Originally Posted by d0m0
What is the use of giving immigration to Doctors as Skilled Workers if they won't even let them get a residency?
The skilled worker categories are for family physicians and specialists who are fully qualified in their home countries, not for med school grads. Ideally*, these categories would be filled by individuals who have fully completed training which makes them eligible to sit the Royal College exams in Canada and be licensed to practice here (in other words, people who can pack a suitcase and start practicing at once, not people who need additional years of residency training before they can begin).
*However, it appears that frequently the government has no clue as to which schools are acceptable and which are not to the Royal College, and they bring in all sorts of physicians with specialty certificates from countries that will never be recognized by the Canadian regulatory bodies.
I could not understand what Return of Service contract means
Forgive the history lesson, but the return of service contract (ROS) requires a historical context. Back in ?2006 it was decided to add some residency spots through CaRMS that were exclusively dedicated to IMGs. Since IMGs couldn't apply to the Canadian-trained medical student (CMGs) spots, they would add spots for the IMGs that CMGs couldn't apply to. There are currently around 300 or so IMG spots in the CaRMS match.
The question arose who was going to pay for these. The federal government didn't want to shell out the hundreds of millions of dollars (literally) to fund these spots - each specialty resident costs about $500,000 to train, and each family med resident between $200,000-300,000). So the individual health regions - the communities - banded together to scrape up the money and fund a residency position, usually in family medicine. So, for example, the Pas in northern Manitoba needs two family docs in their community in the worst way, and they just can't recruit one for anything. So they spend $400,000 and sponsor two 2-year family medicine residency spots for IMGs at the U of Manitoba. But what does the Pas get in return?
Enter the ROS. The IMG who takes the spot is required to enter a contract to practice in a designated in-need community. For example, in the case of the Pas, the IMGs who took the two seats would both agree to practice family medicine in the Pas for two years after graduating. After this period, they would be free to go wherever they liked. Note that (in general) the ROS is attached to the position, not to the IMG (so that if a CMG, in the second round of matching, took that IMG spot, they would also be expected to honour the ROS contract. On the other hand, if an IMG matched to a CMG spot in the second round, there would be no ROS contract applicable).
Typically, the length of the ROS contract is equivalent to the number of years of residency training (so two to three years for family medicine, five years for specialty training).