Manitoba regulator proposes fast-track for U.S. physicians

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This article was published 02/05/2025 (328 days ago), so information in it may no longer be current.

WINNIPEG — Facing the second-largest doctor shortage in Canada, the College of Physicians and Surgeons of Manitoba has launched a review to make it easier for American-certified physicians to become licensed in Manitoba.

“We understand the pressures in Manitoba to get more physicians into practice. So we are constantly looking for ways that we can cut down on red tape or facilitate safe changes to a process that might have worked historically, but doesn’t meet our modern demand,” said Dr. Ainslie Mihalchuk, registrar for the Manitoba physician watchdog.

The proposed changes would allow physicians from the U.S. to apply for Manitoba licences if they have completed an accredited residency program and hold certification from the American Board of Medical Specialists and have an independent or full licence to practice with a U.S. state medical board.

If all goes to plan, internationally trained doctors could be working in Manitoba by June.

Similar policies are in place in several other Canadian provinces, including British Columbia, which changed regulations in February.

Mihalchuk and the College of Physicians and Surgeons of Manitoba looked east and west of Manitoba and, to remain competitive in the market, began the process to loosen regulations.

“If Manitoba is an outlier, that’s not good for us,” Mihalchuk said.

Current regulations dictate that individuals must first apply for provisional registration, which places limitations on their ability to practise medicine (such as requiring supervisors, assessments and practice location restrictions).

Mihalchuk said the restrictions are costly, time consuming and a disincentive to doctors applying to practise in Manitoba.

“We went to them and said we think that this is a safe thing to do (and) it would make us attractive to physicians from the States that we know are interested in potentially practising in Manitoba,” Mihalchuk said.

The regulator said it is generally accepted among Canadian medical boards that American physicians are as competent and safe as their Canadian counterparts.

Doctors Manitoba applauds the proposed changes.

After launching recruitment efforts late last year, the doctor advocacy organization said there was interest from physicians south of the border but Manitoba’s restrictive licensing requirements for internationally trained doctors was a barrier.

“We want to make sure that every physician practising in Manitoba is practising of the highest standard,” said Doctors Manitoba CEO Theresa Oswald. “But there are ways to do this that have proven to be more accessible and more rapid than has been the case in Manitoba.”

In December, the group took the unusual step of launching its own campaign to target health-care providers in North Dakota, Florida and other states where providers could find their practice in jeopardy under U.S. President Donald Trump’s policies targeting the health-care system.

Since taking office, Trump has signed off on ending federal support for gender-affirming care, exiting the World Health Organization and no longer recognizing transgender and non-binary identities.

“We know here in Manitoba that that (doctor-patient) sanctity is respected and that evidence and science have to be at the forefront,” Oswald said.

Oswald estimates between 40 and 50 doctors have expressed interest in coming to Manitoba, which the organization has referred to the province’s recruitment and retention office.

Health Minister Uzoma Asagwara said Thursday the province is actively engaged with about a dozen foreign doctors to receive their Manitoba certification.

Asagwara accused the previous Progressive Conservative government of not taking the necessary steps to improve patient care or use a patient-centred approach.

“Our government is laser-focused on making health care better for Manitobans, and that means making sure that we have the health-care professionals and experts in our province to provide that care,” the minister said.

In March, Shared Health launched a similar recruitment campaign south of the border in an effort to bring American nurses to Manitoba.

The initiative was to offer asylum to working nurses worried about their ability to care for patients, while addressing the province’s nurse shortage.

At the time, Asagwara said the recruitment and retention office had worked to make transferring U.S. nursing licences to Manitoba easier.

The province has hired more than 1,600 net-new health-care workers since April 2024, including 600 nurses, Asagwara said.

Provincial figures on nurses hired through the recruitment campaign were not made available before press time.

The NDP campaigned on a promise to hire 400 new doctors within five years prior to winning the 2023 election. No update was provided Thursday on the status of that objective.

» Winnipeg Free Press