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Internationally Educated Health Professionals on PEI

Internationally Educated Health Professionals on PEI. Godfrey Baldacchino & Michelle Hood. A Research Project. With support from: Health Canada (via Atlantic Connection) PEI – ANC ; PEI – HRI; PEI - HSC. Health Care - Context. National Icon . . . And High Expectations

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Internationally Educated Health Professionals on PEI

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  1. Internationally Educated Health Professionals on PEI Godfrey Baldacchino & Michelle Hood A Research Project With support from: Health Canada (via Atlantic Connection) PEI – ANC ; PEI – HRI; PEI - HSC

  2. Health Care - Context • National Icon . . . And High Expectations • Mistake Health for Health Care • ‘Shortage’ of Physicians (+ retirement/burnout) • Aging Population • On PEI: A Family Doctor for All Islanders? • Service Uncertainty; long travels or wait times…. • Pressures of Rural Practice (stress, role enlargement) • 3rd most serious Challenge to Immigration Immigrant Retention Rate in PEI = 51% (LSIC, 1991-2001)

  3. Pressures of Rural Practice “I am not going to come here and work myself to death ... The pace and workload have become unmanageable” – Dr Wade Kean, O’Leary, CBC, January 24, 2007. “Situation is about the worst it’s ever been in my 19 years working at West Prince“–Dr Herb Dickieson, CBC News, January 19, 2007. “He has been frustrated around the work level, in particular with locums that are coming and going”– Dr Paul Berrow, Souris, The Guardian, Nov. 30, 2007.

  4. Each is a Personal Story… “My wife and I are immigrating to the Island as part of the Provincial Nominee Program in the coming year.  All the paperwork is complete. We just need to sell the house here …  However, we have fought a 3-year fight to get my credentials … recognized on the Island, so far unsuccessfully ….”

  5. WHO • Physicians, Nurses, Occupational Therapists, Physiotherapists, Pharmacists, Medical Lab Technicians, Medical Radiology Technicians • Working in their profession • Working in another job • Not working

  6. HOW • Extensive Literature Review • Web-based Questionnaire (100 responses in Atlantic Canada) 39 responses from PEI • Face-to-face Interviews with Stakeholders

  7. Beyond PEI NB: David Bruce & Gwen Zwicker (Mount Alison U)NS: Pat Saunders (CAPP / Dal U)NL: Scarlett Hamm & Karen Dickson(MUN)

  8. Profiling IEHPs on PEI • 75 Known IEHPs on PEI (November 2007) • 39 Responded to Survey. Of these: 21 are from Asia 21 are female 31 moved to Canada since the year 2000 7 are planning to leave PEI 13 work in the area of their training 13 are not working at all • 54 are clients of the PEI-ANC

  9. Working on PEI? 20 of the 33 respondents who answered this question (61%) –were either unemployed or underemployed at the time of the study: • Working in the health sector, mainly in the area for which IEHP had been trained and/or had experience: (13). • Working in the health sector, but not mainly in the area for which IEHP had been trained and/or had experience: (5). • Working, but not in the health sector: (2) (“working in a restaurant” and “working with a pizza restaurant”). • Not working at all – including those studying/ sitting for health-sector related exams: (12). • One respondent volunteers at local hospital.

  10. The ISSUES (1) Profession and Labour Market (22 responses) – 64% • Inability to keep up-to-date professionally • Non-recognition of health credentials obtained elsewhere • Too many challenges towards obtaining health credentials • Too many challenges towards securing licensure • Opportunities for professional practice, internships, orientation & training are not available, or available enough • Unable to secure (suitable) employment • Insufficient information about local employment opportunities • Lack of full time positions with full benefits • Lower pay scale

  11. The ISSUES (2) Civic-Political (eight responses) • General sense of isolation (incl. members of immigrant family) • Lack of other Muslims • Lack of opera, symphony, ballet and ethnic restaurants • Conservative and dismissive reactions to ideas from elsewhere Language (two responses) • English language proficiency Education (two responses) • Limited opportunities in higher education • Insufficient financial assistance to IEHPs continuing their studies Residence (one response) • More expensive travel to and from the region

  12. The ISSUES (Synthesis) • Lower Pay & Non/Under-Employment • Foreign Credential Non-Recognition / PLAR • Non-Familiarity misconstrued as Incompetence • Shortage of Re-Entry Training Positions • Absence of Training Support, Induction, Shadowing & Mentoring (soft skills) • Linguistic, Factual or Procedural ‘Ignorance’ • Non-Familiarity with Rural Practice • Inability to Refresh (No Fac of Med/ Dentistry)

  13. A Call to Action . . . • “It is unacceptable to promote the human capital model but fail to provide the flexibility of educational and training opportunities for international graduates to learn needed skills and become acculturated” (Dauphinee, 2006).

  14. Giving IEHPs the Benefit of the Doubt?

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