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The National IMG Database: An Emerging Picture of International Medical Graduates in Canada. 2012 Physician Workforce Research Conference Washington, D.C. Tamara Brown, Project Manager Steve Slade, VP Research and Analysis Canadian Post-MD Education Registry - PowerPoint PPT Presentation
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The National IMG Database: An Emerging Picture of International Medical Graduates in Canada2012 Physician Workforce Research ConferenceWashington, D.C.
Tamara Brown, Project ManagerSteve Slade, VP Research and AnalysisCanadian Post-MD Education Registry
Association of Faculties of Medicine of Canada
The History Behind the IMG Database
Why the focus on IMGs?
• Increased immigration of medical graduates to Canada
• Balancing our need for physicians with public safety
• Growing emphasis on foreign credential recognition and standardization
• Ethical recruitment and treatment of IMGs
History of the National IMG Database
2004 Canadian Task Force on the Licensure of International Medical Graduates
2005-2009 Phase 1: Foundational Activities
2010-2013 Phase 2: Development of an Analytical Agenda and Increasing Project Visibility
Partnerships
• Medical Council of Canada (MCC)
• 7 IMG assessment centres
• 17 Faculties of Medicine
• The College of Family Physicians of Canada (CFPC)
• The Royal College of Physicians and Surgeons of Canada (RCPSC)
• Collège des médecins du Québec (CMQ)
• 9 regulatory authorities
Key Findings
Cumulative Number of Distinct IMGs in the National IMG Database
2005 2006 2007 2008 2009 20100
5,000
10,000
15,000
20,000
25,000
30,000
7,607 11,937 15,971 19,340 22,722 27,093
Source: National IMG Database, 2011
Number of IMGs who passed MCC Examinations, 2005-2010
MCC Exams: Early Signs of Incoming IMGs
Data in an Evolving Context Increased Number of First Year Post-MD Trainees
Source: CAPER, AFMC, 2010. Note: Excludes visa trainees.
1471 1436 1447 1579 1640 1799 1894 1976 20882273 2419
77 138 197185
289259
360404
416467
426
0
500
1000
1500
2000
2500
3000
2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11
Number of PGY1 Post-MD Trainees by Place of MD Graduation, Canada, 2000-01 to 2010-11
MD Outside Canada (up 453%) MD in Canada (up 64%)
MCCEE
MCCQEI & MCCQEII
PGME
CFPC/RCPSC/CMQ
LICENSURE
Following a Cohort of Canadian Citizen IMGs
ASSESSEMENT
114
1491
461
322
144
41
CERTIFICATION WITH RCPSC/CFPC/CMQ
2271
EE
519
QEI
820 QEII
1158
Licensed
660
PGME
1447
IMG Certification, 2008-2010
203
LICENSED
2852
EE
950
QEI
835QEII
784
Certified
622
PGME
437
IMG Licensure, 2008-2010
1152
IMG Statement of Need Applicants
What is a Statement of Need?
IMGs wishing to pursue postgraduate medical training in the United States need to obtain a J1 Visa – a “Statement of Need” is one necessary component in the J1 Visa Application. Applicants must be Canadian Citizens or Permanent Residents of Canada.
A Statement of Need signifies two things:o It serves as confirmation to those issuing the Visa that qualified
physicians are required in Canada;o Confirms the applicant has the full intention to return to Canada
following residency training.
Candidates are expected to train in medical specialties identified by provincial and territorial physician resource planning.
Source: Health Canada
Applicant Categories
Category A (Final Year Medical Student)• Final year medical students wishing to pursue medical specialty training in the
United States.• Medical graduates wishing to pursue either a fellowship, or a short-term rotation or
elective training program in the United States.
Category B (Non-Licensed, Non-Student/Resident)• Medical graduate not currently enrolled in Canadian postgraduate training and not
a licensed specialist in Canada who wishes to pursue medical specialty training in the United States.
Category C (Licensed Physician)• Licensed physician wishing to pursue a fellowship in the United States that is
either within or different from their current field of practice.
Country of MD Graduation - Distribution across Statement of Need Categories
An Increase in IMG Applicants
MCC Examinations
IMG Statement of Need Applicant by Highest Level of MCC Exam Passed
Number of IMG Statement of Need Applicants Having Reached Key Milestones
MCC Exams PGME Certification Licensure0
100
200
300
400
500
600
700
800715
25 28 31
Conclusions
Conclusions
IMGs comprise 66.1% of all Statement of Need applications.
Of IMG applicants who have completed one or more MCC exams, 82% of these individuals are CSAs.
Large numbers of IMG applicants have reached the point of having written an MCC exam, however very few have reached PGME, certification, or licensure.
The data suggests that Immigrant IMGs are less likely to apply for a statement of need, likely as a result of their planned immigration to Canada.
Thank you.
This project is funded by the Government of Canada's Foreign Credential Recognition Program.
The IMGs in Canada Project Team:Steve Slade, VP, Research and Analysis CAPER-ORISTamara Brown, Project Manager, [email protected] Bourgeois, Research Associate, [email protected]
