments, worried about escalating health costs, concluded there was a surplus of doctors. Medical school enrollments were slashed, pay caps instituted and physicians discouraged from working in "over-serviced" areas.

The result by 2006 was that 12,000 Canadian-trained doctors — more than 10% of the total — were working in the States, noted a 2007 paper in the Canadian Medical Association Journal.
The ensuing doctor shortage in Canada prompted legislators to approve higher fees, increase enrollment and take other measures to improve doctors' lot.

"The situation here has improved radically and physicians here are treated with much more respect and care than they were previously," said Ms. Craig.

Private and public-sector recruiters say they are luring American-born doctors, Canadians who had long ago moved to the States, and physicians from other countries who trained and got licensed in the U.S., to decide to work in Canada.

Comparing physician incomes in the two countries is not easy, given the different ways doctors are paid in various jurisdictions. Undisputedly some surgical and other specialities are still much better compensated in the States.

Some recruiters, though, say family doctors, pediatricians, emergency physicians and psychiatrists can make more for similar work in Canada — as much as $50,000 to $100,000 more, according to Mr. Philpott. He said he relocated one doctor from Wisconsin to Newfoundland, doubling her income in the process.

Map of Canada

Psychiatrists can end up "significantly ahead" in Canada, echoed Ms. Craig, noting "the whole money thing has changed." Mr. Mabbott said some physicians from the States tell him, also, that they make more in B.C.

Money is not the only draw, however.

Many U.S. physicians are also fed up with a system in which private insurance companies fund most medical care, meaning they must deal with as many as 40 different firms to get paid. "One study suggested that U.S. physicians spend 140 hours and $60,000 a year dealing with insurers," said Lynn Bury, recruitment director for HealthForce Ontario.

"Some also see the Canadian system as allowing them to practise more freely, unfettered by private hospitals, insurance companies and HMOs," said Ms. Bury.

Mr. Mabbott said he is worried about the impact of U.S. health-care reform, designed to provide health coverage to 40 million uninsured Americans, and potentially create a demand for thousands more physicians.

Other recruiters, though, say the reform plan Congress approved this year has so far left some doctors fretting about the future and viewing Canada as a welcome escape.


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Canadian Students
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Question and Case Developers

CanadaQBank continues to develop the very best questions and cases for the Medical Council of Canada Evaluating and Qualifying exams (the MCCEE, the MCCQE Part 1 and the MCCQE Part 2).

We would like to hire some motivated and talented physicians who can contribute their time and knowledge to our QBanks. This is what we need developed:

1. CDM (Clinical Decision Making) Cases created for the MCCQE Part 1.

Note: You are not limited to these topics. You may create Testlet Cases about other topics as long as they are part of one of the following six subjects tested on this exam: General Medicine, Pediatrics, OBGYN, Surgery, Psychiatry, PMCH (Preventive Medicine and Community Health. Ethics and Epidemiology are part of the PMCH category).

2. Testlet Cases created for the MCCQE Part 1.

Note: You are not limited to these topics. You may create Testlet Cases about other topics as long as they are part of one of the following six subjects tested on this exam: General Medicine, Pediatrics, OBGYN, Surgery, Psychiatry, PMCH (Preventive Medicine and Community Health. Ethics and Epidemiology are part of the PMCH category).

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How to Apply:

All interested applicants are encouraged to submit their CV to: [email protected] We will guide you, step by step, in creating the questions and cases.

We need your help and expertise!


Steps to becoming a licensed practicing physician in Canada:

Step 1: Take the exams

Medical Licensing Exams of Canada

1. Prepare for the exams --> Canada QBank: //

Take the exams --> Medical Council of Canada:

Step 2:
Learn as much as you can
about how to be a physician
in Canada

IMG Support Groups and
Information resources

Association of International
Medical Doctors of British Columbia

c/o Coordinator, BCITP Net
(British Columbia Internationally Trained Professionals Network)
Surrey Delta Immigrant Services Society
1107-7330 137th Street
Surrey, BC V3W 1A3
Email: [email protected]
Tel: (604)-729-6598

Alberta International Medical
Graduates Association (AIMGA)

1409 Edmonton Trail NE, Suite 205
Calgary, Alberta T2G 3K8
Tel: (403)-520-7730 or
Email: [email protected]

Association of Foreign Medical Graduates
of Manitoba (AFMGM)

Email: [email protected]
Tel: (204) 284-8509
Location: Winnipeg, Manitoba

Association of International Physicians and Surgeons of Ontario (AIPSO)
2 Carlton Street, Suite 820
Toronto, ON M5B 1J3
Tel: (416) 979-8611
Fax: (416) 979-9853
Email: [email protected]

Access Centre for Internationally Educated Health Professionals:

Hamilton International
Healthcare Professionals
c/o Settlement and Integration Services (SISO)

360 James Street North, Lower Concourse
Hamilton, ON L8L 1H5
Tel: 905-521-9917 ext 256
Fax: 905-521-9216
[email protected]

c/o Kitchener-Waterloo Multicultural Centre
46 Mount Hope Street,
Kitchener, ON N2G2J3
Tel: (519) 745-2531
Fax: (519) 745-5857
Email: [email protected]

c/o London Cross Cultural Learner Centre 505 Dundas Street,
London, ON N6B 1W4
Tel: (519) 432-1133
Fax: (519) 660-6168
Email: [email protected]

Welland/ Niagara-St. Catharines
c/o Welland Heritage Council and Multicultural Centre
26 East Main Street,
Welland, ON L3B3W3
Tel: (905) 732-5337 (Welland)
Tel: (905) 685-1353 (St. Catharines)
Email: [email protected]

c/o Catholic Immigration Centre
219 Argyle Avenue,
Ottawa, ON K2P2H4
Tel: (613) 232-9634 |
Fax: (613) 232-3660
Email: [email protected]

c/o Windsor-Essex International
Medical Graduates
P.O. Box 27056
7720 Tecumseh Road
East Windsor, ON N8T 3N5
Tel: (519) 991-0763
Email: [email protected]

c/o Guelph and
District Multicultural Centre
214 Speedvale Avenue West, Unit 7
Guelph, ON N1H1C4
Tel: 519 836 2222
Fax: 519 837 2884
Email: [email protected]

International Medical Graduates (IMGs):

Association of International Physicians & Surgeons of Nova Scotia (AIPSNS)
c/o Association of International Physicians
& Surgeons of Nova Scotia
One Research Drive
Dartmouth Nova Scotia B2Y 4M9
Tel: (902) 442-4655
Email: [email protected]

Step 3:
Obtain a residency
(post graduate training
position) in Canada

Specific Programs for
International Medical Graduates

British Columbia:

International Medical Graduates of
British Columbia (IMG-BC) Program

661-1190 Hornby Street Vancouver,
British Columbia
Tel: (604) 682-2344 local 62655
Fax: (604) 806-9902
Email: [email protected]


Alberta International Medical
Graduate Program

University of Calgary, Faculty of Medicine
Room G212, Health Sciences Centre
3330 Hospital Drive N.W.
Calgary, Alberta T2N 4N1
Tel: (403).210.8184
Fax: (403).210.8166
Email: [email protected]

Calgary Clinical Assistants Program
Southport Tower
10301 Southport Lane SW, #5122
Calgary, Alberta Canada T2W 1S7
Tel: 403 943 0764
Fax: 403 943 0916
Web: http://www.calgaryhealth

Clinical Opportunities for
International Medical Graduates
in Alberta

IMGCP - International Medical
Clinical Preceptorship

IMGSP - International Medical
Graduate Surgical Preceptorship

Capital Health, Medical Affairs

Physician Preceptorship Programs
Suite 500, North Tower,
Capital Health Center
10030 – 107 Street, Edmonton,
AB T5J 3E4
Tel: (780) 735-0702 |
Fax (780) 735-0756
Email: [email protected]


Pilot Project for the
Assessment of IMGs

The College of Physicians and
Surgeons of Saskatchewan

Associate Registrar
211 4th Avenue South
Saskatoon, SK, S7K 1N1
Tel: (306) 244-7355
Email: [email protected]


Medical Licensure Program for
International Medical Graduates

c/o International Medical Graduates
Program (IMGP)
University of Manitoba Faculty
of Medicine
270 – 727 McDermot Avenue
Winnipeg, Manitoba, R3E 3P5
Tel: (204) 789-3616


CEHPEA: Centre for the
Evaluation of Health
Professionals Educated Abroad

80 Bloor Street West, 9th Floor -
Suite 902
Toronto, Ontario, M5S 2V1
Tel: (416) 924-8622 |
Fax: (416) 924-8921
Email: [email protected]


Reconnaissance d'équivalence
du Diplôme universitaire en
médecine et de la formation

Collège des médecins du Québec
2170, boul. René-Lévesque Ouest
Montréal, Québec, H3H 2T8
Tel: (514) 933-4441
Toll Free: 1-888-633-3246|
Fax: (514) 933-3112
Email: [email protected]

Recrutement Santé Québec
(Recruitment Health Quebec)

Direction de la main-d'oeuvre
médicale (Medical Workforce

Ministère de la Santé et des
Services Sociaux (Department
of Health and Social Services)

1075, chemin Ste-Foy, 10th floor
Québec (Québec) G1S 2M1
Fax: (418) 266-6978
Email: [email protected]

Nova Scotia:

Clinician Assessment for
Practice Program (CAPP)

College of Physicians and
Surgeons of Nova Scotia

Suite 200, 1559 Brunswick St.
Halifax, Nova Scotia
Canada, B3J 2G1
Tel: (902) 482-2917
Toll-free (Nova Scotia only):
1 (877) 282-7767 |
Fax: (902) 422-7476
Email: [email protected]


Clinical Skills Assessment
and Training (CSAT) Program

Program Coordinator
Faculty of Medicine,
Memorial University of Newfoundland
c/o Western Memorial Regional Hospital
P.O. Box 2005,
Corner Brook,
Newfoundland and Labrador,
A2H 6J7
Email: [email protected]
Tel: (709) 639-2728
Fax: (709) 634-9175

Step 4:
Obtain a license to practice medicine in Canada

Licensure Authorities

College of Physicians and
Surgeons of British Columbia

Suite 400, 858 Beatty Street
Vancouver, BC V6B 1C1
Tel: (604)-733-7758 or 1-800-461-3008
Fax: (604)-733-3503 (general)
(604)-694-6104 (registration)
Email: [email protected] or
[email protected]

College of Physicians and
Surgeons of Alberta

900 Manulife Place
10180 - 101 Street
Edmonton, AB T5J 4P8
Tel: (780)-423-4764
Physicians-only line: 1-800-320-8624
Fax: (780)-420-0651
Email: [email protected]

College of Physicians and
Surgeons of Saskatchewan

211 Fourth Avenue South
Saskatoon, SK S7K 1N1
Tel: (306)-244-7355 or 1-800-667-1668
Fax: (306)-244-0090 (general)
(306)-244-2600 (registrar)
Email: [email protected]

College of Physicians and
Surgeons of Manitoba

1000 - 1661 Portage Avenue
Winnipeg, MB R3J 3T7
Tel: (204)-774-4344
Fax: (204)-774-0750

College of Physicians and
Surgeons of Ontario

80 College Street
Toronto, ON M5G 2E2
Tel: (416)-967-2603 or
1-800-268-7096 (general);
(416)-967-2606 (physicians only)
Email: [email protected]

Le Collège des médecins du Québec
(College of Physicians of Quebec)

2170, boulevard René-Levesque Ouest
Montréal, QC H3H 2T8
Tel: (514)-933-4441 ou
Fax: (514)-933-3112
Email: [email protected]

College of Physicians and Surgeons
of New Brunswick

1 Hampton Road, Suite 300
Rothesay, NB E2E 5K8
Tel: (506)-849-5050 or
Fax: (506)-849-5069
Email: [email protected]

College of Physicians and Surgeons
of Newfoundland & Labrador

139 Water Street, Suite 603
St. John's, NL A1C 1B2
Tel: (709)-726-8546 |
Fax: (709)-726-4725
Email: [email protected]

College of Physicians and
Surgeons of Nova Scotia

Suite 5005 - 7071 Bayers Road
Halifax, Nova Scotia, B3L 2C2
Tel: (902)-422-5823 or
1-877-282-7767 (toll-free)
Fax: (902)-422-5035
Email: [email protected]

College of Physicians and Surgeons
of Prince Edward Island

199 Grafton Street
Charlottetown, PE C1A 1L2
Tel: (902)-566-3865
Fax: (902) 566-3986

Yukon Medical Council
c/o Registrar of Medical Practitioners
Box 2703 C-5
Whitehorse, YT Y1A 2C6
Tel: (867)-667-5111 | Fax: (867)-667-3609
Email: [email protected]

Department of Health and Social Services
Government of the Northwest Territories
Medical Registration Committee

PO Box 1320
Yellowknife, NT X1A 2L9
Tel: (867)-920-8058 | Fax: (867)-873-0484
Email: [email protected]

Department of Health and Social
Services Government of Nunavut
Medical Registration Committee
Professional Licensing

2nd Floor NCC Building, Box 390
Kugluktuk, NU X0B 0E0
Tel: (867)-975-5700 |
Fax: (867)-975-5705
Email: [email protected]
Web: http://www.nunavut-

Step 5: Find a job as a physician

Physician Recruitment

British Columbia:


Calgary, Alberta:





New Brunswick:

Nova Scotia:




NorthWest Territories:


Important Websites

IMG Canada:

Communication and Cultural Competence Program:

Foreign Credentials Referral Office:

Physician Credentials Registry of Canada (PCRC):

Canadian Resident Matching Service:

Association of Faculties of Medicine of Canada:

Canadian Association of Interns and Residents:

Canadian Post-M.D. Educational Registry:

Canadian Federation of Medical Students:

College of Family Physicians of Canada:

Canadian Medical Association:

Canadian Medical Association Journal:

Council of Ontario Faculties of Medicine:

Federation of Medical Regulatory Authorities of Canada:

Royal College of Physicians and Surgeons of Canada:

Health Canada:

Ontario Medical Association:

Society of Rural Physicians of Canada:

Going to Canada:

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