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Bryanna need your help again pls!!

Dr.faraz1

Full Member
Sep 9, 2018
33
1
Hi. Pls guide me about imm 5257b question 7 ‘have you ever held any government positions (such as civil servant, judge, plolice officer, mayor, member of parliament, hospital administrator)?. I would like to know if this applies to me. I am a doctor working in a government hospital. Pls help
 

Bryanna

VIP Member
Sep 8, 2014
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Hi. Pls guide me about imm 5257b question 7 ‘have you ever held any government positions (such as civil servant, judge, plolice officer, mayor, member of parliament, hospital administrator)?. I would like to know if this applies to me. I am a doctor working in a government hospital. Pls help
IMO, it applies to persons who are employed at decision making levels or else law enforcers. Your employment is not in either category
 

canuck78

VIP Member
Jun 18, 2017
52,969
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Would recommend waiting until your sister discovers how extremely difficult it will be to get licensed in Canada. Visiting soon after your sister arrives also means you are less likely to be approved. Specialist have almost no chance of being able to practice and you will be expected to repeat your whole residency. There are a few GP program that only make you repeat a portion of your residency but that is around 20 spots. Less than 1 % of IMGs get the chances of repeating their residencies and getting relicensed. Almost all are limited to GP and in rural areas. Many physicians feel mislead by consultants etc who promise an easy transition or at least a good opportunity if you work hard. It is only getting harder because there has been an increase in enrolment at Canadian medical schools and Canadian students who have studied abroad have preference over IMGs to match to whatever residency spots are left.
 
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canuck78

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Jun 18, 2017
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Just to prove what you are up against my very good friend was a plastic surgeon in Canada. She graduated to of her class and got into both the plastic surgery and radiology residencies at U of T and UBC. Those are the highest ranked schools in some of the hardest specialties to get into. She did 3 fellowships and won tons of surgery awards. After graduation she had a hard time finding a job that wasn't a short contract and that was in one of the top 7-10 larger cities in Canada. Then after a few years her wrists gave out. After she exhausted all treatment options she started exploring changing specialties. She was told by many people that her only real option was to start from scratch and do a new residency. If that happens to a Canadian trained top level surgeon getting into the system as an IMG will be extremely difficult. She is no longer practicing and not living in Canada.
 

Dr.faraz1

Full Member
Sep 9, 2018
33
1
Would recommend waiting until your sister discovers how extremely difficult it will be to get licensed in Canada. Visiting soon after your sister arrives also means you are less likely to be approved. Specialist have almost no chance of being able to practice and you will be expected to repeat your whole residency. There are a few GP program that only make you repeat a portion of your residency but that is around 20 spots. Less than 1 % of IMGs get the chances of repeating their residencies and getting relicensed. Almost all are limited to GP and in rural areas. Many physicians feel mislead by consultants etc who promise an easy transition or at least a good opportunity if you work hard. It is only getting harder because there has been an increase in enrolment at Canadian medical schools and Canadian students who have studied abroad have preference over IMGs to match to whatever residency spots are left.
@canuck78 i’m pretty sure my sister will end up as a GP also. I have heard of many people who were specialists back in their country who end up as GPs or on a completely different career path. I don’t really intend on settling in Canada or even getting licensed. I would however like to get enrolled into some sort of a post graduate clinical program/diploma course in my specialty which would serve me in my country
 

Dr.faraz1

Full Member
Sep 9, 2018
33
1
Just to prove what you are up against my very good friend was a plastic surgeon in Canada. She graduated to of her class and got into both the plastic surgery and radiology residencies at U of T and UBC. Those are the highest ranked schools in some of the hardest specialties to get into. She did 3 fellowships and won tons of surgery awards. After graduation she had a hard time finding a job that wasn't a short contract and that was in one of the top 7-10 larger cities in Canada. Then after a few years her wrists gave out. After she exhausted all treatment options she started exploring changing specialties. She was told by many people that her only real option was to start from scratch and do a new residency. If that happens to a Canadian trained top level surgeon getting into the system as an IMG will be extremely difficult. She is no longer practicing and not living in Canada.
It’s a sad reality that on the other hand you hear of 10-14 hrs wait time in ER due to shortage of doctors even in cities like toronto
 

canuck78

VIP Member
Jun 18, 2017
52,969
12,771
@canuck78 i’m pretty sure my sister will end up as a GP also. I have heard of many people who were specialists back in their country who end up as GPs or on a completely different career path. I don’t really intend on settling in Canada or even getting licensed. I would however like to get enrolled into some sort of a post graduate clinical program/diploma course in my specialty which would serve me in my country
Wish her the best of luck but becomes GP will be a huge challenge. She has literally a 1% chance maybe lower.
 

Dr.faraz1

Full Member
Sep 9, 2018
33
1
Has nothing to do with the shortage of physicians. Has a lot to do with longterm care beds.
Not everyone who goes to ER ends up needing a bed. My cousin has first hand experience on this twice. Once when she delivered her baby and once when she had complications after delivery. Each time she went to ER she had to wait more than 7 hrs. And oddly enough majority of the doctors who treated her were IMGs so although it might not be possible for each n every IMG to establish a career there, there are quite a few who are persistent enough to make it through the exhausting process. Oh and her family doctor is also an IMG. Though she was a obgyn back in india, she is a GP in Canada
 

canuck78

VIP Member
Jun 18, 2017
52,969
12,771
Not everyone who goes to ER ends up needing a bed. My cousin has first hand experience on this twice. Once when she delivered her baby and once when she had complications after delivery. Each time she went to ER she had to wait more than 7 hrs. And oddly enough majority of the doctors who treated her were IMGs so although it might not be possible for each n every IMG to establish a career there, there are quite a few who are persistent enough to make it through the exhausting process. Oh and her family doctor is also an IMG. Though she was a obgyn back in india, she is a GP in Canada
Most IMGs arrived in the 90s and early 2000 because Canada experienced a major brain drain of physicians due to the lower salary levels. Canadian government had major cutbacks and cost saving initiatives. The salaries are much higher now and retention is much better especially due to the crazy cost of liability insurance in the US plus crazy paperwork due to insurance companies and for profit hospitals. The shortage of beds in longterm care means that a quarter of beds in hospitals (minimum) are taken up by seniors who are ready to be discharged but have no place to go. Your cousin should not have been in an ER if she was in labour you go straight to labour and delivery triage but she would have been in the ER for a potential postpartum infection. She was probably triaged at low-medium priority then seen by the ER staff who then probably paged the OB on call for a consult. Had she phoned her OB call line they may have been able to arrange something faster on the OB floor. Not always possible. I am going to assume your family member may live in the Brampton area. Due to the patient population, doctors who are from South East Asia often work there because they live in the area or they recruit various healthcare workers from that background. It is helpful so there isn't the need for full-time translators and to be able to understand potential cultural issues. For example the sex of babies are no longer revealed until 20 weeks at the hospital because MDs felt there was too much family pressure to have a son. Unfortunately there is a ton of privately run ultrasound clinics that became more popular. The other issue in communities like Brampton and Burnaby is that urban planners accounted for typical Canadian family households when they did the urban planning and not for multi-generational households. The infrastructure, schools and housing in particular, was meant for households with 2 parents and 2.4 children or 2 seniors so the hospitals and schools can't keep up with the growth. Being in the hallway at least temporarily is not uncommon at any hospital if you are not the most ill or highest priority. Although there is definite need for physicians in rural areas and in provinces where they are not compensated a well there are no training programs except one that does not depend on the residency match system. All of the match spots are taken and most IMGs try multiple years to match for the few spots left. Canada has also increased the enrolment in med school and related a family medicine only med school to ensure that people are going into family medicine and not all the specialties. There is also not the turnover or budget to employ all the new physicians because the residency spots don't coincide to what specialties are needed. They are mainly dependent on the availability of training physicians. For example the is a huge need for GIs who specialize in liver diseases (herpetologists) due to the large number of baby boomers who contacted hepatitis before the mid 80s and are unaware of it. Hopefully your sister will get lucky but if you talk to IMGs already in Canada most would discourage moving to Canada. Would same it is the same with other health specialties. There used to be also be a need for foreign trained pharmacists and dentists. The Canadian schools have increased their enrolment and there are just too many people vying for the jobs and there is a saturation plus other issues regarding reimbursement and other subsidies. There are still jobs in the least desirable areas but they are sometimes more challenging and less profitable. We do need nurses!