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In Canada, changes to the Immigration Act Regulation favour the immigration of physicians and increased efforts are being made to support licensure of foreign-trained physicians.
One of the agreements that covers the temporary immigration of physicians into an OECD country is the General Agreement on Trade in Services (GATS).
In the meantime, the need to make more flexible the supply in the short term is being filled by the immigration of physicians from new members of the European Union and from Latin America.
Immigration of physicians is considered to be important in maintaining an adequate supply of physicians in countries such as Australia, Canada, England, Germany, New Zealand, Norway, Sweden, Switzerland and the United States.
Furthermore, despite the presence of provisions allowing Member States to request information regarding the good character, reputation or the criminal past of an individual, many Member States are concerned about the immigration of physicians who have had dubious medical practices in the past.
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OECD countries increasingly perceive immigration of foreign physicians as a way of sustaining their physician workforce.
Given the limited success of international agreements regulating physician migration, OECD countries have adopted specific policies designed to stimulate the immigration of foreign physicians, whilst minimising its negative impact on the home country.
According to informants, there has been an immigration of Spanish physicians to Portugal for >10 years.
OECD countries have therefore adopted specific policies designed to stimulate the immigration of foreign physicians, whilst minimising its negative impact on the home country.
International agreements stimulating the immigration of foreign physicians have been accompanied by requirements licensing medical practice in a country to ensure the quality and safety of services provided by migrants.
In Canada, the net effect of immigration and emigration flows of physicians has generally been a net loss to the Canadian physician workforce over the last two decades (see Figure 1).
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