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  THE ULTIMATE CANADIAN IMG SITE

This web site has been created to provide information, on a single site, to other Canadian International Medical Graduates wishing to practice in their own country as well as other physicians wishing to immigrate to Canada. I hope to make this truly THE ULTIMATE Canadian International Medical Graduate web site and contributions to make this so are very welcome.


         THE OATH

I SWEAR by Apollo the physician, and Aesculapius, and Health, and All-Heal, and all the gods and goddesses, that, according to my ability and judgment, I will keep this Oath and this stipulation to reckon him who taught me this Art equally dear to me as my parents, to share my substance with him, and relieve his necessities if required; to look upon his offspring in the same footing as my own brothers, and to teach them this art, if they shall wish to learn it, without fee or stipulation; and that by precept, lecture, and every other mode of instruction, I will impart a knowledge of the Art to my own sons, and those of my teachers, and to disciples bound by a stipulation and oath according to the law of medicine, but to none others. I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous. I will give no deadly medicine to any one if asked, nor suggest any such counsel; and in like manner I will not give to a woman a pessary to produce abortion. With purity and with holiness I will pass my life and practice my Art. I will not cut persons laboring under the stone, but will leave this to be done by men who are practitioners of this work. Into whatever houses I enter, I will go into them for the benefit of the sick, and will abstain from every voluntary act of mischief and corruption; and, further from the seduction of females or males, of freemen and slaves. Whatever, in connection with my professional practice or not, in connection with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will not divulge, as reckoning that all such should be kept secret. While I continue to keep this Oath unviolated, may it be granted to me to enjoy life and the practice of the art, respected by all men, in all times! But should I trespass and violate this Oath, may the reverse be my lot!

Source: Hippocratic, Works trans., Francis Adams (New York; Loeb) vol. I, 299-301.


Historical, Social and Legal Background
 

Canada, along with a lot of other countries, has had a long and sad history of legalized and socially accepted exclusion of people who don't have the same background as those in in the power structure. As late as the 1970's there were laws and regulations in place in some provinces preventing a racial group from immigrating into Canada, owning land, voting, working with other racial groups, acquiring a professional license and thus practicing their profession or working in certain industries (like mining or Chinese restaurants for example). Some of these laws did not explicitly exclude these racial groups but were enacted in such a way as to make it impossible for these excluded groups to be admitted to Canada, i.e. immigrants traveling by boat were allowed to land in Canada only  after an uninterrupted voyage (to exclude immigrants from India since there were no boats from India that sailed directly to a Canadian port while the boats from Europe sailed directly into Canadian ports), or requiring Chinese immigrants (and ONLY Chinese immigrants, European immigrants got incentives to come to Canada) to pay a head tax of as much as 500 dollars if they wanted to stay in Canada.

Unfortunately it is much harder to change the mindset (of a fresh grad)
read this letter in the Medical Post
and what an International Medical Graduate answered
and another
and another...
(and this must be where this fresh grad got his attitude from)
 An article in the Medical Post
 the rebuttal from an International Medical Graduate
 the answer from the BC CPS about the Bitonti case
the "concerns" of the leading lights of the Canadian Medical establishment
the viewpoint of a CPSO past president
 an Older M.D.'s viewpoint
 the answer
conditioned by such a social and historical background than to change laws and regulations.

On a more recent note, refugee, and family class international medical graduate immigrant doctors  are required to sign a waiver stating they are aware that they will encounter difficulties in getting medical licensure and training in Canada before being given their Canadian immigrant visa. (International Medical Graduates immigrating to Canada can't say they weren't warned).

However international medical graduates from some countries are actively recruited, given signing bonuses and temporary licenses to practise in some provinces an article in the Medical Post , and another , and another, and another  and another,  and another,   ..., for years, sometimes with bad outcomes for Canadian patients  and apparently without undergoing the same screening other immigrants or refugees are subjected to (persons with criminal records and suspected human rights violators are barred from entering Canada and deported if they are caught). Read this from the CBC and the story continues..

However most of these favoured International Medical Graduates (25.5% of licensed Canadian doctors) who get to practise medicine in Canada seem to develop amnesia  about their professional colleagues who are unable to make it and don't actively lobby the government or the colleges despite being overworked and having to turn new patients away because they've already got too many patients on their list.

Graduates of foreign medical schools from some other countries, including tenured Psychiatry professors from the United States or an OB/GYN with years of clinical experience (they should have asked for pointers from this guy),  are required to go through these hoops by the RCPSC  and the medical regulatory bodies in other provinces like Alberta, BC, Manitoba, New Brunswick, Ontario, and la belle province du Quebec. This happens despite numerous newspaper reports about long waiting periods patients have to suffer before they can see any sort of doctor and complaints in medical journals from doctors about how overworked they are.

As for native born Canadians forced to seek medical education elsewhere
( because Canada's ratio of medical students to population is second only to Albania and it is harder to get into Canadian medical schools,   than elsewhere ), well let's just say they've got the same problems other International Medical Graduates have,  including the same attitudinal problems faced by foreign born Canadian International Medical Graduates..




 

    Personal and Social Costs of Such Policies
                   The personal stories of Canadian immigrant International Medical Graduates as well
                   as a paper on the social and economic costs to Canadian society  of  refusing
                   accreditation  to foreign trained professionals.

    If You're Thinking of Applying to
        Medical School in Canada or Offshore
                 Links to articles and web sites about the application process, schools eligible for
           Canadian loans, Health Canada J-1 Sponsorship requirements, visa requirements
           for Canadians and other foreigners wishing to do a residency in the United States,
           how to get a medical residency in the United States and links to Canadian
           International Medical Graduate oriented web sites, etc.

    What's been done and is being done for
        Canadian International Medical
        Graduates
            Links to articles and Canadian and U.S. International Medical Graduates
           organization web sites  (unfortunately not lot of Canadian oriented web sites)

    Licensure information, provincial medical
        recruitment agencies and other stuff
                Links to practice opportunities, provincial licensing laws and registration
                requirements

    Looking for a job in the United States
               Hints and tips on what to expect once you start looking for a job in the United States

    Frequently Asked Questions
            Answers to questions frequently asked by International Medical Graduates (the
            condensed version of this web site)

    Canadian International Medical
         Graduate Experiences
            Personal experiences of  Canadian International Medical Graduates (including
            mine)
 



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                                    International Medical Graduate experience, links or information that could
                                    be included here.
 

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This Web Site first published June 15th  2000
This Web Site last updated on October 25, 2000

All informational material (except the images and attributable material, since I just had permission to copy but not redistribute them) and links on this web site can be freely copied and distributed, even without attribution, provided such copying or distribution is for noncommercial purposes. Commercial use of information from this web site will result in extremely bad karmic consequences for such users, including but not limited to premature hair loss, impotence, or loss of libido, really bad acne and really ugly descendants.
Every effort was made to check the accuracy of information on this web site, however since the author is not omniscient and does not have time to update regularly inaccuracies of fact may have crept in, for that the author apologises and welcomes any corrections.