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IMG Residency Match Forum International Medical Graduates (IMGs) discussing the residency matching process.


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  #1  
Old 09-21-2015
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Default Canadian citizen J1 visa changes?

HI,

so i keep hearing something about "statement of need" from canadian health, i am applying for Family medicine, and was wondering what people know ?

how are we effected by it

Thank you
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Old 09-21-2015
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Quote:
Originally Posted by shaheerpak View Post
HI,

so i keep hearing something about "statement of need" from canadian health, i am applying for Family medicine, and was wondering what people know ?

how are we effected by it

Thank you
hey
its not going to affect FM and IM too much. there are plenty of 'seats' for both of these specialties. the trick is, as soon as u get that 'you've matched' email, make sure to fwd it to the health authorities in canada so that u can secure a statement of need. the problem is bigger for those who want to match into other specialties that canada has enough of (i.e. radio, neuro, anesthesiology etc)...but yeah fm and im should be fine theres about 290 spots...plenty!
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  #3  
Old 09-21-2015
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Quote:
Originally Posted by Saturn View Post
hey
its not going to affect FM and IM too much. there are plenty of 'seats' for both of these specialties. the trick is, as soon as u get that 'you've matched' email, make sure to fwd it to the health authorities in canada so that u can secure a statement of need. the problem is bigger for those who want to match into other specialties that canada has enough of (i.e. radio, neuro, anesthesiology etc)...but yeah fm and im should be fine theres about 290 spots...plenty!
hey thanks that puts my mind a little at ease

anyone else has more/similar information please share
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  #4  
Old 09-22-2015
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It's going to affect all of us who want fellowship. And even if you don't think you will now, you might in the future. That's why you should e-mail everyone you can and tell everyone else to do the same.

Ministry of Health Contacts relating to Statement of Needs: The person who is on the committee that makes the decisions is listed first. The links to the Minister of Health is below.

British Columbia: 'YvonneA@healthmatchbc.org'
Alberta: 'alisha.petryshyn@gov.ab.ca'
Saskatchewan: 'ngood@health.gov.sk.ca'
Manitoba: 'Chantelle.Foster@gov.mb.ca'
Ontario: 'j1visa@ontario.ca'
New Brunswick: 'MichellAnne.Duguay@gnb.ca'
Nova Scotia: 'Lynda.Campbell@gov.ns.ca'
Newfoundland: 'danielfitzgerald@gov.nl.ca'
Prince Edward Island: lekelly@gov.pe.ca
Quebec: 'visaj1@msss.gouv.qc.ca'

Alberta
http://alberta.ca/albertaFiles/inclu...&levelID=15826

Manitoba
Office of the Minister of health, Healthy Living and Seniors
http://www.gov.mb.ca/health/minister.html

Ontario.
http://www.health.gov.on.ca/en/commo.../minister.aspx
http://www.infogo.gov.on.ca/infogo/o...=910&locale=en

British Columbia
https://news.gov.bc.ca/ministries/health/biography

Saskatchewan
http://www.saskatchewan.ca/government/directory?tab=browse&ou={55C5403E-455F-411F-920E-FD653BBD570F}

Quebec
http://www.msss.gouv.qc.ca/ministere/ministre.php

Nova Scotia
http://nslegislature.ca/index.php/pe...rs/Leo_Glavine

New Brunswick
http://www2.gnb.ca/content/gnb/en/de.../minister.html
http://www2.gnb.ca/content/gnb/en/de...s=25#employees

Prince Edward Island
http://www.gov.pe.ca//health/index.p...1021036&lang=E
http://www.gov.pe.ca/phone/index.php3?number=82036

Newfoundland & Labrador
http://www.health.gov.nl.ca/health/d.../minister.html
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  #5  
Old 09-24-2015
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Hello sky_blue2000,

Thanks for providing information above. I also noticed the change in number of spots from last year and plans to further reduce the number.

Can we aggregate as a group and a write a single message to Ottawa?

Writing multiple provinces may not provide the needed mass effect, as provincial MPs can just easily ignore the matter.

Shaheerpak, Saturn do you concur?
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  #6  
Old 09-25-2015
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Hey Guys .... this problem will effect all of us and we need to work as a group..
if you are a good writer .. write a template and will send t everywhere.
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  #7  
Old 10-09-2015
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There is a group called SOCASMA talking with the Canadian government. They are expecting feedback today from what I gather. There seems to be a lot of misinformation from the government side.

Check SOCASMA on facebook and online.
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  #8  
Old 10-09-2015
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See correspondence to PM:

Dear Minister of Health Canada, the Hounourable Madam Justice Ambrose,

I am the president of the Society for Canadians Studying Medicine Abroad. We speak for thousands of Canadians who have chosen to study medicine internationally, their families, and the public who believe that access to residency training and hence the medical profession should be determined on merit rather than by rules put in place to protect the less able Canadian medical school graduates who would not be able to secure residency training positions in an open competition. We consider all international medical graduates as colleagues.
On March 13, 2015, you on behalf of the Government of Canada announced that Canada recognized that there was a significant doctor shortage and that there were international medical graduates who could fill this need if given access to licensing. In that press release you stated: “Across Canada, access to health professionals continues to be a challenge. Approximately 4.6 million Canadians are without a regular family doctor.”
In respect to Ontario specifically, the Ontario Association of Physicians has stated on their Facebook page that “Ontario’s population is growing and aging [which] puts increased strain on our health care system”… “we do not have enough doctors to adequately treat our current population, let alone our aging population.” The Association goes on to state that $900,000 adults and children who are “unattached” in the system—meaning they are without access to a primary care doctor.
The Ontario Association of Physicians, agrees with your assessment that access to health care is a serious problem in this nation. They state that 2012, statistics showed that 15% of the population do not have access to a doctor, however by 2014 Statistics Canada shows that out of a population of 35.5 million, only 25.6 have access to a doctor, which brings up the percentage to 28% in two years, and with the raise of aging population this figure is still rising (Statistics Canada is the source quoted by the Globe and Mail).
In response to this need, you announced that Health Canada pledged “almost $8.4 million in federal funding for several initiatives that support bringing internationally educated health professionals into the Canadian health workforce so that Canadian families can have better access to quality healthcare services. According to this press release $8.2 million is to go to the government of Ontario for initiatives supporting internationally educated health professionals. The project is to be implemented in partnership by HealthForce Ontario whose mandate includes recruiting foreign physicians to meet Ontario’s physician needs.
Four months after this announcement, Health Canada posted on its website the Statements of Needs policy. As you know, international medical graduates, both immigrant physicians and Canadians who study overseas have a very difficult time getting residency training positions in Canada so they go to the USA to train. American law requires that before they can train in the USA, they must present a Statement of Needs letter from Health Canada saying that there is a need for that doctor in Canada. Health Canada determines how many Statements of Need letters to provide by asking each of the provinces to set out their physician needs.
Ontario said they needed nothing, not a single doctor. So in March, 2015 Health Canada announces that it is supporting international medical graduates by giving Ontario $8.2 million dollars, but in July, 2015 Ontario tells Health Canada that it needs no doctors and is not prepared to endorse American training of even one international medical graduate. Not a single doctor of any kind. It tells Health Canada that there is not a single billing number for Canadians who want to train in the US and come home to practice.
Please reconcile this for us, because we are struggling.
In July, Health Canada has only approved training in the US for 295 family physicians. 4.6 million Canadians (on your numbers; 10 million on the Ontario Association of Doctor’s numbers) without a regular family doctor, and-- British Columbia endorses a need for 280 Canadian family doctors to train in the US to meet its shortfall; .8 provinces endorse American training for 15 family doctors, squelching international medical graduates’ ability to obtain the training they need to become licensed to practice in Canada; and Ontario endorses a need for 0 doctors of any kind and gets $8.2 million for initiatives to support internationally educated health professionals.
Ironically, because of free trade, a first come first serve basis distribution of Statements of Needs and the fact that most international medical graduates are from Ontario, most of these Statements will go to Ontario residents to the detriment of the provinces that endorsed Statements of Needs.
Another part of Health Canada’s policy towards international graduates is to refuse Statements of Needs for subspecialty positions for international medical graduates. Here is the policy simplified: As stated above the American government requires a Statement that Canada needs the doctors that the Americans are training. So the question in the context of subspecialty training is does Canada need subspecialists? Health Canada answers this question as follows:
• If it is an international medical graduate asking the question , the answer is we do not need even one subspecialist; but
• If it is someone who trained in Canada asking, the answer is we have an unlimited need for subspecialists.
The implications of Health Canada’s policy to refuse Category B (where international medical graduates apply) endorsements for sub-specialization is that approximately 600 Canadians currently in training in the US in internal medicine and pediatrics where there was an unlimited endorsement until 2016, will be left in a position where they are forced home without the ability to complete the extra year of training they need to qualify to practice in Canada, and with almost zero prospect of being able to complete training in Canada. Their only realistic alternative is to enter an American waiver program and emigrate to the US. Upcoming graduates who want to enter these fields will face this same problem as they move through the system.
It is Health Canada’s responsibility to oversee a fair assessment of need of physicians. In our respectful opinion, in this instance, oversight has failed miserably. And it is particularly galling that we are paying Ontario $8.2 million to facilitate international medical graduates when it is clear that Ontario has no interest in facilitating international medical graduates.
Canada is one of the only developed countries in the world which limits Statements of Needs.
The purpose of this letter is to ask:
1. Is the Conservative government prepared to change its policy in respect to endorsement of Statements of Needs?
2. Is the Conservative government prepared to agree to endorse unlimited Statements of Needs so international medical graduates can realize their dreams without government interference and the public can have the physicians it needs to meet its healthcare needs?
3. Is the Conservative government prepared to pressure provincial governments to stop treating international medical graduates like second class citizens where they are denied the ability to compete for the majority of residency training positions on the basis of relevant qualifications and merit?
We would appreciate your response by October 3, 2015 so we can report to our membership before Election Day.
Thank you for your consideration. We look forward to your response.
.
Sincerely yours,

_________________________________
Rosemary Pawliuk
President of SOCASMA (Society for Canadians Studying Medicine Abroad)
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  #9  
Old 02-22-2016
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Guys this is in effect from 2016..

Now they decide where do we get trained too after making it impossible to let us in? We have to do something.. Lets get united for us and future students...There seems to be a lobby against IMGs
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Old 02-22-2016
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Guys question for you. It affects my residency decision so posting here. Can one have J1 extension for fellowship after residency by getting second statement of need from a different country than the country from where he got statement of need for residency.
Reason I am asking is because I am currently a permanent resident of one country and I am going to lose permanent residency during (medical) residency in US. Then only country I can go to is my country of origin and cannot go to previous country. Can I get a statement of need for fellowship from my country of origin in that case?
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Old 02-23-2016
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It will affect those who want to do 3 year fellowship after residency e.g cardiology hematomology. if u want to do fellowship according to new rule you have to complete 4th year in internal medicine then be certified physician i canada after that you can start fellowship in usa, totally unfair
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Old 02-23-2016
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I agree. They are making an already lengthy and painful process even more so. Height of testing one's patience and endurance. In my case I will loose my permanent residency by the time I graduate IM program. Will I be able to get j1 from my home country for fellowship then?
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Old 02-24-2016
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This is quite discriminatory in a way that for American/canadian graduates they just need to pass certification exams and they are ready for fellowships. For IMGs, other than certification exams, IMGs need to work under Mentor for a year along with other practice requirements..Meaning there will be gap of years before IMG is eligible to do fellowship..As we know more there is gap between residency and fellowship, chances decrease exponentially to get admitted into desired fellowship programs. They cannot control and effect the fellowship chances
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Old 02-24-2016
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So, if we wanted to do a fellowship in the states now, would we have to apply for a J1 waiver and then only apply to fellowship programs that sponsor H1b visas? Or try applying for a green card during residency?
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