All jurisdictions in the last decade, I would say, have made significant changes to the integration of international medical graduates. The level of movement reflects to some degree how many international medical graduates are in that jurisdiction. For example, Ontario--this was true as of a few years ago--has more international medical graduates arriving each year physically than the rest of Canada combined, and therefore when you take a look at Manitoba, which doubled their number of international medical graduate positions from two to four, it's just a different scale from when Ontario goes from 75 to 200. It's just the nature of where the demographic arrivals are.
Each jurisdiction has taken a slightly different approach in how they assess, integrate, and license, as well as on whether there are any practice or other restrictions and on how they integrate them into the workforce. I think there have been a number of very good models. One of the things Ontario has done is allow physician assistant models to be IMGs, which gives them a really nice entry into the workforce, and many of those people then go on very successfully to get full licences. You mentioned Alberta's program. Quebec has seen a large surge as well in its educational capacity and how they have done it.
What ACHDHR has managed to facilitate for the first time a common entry criteria and assessment process for international medical graduates going into education and training. This is a big accomplishment showing where the pan-Canadian approach works well. This is a huge accomplishment, the result of about three years of work by all jurisdictions and the Medical Council of Canada, etc. Coming up with this common standard with the exam banks, etc., would be another big pan-Canadian success story,