When a Canadian is not a Canadian: marginalization of IMGs in the CaRMS match

This paper explores the marginalization experienced by International Medical Graduates (IMGs) in the Canadian Residency Matching Service (CaRMS) Match. This marginalization occurs despite all IMGs being Canadian citizens or permanent residents, and having objectively demonstrated competence equival...

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Autor principal:	Malcolm M MacFarlane
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2021
Materias:	Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/75874cd962d94f5bb95243032d0580a9
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spelling	oai:doaj.org-article:75874cd962d94f5bb95243032d0580a92021-12-01T22:35:37ZWhen a Canadian is not a Canadian: marginalization of IMGs in the CaRMS match10.36834/cmej.717901923-1202https://doaj.org/article/75874cd962d94f5bb95243032d0580a92021-09-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/71790https://doaj.org/toc/1923-1202 This paper explores the marginalization experienced by International Medical Graduates (IMGs) in the Canadian Residency Matching Service (CaRMS) Match. This marginalization occurs despite all IMGs being Canadian citizens or permanent residents, and having objectively demonstrated competence equivalent to that expected of a graduate of a Canadian medical School through examinations such as the MCCQE1 and the National Assessment Collaboration OSCE. This paper explores how the current CaRMS Match works, evidence of marginalization, and ethnicity and human rights implications of the current CaRMS system. A brief history of post graduate medical education and the residency selection process is provided along with a brief legal analysis of authority for making CaRMS eligibility decisions. Current CaRMS practices are situated in the context of Provincial fairness legislation, and rationalizations and rationales for the current CaRMS system are explored. The paper examines objective indicators of IMG competence, as well as relevant legislation regarding international credential recognition and labour mobility. The issues are placed in the context of current immigration and education policies and best practices. An international perspective is provided through comparison with the United States National Residency Matching Program. Suggestions are offered for changes to the current CaRMS system to bring the process more in line with legislation and current Canadian value systems, such that “A Canadian is a Canadian.” Malcolm M MacFarlaneCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 12, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Education (General) L7-991 Medicine (General) R5-920
spellingShingle	Education (General) L7-991 Medicine (General) R5-920 Malcolm M MacFarlane When a Canadian is not a Canadian: marginalization of IMGs in the CaRMS match
description	This paper explores the marginalization experienced by International Medical Graduates (IMGs) in the Canadian Residency Matching Service (CaRMS) Match. This marginalization occurs despite all IMGs being Canadian citizens or permanent residents, and having objectively demonstrated competence equivalent to that expected of a graduate of a Canadian medical School through examinations such as the MCCQE1 and the National Assessment Collaboration OSCE. This paper explores how the current CaRMS Match works, evidence of marginalization, and ethnicity and human rights implications of the current CaRMS system. A brief history of post graduate medical education and the residency selection process is provided along with a brief legal analysis of authority for making CaRMS eligibility decisions. Current CaRMS practices are situated in the context of Provincial fairness legislation, and rationalizations and rationales for the current CaRMS system are explored. The paper examines objective indicators of IMG competence, as well as relevant legislation regarding international credential recognition and labour mobility. The issues are placed in the context of current immigration and education policies and best practices. An international perspective is provided through comparison with the United States National Residency Matching Program. Suggestions are offered for changes to the current CaRMS system to bring the process more in line with legislation and current Canadian value systems, such that “A Canadian is a Canadian.”
format	article
author	Malcolm M MacFarlane
author_facet	Malcolm M MacFarlane
author_sort	Malcolm M MacFarlane
title	When a Canadian is not a Canadian: marginalization of IMGs in the CaRMS match
title_short	When a Canadian is not a Canadian: marginalization of IMGs in the CaRMS match
title_full	When a Canadian is not a Canadian: marginalization of IMGs in the CaRMS match
title_fullStr	When a Canadian is not a Canadian: marginalization of IMGs in the CaRMS match
title_full_unstemmed	When a Canadian is not a Canadian: marginalization of IMGs in the CaRMS match
title_sort	when a canadian is not a canadian: marginalization of imgs in the carms match
publisher	Canadian Medical Education Journal
publishDate	2021
url	https://doaj.org/article/75874cd962d94f5bb95243032d0580a9
work_keys_str_mv	AT malcolmmmacfarlane whenacanadianisnotacanadianmarginalizationofimgsinthecarmsmatch
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When a Canadian is not a Canadian: marginalization of IMGs in the CaRMS match

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