Pan-Canadian Licensure
Who has the constitutional responsibility to manage, organize, and deliver healthcare services?
The provincial and territorial governments
Approx what % of health care users currently report use of virtual services?
40%
Which four Atlantic provinces launched Canada's first interprovincial physician licensing program in May 2023?
New Brunswick, Nova Scotia, Prince Edward Island, and Newfoundland and Labrador
This is the goal of Pan-Canadian licensure
One national license that allows doctors to practice in all provinces and territories
What prompted the onset of virtual care legislation?
The COVID-19 pandemic
What is the name of the centralized database launched in 2024 that tracks physician credentials, licensing status, and disciplinary actions across all provinces and territories, now integrated with the Atlantic Registry?
The National Registry of Physicians
These are the two commonly raised objections to a Pan-Canadian licensure
1. It is unconstitutional
2. It would lead to a mass exodus of doctors from rural areas
Which territory has their own medical regulatory body and what is it called?
Yukon, called the Yukon Medical Council
This is one major challenge mentioned for scaling the Atlantic Registry nationally, related to Quebec's unique requirements.
Language requirements (or French language requirements)
These are the three ways that a pan-Canadian license would increase portability of care for Canadians
Improving the use of virtual care across provincial borders, gets rid of the need for the 3-month rule, reduces wait lists for primary care
What are the in-person requirements for physicians providing virtual care in BC?
Must be able to see patient in person, or have pre-arranged affiliation with a physician who can
What are the two competing goals that the Atlantic Registry must balance, as highlighted by the Dr. Sirpal case?
Patient Safety and Physician Mobility
Name 5 of the guiding principles of a proposed Pan-Canadian license
patient-centric, public protection, constitutionally valid, stable, universal, accountable, responsive and flexible, efficient and effective, mobility
What were the 3 issues with "for profit virtual care" mentioned?
This term describes the Atlantic Registry's approach where provinces maintain their constitutional authority to regulate medicine but choose to cooperate on mutual recognition.
Collaborative federalism (or cooperative federalism)