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Ottawa to help foreign doctors and nurses into the workforce

Plan expected to ease medical skills shortages

 

Gillian Shaw and Michael McCullough

Vancouver Sun

Tuesday, April 26, 2005

The federal government announced an initiative for foreign-trained workers Monday, kickstarting it with a $75-million injection to get more internationally trained doctors and other medical workers into Canada's health care system.

The $75 million, to be shared among the provinces over the next five years, is part of $319 million in new and previously announced programs outlined at news conferences in Toronto and Vancouver.

All the programs are aimed at overcoming obstacles facing foreign-trained workers and easing skills shortages across Canada.

Health Minister Ujjal Dosanjh told the Vancouver news conference the initiative would add an estimated 1,000 doctors, 800 nurses and 500 other health professionals to Canada's health care system.

Initiative coordinator Hedy Fry, MP for Vancouver Centre, said many immigrants are underemployed or unemployed and not filling jobs they were trained for.

"How do we take advantage of this brain gain?" she asked. "Internationally trained workers are a great piece of our economic blueprint and our global competitiveness."

Among those with high hopes for the initiative is German-trained cardiac surgeon Ladislaus Ressler, 45, who is optimistic the federal money will expedite a three-month assessment at one of B.C.'s four cardiac care units he has been waiting to do for 18 months.

"I'm more than happy about it," said Ressler, who is the subject of a 2,500-name petition to the provincial government to fund the assessment.

The biggest obstacle is the $30,000 cost, Ressler said, and maybe some of the new federal money can go towards it.

Also positive is 33-year-old Alfredo Tura, an Italian doctor who is part of a pilot project to put 10 foreign-trained doctors through a three-month program called Orientation to Western Medicine at St. Paul's Hospital. He is hoping for a residency position in the next few months.

Unable to practise, Tura spent 10 years working in his family's import-export business in Victoria and working as an emergency and rural nurse.

But the federal initiative is a good gesture, he said.

"Any money and any support is always good."

But Jessa Merilos, who practised nursing for nine years in the Philippines and Saudi Arabia before coming to B.C. two years ago, is less hopeful.

Merilos, 39, of New Westminster, doesn't see how the new money can help her overcome language and other exams requiring between $6,000 and $7,000 in schooling just so she can work as a registered nurse again.

Here, she can't even get a job in a nursing home.

"They're all requiring me to study for my certificate," she said.

After working as a dishwasher in a restaurant and at a factory where she sustained an injury, she is now working just one day a week as a babysitter.

"It's so degrading," she said in an interview Monday. "Our education is underestimated by this government."

Monday's announcement provided details of money that foreign workers' advocates knew was coming, said Patrick Coady, coordinator of the B.C. Internationally Trained Professionals Network.

"It's a good start," Coady said, though spread across 10 provinces over five or six years, "it's not a lot of money."

What's needed is cooperation and more money from the provincial government, he said. Money should be spent to enlarge the list of recognized universities for most professions, which is currently restricted to Commonwealth countries, but not large sources of immigrants such as China, the Philippines and Iran.

There are stories among Canadian immigrants of foreign-trained doctors sweeping floors; of engineers making a living doing manicures and nurses working as lower paid caregivers and housekeepers. Prime Minister Paul Martin handed Fry the job of solving the multi-faceted problem.

Fry said immigrants entering the Canadian workforce face five main stumbling blocks:

- Having their credentials assessed and recognized and meeting Canadian requirements;

- Language skills;

- Lack of experience in the Canadian workforce;

- Lack of awareness among employers of the availability and importance of foreign trained workers;

- Discrimination.

"There is no silver bullet, there is no one answer," Fry said, referring to the complexity surrounding the foreign credentials issue and the many organizations and agencies governing different areas in the workforce.

Leah Diana, a coordinator of the Filipino Nurses Support Group, said the current system works against nurses emigrating from the Philippines to Canada, even though this country is suffering a growing nursing shortage.

She said many trained nurses from the Philippines can only get into Canada on a special caregiver program which sees them working for two years as live-in caregivers. They then face de-skilling issues after the length of time away from practising their profession, she said. As well, it's expensive to get through all the required steps in having their credentials assessed and completing assessment examinations here.

"This is outrageous when there is a dire nursing shortage," she said of the bottlenecks preventing more nurses from joining Canada's health care ranks.

"We allege there is a systemic racism we face," said Diana. "We are stereotyped as domestic workers."

Rudi Unterthiner, 66, a former plastic surgeon and volunteer general practitioner in the U.S. and Mexico, hopes the symbolism of the federal initiative will lead to some sort of oversight of the B.C. College of Physicians and Surgeons, which he said rejected his offer to practise medicine in his retirement home of Quadra Island.

"I'm willing to do this. I'm healthy," he said, noting his case is unique because he was actually trained in Canada. But the root problem, in Unterthiner's mind, is the unaccountability of professional bodies. Until that changes, the problem of trained people unable to work will persist.

"Sooner or later, it's got to be so once someone passes an exam, they have to issue a licence [to practise]."

While critics said the announcement is an attempt to win votes by a minority Liberal government, Dosanjh denied it.

"We have been working on this for some time," he said.

In Toronto, Conservative leader Stephen Harper said the Liberals are "dropping bombs of money ...in the hope of blasting away the image of corruption in government.

"These are all just announcements, they're all done for PR purposes," he said.

BY THE NUMBERS:

$180,000     the cost of residency training in Canada

$75 million     earmarked for integration of foreign-trained medical professionals

1,000 doctors     will be integrated in the next five years

800 nurses     will be integrated in the next five years

$56 million     to fight discrimination in the workplace

 

as of April 18, 2005  Ottawa eases immigration rules
Volpe to announce measures to speed family reunifications
International students will be able to work while in school

BRUCE CAMPION-SMITH
OTTAWA BUREAU

OTTAWA—Canada will throw open its doors to help reunite parents and grandparents with their children who have already settled here.

The federal government will spend $72 million over the next two years to speed applications and help the new immigrants get settled in Canada.

As well today, Immigration Minister Joe Volpe will announce that international students in Canada will be able to work while attending school and he'll commit more money to reduce the huge backlog in citizenship applications.

The measures, to be unveiled this morning by Volpe at a Brampton news conference and later in Montreal, are meant to address long-standing frustrations with the immigration system. "He'll be moving forward quite quickly in some key areas of immigration policy and removing some of the long-standing irritants," said an Ottawa source familiar with the details of today's announcement.

The change that is expected to draw the biggest plaudits will be Ottawa's immediate move to triple the number of parents and grandparents that Canada will accept over the next two years, to 18,000 a year.

That will help reduce a backlog that currently stands at 100,000.

The change to reunite families faster is "huge," the federal official said.

At the same time, the immigration department will make it easier for these parents and grandparents to visit Canada while they wait for the applications to be processed. Typically, they've been denied the chance to visit because immigration officials often didn't trust them to leave, the source said.

"The department has been saying `no' to a whole bunch of parents who want to come for a temporary visit," the source said.

Because of that suspicion, parents have been kept out of the country for up to five years — the time it can take to process some of the applications.

"That's a long time to not be able to visit. ... This will bring immediate improvements," the source said.

Starting today, the department will be more willing to grant parents and grandparents multiple-entry visas while their applications are being processed.

Officials stressed, however, that health and security checks would remain in place.

In Montreal today, Volpe will also announce that international students will be able to work while enrolled in school. That hasn't been allowed except at a few pilot projects.

While the move will let students earn money to help defray the cost of tuition, the real push for the change was to let them get a job in their field of study "for co-op programs, for example, or someone who needed work experience in order to graduate," the source said.

Volpe expects the change will be a big boost to the recruitment of international students. In 2001, 60,000 students from abroad came to study at Canadian universities.

With the changes announced today, the immigration department thinks that number could jump by 20,000 and it will spend $50 million over five years to meet higher demand.

And because foreign students pay much higher tuitions than Canadian students, federal officials say the change could be a windfall for universities, pumping $250 million more into Ontario schools.

"It's an immediate economic impact for the provinces," the source said.

When the students graduate, Ottawa will let them work up to two years in Canada, instead of the one year allowed now.

But the change, which takes effect today, only applies if they find work outside of Montreal, Toronto and Vancouver "to try and spread the benefits of immigration."

As well, today Volpe will promise that an 18-month backlog of applications — an estimated 350,000 people — will be knocked down to one year and he'll commit $69 million in new funding to do it.

The department is also easing its citizenship requirements for older immigrants.

Until now, for people 60 years or older who have been in Canada for at least three years, the department has been willing to waive the requirement that they speak English or French and that their knowledge of Canada be tested.

That age will be lowered to 55, a recognition that "it's become fairly onerous for a wide group of folks who haven't been able to get their Canadian citizenship," the source said.

In Edmonton on Saturday, Volpe said the federal government would accelerate the admission of foreign workers into Canada, Canadian Press reports.

"We need everybody," Volpe said. "It's a function of a booming economy."

Additional resources will be put into immigrant application processing, fast-tracking the admission of about 110,000 wage earners, Volpe said, elaborating on measures previously announced in the federal budget. The action will cut a backlog of immigration cases by 25 per cent, the minister predicted.

 

 The Canadian Flag

 

Government of CanadaDepartment of Foreign Affairs and International Trade

Canadians Traveling to UNITED STATES

As of May 29, 2003

ENTRY/EXIT REQUIREMENTS TO US BOARDER

  The requirements of U.S. authorities for identification upon entering the United States have recently become much stricter. The most important formality on entering the United States is providing proof of your Canadian citizenship. In order to avoid possible problems, Canadians should carry a Canadian passport for all visits to the United States. Your Canadian passport is the best document to prove your Canadian citizenship and your right to return to Canada. To enter or transit the United States, you may also be asked for evidence of residential, employment or educational ties to Canada; proof that the trip is for a legitimate purpose and is of a reasonable length; and for proof of financial support while in the United States.

  The Government of the United States has imposed a requirement that all airlines that are operating flights into the United States are obligated to collect the following information for every passenger: full legal name, gender, date of birth, nationality and travel document number. This information is provided to the U.S. Customs Service in advance of a flight's arrival in the United States. As a condition of travel, all passengers travelling to the United States, or in transit through the United States to a third country, must provide this information at the time of flight check-in. This program is referred to as the United States Advanced Passenger Information System and it is a part of the security measures implemented by the United States post September 11, 2001.

  Since March 2003, persons with landed immigration status in Canada must obtain a non-immigrant visa in order to enter the United States. Such persons must also possess a valid passport from their country of citizenship.

However, this regulatory change will not affect persons with landed immigration status in Canada who are citizens of countries that have a visa waiver agreement with the United States. A visa waiver agreement provides for reciprocal visa-free entry into each other's territories

  The United States has visa waiver agreements with the following countries: Andorra, Austria, Australia, Belgium, Brunei, Denmark, Finland, France, Germany, Iceland, Ireland, Italy, Japan, Liechtenstein, Luxembourg, Monaco, The Netherlands, New Zealand, Norway, Portugal, San Marino, Singapore, Slovenia, Spain, Sweden, Switzerland, and the United Kingdom (including its colonies, territories, and dependencies). Persons who are landed immigrants in Canada and citizens of these countries are not required to obtain a visa prior to entry into the United States if they are travelling for business or tourism and their stay will be less than 90 days. Persons with landed immigration status in Canada who are citizens of countries other than those listed above are obligated to obtain a visa from the American authorities before entering the United States.

  Persons who have landed immigration status in Canada and who travel using either a British National Overseas Passport or a Hong Kong Special Administrative Region Passport will require visas in order to enter the United States.

Since August 2003, new American policy requires travellers from certain countries to have a visa to transit through the United States. This requirement does not apply to Canada, which is a visa-exempt country.

  All carriers (noticeably airlines, but also rail and bus services) have become much stricter about requiring proof of admissibility to Canada, as a result of the heavy fines they face for carrying inadmissible passengers. Birth and baptismal certificates are no longer accepted as valid identification, because they do not have photographs. You are required to have an accompanying valid photo identification. Even carriers taking Canadians from Canada to the United States on round-trip tickets have refused to return the travellers to Canada without valid photo identification and proof of Canadian citizenship. Subsequently, many travellers have had to contact Canadian government offices in the United States for assistance. Your identification would then have to be confirmed by Canadian provincial or federal authorities prior to admission into Canada. These administrative procedures take time and you should expect a travelling delay.

 

Permanent residents minus new cards fear holiday-travel snafus

Adrienne Tanner

The Province

 

Bert Heeringa knows when he boards the plane for a two-week vacation in Cancun this Christmas, he may have trouble coming home.

A long-time permanent resident who lives in Courtenay, Heeringa missed the deadline to apply for a permanent-resident card.

As of Dec. 31, all permanent residents will be required to produce the new card in order to board a return flight.

Heeringa, a native of Australia, is willing to take the chance.

His daughters, ages 12 and 14, have been looking forward for months to spending Christmas with their cousins on the beach.

"They're pretty excited," he said." I haven't exactly told them there may be some challenges getting my permanent-residency card. It's too disappointing."

He plans to enjoy his holiday and then do what he can to persuade the airline to let him return on Jan. 3.

Heeringa is one of hundreds of permanent residents who did not apply for their new picture identification in time.

Many procrastinated, some missed the government advertising blitz and others simply did not understand they were among the immigrants required to apply for a card.

It all adds up to a last-minute panic among permanent residents with travel plans this holiday season.

People have cancelled their trips because they can't get a card in time and fear leaving the country without it, said Ki Sung Kim, owner of Korea Express Travel.

Dennis McCrea, a Vancouver immigration lawyer, said the numbers may be higher than anyone imagines.

"There are thousands of people who don't have their cards -- and have no idea they need them to board a commercial flight," said McCrea.

McCrea predicts there will be mayhem at the airports and overseas Immigration Canada offices when people are turned back.

Immigration officials say the department has lived up to its promise.

Advertising for the new cards began in the fall of 2002, said Janis Fergusson, an immigration spokeswoman.

And as promised, everyone who applied for a card before the end of September will receive it before year end, she said.

The department even extended office hours to make it easier for people to obtain their cards, which must be picked up in person.

There is also an emergency option for travellers who missed the deadline, Fergusson said. Once they are away, those without cards can apply at an overseas Immigration Canada office for a one-time re-entry permit.

That's not so bad if you're headed to a city where Canada has an immigration post, says Veronica Cheng, a Vancouver immigration lawyer.

"But if you go away to Hawaii for your holiday and you're booked to return on Jan. 3, the closest mission is Seattle," she says.

Heeringa, who is going to Cancun, would have to stop off at an immigration office in Mexico City, Los Angeles or Seattle on his way home.

Cheng has suggested some clients reroute their flights through Seattle so they can drive home.

"You can drive back without the permanent resident card," she says.

Catherine Sas, another immigration lawyer who has fielded many panicked calls from clients, says the government should extend the deadline to ease the holiday travel rush.

Lawyer Andrew Wlodyka, however, has no sympathy for those who say they did not know about the card. The government has been running ads for more than a year warning people about the impending change, he said. "Where have they been -- living in an igloo?"

Heeringa said his oversight prompted him to do something he probably should have done years ago -- apply to become a citizen.

But that, too, takes time and will not help him in Cancun. For this trip, he is crossing his fingers and placing his faith in his well-worn Australian passport.

atanner@png.canwest.com

© Copyright 2003 The Province

 

Nov. 29, 2003. 01:00 AM
Criteria varies in cases of conjugal partners
ALLEN THOMPSON

Q I am Canadian and met a man online from England, in May, 2002. In October, 2002, I met him in person, in London. We decided we have a future together and being together in Canada is what we want to pursue. I am 56 and he is 55. He arrived this May for an extended visit. We applied and received a further six months to his visitor's status, which now expires May 8. We have obtained a conjugal kit and common-law kit to submit to the immigration department so that I can sponsor him. The paperwork seems overwhelming and we don't want any mistakes. We have been told that a lawyer is not needed. How do I know if we are wasting time and money in our submission?

A Be careful. There is a special category called the in-Canada class designed to allow sponsorship applications from people who are already in Canada and are either married to or in a common-law relationship with a Canadian resident. But, the in-Canada class is not open to people who are in conjugal relationships. What's the difference? To qualify as a common-law partner, you must have lived together for at least 12 months. If you apply now, you will eventually be told that your partner doesn't qualify because, at the time of your application, you had only been living together for six months or so. Of course, it will probably take the immigration department months to get around to telling you this and by then you will have wasted even more time and money. Your best course could be to wait until next May, when you meet the criteria for common-law partners. That means he will have to renew his visitor visa again. Alternatively, he could return to England and submit a regular sponsorship application from there, as a conjugal partner. Some suggest that the application process is quicker from overseas anyway.

Q I am in the process of divorcing my husband. I met another man and am engaged to be married. Can I proceed with sponsoring him before my divorce is final? Should I be with my fiancé (overseas) to submit the application? Would it be possible for him to come to Canada while the application is in process?

A You can proceed with the sponsorship application before the divorce is final, but you may have to jump through some hoops with the immigration department. As a fiancée, you would sponsor him as your conjugal partner. That means, you regard this person as your life partner but you haven't been able to live together. You don't have to be overseas with him to submit the application, but you have to satisfy the immigration department that you two are in a conjugal relationship. There is no hard-and-fast definition, but the immigration department manual on overseas processing says a conjugal relationship means interdependency, mutual commitment and exclusivity, and that such a relationship is not established when two people meet or when they start to date or even necessarily when they begin a sexual relationship. The manual says establishing a conjugal relationship takes time, and it instructs visa officers to assess the facts of each case individually. In general terms, the manual suggests most conjugal partners will likely have known one another for more than one year. To sponsor your conjugal partner, you should first obtain the application kit from the immigration department, fill it out and submit it with the processing fee. Because you are still married, you will have to satisfy a visa officer that you are separated from your legal spouse and no longer living with him. You could be asked to produce a signed formal declaration that the marriage has ended and that you have entered into a conjugal partner relationship with someone else. The visa officer could also ask you to produce other written evidence of a formal separation or of a breakdown of the marriage. Acceptable documents include a separation agreement, a court order concerning custody of children that identifies the fact of the marriage breakdown, or documents removing the legally married spouse from insurance policies or your will, for example.

Whether your husband-to-be can visit you in Canada while you wait for his immigration application to be processed depends on a number of factors. What country is he from? If he would normally require a visitor visa to enter Canada, then whether he can come will depend on whether the visa officers decide to let him do so. If he doesn't need a visa, he would likely have little difficulty coming for a visit. But he could still be denied entry if an immigration officer at the port of entry suspects he is coming to stay permanently, not to visit. In any event, he will have to leave the country at some point to pick up his landed immigrant status from outside Canada.

 

 


 

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