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Thread: Statement of Need for J1 Visa Denied!

  1. #1
    CanadaPaul is offline Member 523 points
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    Statement of Need for J1 Visa Denied!

    My wife and I couples matched into a competitive specialty in the US and now we're being told the quota of 'Statements of Need' for that specialty have been reached for the year - fyi they gave out FIVE of them!

    Has anybody else encountered this? This is so mind blowing that not only could we not get residency in Canada despite scoring in the 99.5th percentile on the MCCEE exam, now they are preventing us from training in the US because according to them, they wont need us in 5-6 years when we finish.

    I am desperate for help/advice from anybody who has gone through this or know somebody who has.

  2. #11
    ValuableCanadian is offline Member 512 points
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    Quote Originally Posted by Bio hazzard View Post

    Bottom line is that specialists are highly in demand but at the same time they are not finding work because it is not in the governments interest to pay them.
    the provincial ministries of health do not have enough money to pay for all the specialists that are actually needed.
    account no longer in use.

  3. #12
    Mourning Cloak is offline Member 529 points
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    Quote Originally Posted by devildoc8404 View Post
    Unbelievable... does the Canadian system just really NOT need docs? Because I keep reading otherwise...
    Popular misconception. There are actually more specialists being cranked out that are needed in many specialties . . . .

    (So, not too many per se but the wrong sort . . . .)

    Will operate for food? The unemployed doc paradox | White Coat, Black Art with Dr. Brian Goldman | CBC Radio

    There's been a some negative press about "unemployed doctors" and maybe this is a foray into the world of trying to match supply and demand.
    Last edited by Mourning Cloak; 04-06-2014 at 02:03 PM.

  4. #13
    Mourning Cloak is offline Member 529 points
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    Quote Originally Posted by Tricuspid View Post
    this sounds pretty horrible, i'm sure there have been plenty of Canadians who have done their residency training in the US on a J1, how can they only give 5 a year?
    Only five for radiology in ON, not five for all specialties . . . .
    Last edited by Mourning Cloak; 04-06-2014 at 02:04 PM.

  5. #14
    Bio hazzard is offline Junior Member 511 points
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    Quote Originally Posted by Mourning Cloak View Post
    Popular misconception. There are actually more specialists being cranked out that are needed in many specialties . . . .

    (So, not too many per se but the wrong sort . . . .)

    Will operate for food? The unemployed doc paradox | White Coat, Black Art with Dr. Brian Goldman | CBC Radio
    I would counter that the specialists ARE needed but are restricted by respective health ministries, e.g restricting OR time or only allotting so many billing numbers for a certain speciality.

  6. #15
    Mourning Cloak is offline Member 529 points
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    Quote Originally Posted by Bio hazzard View Post
    I would counter that the specialists ARE needed but are restricted by respective health ministries, e.g restricting OR time or only allotting so many billing numbers for a certain speciality.
    That's a question of semantics. If there are no jobs for the surgeons being graduated, then they aren't needed.

    (Which provinces currently restrict billing numbers? And as for restricting OR time, all that proves is that the health regions don't have the money to use the surgeons they already have . . . why would they want more?)

    The system has a responsibility to match supply (residency positions) to demand (jobs).
    Last edited by Mourning Cloak; 04-06-2014 at 02:36 PM.

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    Bio hazzard is offline Junior Member 511 points
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    And why would our specialists operate more if they could get the time? Because people are in medical need for theses procedures, denying or greatly delaying procedures is substandard healthcare. The "demand" are the needs of the canadian public, which are not currently being met.

    In addition restriction of billing numbers does occur in one particular jurisdiction that I know, it may occur in others as well, but I do not know.

  8. #17
    Mourning Cloak is offline Member 529 points
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    Quote Originally Posted by Bio hazzard View Post
    And why would our specialists operate more if they could get the time? Because people are in medical need for theses procedures, denying or greatly delaying procedures is substandard healthcare. The "demand" are the needs of the canadian public, which are not currently being met.
    I don't understand your argument. Of course surgeons would operate more if they could get the time. But a lack of OR time doesn't mean it should be fixed by increasing the number of surgeons. It means money needs to be redirected from other areas (education, corrections, whatever) and/or increase taxes so that ORs are kept open more than 4 hours a day.

    We have enough surgeons . . . what we don't have is the money to pay all the other people who do the work in the ORs.

    In addition restriction of billing numbers does occur in one particular jurisdiction that I know, it may occur in others as well, but I do not know.
    Which one? I knew they had billing number restrictions in BC in the 1990s, but that was overthrown (I thought) in 1997. Their billing restriction was only in over serviced areas, essentially trying to correct maldistribution.
    Last edited by Mourning Cloak; 04-06-2014 at 03:03 PM.

  9. #18
    devildoc8404's Avatar
    devildoc8404 is offline Ultimate Member 12699 points
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    Quote Originally Posted by Mourning Cloak View Post
    That's a question of semantics. If there are no jobs for the surgeons being graduated, then they aren't needed.
    Well... maybe. If the surgical needs of the citizenry are not being met (i.e. unreasonable wait times, patients having to seek private/foreign surgical care), then I would argue that the government is letting the people down and those surgeons bloody well are needed -- whether the folks with the purse strings want to pay for them, or not.

    It is a fascinating situation, that much is for sure.

    "When I haven't any
    blue... I use red
    ."
    - Pablo Picasso

    BA - Oregon MS - BYU MD - MU-Sofia
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  10. #19
    Mourning Cloak is offline Member 529 points
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    Quote Originally Posted by devildoc8404 View Post
    Well... maybe. If the surgical needs of the citizenry are not being met (i.e. unreasonable wait times, patients having to seek private/foreign surgical care), then I would argue that the government is letting the people down and those surgeons bloody well are needed -- whether the folks with the purse strings want to pay for them, or not.

    It is a fascinating situation, that much is for sure.
    I ought to have written:

    "Popular misconception. There are actually more specialists being cranked out that can find work in many specialties . . . ."

    But I still maintain that increasing the number of surgeons won't fix the problem of a perennial shortage of OR time. All it's going to do is screw up the lives of the surgeons in question. (Disclosure: I am not a surgical resident. Thank God).

    Aren't you doing residency in Europe someplace, Devildoc? Are there similar issues where you are?

    (All of this, of course, being peripheral to the OP's terrible problem.)
    Last edited by Mourning Cloak; 04-06-2014 at 03:09 PM.

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    ValuableCanadian is offline Member 512 points
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    Quote Originally Posted by Mourning Cloak View Post

    .... maybe this is a foray into the world of trying to match supply and demand.
    yup. very very political also...
    account no longer in use.

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