@Fantastica @daveishan @felicialiu
There is too much confusion and incorrect information that is being circulated. To put the controversy at rest, here is my take on the entire issue:
The details of how the medicals are done and validity is stated at this
link:
The term medical officer or delegated staff DOES NOT mean the panel physician. This is amply clear from the
manual where it is stated:
IRCC’s migration officials and medical officers regularly consult each other on how many panel members are needed in a given location.
Further:
Effective June 1st, 2012, officers can request that an applicant’s medical file be reassessed by a Medical Officer (MOF) or a Health Branch (HB) delegated staff for the issuance of a new medical certificate. The process applies to cases where a final decision of an officer is pending only due to the expiration of a medical certificate or when the validity of the medical certificate is about to expire and the applicant is unable to land before it expires. This process is limited to applicants who had a routine immigration medical examination (IME) done by a panel physician within the last 15 months in or outside Canada. The new medical certificate issued will be valid for 12 months.
As the panel physician, you are never required to decide on a course of treatment or additional tests. Once you submit the applicant’s IME, a medical officer working with your RMO will decide if additional tests are required and notify you through eMedical.
here RMO stands for regional medical office.
More information on RMO and Medical officers is available at this
Evaluation of the Health Screening and Notification Program
The above link states:
Health screening
As part of the health screening component, foreign nationals have their health assessed via an immigration medical examination (IME), which is performed by panel physicians who are designated by CIC. CIC medical officers and/or delegated staff located in CIC regional medical offices (RMO) use the results of the IME and conduct an immigration medical assessment (IMA) to determine whether an applicant is inadmissible to Canada based on three grounds outlined in IRPA, section 38(1) (a)-(c)
Health Screening Component
As part of the health screening component, foreign nationals have their health assessed via an immigration medical examination (IME), which is performed by panel physicians
Footnote 10 who are designated by CIC. An IME includes: a review of an applicant’s medical history, a mental examination, a physical examination, laboratory and diagnostic tests
Footnote 11, and an assessment of the applicant’s medical records. A panel physician may also conduct other medical investigations or order additional specialized tests (i.e., furtherance) as necessary to complete the IME.
The results of the IME are entered into eMedical
Footnote 12, which are then uploaded into CIC’s Global Case Management System (GCMS).
CIC medical officers and/or delegated staff located in CIC regional medical offices (RMO) use the results of the IME and conduct an immigration medical assessment (IMA) to determine whether an applicant is inadmissible to Canada based on the three grounds outlined in IRPA, section 38(1) (a)-(c):
- Danger to public health: considers a foreign national’s...... considered dangers to public health.
- Danger to public safety: considers a ...., sociopathic disorders).
- Excessive demand ...... permanent residents (PRs).
Subsequently, medical officers then enter the IMA results into GCMS and visa officers use those results to assess health admissibility.
Most panel physicians will transmit the medical report via e-medical the same day all tests are in. For example, if you visit a panel physician on October 1, 2020, you medical report will be completed and prepared within 3-7 days, based on how early the serology report comes back, and the radiologist gives his opinion on the chest x-ray. Some panel physicians will complete the report in-house and may be completed the same day itself. Other panel physicians may have to work with labs and on call radiologist, which may take a few days before the report is complete. Most panel physicians will transmit the medical report the same day it is prepared. Since most reports are clear, with no complications, they are reviewed and assessed by the Medical Officer or a delegated staff at the IRCC RMO, the same day and the report is allocated an assessment
code.
- Admissible codes (M1, M2 and M3)
- Excessive demand exempt code (M19, M29 and M39)
- Inadmissible codes (M4, M5 and M6)
- Surveillance codes (S1, S2.01, S2.02 and S2.02U)
However, after the assessment it may take some time for the report to be added to your file or be reflected on the MyCIC account because the IRCC officer, or an analyst / assistant who is dealing with your file will have to update it in GCMS and it will be updated effective the date when the assessment by the Medical Officer (MOF) or a Health Branch (HB) delegated staff.
Panel Physician and Medical Officer are separate. The GCMS notes has the date when your medicals were assessed by the Medical officer and that date is reflected in the GCMS notes.
The medicals are valid for 12 months from the day they are assessed by the Medical officer as mentioned in the link above. The medicals are valid for 12 months. They have to be valid when you submit your application and also be valid when you land. IRCC cannot give you a PRV beyond the medical expiry date. When the officer is of the view that the medicals may expire before the applicant enter's Canada, or if there is not much time left in the validity of the medicals, and the medicals is the only thing remaining before the officer makes a final decision, then the officer can ask for re-assesment of the medicals form the Medical officer, which can provide a extension of additional 12 months.
An old bulletin describes this procedure, but it expired on May 24, 2012.
Effective June 1st, 2012, officers can request that an applicant’s medical file be reassessed by a Medical Officer (MOF) or a Health Branch (HB) delegated staff for the issuance of a new medical certificate. The process applies to cases where a final decision of an officer is pending only due to the expiration of a medical certificate or when the validity of the medical certificate is about to expire and the applicant is unable to land before it expires. This process is limited to applicants who had a routine immigration medical examination (IME) done by a panel physician within the last 15 months in or outside Canada. The new medical certificate issued will be valid for 12 months.
See
https://www.canada.ca/en/immigration-refugees-citizenship/corporate/publications-manuals/operational-bulletins-manuals/bulletins-2012/423-expired-may-24-2012.html - EXPIRED May 24, 2012
A more recent bulletin must have been issued and the IRCC twitter handle mentions it in one of its recent replies:
Finally, if in doubt, please consult the IRPA, regulations, operation bulletins, manuals and federal court cases. Immigration is law and not speculation. Everything is clearly written in law and the regs based on which filed are processed.
At the end, it is your application, and you know what is best for your application. The information above is from IRCC with the links provided. If you still disagree, you have all right to, and this is not a court of law, but just a discussion forum, and neither is my agenda to convince you.
If you find this information useful, that is great. If not, then you can make your own judgment based on what you feel is correct.