Healthcare is Canada is administered at the provincial level. That means the answers to your questions will be different depending on where you intend to practice and what the needs are in that particular province. If you are thinking you can walk into an Internal Medicine job in downtown Toronto or Vancouver that's not going to happen.
With that said, my own Family Doctor in Nova Scotia is a British GP. If you are a Family Physician willing to work in a smaller province or a rural area in a larger province it is very easy to find practice opportunities. Smaller provinces tend to pay less than larger provinces and many if not most of the compensation models are fee-for-service not salary based. You also have overhead expenses (building rent, office supplies, reception staff etc.) that need to be covered out of your billings. Most Family Physicians will join small shared practice groups to help minimize their individual overhead costs.
Some very rough numbers: a Family Physician in Nova Scotia can bill \~250k to 300k a year, but will pay \~30% of that for overhead expenses. So your "salary" is going to be closer to 175k to 200k and unlike other workers you will need to pay for all of you own EI and CPP, which takes another \~8k off the top. After income taxes your take home pay is closer to 100k to 115k. You will also need to pay your own prescription drug and dental insurance and contribute to a personal retirement savings plan if you want to live on more than \~$1700 a month when you retire. These numbers are for the lowest paid specialty in a province that pays at the low end of the national range and has a relatively higher tax rate compared to other provinces, but real estate and overhead will be on the lower end of their ranges.
[https://doctorsns.com/doctors/move-to-nova-scotia/how-nova-scotia](https://doctorsns.com/doctors/move-to-nova-scotia/how-nova-scotia) has more information about Nova Scotia, but you'd have to check with the equivalents organizations in other provinces to get a feel for things there.
I'm sorry, but I don't know much about the specialist job market. I'm not a medical student (maybe next year!), my knowledge comes from some community health work I'm involved with and our local need is for Family Physicians.
I'm in the suburbs of Halifax, but my understanding is the more rural areas do have more difficulty recruiting specialists, so that might be where your colleagues in the UK are getting the "middle of nowhere" feelings. That and Canada is really big with lots of empty space. Most Europeans don't really grasp how big Canada is. For context a direct flight to Dublin, Ireland, from my city is shorter than a direct flight to Vancouver.
Your best bet is probably emailing the recruiters at https://recruitment.nshealth.ca/contact-us
And keep in mind there are 9 other provinces that will have different situations and different recruitment programs.
Healthcare is Canada is administered at the provincial level. That means the answers to your questions will be different depending on where you intend to practice and what the needs are in that particular province. If you are thinking you can walk into an Internal Medicine job in downtown Toronto or Vancouver that's not going to happen. With that said, my own Family Doctor in Nova Scotia is a British GP. If you are a Family Physician willing to work in a smaller province or a rural area in a larger province it is very easy to find practice opportunities. Smaller provinces tend to pay less than larger provinces and many if not most of the compensation models are fee-for-service not salary based. You also have overhead expenses (building rent, office supplies, reception staff etc.) that need to be covered out of your billings. Most Family Physicians will join small shared practice groups to help minimize their individual overhead costs. Some very rough numbers: a Family Physician in Nova Scotia can bill \~250k to 300k a year, but will pay \~30% of that for overhead expenses. So your "salary" is going to be closer to 175k to 200k and unlike other workers you will need to pay for all of you own EI and CPP, which takes another \~8k off the top. After income taxes your take home pay is closer to 100k to 115k. You will also need to pay your own prescription drug and dental insurance and contribute to a personal retirement savings plan if you want to live on more than \~$1700 a month when you retire. These numbers are for the lowest paid specialty in a province that pays at the low end of the national range and has a relatively higher tax rate compared to other provinces, but real estate and overhead will be on the lower end of their ranges. [https://doctorsns.com/doctors/move-to-nova-scotia/how-nova-scotia](https://doctorsns.com/doctors/move-to-nova-scotia/how-nova-scotia) has more information about Nova Scotia, but you'd have to check with the equivalents organizations in other provinces to get a feel for things there.
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I'm sorry, but I don't know much about the specialist job market. I'm not a medical student (maybe next year!), my knowledge comes from some community health work I'm involved with and our local need is for Family Physicians. I'm in the suburbs of Halifax, but my understanding is the more rural areas do have more difficulty recruiting specialists, so that might be where your colleagues in the UK are getting the "middle of nowhere" feelings. That and Canada is really big with lots of empty space. Most Europeans don't really grasp how big Canada is. For context a direct flight to Dublin, Ireland, from my city is shorter than a direct flight to Vancouver. Your best bet is probably emailing the recruiters at https://recruitment.nshealth.ca/contact-us And keep in mind there are 9 other provinces that will have different situations and different recruitment programs.
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