Internationally Trained Physicians
The College has developed a streamlined approach to long-term licensure for physicians on a Defined licence.
The Medical Act requires physicians trained outside of Canada to practise under a Defined licence and undergo supervision. Physicians must meet the requirements and conditions required to obtain a Defined licence. There is no change to the qualification requirements.
The streamlined approach for physicians on a Defined licence will enable faster decisions regarding long-term licensure.
Once a physician obtains a Defined licence, the streamlined approach will:
- provide a comprehensive orientation program for physicians;
- reduce the required time physicians on a Defined licence must practise under supervision; and
- focus on demonstrated competency rather than certification.
The College’s approach has been informed by:
- a review of the data from the last six years of working with Sponsors and Supervisors overseeing the licensing pathway of physicians with a Defined licence seeking Full licensure;
- listening to physicians and stakeholders working with physicians on a Defined licence;
- a review of licensing best practices in other Canadian jurisdictions to determine what elements would effectively apply to the Nova Scotia context; and
- the College’s commitment to support the recruitment of physicians.
New Pathway to Long-term Licensure for Physicians Trained Outside of Canada
A Comprehensive Orientation Program for Physicians
Physicians trained outside Canada have identified the need for a more robust orientation program to support their integration into medical practice in the Canadian context.
A new comprehensive orientation program is now available. The program helps physicians who are practising in Canada for the first time successfully integrate into the healthcare system.
A Shorter Period of Supervision
The required time physicians on a Defined licence must practise under supervision has been reduced by 60%.
Research shows the majority of practice areas of concern are identified and addressed in the first nine months of supervision. Informed by this research, the period of supervision has been shortened.
The minimum supervision period is now only six months.
The maximum supervision period has been reduced from 60 months to 24 months.
The licensing pathway for physicians trained outside of Canada allows for faster licensing decisions. Licensing decisions regarding long-term licensure are based on demonstrated competency instead of certification.
After six months practising on a Defined licence:
- A physician may be eligible for a long-term Restricted licence.
- A Full licence can be obtained upon receiving a pass-standing on certification exams.
The licensing pathway for physicians trained outside of Canada focuses on demonstrated competency instead of certification. The licensing pathway includes:
- a reduced supervision period,
- a robust assessment, and
- a faster licensing decision.
Physicians on a Defined licence may receive long-term licensure in six months.
Physicians may receive:
- A long-term independent Restricted licence without certification.
- A Full licence anytime during or following the six-month supervision period by receiving a pass-standing on certification exams.