Bartman Ilona, Boulet John R, Qin Sirius, Bowmer M Ian
Medical Council of Canada, Ontario, Canada.
Educational Commission for Foreign Medical Graduates; Foundation for Advancement of International Medical Education and Research, Pennsylvania, United States.
Can Med Educ J. 2020 Jul 15;11(3):e13-e20. doi: 10.36834/cmej.68175. eCollection 2020 Jul.
From national and international workforce perspectives, Canadians studying medicine abroad (CSAs) are a growing provider group. Some were born in Canada whereas others immigrated as children. They study medicine in various countries, often attempting both American and Canadian medical licensure pathways.
Using data from the Educational Commission for Foreign Medical Graduates (ECFMG) and the Medical Council of Canada (MCC), we looked at CSAs who attempted to secure residency positions in both Canada and the United States. We detailed the CSAs' countries of birth and medical education. We tracked these individuals through their postgraduate education programs to enumerate their success rate and categorize the geographic locations of their training.
The majority of CSAs study medicine in one of 10 countries. The remainder are disbursed across 88 other countries. Most CSAs were born in Canada (62%). Approximately 1/3 of CSA from the 2004-2016 cohort had no record of entering a residency program in Canada or the United States (U.S.). Recently graduated CSAs were most likely to secure residency training in Ontario and New York.
Many CSAs attempt to secure residency training in both Canada and the U.S. Quantifying success rates may be helpful for Canadians thinking about studying medicine abroad. Understanding the educational pathways of CSAs will be useful for physician labour workforce planning.
从国内和国际劳动力的角度来看，在国外学习医学的加拿大人（CSAs）是一个不断壮大的医疗服务提供者群体。其中一些人出生在加拿大，而另一些人则是儿童时期移民而来。他们在不同国家学习医学，常常同时尝试美国和加拿大的行医执照获取途径。
利用外国医学毕业生教育委员会（ECFMG）和加拿大医学委员会（MCC）的数据，我们研究了那些试图在加拿大和美国获得住院医师职位的CSAs。我们详细列出了CSAs的出生国家和医学教育情况。我们跟踪这些人完成研究生教育项目的情况，以计算他们的成功率，并对他们培训的地理位置进行分类。
大多数CSAs在10个国家之一学习医学。其余的分布在其他88个国家。大多数CSAs出生在加拿大（62%）。2004 - 2016年这一批CSAs中，约三分之一没有进入加拿大或美国住院医师项目的记录。刚毕业的CSAs最有可能在安大略省和纽约获得住院医师培训。
许多CSAs试图在加拿大和美国都获得住院医师培训。量化成功率可能有助于考虑在国外学习医学的加拿大人。了解CSAs的教育途径将有助于医生劳动力规划。
