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Unnecessary distraction for specialist physicians
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     I read with interest the analysis and discussion of Audas and colleagues.1 I am at a loss to understand the role of the basic medical examinations for specialist and family physicians when they are allowed to practise in their specialist area of medicine. In my case, I am a consultant child and youth psychiatrist whose training, although from outside the US and Canada, was considered adequate by the Royal College of Physicians and Surgeons of Canada for specialty work. The time and energy that I will spend on preparing for the LMCC examinations could be better spent in CME pursuits that would impact on clinical care.

    REFERENCE

    Audas R, Ross A, Vardy D. The use of provisionally licensed international medical graduates in Canada. CMAJ 2005;173(11):1315-6.(Senthil Kumar Damodharan)