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Health committee  I think rural health care is something that makes Canada unique except for perhaps only one other country, which is Australia. I am very glad you had a chance to hear from Roger Strasser, who is a tremendous leader in this field. I would say every jurisdiction has tackled this c

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  It's interesting. I am sorry we did not have time to talk about the rural issue, because it is one very close to my heart. We are not there yet. I would say four or five years ago people were not even talking IPC--

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  I would argue that chapter 7 of Roy Romanow's report, the opening quotation in particular, is very powerful.

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  We are not at a tipping point yet by any means. I think we've gone from this being heresy to being something that is now on the table and discussed. We have gone from probably no pilots to some very extensive pilots, for example, with primary care models in several jurisdictions

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  Sure. Please ask the question again so that I answer the right part of your question.

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  It's actually a fairly organized computer-based algorithm that's used. The same algorithm is used in Canada and the United States. It's actually quite a clean process. The additional capacity is there at the end because we put more capacity into the system than there is need for,

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  This is brand new. It's in the last week or two.

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  I probably would need to get a little bit more detail about what they've done. My understanding—and I would stand to be corrected by a representative from B.C.—is that they have put aside some very specific positions. Currently there are two groups of capacity: Canadian medical g

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  Yes, I agree very strongly.

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  Each jurisdiction is doing it in slightly different ways. The federal government has put millions into this as well. There are basically two focuses: one is on changing the educational system, and one is on changing the practice environment. There are reams and reams of informa

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  Again I'd go back to the comment that I think there is always more work to do. I don't think we're there by any means, but I think where we are now versus five years ago is fundamentally different. There is always more work, and there are always providers in different types of se

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  We'd have to get back to you. That will take some time.

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  I'm sorry, but we're counting the numbers incorrectly. One is an entry-level position. How many entry-level positions there are versus how many are totally in training are very different questions. Most training is for multiple years, so you're compounding it--

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  Okay. That will change our visa number dramatically.

May 13th, 2010Committee meeting

Dr. Joshua Tepper

Health committee  It's good to get clarity.

May 13th, 2010Committee meeting

Dr. Joshua Tepper