"USA Certified" licensing pathway - lower compensation for ER docs?

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TeddyBoomBoom

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Hey all,

I am currently a U.S. Emergency Medicine physician contemplating a move to Canada. I’m a PGY8 DO, who graduated from a 3 yr ACGME program, and am board certified (ABEM). I’d be moving with my wife and two children who would likely be between 6-10 years old at the time of the move. I have a clean medical and criminal record. Though I am in the very early stages of learning the process, I would likely want to end up in the Vancouver Island area. (I know… I know… super expensive real estate.) The move would likely be permanent with the end result most likely being Canadian citizenship.

I am aware that licensing can get problematic due to different lengths of training programs in the US vs Canada, but restrictions have been eased in many of the provinces. I have learned that there has recently been introduced a new licensing pathway called USA Certified which would allow me Canadian licensure without additional training, exams, or supervision.

I have corresponded with the CPSBC (College of Physicians and Surgeons of BC) regarding the requirements, and it does seem that I would qualify, however, I was unclear on the meaning of part of their response regarding billing. A snippet of their response below describes a billing qualifier that I don’t yet understand. Below is the snippet (bolded and underlined mine.)

“The USA Certified class is for those specialists who do not have the requisite years/content of training to be granted eligibility to sit the RCPSC certification examination in their primary specialty. For that reason, eligible applicants may be registered in this class which is an independent practice class. However, the internal medicine, emergency medicine, pediatric, and psychiatry physicians in this class can only bill family physician fee rates with the Medical Services Plan (MSP) of BC.”

How much do I care about this? Is the discrepancy large? Does it make one a less desirable job applicant? Finally, where can I find additional resources on the logistics of permanent residency (i.e. Express Entry vs provincial nominee), licensure, etc?

Thanks all!
 
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