There are two slightly different issues there. One is Canadians studying abroad. These are Canadians who might typically go to Australia, Ireland, or some of the U.S. offshore schools for their medical training and then wish to come back for residency. They are considered international medical graduates because they have done their training internationally.
The second group you're talking about are visa trainees. They are usually here for subspecialty training. There has been a lot of discussion about whether these visa trainees from other countries are taking needed capacity. That has been an oft-discussed piece.
Most jurisdictions with medical schools have very hard conversations with their universities to ensure that they are only taking visas where excess capacity is needed. I know that in Ontario we actually have a letter on file to that effect in order to mitigate that situation.
This again has been a long-standing conversation, and each jurisdiction has very hard conversations with their medical schools to make sure that they're not there. Often the visa trainees are in very unique sub-subspecialty areas that are not the type of entrance, core, postgraduate training that CSAs—Canadian students abroad—or other foreign medical graduates would be typically seeking.
We monitor it closely. It is something we watch closely.