Mobility restrictions imposed on internationally trained physicians in Canada could be aggravating the health-care crisis intensifying an ongoing doctor shortage.
Canada’s Temporary Foreign Worker Program has recently come under intense scrutiny, with a new United Nations report by a Special Rapporteur characterizing it as a systemic “breeding ground for contemporary slavery.”
These mobility restrictions largely stem from what are known as practice-ready assessment programs that evaluate the clinical competence of ITPs to ensure they meet the standards required to practice independently in a specific province. Integrating ITPs into the workforce poses no threat to Canadian medical graduates when supported by appropriate labour protections, including enforceable standards for equal opportunity in hiring, transparent and standardized credential recognition processes and measures to prevent discriminatory practices in job placements.
As a result, despite 72 per cent of ITPs having more than three years of clinical experience abroad — 20 per cent have more than 10 years under their belts — these restrictive return-of-service contracts lead many to opt for the already overloaded residency stream to procure their licences. Additionally, a 2022 survey found that 86 per cent of Canadian ITPs were willing to work in rural areas of Canada if they received appropriate support and incentives.
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