Monthly Archives: November 2014

CanAm Job Posting of the Month – Family Medicine / GP – Physician for Specialty/Cosmetic Clinic in Eastern Ontario

Family Medicine/GP Physician for Specialty/Cosmetic Clinic, Eastern Ontario


Overview This well-established specialty clinic has recently completed an expansion and is looking for a Physician to join their busy practice. The clinic specializes in hair restoration procedures, and combines medicine, art, and science into aesthetic results for their patients. The clinic’s exemplary results have given it an excellent reputation, attracting an international private-fee client base. There’s also an opportunity to perform minor cosmetic procedures, such as Botox and fillers. Physicians with previous experience, or interest in these procedures will be an asset.

Candidate Features The right candidate will have a strong passion for using their medical skills for artistic results, working with patients’ features.  The candidate will have the confidence and desire to do this minor cosmetic surgery in an outpatient setting. Ideal candidates should be socially comfortable interacting with patients from different cultural backgrounds as the clinic caters to an international patient base.

The Position This full-time opportunity entails consulting with patients, pre-operative evaluations, performing surgery, and post-operative follow-ups. The clinic will provide any necessary training in hair restoration techniques. Training will take place in stages, including phases of observation, assisting, performing under supervision and then independently.  There will be 1-2 surgeries performed daily.  No weekend call required.

The clinic will provide full staffing, including nursing, technical and administrative. The patients are prequalified and booked by the clinic. The physician will only be responsible for the medical aspect of the patient care.

For physicians with the desire to do extra family medicine, this opportunity can be combined with optional practice at a nearby family clinic.

Remuneration There is a generous guaranteed annual income in the first year, including training. Once performing procedures independently, there is a bonus structure commencing in year two and beyond. A relocation allowance for the right candidate will be considered.

Qualifications An independent license to practice medicine in Ontario. American Board-certified Family Physicians with Ontario license may also be considered. Previous experience with Botox and fillers an asset. Full training in hair restoration procedures will be provided.

In accordance with immigration requirements, preference will be given to Canadian citizens or permanent residents of Canada.

Interested candidates, please contact: Hedi Cameron, Regional Manager, CanAm Physician Recruiting Inc. Office: 647-883-7185 E-mail:,

In order to apply for this job you must be an approved registered doctor and logged in.

How to ‘Ace’ the Physician Interview

In a recent editorial I discussed the value of medical employers having a formal Recruitment and Retention Strategy, and the influence it can have on the long-term retention of a physician recruit and his or her family. I also made the point that the retention plan must start with the very first in-person or telephone interview.

In this edition I go to the other side of the ‘table’ and look at the employment interview from the perspective of the physician candidate. Since the CV generally addresses the clinical suitability of the candidate, the typical professional physician interview tends to be a fairly informal event that focuses on a comparison of the candidate’s current medical practice and the employer’s practice to make sure that there is a good ‘fit’. This is generally followed by a discussion about the benefits and culture of the employer’s community to gauge whether it will be a good fit for the physician’s family. This is followed by that standard closing question that generally prompts the participants to start gathering their papers together and think about their next appointment.

However, when the physician candidate finally hears the potential employer say, “So, what questions do you have for us?” – now, is the time for the candidate to ‘take control’ of the interview – and possibly close the deal.

Unfortunately, we all know it’s the inevitable question, yet it’s the one question that most candidates rarely are properly prepared to answer. Further, when people do think to prepare for this part of the interview, they often ask wishy-washy questions that aren’t truly important to their job search.  Physicians need to realize that this can be a very powerful point in the interview process that they can use to ask thoughtful, insightful questions that will make the interviewer take renewed notice, and give you answers you need to make a better informed choice about whether or not to accept a job offer that really is best for you and your family.

So, before entering your next job interview, consider these responses:

Which of my skills do you see that could bring the most value to your medical team?      Their response should confirm whether they truly do understand your core strengths and specific clinical competencies. Make sure that the challenges they see for the role you are applying for match your expectations.

How will your organization help me develop, and become a better physician?      Make sure that there is support for you to continue to attend all relevant CME sessions to improve your clinical skills. This question also shows that you are a professional and that you’re interested in self-improvement and growing with their organization.

Can you elaborate a bit more on my role in relation to my physician colleagues and my interaction with our support staff team?       This question should get the employer to discuss the ‘culture’ of the team, without specifically using the term ‘culture’.  Their response will help you to truly understand how well you fit in with the group. If they waiver in their response it may be an indication that there is not a strong culture, or worse, that the culture is dysfunctional – a true ‘red flag’ issue!

Do you see any limitations in my clinical qualifications or experience that I should consider?       Note: Since this can be seen as a bold question to put on the table, do not use it unless you are certain that your interview performance was sub-standard, but you are convinced that this is the right job for you.The interviewer’s response will either be a short summary of minor or key points that are of concern for them, or – – – no response – – – which should indicate that you probably have the job.

What are the next steps in the process?       Yes it is a ‘bland’ question, but, at least you walk away knowing when and what to expect next so you can prioritize your next steps in your career search plan.

Many interviewers consider this part of the interview the end of the formal meeting process.  For the applicant, it should be seen as an excellent opportunity to tactfully interview the interviewers, to get important answers you need to know to ensure that a career with this employer is the right move for you and your family.

However, always keep these questions rehearsed and in the back of your mind during the interview, and don’t hesitate to ask them during the interview if the ‘right’ moment presents itself during the earlier interview conversation.

Finally, always remember that you are a highly educated professional having a ‘conversation’ among your peers – simply relax, enjoy the conversation, but, stay alert so in the end you will make the right decision for you and your family.

By: Phil A. Jost, MBA – CanAm – @CanAm_Phil



A Must Read for U.S. Citizens Abroad..

Charles W. Cullen, CanAm’s Investment Advisor and Financial Planner affiliate provides his monthly wealth management advice…

As we know U.S. Citizens face additional complexities.  Here are some articles of interest to U.S. Citizens living outside the U.S. 

IRS Customs Hold at Airports: Should I Worry?

Let’s Talk About: US Tax

Countries band together against tax evasion

The Best Day  to Buy Airline Tickets

Choosing to Live abroad In Retirement

If you have any questions about how these items apply to you or your situation, please contact me.

Thank you, Charles

Charles W. Cullen III, CFP®(Canada and U.S.), CIM®

Investment Advisor and Financial Planner

1400-1959 Upper Water St., Purdy’s Wharf I

Halifax, Nova Scotia  B3J 3N2


MCCEE results – Sept. 2014 Session Available

Candidates can now view their final result (e.g., pass, fail) and total score through their account. Statement of Results and Supplemental Feedback Reports will be available online in approximately one week. For additional information regarding MCC examinations, please refer to the Examinations section of our website.

Study Could Change How Heart Attack Patients are Treated – Globe

A new study led by a Vancouver-based doctor could change the way heart attack patients are treated around the world.

The research says a common practice dating back 50 years may be doing more harm than good.

Vancouver Experiments With Prescription Heroin

Reprinted from the Atlantic article by Matt Schiavenza 11/23/14

Vancouver, one of North America’s most progressive cities in respect to drug policy, will conduct a groundbreaking experiment: prescription heroin.

Following a clinical trial involving 26 subjects, doctors at the city’s Providence Medical Clinic have earned permission to provide doses of the drug to a group of 120 severe addicts. The decision followed a lengthy back and forth with Rona Ambrose, Canada’s federal Health Secretary, who opposes the policy.

Vancouver has provided needle-exchange programs for 11 years, a policy that has reduced negative outcomes from contaminated needles. But clean needles may not be enough. In recent months, several dozen addicts have overdosed on heroin at the clinic, usually through using street-purchased drugs. The prevalence of the overdoses—there were 31 over a two-day period in October—led drug-policy experts to recommend more progressive policies to combat the negative effects of the drugs.

Traditionally, doctors have prescribed methadone as a substitute for heroin addicts, and the substance will continue to play a major role in treatment. But 15 to 25 percent of heroin addicts fail to respond to methadone.

“Methadone works decently well,” the reporter Ben Carey told The New York Times‘ John Tierney in 2009, “but a lot of addicts just don’t like it, so they don’t go in and get treatment.”

Will Vancouver’s experiment work? Studies conducted in Europe—where prescription heroin is common—reveal that the programs have produced improved public-health outcomes as well as reduced crime. Prescription narcotic abuse has been a significant problem in the United States, and heroin abuse is a large and growing problem in the country. A recent study from the Center on Disease Control found that heroin use increased 74 percent from 2009 to 2012, and that in 2012 Americans were twice as likely to suffer a fatal overdose than they were in 2010.

While the success of Vancouver’s experiment is far from assured, the city’s willingness to offer prescription heroin reflects a willingness to provide new opportunities for beleaguered addicts.

“Everyone has a different path and people need different options,” Laura Thomas, the Drug Policy Alliance, told The Daily Beast.

Failure to Address Seniors Care Threatens System: CMA President

Reprinted from CMA article by Pat Rich on 11/18/24

The Canadian health care system – with its universal access – will become unsustainable unless there’s a national strategic rethink about how seniors care is provided in our nation.

The warning came from Canadian Medical Association President Chris Simpson in a key address to the Canadian Club of Ottawa.

Simpson discussed why it is so urgent to tackle inadequate seniors care in this country by making the link between inappropriate care and how this has a ripple effect across the whole system.

He explained how his hospital in Kingston, ON, was gridlocked for 18 days in October because the institution was filled to capacity. He noted this situation has become chronic at many hospitals across Canada, and “increasingly gridlock is becoming the norm.”

One significant reason for gridlock is the inability to move seniors who no longer require acute care – those known as alternate level care (ALC) patients – into more appropriate care environments.

Simpson said an estimated 15% of acute care beds are occupied by ALC patients. “They are trapped. We are warehousing them.

“We need to step up investment in long-term care and invest much, much more in services for home and community care.”

He blamed this situation on the failure of policy-makers to adapt the Canadian health care system to address the fact that many patients are now older and have chronic conditions.

The solution, he said, is not to spend more money but to “spend smarter.”

Simpson reiterated a theme that has been dominant since he assumed the role of CMA president in August, calling for development of a national seniors care strategy involving all levels of government.

While adoption of a robust seniors care strategy would allow this era to be remembered as the dawn of healthy and active aging, he said failure to do so would mean there is danger of it being remembered instead as “the age of staggering health costs.”

Simpson said there is a way out of the looming sustainability crisis, while giving all Canadians the health care they need, “if we start thinking differently and strategically.”

He said the CMA continues to believe a committed federal government is the necessary ingredient and is seeking support from physicians, stakeholder groups like the Royal Canadian Legion, forward-thinking institutions, media and “public officials willing to listen.”

Simpson closed by referencing Tommy Douglas, the father of medicare in Canada.

“Fifty years ago Tommy Douglas showed us a better way. That is the kind of national vision we need now. We must act.”

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CMA Adopts New Policy on Patient Referrals

Reprinted from CMA article by  Pat Rich 11/10/2014

A new policy statement on streamlining the physician referral/consultation process between primary and specialty care has been adopted by the Canadian Medical Association (CMA).

The statement was developed by the association’s Forum on General and Family Practice Issues (GP Forum), using research gathered through the development of an online referral and consultation process toolbox. The statement embodies resolutions passed at the CMA’s 2012 General Council meeting dealing with this issue.

“As the CMA worked on developing a toolbox to help find solutions to the challenges with referral/consultation processes it became clear (that) a policy statement that … identifies what is required to improve these processes, and therefore access to specialty care, would be tremendously valuable,” said CMA President Chris Simpson.

“We feel this policy will contribute to the development of more efficient and timely referral processes through more effective and informative communications,” he added.

“Having been personally involved as one of a group of cardiologists who worked with family physicians to create a referral form for patients with heart failure, I can attest to the value of having effective referral mechanisms and tools,” Dr. Simpson said.

The policy document states a streamlined referral process is essential for improving access to quality care.

It notes that while a “single, standardized solution to improve the entire referral and consultation process is not feasible … the communication and information needs in consultant responses (are) essentially the same for all referring physicians” and can be addressed by having standard communication protocols.

The statement contains five recommendations:

  • Early, meaningful engagement in any initiative to improve the process must involve all stakeholders including – where appropriate – office assistants, nurses, other health care providers and patients.
  • A combination of complementary initiatives (e.g., formal consultation systems, standardized referral processes with central intake systems and/or physician directories) should be implemented.
  • While acknowledging the referring physician’s ability to interpret certain test results, the referral must be accompanied by appropriate information to allow the consulting specialist to fully assess the request. In turn, the referring physician must be informed of what is “appropriate”.
  • The referring physician (and family physician, if different), along with the patient, should be kept informed in timely fashion of the status of the referral request, using standardized procedures and identifying minimum information requirements and timelines.
  • Physicians and/or physician practices should receive compensation and support in recognition of the time and effort expended to communicate appropriate information.

The CMA will inform appropriate health care system stakeholders about the new policy, to promote the adoption of more efficient referral/consultation processes.

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