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Labor Mobility for Physicians 2010: where are and where are we going

Labor Mobility for Physicians 2010: where are and where are we going. Presentation to CASPR Trevor Theman Registrar, CPSA. Objectives. Progress on labor mobility for physicians Implications for CASPR Issues for the medical regulators (MRA’s). The answers.

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Labor Mobility for Physicians 2010: where are and where are we going

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  1. Labor Mobility for Physicians 2010: where are and where are we going Presentation to CASPR Trevor Theman Registrar, CPSA

  2. Objectives • Progress on labor mobility for physicians • Implications for CASPR • Issues for the medical regulators (MRA’s)

  3. The answers • We have lots of work to do to be compliant and ready for September 1, 2010 • Movement from one P/T to another will be easy(ier)* • Who gets a license the first time is still the big issue

  4. Background • AIT pre 2008 – fully qualified physicians were freely mobile • Government not completely happy, didn’t understand why registration standards differed, why some jurisdictions were more restrictive • Physician distribution a hidden problem

  5. Background • TILMA (trade, investment and labor mobility) in AB & BC • Premiers agreed in spring 2008 to expand labor mobility for trades and professions • No consultation • Minimal understanding of consequences

  6. Background • Predictable medical regulatory reaction • Concern about ‘a race to the bottom’ • Variable licensing requirements reflected the need to compete for physician manpower

  7. The rational response • We had to get Government’s attention • We had to gain agreement among ourselves on the minimum acceptable standard for initial registration in Canada • We had to identify and address related issues

  8. MRA work • Steering committee to guide our work on labor mobility • Registration working group • Certificate of Professional Conduct working group • Assessment working group

  9. We have agreed to: • The ‘gold’ (Canadian) standard • Physicians will be registered on either • The Full Register or • The Provisional Register

  10. Provisional registration • MD • Discipline appropriate PG training* • Evaluation by a recognized authority* • Success on EE or other accepted screening exam • Satisfactory completion of a practice assessment* • May include conditions or restrictions

  11. We have agreed to: • Standardize procedures • Registration • Assessment • Supervision of practice • Certificates of professional conduct • Continuing professional development requirements • Quality assurance of a physician’s practice

  12. Status: • We have come a long way, but we need: • Common registration criteria and procedures • Standards and procedures for assessment • Assurance that we will all follow the rules • In the absence of which, our option is to seek ‘legitimate objectives’

  13. Implications for CASPR • Mobility for physicians will be easier post September 1, 2010 (within Canada) • Critical issues: • Postgraduate training • Getting an assessment • Success on the assessment

  14. The answers • We have lots of work to do to be compliant and ready for September 1, 2010 • Movement from one P/T to another will be easy(ier)* • Who gets a license the first time is still the big issue

  15. Your turn – what questions do you have?

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