Joint Message from CAHO and PARO

In response to the decision of the Kingdom of Saudi Arabia to end training opportunities in Canada, many stakeholders have been working hard to provide support to Saudi-funded residents and clinical fellows. As well, much work has been underway to accurately determine the medical manpower impact resulting from their departure.

Both the Council of Academic Hospitals of Ontario (CAHO) and the Professional Association of Residents of Ontario (PARO) have been working with the Universities, the Hospitals and with the Ministry of Health and Long-Term Care to identify solutions that will help mitigate any resultant manpower shortage and ensure optimal patient care.

While all of the stakeholders work together to identify long-term solutions, it is important to keep in mind that remaining residents should not be expected to fill all of the resultant service demands. The maximum number of call shifts that residents can work is laid out in the PARO-CAHO Collective Agreement. We appreciate that some residents may need to work more call than may have originally been scheduled, but this can not exceed the call maximums.

We appreciate that the current situation is stressful for the Saudi-funded doctors and their families. We also appreciate that this has been difficult for other members of the medical community who have worked alongside these residents and clinical fellows. Many of us are losing good friends and colleagues.

Please know that together we are working hard to manage this situation and ensure patients in Ontario continue to receive optimal patient care.


Michelle Noble
Executive Director, CAHO
Elise Azzi, MD
President, PARO
cc All Ontario Residents
Program Directors, Chairs of Departments, and Chiefs of Staff
Post Graduate Deans