It's a great question.
We actually launched doing PRAs back around 2000, initially without quite the standardization that you've heard from Dr. McAdoo. We found that it didn't necessarily meet the needs of the internationally trained physicians, so we moved to a one-year program where we essentially give them rotations through various areas—emergency medicine, family medicine and pediatrics—to give them a broader orientation to the Canadian health care system. We found that one-year program to be highly successful. Over the years we've had 20 per year go through that program. We've ramped it up now to 30.
We are ramping up a PRA program in Manitoba that's very similar to what Dr. McAdoo is doing. We are spending time, though, getting the assessors well trained through MCC and developing the same kind of community of practice in Manitoba.
Like Dr. McAdoo, I think it requires some screening for who's eligible for the PRA because you only have three months generally to do the PRA. That really requires that you have a wholesome assessment, so that you can really sign off that they're ready to practice.