This Toronto doctor has over 2,000 patients, but still no permanent residency

A Canadian doctor, who moved from the United States seeking a more inclusive environment and universal healthcare, continues to face hurdles in obtaining permanent residency despite a documented shortage of physicians in Canada. Dr. Michael Antil arrived in Toronto in July 2023 and is currently serving over 2,000 patients, yet remains in a precarious immigration situation.

A Complex Immigration Journey

Dr. Antil, with over two decades of medical experience in the U.S., initially secured a five-year contract at the Albany Medical Clinic and a work permit. However, his applications for permanent residency through both Immigration, Refugees and Citizenship Canada (IRCC) and the Ontario Immigrant Nominee Program (OINP) have been rejected three times. These rejections stemmed from technicalities, including errors on his applications and missed deadlines, despite Ontario’s clear need for doctors.

Did You Know? Over 5.9 million Canadians currently lack access to a family doctor, according to data cited in the report.

The process has been financially burdensome for Dr. Antil and his family. They are subject to temporary work permits, his children face international student fees for post-secondary education, and he incurred a 25 per cent foreign buyers’ tax on his home purchase. Immigration lawyer Ilene Solomon described the system as “rigid,” noting that even minor errors can be fatal to an application.

Systemic Challenges

Wanda Morvay, who hired Dr. Antil at Albany Medical Clinic, expressed frustration with the situation. She stated, “It’s staggering to me that Mike has still not got his permanent residency yet after trying three times, and We find 2,000 families who depend on his medical services.” Morvay believes Dr. Antil embodies the type of physician Canada needs.

Expert Insight: The case highlights a potential disconnect between Canada’s stated need for skilled workers, particularly in healthcare, and the practical realities of its immigration system. The emphasis on strict adherence to procedure, even in cases where applicants possess critical skills, could be hindering efforts to address labour shortages.

IRCC acknowledges the frustrations with the process and states This proves working to improve communication and online tools. Recent changes include a new express entry stream specifically for doctors with Canadian work experience and 5,000 additional spaces for provincial nominations. A $97 million fund was also announced in the 2025 budget to address credential recognition issues.

What’s Next?

Invitations to apply through the new express entry stream are expected in “early 2026,” but it remains unclear whether Dr. Antil will receive one. If the proposed improvements to the immigration system are successful, it could streamline the process for future doctors seeking permanent residency. However, without a significant overhaul, qualified professionals may continue to face lengthy delays and bureaucratic obstacles. The Canadian Medical Association is working to create a “one-stop shop” to assist doctors navigating the system, but the effectiveness of this initiative remains to be seen.

Frequently Asked Questions

What challenges has Dr. Antil faced in his immigration process?

Dr. Antil has been rejected three times for permanent residency due to technicalities, including errors on his applications and missed deadlines. He also faced delays in obtaining necessary certifications and navigating the complexities of the IRCC and OINP systems.

How many Canadians currently lack a family doctor?

Over 5.9 million Canadians do not have a family doctor, according to the Ontario Medical Association. In Ontario alone, over 2.5 million residents are without a family physician.

What steps is the Canadian government taking to address these issues?

The government has announced a new express entry stream for doctors, increased provincial nomination spaces, and a $97 million fund to improve credential recognition. IRCC also states it is working to improve communication and online tools.

As Dr. Antil and his family await a resolution, one wonders what further adjustments will be needed to ensure Canada can effectively attract and retain the skilled professionals it so desperately needs.