PREMs New Process

SCOPE OF A PREM COMPLIANCE NOTICE   

Positions in a PREM have a geographical scope and ARE NOT IN ANY WAY ASSOCIATED WITH A FACILITY, DOCTOR’S OFFICE, OR SPECIFIC ACTIVITY. None the less, the DRMG must, within the framework of its mandate, identify its region’s priority needs, both primary and secondary. Identification of needs should guide the DRMG in the selection of candidates when there are more applications than positions in the PREM. Also, the needs identified in a sub-area will guide candidates in their choice of location and activities.

 

EFFECTIVE DATE OF PREMs

The PREM for a year comes into effect on December 1 of the previous year and ends on November 30. So, for instance, the 2020 PREM will take effect on December 1, 2019 and terminate on November 30, 2020.

 

OBTAINING A PREM IN FAMILY MEDICINE

  • APPLYING FOR A COMPLIANCE NOTICE 
  • The initial period of reception of applications for a PREM compliance notice runs from October 15 to 31 of the current year, inclusive. All applications received during that period are deemed to be received on October 31. 
  • Candidates may not submit their compliance notice applications for the following year’s PREM to the MSSS before October 15 of the current year. 
  • The application must be made on the appropriate form, which is to be sent by email only. The form is the sole document to be sent in. 
  • The MSSS sends each applicant an acknowledgment of receipt. 
  • Any response to an applicant from a DRMG following the submission of a compliance notice application has to be made in writing on the compliance notice application form.

 

PROCESSING OF A COMPLIANCE NOTICE APPLICATION BY THE DRMG

Effective November 1 of the current year, the MSSS forwards to the DRMGs the compliance notice applications for the following year’s PREM. 

Applications received between October 15 and 31 inclusive are processed in three rounds between November 1 and April 1. Applications submitted after October 31 are processed at the end of the process, i.e., following the third round, as of April 1. 

When the number of positions available in the PREM of a sub-area which candidates have marked as their first choice is lower than the number of applications received for that sub-area, no selection is carried out, and the DRMG has to issue the compliance notice. 

When the number of applications received for a sub-area exceeds the number of positions available in that sub-area’s PREM, all applications are evaluated by the DRMG. This evaluation must comply with the following selection process.

 

EXAMPLES

1. There are fewer applicants than positions – automatic selection – all applicants receive their PREM:

  • 6 candidates apply with RLS de Verdun as their first choice
  • RLS de Verdun has 12 PREMs available
  • All 10 candidates receive their PREM automatically

 2. There are more applicants than positions – selection by interview:

  • 15 candidates apply with RLS de Verdun as their first choice
  • RLS de Verdun has 9 PREMs available
  • ALL candidates are interviewed

 

SELECTION PROCESS

 

First round
From November 1 to December 30, only applicants’ first choice as entered on the compliance notice application is forwarded by the MSSS to the respective DRMGs. 

  • No later than November 11, the compliance notice applications in question are forwarded by the MSSS to the DRMGs.
  • No later than December 6, interviews are conducted by the DRMG, and the candidates to whom the DRMG will be offering PREM compliance notices are identified.
  • Between December 6 and 20, the DRMG responds to the applicant in writing, confirming the area corresponding to his first choice, offering another sub-area that has remained vacant, or informing him that his application has been denied.
  • No later than December 30, an applicant who has been offered a position responds to the DRMG, stating whether or not he accepts. WARNING: The applicant has 10 days to respond to the DRMG in writing. Should the applicant fail to respond within 10 days, the compliance notice is withdrawn.
  • No later than December 30, the DRMG forwards to the MSSS and RAMQ the names of candidates who have accepted their compliance notices, and the names of candidates not selected or who have refused their compliance notices.

 

Second round
From January 7 to February 15, the second choices entered on the compliance notice applications of candidates not selected in the first round are forwarded by the MSSS to the respective DRMGs. If all the positions in the PREM are filled in the region marked as the candidate’s second choice, the MSSS will take the candidate’s subsequent choices into account. For instance, some applicants may be offered their third choice in the second round.

  • No later than January 11, the compliance notice applications in question are forwarded by the MSSS to the DRMGs.
  • No later than January 25, interviews are conducted by the DRMG, and the candidates to whom the DRMG will be offering PREM compliance notices are identified.
  • Between January 25 and February 5, the DRMG responds to the applicant in writing, confirming the area corresponding to his first choice, offering another sub-area that has remained vacant, or informing him that his application has been denied.
  • No later than February 15, an applicant who has been offered a position responds to the DRMG, stating whether or not he accepts. WARNING: The applicant has 10 days to respond to the DRMG in writing. Should the applicant fail to respond within 10 days, the compliance notice is withdrawn.
  • No later than February 15, the DRMG forwards to the MSSS and RAMQ the names of candidates who have accepted their compliance notices, and the names of candidates not selected or who have refused their compliance notices.

 

Third round
From February 16 to April 1, the third choices entered on the compliance notice applications of candidates not selected in the previous rounds are forwarded by the MSSS to the respective DRMGs. When all the positions in the PREM are filled in the regions requested, and upon authorization from the candidate, the application is forwarded to all the DRMGs in regions where the PREM has not been filled.

  • No later than February 22, the compliance notice applications in question are forwarded by the MSSS to the DRMGs.
  • No later than March 13, interviews are conducted by the DRMG, and the applicants for whom the DRMG will be offering a PREM compliance notice are identified.
  • Between March 13 and 22, the DRMG responds to the applicant in writing, confirming the area corresponding to his first choice, offering another sub-area that has remained vacant, or informing him that his application has been denied.
  • No later than April 1, an applicant who has been offered a position responds to the DRMG, stating whether or not he accepts. WARNING: The applicant has 10 days to respond to the DRMG in writing. Should the applicant fail to respond within 10 days, the compliance notice is withdrawn.
  • No later than April 1, the DRMG forwards to the MSSS and RAMQ the names of candidates who have accepted their compliance notices, and the names of candidates not selected or who have refused their compliance notices.

 

FOLLOWING THE THREE ROUNDS

When positions are available in the PREM, the first come, first served principle is applied. 

Nevertheless, if the number of applications received on the same date exceeds the number of positions available in the PREM, the DRMG has to conduct candidate selection, in line with the following principles:

  • A selection committee must be formed;
  • The selection criteria have to be limited to matters within the DRMG’s jurisdiction;
  • All candidates are interviewed;
  • No letter of recommendation from a medical clinic may be considered in determining the choice of candidate.

 

INTERVIEW AND SELECTION CRITERIA

 All candidates are interviewed. These interviews are conducted in person, but could in exceptional cases be carried out remotely by means of a medium permitting visual contact (e.g., Skype), if the candidate is unable to attend in person.

 The objectives of the interview are the following:

  • Evaluate the level of knowledge of special regional features, approach carried out, reason for this choice;
  • Evaluate experience acquired, career path, achievements, challenges, and goals;
  • Find out intentions in terms of professional interests and activities envisaged;
  • Evaluate the level of knowledge of the healthcare system;
  • Evaluate personality, capabilities and behaviour through scenarios whereby the candidate can show his qualities;
  • Provide relevant information on the region;
  • Answer the candidate’s questions;
  • Interviews must be conducted in keeping with the hiring conditions established by the provincial human rights and youth rights commission.

WARNING
Questions should be asked about your interest in patient management, and not about your interest in a specific clinic. The choice of clinic where you perform your patient management will be left up to you.

 

ACCEPTANCE AND WITHDRAWAL

A candidate who accepts the compliance notice offered by the DRMG is removed from the process. 

A candidate who refuses the compliance notice offered by the DRMG continues the process. 

A candidate who does not respond within 10 days is deemed to have refused, and so continues the process. 

A candidate who first accepted and then withdrew from his compliance notice will have to submit a new application if he wants to receive a PREM compliance notice again. This new application will be processed in the order in which applications are received at the Ministry after October 31, i.e., once the third round has been completed.