I agree with the notion that there is a need to recruit long-term physicians in underserved area such an Northern Ontario and also the fact that NOSM has been doing a good job recently.
i also agree with the fact that some IMGs may not adhere to their ROS and pay their way out of it or work right outside the GTA. As you likely know, ROS states you can't work in an urban area.
- Why did Sask FM end up with so many seats vacant in the competitive stream this season? or last? or every year pretty much? Did you know Sask healthcare system consists of 53% IMGs? The reason is CMGs don't want to go there and they end up filling spots with IMGs
-I believe someone mentioned earlier that CMGs would be happy to take rural FM spots. Some perhaps; others, they wouldn't be happy to take them, they might piggyback on it until they can transfer into their specialty of choice or attempt to transfer out to an urban location. It JUST happened; that spot could have gone to someone that would have happily completed their FM training
- As far as highly skilled surgical residents heading down to the states; It just so happens there are more positions available down south for it. It also happens to be lucrative. It also does not mean IMGs are taking away from the funding for those spots. If you think about it, Foreign Fellows coming from places like Bahrain, Saudi Arabia or Qatar for example are subsidizing residency positions here with the amount of cash paid to Canadian universities. Are you opposed to that as well? I assure you our taxes are not funding those positions.
- Not every CSA comes from well off families with strong connections. There are a few; and yes, I went to school with them. But for myself, I took a LoC independently and pay interest on it monthly. For the expenses that could not be covered by the LoC, I took time off, worked and paid off the tuition fees and other expenses. That resulted in my application not looking so hot. I'm not the only one that has gone through this. Please don't draw a circle around all CSAs.
There is a good reason to pause and ponder why our healthcare system is so reliant on foreign fellows/residents and how it would leave us crippled if they were to leave tomorrow? Those spots, if funded by our gov't would keep physicians in house. The misdirected hate towards CSA/IMGs aren't doing us any favour.
I apologize for venting. Lets stop the blame game.