Barer Morris L, Evans Robert G, Hedden Lindsay
Professor, Centre for Health Services and Policy Research University of British Columbia, Vancouver, BC.
Faculty, Centre for Health Services and Policy Research University of British Columbia, Vancouver, BC.
Healthc Policy. 2014 May;9(4):12-9.
About 3,600 Canadians are currently studying medicine abroad (CSMAs). Most hope to return to practise in Canada. But the road back is not easy. These graduates must complete postgraduate residency training in Canada and alas, there are less openings than there are aspirants. One might have thought, amid the endless rhetoric of "physician shortages," that an obvious solution would be to increase the number of residency positions. But provincial governments are well aware, even if the media are not, that Canada is in the early stages of a dramatic expansion in physician supply fuelled by increased domestic training capacity. Last time the physician supply outpaced population growth, as it is doing today, governments choked off the entry of international graduates. It could happen again.
目前约有3600名加拿大学生在国外学习医学(加拿大海外医学生)。大多数人希望回国在加拿大行医。但回国之路并不容易。这些毕业生必须在加拿大完成研究生住院医师培训,遗憾的是,职位空缺少于有志者的数量。人们可能会认为,在“医生短缺”的无休止言辞中,一个显而易见的解决方案是增加住院医师职位数量。但省级政府很清楚,即使媒体不清楚,加拿大正处于因国内培训能力提高而导致医生供应大幅扩张的早期阶段。上一次医生供应超过人口增长时,就像现在这样,政府阻止了国际毕业生的进入。这种情况可能会再次发生。