Internationally educated health professionals and the challenge of workforce distribution

Internationally educated health professionals (IEHPs) have always been an important part of the Canadian health workforce. A particularly important aspect related to the role of IEHPs is their distribution across different sectors of the healthcare system and various geographical regions. Several provinces and territories have implemented strategies that restrict the initial practice of IEHPs to areas that have long-standing workforce shortages. While the outcomes of these approaches are mixed, some evidence suggests that IEHPs remain in place only as long as their contractual requirements stipulate. However, studies also indicate that IEHPs are increasingly practising in care settings that are perceived to be less attractive by their Canadian-trained counterparts. Whether the contribution of IEHPs is framed in terms of short- or long-term sustainable solutions, their role will continue to be an important component of health service across Canada.