It's a good question.
There was some discussion on modernizing assessment processes. I know there is a demand or a request to move to more competency-based assessments. Again, if we were able to align individual skills, for instance, we would have a urologist who is able to work as a urologist. At the current time, specialists are having to do part one of the qualifying exam, which requires them to essentially go back and study all aspects of medicine, when in fact that might not be the area of medicine or the scope of practice that they are eligible to work in, so it is slowing down their process to be assessed. Again, that is one thing—looking at the tools we need to have in place to assess competencies and to ensure safety of practice and being able to assess individuals upon arrival for their competencies and then look at their skills and training.
The other aspect is that for CaRMS, there are a lot of processes that could be changed. There are individuals who are having to apply to CaRMS on an annual basis, for example, and who have to repeat all the same documentation, such as English proficiency exams, every two years. There are also personal attribute tests, which they do on an annual basis. They do three assessments if they're applying to family medicine across Canada, if there are seats available. There are multiple repetitions of tests they do year after year, which compounds the issue and discourages some people from continuing to apply.