When “citizenship is indispensable to the practice of a profession”: Citizenship Requirements for Entry to Practise Professions in Canada

Adams, Tracey L.

doi:10.1111/johs.12112

Cited by 1 publication

(1 citation statement)

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“…MRAs also support high quality performance by examining factors that influence physician performance in order to identify physician subgroups that may benefit from educational support 1–8. There has been discussion about the efficacy of regulatory processes for serving professional and public interests9–11 and calls for evidence-informed regulation through the evaluation of regulatory processes and programmes 11–14. This study heeds such a call by examining the primary care performance of family physicians in Ontario as a way of evaluating regulatory licensure policies and exploring the influence of licensure route on physician performance.…”

Section: Introductionmentioning

confidence: 99%

Primary care performance of alternatively licenced physicians in Ontario, Canada: a cross-sectional study using administrative data

et al. 2019

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ObjectivesMedical Regulatory Authorities (MRAs) provide licences to physicians and monitor those physicians once in practice to support their continued competence. In response to physician shortages, many Canadian MRAs developed alternative licensure routes to allow physicians who do not meet traditional licensure criteria to obtain licences to practice. Many physicians have gained licensure through alternative routes, but the performance of these physicians in practice has not been previously examined. This study compared the performance of traditionally and alternatively licenced physicians in Ontario using quality indicators of primary care. The purpose of this study was to examine the practice performance of alternatively licenced physicians and provide evaluative evidence for alternative licensure policies.DesignA cross-sectional retrospective examination of Ontario health administrative data was conducted using Poisson regression analyses to compare the performance of traditionally and alternatively licenced physicians.SettingPrimary care in Ontario, Canada.ParticipantsAll family physicians who were licenced in Ontario between 2000 and 2012 and who had complete medical billing data in 2014 were included (n=11 419).Outcome measuresPrimary care quality indicators were calculated for chronic disease management, preventive paediatric care, cancer screening and hospital readmission rates using Ontario health administrative data.ResultsAlternatively licenced physicians performed similarly to traditionally licenced physicians in many primary care performance measures. Minimal differences were seen across groups in indicators of diabetic care, congestive heart failure care, asthma care and cancer screening rates. Larger differences were found in preventive care for children less than 2 years of age, particularly for alternatively licenced physicians who entered Ontario from another Canadian province.ConclusionsOur findings demonstrate that alternatively licenced physicians perform similarly to traditionally licenced physicians across many indicators of primary care. Our study also demonstrates the utility of administrative data for examining physician performance and evaluating medical regulatory policies and programmes.

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Section: Introductionmentioning

confidence: 99%