National Reporting Instrument 2015
Section: Background
On May 21, 2010 the WHO Global Code of Practice on the International Recruitment of Health Personnel (the “Code”) was adopted by the 193 Member States of the World Health Organization. The Code encourages information exchange on issues related to health personnel and health systems in the context of migration, and suggests regular reporting every three years on measures taken to implement the Code. The reporting process is an integral component of the effective implementation of the voluntary principles and practices recommended by the Code.
A self-assessment tool for countries second-round reporting
To monitor the progress made in implementing the Code, and in accordance with the request of the World Health Assembly (Resolution WHA63.16), a national self-assessment tool was created for Member States.
You have been nominated as Designated National Authority (DNA) to respond to the updated national reporting instrument (NRI) via this web-based data interface.
Disclaimer: The data and information collected through the National Reporting Instrument will be made publicly available via the WHO web-site following the proceedings of the World Health Assembly, May 2016.
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Contact details
Section 01: Qualitative information (1-4)
Section 01: Qualitative information (5-12)
Please use Table A below to describe these bilateral, regional or multilateral agreements or arrangements:
* Please use this occupational category only if the information available has no clear separation in reported numbers between the two cadres
Type of Agreement
Coverage
(from–to)
Categories of Skilled Health Personnel
Please attach a documentation file if possible
Type of Agreement
(from–to)
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Please attach a documentation file if possible
(In case of multiple documents, please create one single zip file for upload)
Type of Agreement
(from–to)
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Please attach a documentation file if possible
(In case of multiple documents, please create one single zip file for upload)
Type of Agreement
(from–to)
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Please attach a documentation file if possible
(In case of multiple documents, please create one single zip file for upload)
Type of Agreement
(from–to)
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Please attach a documentation file if possible
(In case of multiple documents, please create one single zip file for upload)
Type of Agreement
(from–to)
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Please attach a documentation file if possible
(In case of multiple documents, please create one single zip file for upload)
Type of Agreement
(from–to)
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Please attach a documentation file if possible
(In case of multiple documents, please create one single zip file for upload)
Section 01: Qualitative information (5-12) contd.
12) If “Yes”, use Table C below to indicate the top 3 measures in place :
Table C – measures taken to address the geographical mal-distribution of health workers
| Measure Type | Description | |
|---|---|---|
| 12.a) | Educate | British Columbia’s sustainability plan for health human resources has included more than doubling the number of training seats for physicians and nurses over the past decade. British Columbia has taken a systems approach to address physician distribution problems, implementing the first fully distributed medical education program in North America with four campuses in different regions in the province. By attracting the right students to train in the right locations including underserved/rural areas, residents will choose to practice in communities similar to where they have trained. |
| 12.b) | Recruit | In Newfoundland and Labrador (NL), various funding has been obtained to provincial and federal funding to develop supports for all IEHP integration into practice and into the community. While NL does not actively recruit physicians from a particular country, internet advertising is far reaching and NL does receive a large volume of applications from International Medical Graduates. Recruitment of physicians is challenging – particularly in the rural and remote communities. NL therefore has always depended on our ability to employ a significant number of International Medical Graduates. Significant work has been undertaken to support the integration of International Medical Graduates including information materials, web-based orientation and on-line application for licensure |
| 12.c) | n.a | n.a |
Section 01: Qualitative information (13-17)
14) Please use Table D below to provide the contact details for these research programs or institutions
Table D Detailed information on research programs or institutions assessing health personnel migration
| Name of Program or Institution | Name of contact person | Contact details | Web-link (if available) | |
|---|---|---|---|---|
| 14.1 | Canadian Institute for Health Information (CIHI) | Geoff Ballinger and Carol Brule | gballinger@cihi.ca and cbrule@cihi.ca | http://www.cihi.ca/CIHI-extportal/internet/EN/SubTheme/spending+and+health+workforce/workforce/cihi010671 |
| 14.2 | Canadian Post-M.D. Education Registry (CAPER) | Steve Slade | sslade@afmc.ca | www.caper.ca |
| 14.3 | Canadian Collaborative Centre for Physician Resources (C3PR), Canadian Medical Association (CMA) | Lynda Buske | lynda.buske@cma.ca | www.cma.ca/c3pr |
| 14.4 | Canadian Resident Matching Service (CaRMS) | Ashley McKiver | amckiver@carms.ca | http://www.carms.ca/eng/index.shtml |
| 14.5 | Calgary Economic Development | Jeanette Sutherland | 403-221-7831 | http://www.calgaryeconomicdevelopment.com/data-centre/reports |
| 14.6 | Memorial University, Faculty of Medicine | Dr. Marie Mathews | 709-777-7845 | http://www.med.mun.ca/Medicine/Faculty/Mathews,-Maria.aspx |
| 14.7 | Memorial University, School of Nursing | Marilyn Beaton | Mbeaton@mun.ca |
16.1) Please use Table E below to provide the contact details of each entity.
Table E Contact details of mechanism(s) or entity(ies) maintaining statistical records of health personnel whose first qualification was obtained overseas
| Name of mechanism or entity | Contact details | Web-link (if available) | |
|---|---|---|---|
| 16.1 a) | Canadian Institute for Health Information | Geoff Ballinger at gballinger@cihi.ca or Carole Brule at cbrule@cihi.ca | http://www.cihi.ca/CIHI-ext-portal/internet/EN/SubTheme/spending+and+health+workforce/workforce/cihi010671 |
| 16.1 b) | Canadian Post –M.D Education Registry | Steve Slade, sslade@afmc.ca | http://www.caper.ca/docs/pdf_2005_2010_IMG_Report.pdf |
| 16.1 c) | Newfoundland and Labrador Medical Association | General: (709) 726-7424 | www.nlma.nl.ca |
| 16.1 d) | Association for Registered Nurses of Newfoundland and Labrador | E-Mail:info@arnnl.ca | www.arnnl.ca |
| 16.1 e) | Office des professions du Québec (includes all Quebec health associations) | 800 Place D’Youville, 10th Floor, Quebec City, Quebec G1R 5Z3 | http://www.opq.gouv.qc.ca/ordres-professionnels/registre-tableau-des-membres/ |
| 16.1 f) | Ministère de l’immigration et des Communautés culturelles du Québec (MICC) | 255 Crémazie Blvd. East, 8th Floor, Suite 8.01Montreal, Quebec H2M 1M2 | http://www.immigration-quebec.gouv.qc.ca/fr/education/evaluation-comparative/index.html |
| 16.1 g) | Health Match BC | n.a | www.healthmatchbc.org |
16.2) For the entity named in Q(16.1) please use Table F below to specify whether the information gathered include the following:
Table F Description of the statistical information available on the internationally recruited health personnel
Entity
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Section 01: Qualitative information (13-17) contd.
17.1) Please use Table G below to provide the contact details of each entity.
Table G Contact details of mechanism(s) or entity(ies) regulating ot granting authorization to practice to internationally recruited health personnel
| Name of mechanism or entity | Contact details | Web-link (if available) | |
|---|---|---|---|
| 17.1 a) | College of Physicians and Surgeons of BC | 604-733-7758 | www.cpsbc.ca/ |
| 17.1 b) | Alberta College and Association of Chiropractors | 11203 – 70 Street NW, Edmonton, AB, T5B 1T1 | www.albertachiro.com |
| 17.1 c) | Association for Registered Nurses of Newfoundland and Labrador | info@arnnl.ca | www.arnnl.ca |
| 17.1 d) | Chiropractors Association of Saskatchewan | Darryl Kashton, President, 2520 Quance Street, dkaston@accesscomm.ca | www.saskchiropractic.ca |
| 17.1 e) | College of Registered Nurses of BC | info@crnbc.ca | www.crnbc.ca/ |
| 17.1 f) | Alberta College of Medical Laboratory Technologists | 301, 9426 – 51 Avenue NW, Edmonton, AB, T6E 5A6 | www.acmlt.org |
| 17.1 g) | Newfoundland and Labrador Medical Association | Toll Free: (800) 563-2003 |
For the entity named in Q(17.1) please use Table H below to indicate whether the information gathered include the following details:
Table H Description of information available on authorization and regulation of practice of internationally recruited health personnel
Entity
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Categories of Skilled Health Personnel (Include all that apply)
* Please use this category only if the information available has no clear separation in reported numbers between the two cadres
Section 01: Qualitative information (18-21)
| Main constraints | Possible solution | |
|---|---|---|
| 21.a) | Foreign credential recognition – challenges in ensuring that the worker is working in the position specified/ the occupation they were hired for. | Following commitments by First Ministers in 2004 and federal Budget 2005, Health Canada launched the Internationally Educated Health Professionals Initiative (IEHPI) to reduce barriers to the integration of health professionals trained outside Canada, by promoting access to information and path-finding, fair and timely competency assessment, training, orientation to the Canadian health care system and other support for integration into the workforce. In 2009, First Ministers announced the Pan-Canadian Framework for the Assessment and Recognition of Foreign Qualifications (the Framework). While not focused on implementing the Code, the Framework has targeted nine health occupations as a primary focus for improving approaches to foreign credential recognition. Action plans developed for the first set of target occupations, which include five health occupations - medical laboratory technologists, occupational therapists, pharmacists, physiotherapists and registered nurses, as a result of consultations and collaboration with government underline the importance of clear transparent information in the pre-arrival stage for internationally-trained individuals. Consultations conducted in the context of implementation of the Framework with health occupations involved a variety of stakeholders including regulators, national associations, government, educational institutions/programs, and internationally trained graduates |
| 21.b) | Jurisdictional issues. | Increase opportunities for information sharing at the federal and provincial level. |
| 21.c) | Non-standard employer/employee relationship makes the assessment of employer compliance challenging. | Under the temporary foreign worker program administered by the Government of Canada, employers must apply for a “Labour Market Opinion” demonstrating that efforts have been made to recruit and/or train willing and available Canadian citizens/permanent residents; wages are consistent with the prevailing wage rate paid to Canadians in the same occupation in the region; working conditions for the occupation meet the current provincial labour market standards; and, potential benefits that hiring a foreign worker might bring to the Canadian labour market. The Government of Canada may consider certain occupations Labor Market Opinion exempt where merited. |
Section 01: Qualitative information (22-24)
Section 02: Quantitative information - Minimum Data Sets
Questionnaire on Foreign-trained Doctors and Nurses
Please follow the instructions within the spreadsheet to complete the questionnaire.
To download the spreadheet please follow the link: /dataformv6/upload/surveys/378366/docs/Adapted_Template_Workforce%20Migration_2015.xls
