Around the world, more than 500 talented young British Columbians, including Rachel MacDonald of Nelson, are studying at fully accredited medical schools in places such as Britain, Ireland and Australia. But unless bureaucratic hurdles are removed, they will not have the chance to come home and become part of British Columbia’s health care system.
Each year, 80 to 100 young British Columbians graduate from excellent medical schools outside North America, with dreams of returning home to BC to become doctors and serve their communities. Unfortunately, in the past five years, very few of them have returned to train here due to Provincial government policies that discriminate against them.
And despite having a health care system that faces a critical shortage of doctors, long surgery wait times, emergency room closures and compromised patient care, the government is standing by those policies and choosing instead to not accept these trained BC doctors who have saved the government of BC millions of dollars by paying for their own education. They should be welcomed with open arms.
Each year, many students apply to enter the University of British Columbia’s medical school, the school which trains doctors on behalf of the Province of BC. With just under 300 spots available, many BC students choose to attend medical school abroad, in countries like Britain, Ireland and Australia.
Once they graduate, to become doctors, medical school graduates must complete two to six years of post-graduate training in teaching facilities across the province, also administered by UBC. The Ministry of Health reserves nearly 300 of these apprentice positions, known as residencies, for Canadians and Americans who graduated from North American medical schools.
Students from BC who graduated from foreign medical schools can only compete for a residency here by first winning a spot in UBC’s International Medical Graduates program, a program tailored mainly for immigrants. And once successfully completed, this route provides access to only 26 spots. In addition, exams to qualify for these positions are only offered long after the regular residency positions have been given out.
While this program is an important one for immigrant doctors coming to BC, it fails BC graduates from foreign schools and forces them to choose between waiting an extra year, in hopes of maybe landing a restricted residency here, or working immediately in another jurisdiction. The reality is, we know of no British Columbian graduates from abroad who have been accepted and graduated from this program.
Despite annual throne speech promises to address the problem, nothing has been done. Instead, the Province is continuing to actively recruit foreign-born doctors who graduated from the very same schools our students from BC attended, as well as doctors from countries that face their own physician shortages.
According to Dr. Drew Thompson, a cardiac surgeon at Vancouver General Hospital and President of the Society for Canadian Students Studying Medicine Abroad, the simple and virtually cost-free solution is to offer qualifying exams more often or earlier, increase residency positions, or let British Columbians who studied abroad compete for UBC training residencies at the same time as graduates from North American schools.
“These young British Columbians want to come home and practice medicine in BC,” says Thompson. “All they’re asking for is to compete on a level playing field for residency positions. With hundreds of BC physicians set to retire in the next few years, the discriminatory policies that treat BC graduates from foreign medical schools as second class citizens must stop now.”
The good news is that, while their home province is turning them away, other provinces, US states and countries around the world are eagerly recruiting them.
At the latest Union of BC Municipalities convention, mayors from across BC said they were prepared to commit financial support to help fund the cost of residencies so British Columbians could come back home to train and work in their communities.
When British Columbians consider the state of their financially unsustainable health care system, Dr. Thompson says the question they should ask their MLAs, the Minister of Health, the Premier and the University of British Columbia, is not “Why don’t we have enough doctors?” but “Why won’t you let our children come home to become doctors in the communities that need them?”
The Society for Canadians Studying Medicine Abroad (SOCSMA) is a group of parents, families and supporters of BC students studying medicine abroad.
Drew Thompson is the President of The Society for Canadians Studying Medicine Abroad (SOCSMA)










