There's no question that there are bottlenecks in being credentialed from an international medical graduate perspective, and this is something that comes up quite commonly in our discourse as we think about a health human resources strategy for the future.
An international approach is very important, where we think about being able to match not only the supply of IMGs, for example, but also the demand for different kinds of physicians and where they are appropriate. For example, it would make absolutely no sense to train more surgeons without a commensurate increase in the ability to have those surgeons operate. Right now, we have a limitation in our ability to have surgeons operate, because of operating room time and the numbers of operating rooms that are available. Simply credentialling more surgeons is not going to make the problem better; it's going to make it worse. You're going to have more unemployed specialists.
It's really a matter of identifying the need and the scope of practice based on the jurisdiction, and then being able to tie that into a minimum threshold of competence. That is the task of a federal body like this, but also perhaps a task force that would be required to better understand [Technical difficulty—Editor].