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Is it time for evidence based medical registration?

BMJ 2001; 322 doi: https://doi.org/10.1136/bmj.322.7302.1611 (Published 30 June 2001) Cite this as: BMJ 2001;322:1611
  1. Steve Kisely, senior lecturer and consultant in psychiatry
  1. University of Western Australia, Perth, Australia

    Doctors who move abroad encounter increasing difficulties with medical registration that seem to have less to do with protecting the public or maintaining standards, and more to do with political expediency or managing doctor numbers. If there was ever an area that cried out for evidence based practice, this is it.

    Do the residents of Yellowknife deserve a worse service than those of Toronto?

    What would you consider if you were appointing a doctor who was trained overseas? The most obvious criterion would be fluency in the local language. Doctors need to communicate easily and sensitively with their patients. While doctors trained in the European Economic Area (EEA) have the right to medical registration anywhere in the EEA, English speaking doctors from Australia, New Zealand, and North America have to sit an English test. In Canada, individuals can sit the examination of the Medical Council of Canada in either English or French. Once …

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