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The Canadian international medical graduate bottleneck : a new problem for new doctors

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Watts, Evan, Davies, Joel C. and Metcalfe, David. (2011) The Canadian international medical graduate bottleneck : a new problem for new doctors. Canadian Medical Education Journal, Vol.2 (No.2). pp. 86-90. ISSN 1923-1202

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Official URL: http://cmej.synergiesprairies.ca/cmej/index.php/cm...

Abstract

Background: A growing population of Canadian students are travelling outside of Canada for medical training. The purpose of this study is to assess the opportunity for Canadians studying medicine abroad (CSAs) to secure post-graduate medical residency positions as International medical graduates (IMGs) in Canada. Methods: Current statistics on IMG applicants into the Canadian Residency Matching Service (CaRMS) will be compared to the number of CSAs applying to return to Canada. Results: In 2010, 75% (1232) of IMG applicants were unmatched following application to CaRMS, despite a doubling in positions reserved for IMGs from 2003. An estimated 3750 CSAs are currently attending over 55 medical schools globally; a six-fold increase since first reports in 2006. Between 2012 and 2014, it is estimated that 72.8% of CSAs will graduate, with 90.4% hoping to return to Canada for post-graduate residency training. Discussion: The increasing population of CSAs poses a significant risk for future IMGs attempting to secure postgraduate training positions in Canada. From this perspective, we have coined the term ‘Canadian IMG Bottleneck’ – which describes the funnelling effect that has been created by the growing number of CSAs and the limited number of IMG residency positions available in Canada.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Other > Institute of Advanced Teaching & Learning
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Canadian students -- Foreign countries, Medicine -- Study and teaching, Residents (Medicine) -- Canada
Journal or Publication Title: Canadian Medical Education Journal
Publisher: Canadian Medical Education Journal
ISSN: 1923-1202
Date: 2011
Volume: Vol.2
Number: No.2
Page Range: pp. 86-90
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
References: 1. The Association of Faculties of Medicine of Canada (AFMC). Canadian medical education statistics. Ottawa, ON: The Association of Faculties of Medicine of Canada; 2010. Available from: http://www.afmc.ca/publications-statistics-e.php. [Accessed 2011 January 23]. 2. Canadian Resident Matching Service (CaRMS). Canadian students studying medicine abroad. Ottawa, ON: Canadian Resident Matching Service; 2010. Available from: http://www.carms.ca/pdfs/ 2010_CSA_Report/CaRMS_2010_CSA_Report.pdf. [Accessed 2011 January 22]. 3. Sullivan P. Estimated 1500 Canadians studying medicine abroad. CMAJ. 2007;176(8): 1069-1070. 4. Banner S, Comeau M. Analysis of the 2006 Survey of Canadians studying medicine and the medical schools training Canadians outside of Canada and the U.S. Final Report to Health Canada, 2006:1-20. 5. Canadian Post-M.D. Education Registry. Annual census of post-M.D. trainees. Ottawa, ON: The Association of Faculties of Medicine of Canada; 2010. Available from: http://www.caper.ca/docs/pdf_2009-10_CAPER_Census.pdf. [Accessed 2011 January 24]. 6. Canadian Resident Matching Service (CaRMS) eligibility – provincial restrictions. Ottawa, ON: Canadian Resident Matching Service; 2010. Available from: http://www.carms.ca/eng/r1_eligibility_prov _e.shtml. [Accessed 2011 January22]. 7. Dauphinee WD. Physician migration to and from Canada: the challenge of finding the ethical and political balance between the individual’s right to mobility and recruitment to underserved communities. J Contin Educ Health Prof 2005;25:22-29. 8. Canadian Resident Matching Service (CaRMS). Reports & Statistics - R-1 Match Reports - 2007. Ottawa, ON: Canadian Resident Matching Service; 2007. Available from: http://www.carms.ca/eng/ operations_R1reports_07_e.shtml. [Accessed 2011 January22]. 9. Canadian Resident Matching Service (CaRMS). Reports & Statistics - R-1 Match Reports - 2010. Ottawa, ON: Canadian Resident Matching Service; 2010. Available from: http://www.carms.ca/eng/ operations_R1reports_10_e.shtml. [Accessed 2011 January22]. 10. Canadian Resident Matching Service (CaRMS). Reports & Statistics - R-1 Match Reports - 2008. Ottawa, ON: Canadian Resident Matching Service; 2008. Available from: http://www.carms.ca/eng/ operations_R1reports_08_e.shtml. [Accessed 2011 January22]. 11. Canadian Resident Matching Service (CaRMS). Reports & Statistics - R-1 Match Reports - 2009. Ottawa, ON: Canadian Resident Matching Service; 2009. Available from: http://www.carms.ca/eng/ operations_R1reports_09_e.shtml. [Accessed 2011 January22]. 12. National Resident Matching Program. Results and data 2010 main residency match. Washington, D.C.: National Resident Matching Program; 2010. Available from: http://www.nrmp.org/data/ resultsanddata 2010.pdf. [Accessed 2011 January 25]. 13. Schiller M, Yang T. International medical students: Interned by degrees. Australian Medical Student Journal 2010;1(1):10. 14. Watts E, Davies, J. Survey of Canadian students studying medicine in the United Kingdom. England, 2011.
URI: http://wrap.warwick.ac.uk/id/eprint/40749

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