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 Healthcare workers needed in Canada

Doctor and pharmacist shortages are a problem in some areas and specialties in both the United States and Canada. These shortages were ascribed to a number of variables, including population growth, aging populations, the retirement of medical professionals, differences in geography, imbalances in specialties, and immigration and visa regulations. The increasing demands for healthcare services brought on by population increase and the escalating healthcare requirements of older populations put a burden on the workforce already in place.

The Association of American Medical Colleges (AAMC) estimates that by 2034, there may be up to 124,000 fewer doctors in the country than are required. This indicates that the country would likely have a severe physician shortage. Numerous elements that contribute to the growing gap between the two groups have led to this projection.

A physician shortage is a problem in Canada as well, and things are only going to become worse over the next few years. By 2028, according to federal data, Canada may have a shortage of almost 44,000 doctors. Family physicians and general practitioners are severely impacted, making up more than 30,000 of the anticipated gap.

In some areas and circumstances, both countries are also facing a lack of pharmacists and pharmacy technicians. Numerous initiatives are being taken to solve these shortfalls. The supply of doctors will be increased by increasing enrollment in medical schools and providing incentives for more students to choose primary care or other specialties where there are shortages. In order to recruit and retain medical professionals in underprivileged areas, recruitment strategies are being created.

The United States

Foreign medical graduates (FMGs) from the US are subject to a rigorous process in order to meet the nation's strict licensing regulations and high medical standards before they are allowed to practice medicine in the US. Assessing FMGs' credentials and certifying their readiness to enroll in US graduate medical education (GME) as residents or fellows are key tasks performed by the Education Commission for Foreign Medical Graduates (ECFMG).

There are three steps in the USMLE: Step 1, Step 2 (CK and CS), and Step 3. In order to solve medical issues and provide patient care, these tests assess the examinee's ability to apply medical knowledge, ideas, and concepts. Instead of only assessing memory, the exams are meant to evaluate practical abilities and how medical concepts are applied.

FMGs need to pass the Step 1 and Step 2 (CK and CS) tests in order to become ECFMG-certified. They are eligible to apply for a residency or fellowship program in a US medical facility once they have received ECFMG certification. In certain jurisdictions, FMGs must complete all three steps before applying for residency; in other states, Step 1 and Step 2 scores, as well as a compelling application letter, may be taken into account.

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FMGs can start the application process for residency programs after passing the USMLE series and earning their ECFMG certification. Depending on the medical specialization they choose, they could spend 3 to 8 years in a residency or fellowship program. FMGs that participate in residency programs are paid employees who are compensated on a monthly basis for their work in US healthcare facilities.

The National Association of Boards of Pharmacy's Foreign Pharmacy Graduate Examination Committee (FPGEC), a committee, oversees a multi-step procedure allowing foreign-trained professionals to become certified pharmacists in the United States. Candidates must meet certain requirements in order to qualify, including graduating from an accredited pharmacy institution in their native country, having a current license, and speaking English fluently.

FMGs must have finished four years of healthcare education at a medical school that is certified and listed in the International Medical Education Directory (IMED) by the Foundation for Advancement of International Medical Education and Research (FAIMER) in order to start their medical careers in the US. They must also earn ECFMG certification and pass the US Medical Licensing Exam (USMLE).

The application procedure includes providing proof of education and licensing as well as completing the NABP TOEFL exam to demonstrate language ability. Candidates must pass the Foreign Pharmacy Graduate Equivalency Examination (FPGEE), a thorough test that covers a range of pharmacy-related topics, after satisfactory verification. The FPGEE outlines eligibility for licensing, but state-specific licensing standards differ, and applicants might need to meet other requirements such as background checks, supplementary tests, and ethical conduct agreements.

To guarantee a smooth transition into the field, foreign-trained pharmacists seeking employment in the US should carefully adhere to the FPGEC's regulations and state-specific licensure requirements.

The FPGEC is essential in determining whether the candidates' credentials are up to level with those of pharmacists educated in the US. The extensive FPGEE test evaluates candidates' proficiency in administrative and behavioral subjects, basic biomedical sciences, pharmaceutical sciences, clinical sciences, and pharmaceutical sciences. In order to practice pharmacy in the US, one must meet the particular licensure requirements set forth by each state, which may involve passing additional tests and background checks. Candidates must do their homework and get in touch with the state boards of pharmacy in the states where they intend to practice to understand the requirements specifically and guarantee that they are in line with licensing laws. Although the procedure may be difficult, it ensures that pharmacists with training from abroad satisfy the high standards required to deliver secure and efficient healthcare in the United States.

Many US states have developed new policies and initiatives that enable medical professionals with training from abroad to get licenses and engage in unrestricted practice there. 


Due to a physician shortage, Canada has established a number of immigration routes to draw in foreign medical specialists. Through the Canadian Experience Class (CEC) Express Entry program or the Federal Skilled Worker Program (FSW), physicians can come to Canada. Furthermore, Provincial Nominee Programs (PNPs) allow provinces and territories to propose doctors for permanent residency based on local labor market needs, with some jurisdictions having particular streams dedicated to assisting doctors with immigration.

Medical Council of Canada (MCC) recognition of a physician's credentials is a prerequisite for their ability to practice medicine in Canada. The Medical Council of Canada (MCC) awards medical graduates who meet certain requirements, such as passing the Medical Council of Canada Qualifying Examination (MCCQE) Part I and Part 2, the Licentiate of the Medical Council of Canada (LMCC), and finishing at least 12 months of acceptable postgraduate training, the qualification known as the Licentiate of the Medical Council of Canada (LMCC).

Family physicians must fulfill a number of conditions in order to be fully licensed to practice anywhere in Canada. These conditions include obtaining a medical degree from an accredited medical school, becoming a Licentiate of the Medical Council of Canada, finishing an appropriate postgraduate training program, and earning certification from the appropriate medical bodies.

While doctors with international training can begin working with a provisional license, different jurisdictions may have different licensure requirements. Through PhysiciansApply.ca, the MCC provides a credential verification service to assist medical students and graduates in the process of becoming Canadian-licensed physicians.

Lack of residency openings is one of the difficulties experienced by physicians with overseas training who go to Canada. Potential remedies for this bottleneck include boosting the capacity of hospital and university networks, hiring more educators and assessors, and adding more residency slots in the healthcare system.

Also being worked on is streamlining the process for international medical graduates and doctors to have their credentials recognized. A three-month initiative, for instance, will be implemented by the College of Physicians and Surgeons of Ontario (CPSO) to recognize the credentials of physicians practicing in the province who have qualifications from other countries.

Pharmacy Examining Board of Canada (PEBC)-established processes must be followed by foreign pharmacy graduates who desire to practice as licensed pharmacists in Canada. Their pharmacy degree must first be assessed by the PEBC to make sure it complies with Canadian regulations. A number of documents must be submitted for this review, including the application form, proof of identity, immigration history, university degree certificate, transcript, and license statement. Candidates can move on to the following steps after the document review is finished.

The following phases include passing two PEBC exams: the Qualifying Exam as well as the Evaluating Exam. The Qualifying Exam is divided into two parts: an Objective Structured Clinical Examination (OSCE) and a multiple-choice question (MCQ) exam. The Evaluating Exam determines if the candidate's program of study is similar to Canadian norms. The candidate receives the "Certificate of Qualification" from the PEBC after passing these tests.

Candidates must first get the PEBC certification before deciding which province they want to practice in and then meet any additional requirements imposed by that province's regulatory authority. These prerequisites frequently include passing a Jurisprudence exam to show that one is knowledgeable with pharmacy-related rules and regulations in the province, as well as passing a language proficiency test (such as the TOEFL or IELTS), completing a pharmacy internship, and completing practical training in the field (studentship). Once all prerequisites have been satisfied, applicants can submit an application for a pharmacy license in the specified province and begin working as a licensed pharmacist in Canada.

Earning Potential of Doctors and Pharmacists with International Training in the US and Canada

The earning potential of physicians and pharmacists with overseas training in the US and Canada can vary greatly based on a number of variables, including the region, kind of work, amount of experience, and specialization. Due to the vital significance of their responsibilities in the healthcare system, doctors and pharmacists generally have the opportunity to earn incomes that are competitive in both nations.

Doctors in the US with Foreign Training: Internationally trained doctors might need to complete several tests and residency programs to practice independently in the US. Their salaries can range significantly if they have the required credentials and authorizations. Physicians and surgeons made a median annual salary of about $208,000, according to data from the U.S. Bureau of Labor Statistics (BLS). The amount can, however, differ greatly depending on the medical specialty, with some specialists making noticeably more.

Pharmacists in the US with International TrainingEarnings for pharmacists in the US with an international education can also vary depending on the state, the type of pharmacy (hospital, retail, etc.), and experience. The average pharmacist in the US made around $128,000 per year, according to the BLS.

Doctors in Canada with Doctors in Canada with International Training: Depending on the province and the local healthcare system, the salaries of doctors with international training can vary across Canada. The Canadian Institute for Health Information (CIHI) reported that the average gross clinical payment for a doctor in Canada was close to $350,000. The location and practice type are two examples of variables that can affect whether this average is greater or lower.

Pharmacists in Canada with International Training: According to the province and the particular practice location, salaries for pharmacists with international training in Canada can also vary. The median pay for pharmacists in Canada was approximately $97,000, according to data from the Job Bank of the Government of Canada. Training

Depending on the province and the local healthcare system, the salaries of doctors with international training can vary across Canada. The Canadian Institute for Health Information (CIHI) reported that the average gross clinical payment for a doctor in Canada was close to $350,000. The location and practice type are two examples of variables that can affect whether this average is greater or lower.

Pharmacists in Canada with International TrainingAccording to the province and the particular practice location, salaries for pharmacists with international training in Canada can also vary. The median pay for pharmacists in Canada was approximately $97,000, according to data from the Job Bank of the Government of Canada.

It's vital to keep in mind that these numbers represent averages in general and that a person's actual earnings may differ greatly from those estimates. Additionally, factors like inflation and modifications in the healthcare sector can cause salary fluctuations over time.

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