Return of Service

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TraumaCheers

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Anyone have any hard evidence of what happens if you go back on a return in service? I have a return in service for a underserviced community in a specific province. While I'm happy to go to an underserviced community, I'm not staying in the province I'm in. Sure, they (the province) contributed to some of my training costs, but only because the whole RCPSC is corrupt in terms of objectively evaluating credentials.

Don't worry -- I can look myself in the mirror with ease if I renege on a return in service.

But -- can one province block my licensure in another?

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Where does a return of service contract typically have you work if you are a specialist? I could see how if you are a Family Doc they could send you to the middle of no where, but if you're a trained hematologist just finishing your residency and now you have to fulfill your return of service, where exactly do you go? I know most RoS contacts stipulate you are only expected to work in an under-serviced community in your specialty, so does that mean the more specilized you become the more urban your under serviced area is?
 
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I heard for each year of ROS that you break it is 60K...
 
Where does a return of service contract typically have you work if you are a specialist? I could see how if you are a Family Doc they could send you to the middle of no where, but if you're a trained hematologist just finishing your residency and now you have to fulfill your return of service, where exactly do you go? I know most RoS contacts stipulate you are only expected to work in an under-serviced community in your specialty, so does that mean the more specilized you become the more urban your under serviced area is?

Bump... Can anyone answer my question?
 
the answer to your question depends on the province. the ministry of health in ontario publishes lists of where different specialties can fufill their ROS contracts. as a specialist you likely wouldn't be in barrie or newmarket. I've seen different specialist postings in north bay, timmins, sudbury, thunder bay etc. these are sizeable cities, but fairly long drives from toronto (if thats the center of your universe).
 
Where does a return of service contract typically have you work if you are a specialist? I could see how if you are a Family Doc they could send you to the middle of no where, but if you're a trained hematologist just finishing your residency and now you have to fulfill your return of service, where exactly do you go? I know most RoS contacts stipulate you are only expected to work in an under-serviced community in your specialty, so does that mean the more specilized you become the more urban your under serviced area is?

Family Doctors have more choices than specialists. Here are the links for each

Family: http://www.health.gov.on.ca/english/providers/program/uap/listof_areas/gp_ladau.pdf

Specialists: http://www.health.gov.on.ca/english/providers/program/uap/listof_areas/specialist_ladau.pdf
 
In British Columbia, the province provide108,000/year (2008 figures) of residency training. If you want to go out of it then it will be 108000 x no. of years of residency training (max 5 years) plus current prime rate of interest by CIBC. This may be different for people who signed it in previous years.
I have no problem with working in the province which has given me opportunity and will provide such an excellent quality of training. Max for ROS is three years in BC. I am sure for surgical specialty the underserved community will be big enough to have hospital with operating room and postoperative care.
 
Not only go to Under serviced Area as Specialist ,but don't expect any incentives for signing out contracts apart from 5000-8000 for relocation expenses and that also , if you stay there for 3years,there is nothing else and look at FP incentives posted in FP Gold thread. 😡
 
ROS for Canadians going into FP may be okay... However if you are applying for a specialty including general medicine. The ROS agreement seems unfair!!!

Imagine you spend 4 years doing IM (or 6 years doing Cardiology), and you have to return 4 years (or 6 years) of service in rural Ontario. Say Sudbury or ThunderBay... that is a lot of time spend in rural Canada and I would not be okay with that. Especially if you plan to be in academic medicine in some way or another.

Also returning to a big city after working and settling down in rural Canada may be difficult thing to do. Especially if one wants to be in Academic medicine. There is no way they will recruit you back after spending 4 years (or 6 in Cardiology) in the middle of Ontario.


So all together I would have to give it 👎
 
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