2The 4 main steps required for recruiting a specialist to a teaching hospital are: Professeur Sélectionné - Ministère de la Santé et des Services sociauxThe 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 MontréalMedical manpower refers to the process of obtaining a manpower position (PEM) on the Plan regional d’effectifs médicaux (PREM)Licensing - Collège des médecins du QuébecIn 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 CanadaPhysicians 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.
3MD 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 statusIf all 4 steps are required, it can take 8-12 months before a recruit can actually startIt is important to give a realistic start date to a recruit during the recruitment period
4MD RecruitmentIn 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 trainedOut of province or US trainedForeign medical graduate (FMG)2. What is the recruit’s immigration status?Canadian citizen or permanent resident – no immigration requiredForeign citizenship – requires Work permit
5Professeur Sélectionné Definition:An international medical graduate from a medical school outside of Canada or the United States of AmericaOnce 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.
6Professeur 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 LudwigThe letter should include the reasoning for requesting to hire a foreign academic and should outline the recruit’s credentials.Recruit’s updated CV
7Professeur 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
8Medical 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.
9Medical Manpower Spécialité : Ruis Région Établissement En place PEM Poste(s) dispo.McGill06CENTRE HOSPITALIER DE LACHINE2CENTRE HOSPITALIER DE LASALLE6CENTRE HOSPITALIER DE ST. MARY9CSSS DE L'OUEST-DE-L'ILE (Lakeshore)71CSSS DU SUD-OUEST-VERDUN5CUSM43HOPITAL SHRINERS POUR ENFANTSL'HOPITAL GENERAL JUIF SIR MORTIMER B. DAVIS19
10MEDICAL MANPOWER COMITTEE: 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, ChairDr Ewa Sidorowicz MUHCDr Micheline Ste-Marie, MCH, MUHCDr Joseph Portnoy, JGHDr Willine Rozefort (interim), DHDr Bruce Brown, SMHDr Mark Angle, MNHDr. Jacques Nadeau, ShrinersDr Sarkis Meterissian, Associate Dean, Postgraduate Medical EducationAngela Karkatsoulis, Recording secretaryInvited guests:Joanne MacPhail, Admin. Assistant MUHCSuzanne Dupont, Admin. Assistant MUHCCathy Martell, Admin Officer, MCHGinette Arsenault, PGMEDr. Joyce Pickering, UGME
11Medical 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)CVWhen 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.
12There are 2 types of hospital appointments: ACTIF and ASSOCIÉ Medical ManpowerThere are 2 types of hospital appointments: ACTIF and ASSOCIÉACTIF: 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.
13Medical 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
14Licensing The licensure eligibility table can be found at: For whom?All physicians who will see patients need a practice permitThe permits are issued by the Collège des médecins du QuébecThere are 2 types of permits:Full license – for physicians having received their MD from a Quebec medical universityRestrictive 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 permitIt is only valid as long as the physican maintains the academic appointment with the universityThe licensure eligibility table can be found at:
15Restrictive PermitsApplication for Eligibilty for a Restricitve permitThe process begins with the application for eligibilty for a Restrictrive permit.This application is EXTREMELY paper intensive – timing is crucialALL COPIES MUST BE CERTIFIED TRUE COPIESApplication for the Restrictive permitOnce 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.
16Restrictive PermitsEligibility application process: The process is now a 2 step processPart 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 verificationThis 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.CMQThe 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.
17Deadline for the faculty to receive applications Restrictive PermitsTIMING: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’exerciceCMQ : Collège des médecins du QuébecDeadline for the faculty to receive applicationsDeadline for the CMQ to receive the applicationsDate of the meeting of the CAE(makes recommendation regarding the application)Approximate date of dispatch of letters to candidates notifying the decision of the CMQ12345 April 201119 April 201119 May 20112 Weeks after the date of the CAE meeting2 May 201116 May 201116 June 201131 May 201114 June 201114 July 2011 (phone)25 July 20118 August 20118 September 20116 September 201120 September 201120 October 20113 October 201117 October 201115 November 20111 November 201115 December 2011 (phone)
18Restrictive PermitsIf 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.
19ImmigrationAll 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 AssociatesDepartments:CAS part-time – difficult to obtain a work permitVisiting professors/scholarsResearch Assistants
20ImmigrationDetails on the process as well as checklists for the required documents, can be found at:Requirements to apply for a Work permit:LMOAdvertising required (posting for a minimum of 30 days)CAQOfficial letter of offer and acceptance letterRestrictive permitMedical examinationall 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/LMO2-3 months for the Work permit process at the Canadian consulate
21ImmigrationThe processApplications 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.
22Academic appointmentThe 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.
23Overview PS request Medical Manpower Licensing Immigration Academic appointment