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MD Recruitment

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Presentation on theme: "MD Recruitment"— Presentation transcript:

1 MD Recruitment

2 The 4 main steps required for recruiting a specialist to a teaching hospital are:
Professeur Sélectionné - Ministère de la Santé et des Services sociaux The definition of a professeur selectionné is an international medical graduate (a graduate of a medical school outside of Canada or the United States of America). Manpower - Agence de la santé et des services sociaux de Montréal Medical manpower refers to the process of obtaining a manpower position (PEM) on the Plan regional d’effectifs médicaux (PREM) Licensing - Collège des médecins du Québec In order to practice in Quebec a physician must be eligible for a full or restrictive license from the Collège des médecins du Québec (CMQ). Immigration - Human Resources and Skills Development Canada, Immigration Quebec & Citizenship and Immigration Canada Physicians being recruited by a McGill Department Chair's office who are foreign citizens require a valid work permit issued by Citizenship & Immigration Canada in order to be able to work legally in Canada and hold a license.

3 MD recruitment Not all 4 steps may be necessary
It will depend greatly on where the recruit obtained his/her MD degree as well as their immigration status If all 4 steps are required, it can take 8-12 months before a recruit can actually start It is important to give a realistic start date to a recruit during the recruitment period

4 MD Recruitment In order to determine what steps are required for the recruitment of an MD, the following questions must first be answered: 1. Where were the recruit’s MD degree and residency training completed? Quebec trained Out of province or US trained Foreign medical graduate (FMG) 2. What is the recruit’s immigration status? Canadian citizen or permanent resident – no immigration required Foreign citizenship – requires Work permit

5 Professeur Sélectionné
Definition: An international medical graduate from a medical school outside of Canada or the United States of America Once you have identified that the recruit has received their MD degree form a foreign medical school, a request for a Professeur Sélectionné (PS) slot must be made to the Faculty. There are specific criteria for a recruit to be eligible for a PS slot: Must have a strong academic file. These recruits should be senior academics with an already established academic profile (i.e., research, publications etc.) The recruit must have a minimum of 3 years clinical experience (fellowships do not count). A physician who is a fellow in a Quebec university is NOT eligible for a PS slot.

6 Professeur Sélectionné
PROCESS: The request for a PS slot must always come from the University Chair. The following documents are required: A formal written request addressed to the Associate Dean of Faculty Affairs, Dr. Mara Ludwig The letter should include the reasoning for requesting to hire a foreign academic and should outline the recruit’s credentials. Recruit’s updated CV

7 Professeur Sélectionné
Once a decision is made, the Faculty will notify the Chair by . The request for the PS slot must now be submitted to the MSSS which requires the following: Fiche signalétique: this form must be completed in full and returned to Angela Karkatsoulis along with the recruits updated CV. The form should be completed in a collaborative fashion by the recruit, the hospital Chief and the Chair. Once completed, the recruit’s signature and the hospital DG’s signature are required. The form must then be submitted to Angela who will obtain the Dean’s signature and forward the form to the MSSS. Until the MSSS has approved the PS slot, we cannot proceed with any other processes. The MSSS has the capacity to refuse any request. The MSSS approval is sent directly to the Dean by . Angela will then contact the appropriate department in order to proceed with the next step - MEDICAL MANPOWER

8 Medical Manpower Who does it apply to?
All specialists practicing in one of the McGill teaching hospitals (i.e., all MUHC sites, JGH, SMH, Douglas (Shriner’s)) What is it? Physicians practicing medicine in a Quebec hospital need to be put in the Plan régional d’effectifs médicaux (PREM). This is a quota system based on the specialty per institution. No specialist can work in a hospital and bill RAMQ without being on the Plan effectif médicaux (PEM). The Agence de la santé et des services sociaux de Montréal issues the PEM as per the Règle de gestion. There are several ways to obtain a PEM: An available position exists (open slot) Someone is leaving (jumelage) A derogation will be requested (special request to temporarily go over quota) For the Agence to process a request, both the Hospital (DPS) approval as well as the Faculty approval are required.

9 Medical Manpower Spécialité : Ruis Région Établissement En place PEM

The faculty holds a Manpower meeting every 2 months (5 x per year) to review all Manpower requests. The committe consists of all the Director’s of Professional Services (DPS) of each of the McGill teaching hospitals and Dr. Benaroya chairs the committee as the Dean’s representative. Committee membership: Dr Sam Benaroya, Chair Dr Ewa Sidorowicz MUHC Dr Micheline Ste-Marie, MCH, MUHC Dr Joseph Portnoy, JGH Dr Willine Rozefort (interim), DH Dr Bruce Brown, SMH Dr Mark Angle, MNH Dr. Jacques Nadeau, Shriners Dr Sarkis Meterissian, Associate Dean, Postgraduate Medical Education Angela Karkatsoulis, Recording secretary Invited guests: Joanne MacPhail, Admin. Assistant MUHC Suzanne Dupont, Admin. Assistant MUHC Cathy Martell, Admin Officer, MCH Ginette Arsenault, PGME Dr. Joyce Pickering, UGME

11 Medical Manpower UNIVERSITY PROCESS:
At these meetings, all files on the pending list are discussed. For a file to be placed on the pending list, the following documents are required: Chair’s letter of recommendation with details about the Formation complementaire (if applicable) McGill Teaching Hospital Physician Appointment Form (both the Chair and the DPS signatures are required) CV When the file is received at the faculty, it is entered into the Faculty Medical Manpower database and a list is produced of all the pending files. This list is ed to the Manpower committee and to all the clincial department’s administrators and Chairs. After the meeting, the database is updated and a Faculty approval memo is issued. This memo is sent to each appropriate DPS office to be included in their nomination package to the Agence. The DPS office cannot submit a request for a PEM without the Faculty approval (the nomination package must also include a copy of the fiche signalétique if applicable). HOSPITAL PROCESS: Each hospital also has an internal process that must be completed before they can submit to the Agence, such as credentialling etc. It is important to be in close contact with the DPS office in order to ensure timely processing of files.

12 There are 2 types of hospital appointments: ACTIF and ASSOCIÉ
Medical Manpower There are 2 types of hospital appointments: ACTIF and ASSOCIÉ ACTIF: the physician must be full-time in one of our teaching hospitals (more than 51% of their clinical billing must be done at that institution). Academic appointment → CAS full-time clinical (formerly known as GFT-H (or GFT-U if tenure-track)). ASSOCIÉ: A physician who is full-time in another institution. The Actif appointment can be within our own network or another RUIS (must keep their billing at less than 50%). Academic appointment → CAS part-time clinical or Adjunct professor.

13 Medical Manpower Agence process:
Once the Agence has received the complete nomination package, a memo is issued by to the appropriate DPS with a cc to the faculty. Angela will then forward the correspondence to the departmental administrator for the appropriate action to be taken. If approved, the next step is LICENSING

14 Licensing The licensure eligibility table can be found at:
For whom? All physicians who will see patients need a practice permit The permits are issued by the Collège des médecins du Québec There are 2 types of permits: Full license – for physicians having received their MD from a Quebec medical university Restrictive permits - for physicians having their MD outside Quebec; The permit holder is restricted to performing medical acts in the specialty indicated on the permit and also to the sites indicated on the permit It is only valid as long as the physican maintains the academic appointment with the university The licensure eligibility table can be found at:

15 Restrictive Permits Application for Eligibilty for a Restricitve permit The process begins with the application for eligibilty for a Restrictrive permit. This application is EXTREMELY paper intensive – timing is crucial ALL COPIES MUST BE CERTIFIED TRUE COPIES Application for the Restrictive permit Once the physician is deemed eligible, they must then complete the application for the actual permit and pay the fees. Before the actual permit will be issued, they must have attended the ALDO education session.

16 Restrictive Permits Eligibility application process: The process is now a 2 step process Part 1 enumerates the documents that must be verified by the central credentials verification service of the Physician Credentials Registry of Canada (PCRC). Part 2 enumerates the documents that must be submitted to the CMQ in paper form (submitted by the Faculty). PCRC - credentialing verification This is an on-line process, where the applicant must create an account and then submit all the required documentation. It is important that the recruit give the CMQ authorization to access the file. Once PCRC has completed their verification of the credentials the CMQ can proceed with the review of the application. PCRC communicates directly with the physician. We are not aware of any potential problems if the recruit does not inform us. CMQ The CMQ documents are collected by the department and then forwarded to the faculty when complete. A Dean’s letter of support is prepared and at this time a similar letter from the DPS is requested to be sent directly to the CMQ. The Application for eligibility must be accompanied by the Dean’s letter – the Faculty submits the file to CMQ. It should not go directly form the candidate. The application will only be reviewed by the CMQ if all parts of the file are complete, including the PCRC verification.

17 Deadline for the faculty to receive applications
Restrictive Permits TIMING: Please note: after the CMQ has confirmed to the candidate whether they have been deemed eligible for a restrictive permit, the candidate must then complete the application and pay the fees for the actual restrictive permit. The ALDO information session must be completed prior to the issuance of the permit. Notes: CAE: Comité d’admission à l’exercice CMQ : Collège des médecins du Québec Deadline for the faculty to receive applications Deadline for the CMQ to receive the applications Date of the meeting of the CAE (makes recommendation regarding the application) Approximate date of dispatch of letters to candidates notifying the decision of the CMQ 1 2 3 4 5 April 2011 19 April 2011 19 May 2011 2 Weeks after the date of the CAE meeting 2 May 2011 16 May 2011 16 June 2011 31 May 2011 14 June 2011 14 July 2011 (phone) 25 July 2011 8 August 2011 8 September 2011 6 September 2011 20 September 2011 20 October 2011 3 October 2011 17 October 2011 15 November 2011 1 November 2011 15 December 2011 (phone)

18 Restrictive Permits If approved, the CMQ will issue a written confirmation to the candidate (cc the faculty). The application for the permit will be included along with information regarding the French language examination - if the ALDO has not been attended, the license will not be issued. One of the conditions for maintaining a restrictive permit is that the holders successfully complete the Office de la langue française French examination by the 4th year. They must write the exam at least once each year until they pass all parts up to a maximum of 4 years. Each section completed (there are 4) does not have to be repeated. The exam can be written as many times as necessary. It is important to advise all new recruits of this condition and to stress the importance of beginning French courses as soon as possible. A second condition is that the holder maintain their academic position. Should a restrictive permit holder leave the university, they will lose their license to practice medicine in Quebec. Once the license is approved, only then can we proceed with the immigration process. The confirmation of eligibility is adequate to begin the immigration step.

19 Immigration All non-canadian / non-permanent residents are required to obtain a Work permit. Work permits are specific to the employer and to the position. The Faculty processes the requests for: All CAS full-time professors and tenure-track (formerly known as GFT-H & GFT-U) Research Associates Departments: CAS part-time – difficult to obtain a work permit Visiting professors/scholars Research Assistants

20 Immigration Details on the process as well as checklists for the required documents, can be found at: Requirements to apply for a Work permit: LMO Advertising required (posting for a minimum of 30 days) CAQ Official letter of offer and acceptance letter Restrictive permit Medical examination all health care workers are required to undergo a medical examination before a work permit will be issued. This is a time consuming part of the process as they are required to go to a designated doctor only. Processing time: 4-6 weeks to obtain the CAQ/LMO 2-3 months for the Work permit process at the Canadian consulate

21 Immigration The process Applications sent simultaneously to HRSDC and Immigration Quebec (QIMM). HRSDC and QIMM issue a Labour Market Opinion (LMO) and Certificat d’acceptation du Quebec (CAQ). The faculty forwards the joint CAQ/LMO by to the recruit in order to apply for the Work permit. The candidate deals directly with Citizenship & Immigration Canada for the work permit. A letter confirming the approval of the work permit is issued to the recruit. Recruit presents his confirmation to the immigration officer at the Port of entry and the Work permit is issued. Recruit submits a copy of the Work permit to the Departmental administrator and the Minerva appointment can be processed.

22 Academic appointment The academic appointment can only be put on the system once all of the required steps have been completed. Once I receive the approval of the PEM from the Agence, an is sent to the department with the attached Agence memo to inform them that they can proceed with the appointment - No full-time clinical appointment will be approved if the PEM is pending. In cases where there are further processes required such as licensing and immigration, the appointment can only be put on once the final step, i.e., immigration is complete and the recruit has their Work permit. ***IMPORTANT*** ALL physicians working in a teaching hospital are required to hold an academic appointment!!! Access to ONE45 evaluation system is only granted once the academic appointment is active.

23 Overview PS request Medical Manpower Licensing Immigration
Academic appointment

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