10/31/2025
Exploring “Service” versus “Education” in Anesthesiology Postgraduate Medical Training: Getting Answers but Not Always Asking the Right Questions
To remove barriers in the medical residency access to enable Canadians who have studied abroad British Columbians cannot find family doctors. To bring B.C.
Langley, BC
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We all hear that most Canadian provinces have a significant shortage of doctors and that many Canadians cannot find family doctors and often endure long waiting periods to see specialists, too often to the detriment of their health. What most Canadians don’t know is the extent that our public universities, elected governments and supporting professional agencies go to sustain current systems that favour and protect graduates of Canadian universities. Their lack of transparency is not aligned with Canadian values for inclusion, diversity and fairness. Canadians deserve new, transparent oversight mechanisms to ensure that system changes like those recommended below are carried out consistently, fairly, and transparently within each province, and nationally.
GOOD NEWS - We have enough doctors: There is a readily available pool of qualified Canadian and Permanent Resident doctors who have graduated from medical schools overseas (IMGs). They are more than eager to serve as evidenced by the number who apply each year to limited numbers of medical residency positions.
BAD NEWS - many are blocked from obtaining Canadian medical licences: The many layers of entrenched bureaucracy and politics, combined with unclear accountabilities, prevents these qualified doctors from serving Canadians as licensed physicians. The key reason is a system of exclusion comprised of barrier after barrier that, collectively, prevent fair and equal access by IMGs to Canadian post-graduate medical residency positions and thus access to the primary pathway to medical licensing in Canada. Government support this system, perhaps because it supports their over-simplified belief that controlling physician numbers and limiting access to residency positions will reduce health care costs. These policies drives poor patient outcomes and is therefore a false economy.
SOCASMA is working to Change the System - Focus on Fair and Equal Access