Smaller communities in Canada, particularly those located in rural areas, find it difficult to attract and especially retain health-care professionals, leading to poorer health outcomes.
For example, in March 2022, the physician shortage in Northern Ontario forced the emergency department in Red Lake to close for 24 hours, and those with medical emergencies had to drive over 200 kilometres to the nearest hospital. In the same region, staffing shortages of nurses and personal support workers are exacerbated by recruitment and retention challenges. Similar situations exist in many small communities across Canada.
It's no surprise then that all five Northern Ontario cities participating in the Rural and Northern Immigration Pilot, designed to bring more immigrants to smaller communities, are prioritizing health-care professionals. But can they keep them?
Recruiting internationally educated health-care professionals (IEHPs) to work in underserved communities is not new. However, challenges in keeping them in these communities persist. As immigration researchers, we have documented the challenges of retaining newcomers in Canada's small communities, with a recent focus on IEHPs.









