CanAm’s perspective:

All provinces with the exception of Ontario now strictly adhere to ELP (English Language Policy) set out by FMRAC (Federation of Medical Regulatory Authorities of Canada).

Prior to August 5, 2015, colleges of CPSNS and CPSNL were allowing exceptions to the rule by applying some common sense to the guidelines. Unlike the College of PEI, where guidelines were judged as strict rules, both CPSNL and CPSNS would exempt physicians whose post-graduate training and scope of practice were primarily completed in English countries — such was the case for Dr. Victoria Dawson.

However, on August 5, 2015, both CPSNL and CPSNS decided to adhere to FMRAC’s policy strictly. The reason given was to maintain a unified position on this matter across the country. CPSNS and CPSNL’s “flexibility” had put some of their MRA partners across the country in some jeopardy. An example in point was CPSPEI. So the common sense approach is no more.

Interestingly enough, CPSO — which is the largest jurisdiction in Canada — has NOT introduced an ELP. So while the smaller provinces strictly adhere to FMRAC’s policies, Big Brother ignores and reaps the benefit of having less complex licencing requirements.

So all of those Canadian citizens who are training abroad and desire to return to Canada, such as Dr. Victoria Dawson, can take comfort in CPSO common sense policy!