logo
Manitoba regulator proposes fast-track for U.S. physicians

Manitoba regulator proposes fast-track for U.S. physicians

Facing the second-largest doctor shortage in Canada, the College of Physicians and Surgeons of Manitoba has launched a review to make it easier for American-certified physicians to become licensed in Manitoba.
'We understand the pressures in Manitoba to get more physicians into practice. So we are constantly looking for ways that we can cut down on red tape or facilitate safe changes to a process that might have worked historically, but doesn't meet our modern demand,' said Dr. Ainslie Mihalchuk, registrar for the Manitoba physician watchdog.
The proposed changes would allow physicians from the U.S. to apply for Manitoba licences if they have completed an accredited residency program and hold certification from the American Board of Medical Specialists and have an independent or full licence to practice with a U.S. state medical board.
NIC ADAM / FREE PRESS FILES
Dr. Ainslie Mihalchuk said the restrictions are costly, time-consuming and a disincentive to doctors applying to practise in Manitoba.
NIC ADAM / FREE PRESS FILES
Dr. Ainslie Mihalchuk said the restrictions are costly, time-consuming and a disincentive to doctors applying to practise in Manitoba.
If all goes to plan, internationally trained doctors could be working in Manitoba by June.
Similar policies are in place in several other Canadian provinces, including British Columbia, which changed regulations in February.
Mihalchuk and the College of Physicians and Surgeons of Manitoba looked east and west of Manitoba and, to remain competitive in the market, began the process to loosen regulations.
'If Manitoba is an outlier, that's not good for us,' Mihalchuk said.
Current regulations dictate that individuals must first apply for provisional registration, which places limitations on their ability to practise medicine (such as requiring supervisors, assessments, and practice location restrictions).
Mihalchuk said the restrictions are costly, time-consuming and a disincentive to doctors applying to practise in Manitoba.
'We went to them and said we think that this is a safe thing to do (and) it would make us attractive to physicians from the States that we know are interested in potentially practising in Manitoba,' Mihalchuk said.
The regulator said it is generally accepted among Canadian medical boards that American physicians are as competent and safe as their Canadian counterparts.
Doctors Manitoba applauds the proposed changes.
After launching recruitment efforts late last year, the doctor advocacy organization said there was interest from physicians south of the border but Manitoba's restrictive licensing requirements for internationally trained doctors was a barrier.
'We want to make sure that every physician practising in Manitoba is practising of the highest standard,' said Doctors Manitoba CEO Theresa Oswald. 'But there are ways to do this that have proven to be more accessible and more rapid than has been the case in Manitoba.'
Wednesdays
A weekly dispatch from the head of the Free Press newsroom.
In December, the group took the unusual step of launching its own campaign to target health-care providers in North Dakota, Florida and other states where providers could find their practice in jeopardy under U.S. President Donald Trump's policies targeting the health-care system.
Since taking office, Trump has signed off on ending federal support for gender-affirming care, exiting the World Health Organization and no longer recognizing transgender and non-binary identities.
'We know here in Manitoba that that (doctor-patient) sanctity is respected and that evidence and science have to be at the forefront,' Oswald said.
Oswald estimates between 40 and 50 doctors have expressed interest in coming to Manitoba, which the organization has referred to the province's recruitment and retention office.
Health Minister Uzoma Asagwara said Thursday the province is actively engaged with about a dozen foreign doctors to receive their Manitoba certification.
MIKAELA MACKENZIE / FREE PRESS FILES
The province has hired more than 1,600 net-new health-care workers since April 2024, including 600 nurses, Health Minister Uzoma Asagwara said.
MIKAELA MACKENZIE / FREE PRESS FILES
The province has hired more than 1,600 net-new health-care workers since April 2024, including 600 nurses, Health Minister Uzoma Asagwara said.
Asagwara accused the previous Progressive Conservative government of not taking the necessary steps to improve patient care or use a patient-centred approach.
'Our government is laser-focused on making health care better for Manitobans, and that means making sure that we have the health-care professionals and experts in our province to provide that care,' the minister said.
In March, Shared Health launched a similar recruitment campaign south of the border in an effort to bring American nurses to Manitoba.
The initiative was to offer asylum to working nurses worried about their ability to care for patients, while addressing the province's nurse shortage.
At the time, Asagwara said the recruitment and retention office had worked to make transferring U.S. nursing licences to Manitoba easier.
The province has hired more than 1,600 net-new health-care workers since April 2024, including 600 nurses, Asagwara said.
Provincial figures on nurses hired through the recruitment campaign were not made available before press time.
The NDP campaigned on a promise to hire 400 new doctors within five years prior to winning the 2023 election. No update was provided Thursday on the status of that objective.
nicole.buffie@freepress.mb.ca
Nicole BuffieMultimedia producer
Nicole Buffie is a multimedia producer who reports for the Free Press city desk. Born and bred in Winnipeg, Nicole graduated from Red River College's Creative Communications program in 2020 and worked as a reporter throughout Manitoba before joining the Free Press newsroom in 2023. Read more about Nicole.
Every piece of reporting Nicole produces is reviewed by an editing team before it is posted online or published in print — part of the Free Press's tradition, since 1872, of producing reliable independent journalism. Read more about Free Press's history and mandate, and learn how our newsroom operates.
Our newsroom depends on a growing audience of readers to power our journalism. If you are not a paid reader, please consider becoming a subscriber.
Our newsroom depends on its audience of readers to power our journalism. Thank you for your support.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

AI ‘scribes' in use at Manitoba doctors' offices
AI ‘scribes' in use at Manitoba doctors' offices

Winnipeg Free Press

time11 hours ago

  • Winnipeg Free Press

AI ‘scribes' in use at Manitoba doctors' offices

Manitoba doctors have started using artificial intelligence-powered note-takers to tune in to appointments and transcribe in real time. 'It allows me to be more present with the patient and get more of the patient's issues dealt with in a smaller amount of time,' said Dr. Nichelle Desilets, a family physician in Neepawa. An 'AI scribe' made both a noticeable dent in her workload and streamlined her workflow on Friday. The president of Doctors Manitoba said the new technology allowed her to start more appointments on time and treat several walk-ins because she didn't need to do extensive documentation after every visit. Canada Health Infoway has recruited 400 local primary-care providers to pilot its AI Scribe Program, an initiative involving 10,000 physicians and nurses across the country. The mandate of the federal government-funded organization is to integrate new technologies into hospitals and other health-care settings to improve productivity and patient outcomes. Desilets is among those who've signed up for a one-year licence for Empathia AI — marketed as 'a mindful charting assistant — via Infoway. She has also experimented with Heidi AI and another similar tool that is built into her clinic's electronic medical record system. Infoway launched a new initiative last month after a review of AI tools to ensure it was only endorsing programs that are aligned with Manitoba's Personal Health Information Act and counterpart legislation from coast to coast. Spokesman Abhi Kalra said the goal is to use 'ambient technology' to reduce administrative burden in a field where there is a lot of tedious manual labour. 'There is a tremendous amount of productivity to be tapped, safely using AI tools, but it has to be done in a thoughtful manner,' the executive vice-president of connected care said. AI scribes are creating high-quality, structured summaries of patient visits, he said, noting they are not yet being used to assist with diagnosis or treatment decisions, although that is likely on the horizon. Doctors Manitoba's 2025 workforce survey found only six per cent of members were actively using an AI scribe as of February. Seven in 10 of all 1,324 respondents indicated they had tried it at least once or were interested in trying it. (The response rate for the latest annual membership poll was 39 per cent, which translates into a margin of error of plus or minus two per cent.) The professional advocacy organization has since created a guide to learn more about the ethical use of AI tools and hosted a webinar that attracted more than 350 attendees in late June. Earlier this summer, upon arriving at his dermatologist's office, bioethicist Arthur Schafer was asked if he consented to the use of an AI scribe during his appointment. Patients have the right to opt out, but the founding director of the Centre for Professional and Applied Ethics at the University of Manitoba said he gave it. Family physician Dr. Nichelle Desilets, president of Doctors Manitoba, in her Neepawa clinic. (Tim Smith / The Brandon Sun files) 'A lot of people will initially feel some unease… because there is a certain amount of technophobia, a certain amount of anxiety about artificial intelligence, generally,' Schafer said. He recalled there was also initial skepticism when doctors transitioned from pen-and-paper to digital record-keeping. That pivot has ultimately proven beneficial for patients and health-care professionals alike, Schafer said, noting that poor penmanship caused serious accuracy and communication problems. Infoway's stakeholder consultations found that early adopters of AI scribes were often unsure about how their data was being used or where it was stored. Kalra said the absence of formal guidance for the sector and related privacy concerns prompted his team to do a deep dive. Infoway has purchased 10,000 one-year licences from nine 'pre-qualified vendors' that are headquartered in Canada. They were evaluated on their respective cybersecurity practices and how they support secure data-sharing, among other things. Wednesdays A weekly dispatch from the head of the Free Press newsroom. Schafer said he's optimistic that there is a pilot to assess the benefits and drawbacks of AI tools, and that it's being run by a not-for-profit. While noting 'the stakes are high' when it comes to protecting confidential health information, he said AI tools have immense potential. The bioethicist added: 'If we can have the right kinds of safeguards and controls then, potentially, family doctors — of which we have a great shortage in Canada — will be able to see many more patients.' Doctors Manitoba members who were using AI scribes this winter reported the technology helped them save four to six hours of note-taking per week. Maggie MacintoshEducation reporter Maggie Macintosh reports on education for the Free Press. Originally from Hamilton, Ont., she first reported for the Free Press in 2017. Read more about Maggie. Funding for the Free Press education reporter comes from the Government of Canada through the Local Journalism Initiative. Every piece of reporting Maggie produces is reviewed by an editing team before it is posted online or published in print — part of the Free Press's tradition, since 1872, of producing reliable independent journalism. Read more about Free Press's history and mandate, and learn how our newsroom operates. Our newsroom depends on a growing audience of readers to power our journalism. If you are not a paid reader, please consider becoming a subscriber. Our newsroom depends on its audience of readers to power our journalism. Thank you for your support.

Trump touts Coke cane sugar move amid food policy push
Trump touts Coke cane sugar move amid food policy push

Canada News.Net

timea day ago

  • Canada News.Net

Trump touts Coke cane sugar move amid food policy push

WASHINGTON, D.C.: President Donald Trump announced that Coca-Cola has agreed to begin using real cane sugar in its U.S. beverages following his conversations with company leadership. "I have been speaking to Coca-Cola about using REAL Cane Sugar in Coke in the United States, and they have agreed to do so," Trump posted on Truth Social. "I'd like to thank all of those in authority at Coca-Cola." Coca-Cola currently uses high-fructose corn syrup in most of its U.S. drinks, while it relies on cane sugar in some overseas markets. A company spokesperson said Coca-Cola would share more details on new product offerings soon and welcomed the president's support. The shift aligns with the Trump administration's Make America Healthy Again (MAHA) initiative, a health policy push spearheaded by Health Secretary Robert F. Kennedy Jr. The initiative has urged food companies to revise product formulations, including removing artificial dyes and cutting added sugars. Kennedy has also been critical of excessive sugar consumption in American diets and previewed upcoming federal dietary guidelines that encourage eating "whole food." A May report by the MAHA Commission linked high consumption of high-fructose corn syrup to childhood obesity and other chronic health conditions. Still, many medical experts say the health impact of cane sugar and corn syrup is broadly similar, as both are forms of added sugar. The proposed change drew pushback from corn producers, particularly in the Midwest, where corn syrup production is concentrated. "Replacing high fructose corn syrup with cane sugar would cost thousands of American food manufacturing jobs, depress farm income, and boost imports of foreign sugar, all with no nutritional benefit," said John Bode, president of the Corn Refiners Association. Trump's home state of Florida is the top sugarcane producer in the U.S. As part of broader food policy changes, the Trump administration has also allowed some states to remove soda from SNAP benefits, putting added pressure on beverage companies like Coca-Cola and PepsiCo.

Tomorrowland says Canadian woman has died after attending music festival in Belgium
Tomorrowland says Canadian woman has died after attending music festival in Belgium

Winnipeg Free Press

timea day ago

  • Winnipeg Free Press

Tomorrowland says Canadian woman has died after attending music festival in Belgium

A spokeswoman for the Tomorrowland music festival says a Canadian woman has died after attending the large gathering in Belgium. Debby Wilmsen says in an emailed statement that a 35-year-old Canadian woman fell ill at the festival on Friday. She says the woman was given first aid and then taken to University Hospital of Antwerp, but festival organizers were told Saturday morning that the woman had died. Wilmsen says the Antwerp public prosecutor's office is investigating the cause of death. The Antwerp public prosecutor's office did not respond to requests for information on the woman. Global Affairs Canada says it is aware of reports that a Canadian woman has died in Belgium but said it would not release information due to privacy considerations. Sabrina Williams, spokeswoman for Global Affairs Canada, says it is in contact with local authorities. A massive fire engulfed the main stage two days before the annual music festival began Friday in the town of Boom, north of Brussels. Weekly A weekly look at what's happening in Winnipeg's arts and entertainment scene. Tomorrowland draws tens of thousands of visitors from around Europe and runs across two weekends, ending July 27. This report by The Canadian Press was first published July 19, 2025.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store