Some respondents suggest once in Canada, IMGs who have invested in the examination process and succeed in passing all of the exams should have some form of guarantee of obtaining a residency position. While they are not asking to be guaranteed a license, they wish to be guaranteed a chance to obtain a license:

But this process, I'd like that this process would be a little bit easier than... I'm ready to pass all these exams. I'm ready to pay my money. But I want to have guarantee that the final of this process I will have a place ... in residency. [Québec IMG #3, in progress]

If Canada is unable or unwilling to provide this guarantee, then respondents argue that we should tell IMGs that there is no need for them here, and if they want to work in their field of practice, they will not be able to do so in Canada.

S'ils ne veulent pas, je ne peux pas parce que je comprends, comme je leur ai dit, OK, moi, je suis ici, je suis un médecin formé. J'ai 50 ans. J'ai mes vieilles habitudes. Je te donne un exemple. Et si le Canada veut avoir des médecins jeunes, pour les former qu'ils connaissent le système, qu'on ne connaît pas, c'est le droit du Canada. Mais au moins qu'ils soient clairs au début.

[If they don't want to, I can't, because I understand, as I told them, okay, me, I'm here, I'm a trained doctor. I'm 50 years old. I have my ingrained habits. I'll give you an example. And if Canada wishes to have young doctors, to train them so that they know the system, that we don't know, it's Canada's right. But at least they should make things clear from the outset.] [Québec IMG #6, in progress]

This, they argue, is something that Canadian medical graduates are almost assured of – if of course they pass their exams.