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Because of federal and provincial subsidy policies and return-of-service agreements, international medical graduates (IMGs) now make up an increasingly large proportion of rural doctors. As a consequence, the shortage of doctors in rural areas has prompted many family medicine residencies to increase their quotas for IMGs in their programs. Effectively, this development is leading to a relative reduction in spots available for Canadian medical graduates. Please discuss the pros and cons of such a development.

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ArehfPalacios

Cons:

  • There has been little cooperation in attempting to solve common issues regarding rural areas shortage of physicians in Canada.
  • A lack of co ordination between provincial medical licensing bodies and federal immigration authorities.
  • Inconsistent policies and a lack  of cohesion at the national level.

Pros:

  • IMGs fill gaps in the primary care workforce in many rural areas.
  • Policies aimed to redress the rural-urban physician maldistribution in the United States have been taken into account for the role of american IMGs.

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