Tom Mulcair: Why Pierre Poilievre's plan to work with provinces to reduce barriers is a good idea

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Tom Mulcair: Why Pierre Poilievre's plan to work with provinces to reduce barriers is a good idea
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The serious shortage of nurses and doctors has put the spotlight on a long overdue reform to the rules governing entrance requirements for foreign-trained professionals, says former NDP leader Tom Mulcair in an exclusive column for CTVNews.ca.

As part of its efforts to deal with the serious shortage of nurses and doctors in the province, the Ontario government has directed the colleges of nurses and physicians toThe professional licensing bodies are creatures of the provincial legislatures. Self-regulation by the professions is the backbone of our system, but the public interest commands that the ultimate authority reside with democratically-elected officials.

Of course, professional regulation is first and foremost provincial jurisdiction. If Poilievre didn’t know that prior to the Quebec debate his own handlers clearly did and he backed away from his more strident posture.Now, he said, he was going to work with the provinces to help reduce barriers. That, too, is a good idea.

At the same time, training standards are more and more harmonized and while safety is the top concern, there’s still a lot of institutional bias in assessing foreign-trained medical professionals.We tend to forget that professional regulation isn’t only about entering a profession. It’s also about inspecting and supervising professionals once admitted. An entire disciplinary process caps the system to ensure respect of patients, standards of practice and rules of ethics.

There are arguments that have to do with credentialing: could letting in foreign practitioners dilute the overall evaluation of Canadian graduates and hurt their chances to get licensed in the United States, for example? I was the first Canadian elected to the Board of the Council on Licensure, Enforcement and Regulation in the U.S.

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