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Privacy Statement: We are committed to keeping your e-mail address and personal information confidential. We do not sell, rent, or lease our contact data or lists to third parties, and we will not provide your personal information to any third party unless required to do so by law.

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Essential information

Important details for family physicians, IMGs, MOAs, and nurse practitioners who want to practice in Richmond, and recruitment support for host clinics.

Essential Information for Family Physicians (FPs)

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Download the 2023 Richmond Family Physician Toolkit

DOWNLOAD LINK  >> The 2023 Richmond Family Physician Toolkit contains the following:
1. Current FP Job Postings
2. Essential Information
3. Career Supports + Resources
4. Clinic + Community Highlights

For settlement support and newcomer resources, visit the About Richmond section of this website. For support, contact recruitment@rdfp.ca.

What is HealthMatch BC?

HealthMatch BC (HMBC) is a recruitment service for health care professionals funded by the province of British Columbia. If you see positions that interest you, reach out to our team at recruitment@rdfp.ca with details about yourself and about the positions (please cite the HMBC job numbers) for help to navigate the application process.

What payment models are available?

New-to-practice family physicians can choose between a Primary Care Network (PCN) New to Practice (NTP) Contract payment model, a Longitudinal Family Physician (LFP) payment model, or a Fee-for-Service (FFS) payment model. Each has its own advantages. 

PRIMARY CARE NETWORK (PCN) NEW TO PRACTICE (NTP) CONTRACT PAYMENT MODEL
Primary Care Network (PCN) New to Practice (NTP) contracts are based on hours worked for longitudinal family practice services provided in the clinic. It is designed for physicians who not already have an established patient panel, or who have a small-to-medium panel and still have room to attach more patients. The contract requires full-time family physicians (FPs) to provide a minimum of 1680 hours of service (to a maximum of 2100 hours) per year. Part-time agreements are also available. Year-end bonuses are available for FPs who complete ongoing QI activities. This payment model is ideal for individual FPs who are interested in income security while establishing their full-service family practice and building their own patient panel within a community group clinic that has integrated team-based care. Additional incentives are also available to NTP FPs as part of a wider strategy to ensure the sustainability of longitudinal practice.  

LONGITUDINAL FAMILY PHYSICIAN (LFP) PAYMENT MODEL
The LFP Payment Model is designed to support FPs who provide longitudinal family medicine care. It compensates for time, patient interactions, and the number and complexity of patients in the practice. It recognizes the complexity of longitudinal care, values the time spent with patients, identifies family medicine clinics as critical health care infrastructure, acknowledges the value of indirect care and clinical administrative services, and supports physician agency and flexility in pratice. This payment model is new to British Columbia and rolled out on Feb 1, 2023; the most up-to-date information can be found at the link provided above. 

FEE-FOR-SERVICE (FFS) PAYMENT MODEL
Under the Fee-for-Service compensation model, FPs are reimbursed for each patient visit or for service rendered to a patient, based on standard reimbursement rates defined under the Physician Master Agreement. This model can provide opportunities to achieve a higher income by increasing the number of services rendered. FFS care is characterized by more hours of direct patient care, increased patient visits, and the provision of more services such as diagnostic tests. 

Primary Care Network Contract Information

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What type of PCN contract is available for FPs?

Primary Care Network (PCN) New to Practice (NTP) contracts for family physicians are available.

New-to-Practice hours-based contracts are available for individual family physicians who do not have a patient panel or who have a small-to-medium panel and still have room to attach more patients, and who wish to join an existing group practice to build or fill a panel of attached patients for longitudinal care. The duration of this contract is two years. For more information, visit Doctors of BC, or email recruitment@rdfp.ca.

Once this contract is nearing completion, FPs can either apply for a PCN contract extension, join a group contract with at least two other full-service family physicians who have established patient panels, or transition into a fee-for-service (FFS) payment model.

Can I begin working on a PCN NTP contract if I have a small existing patient panel?

Yes, family physicians who have a small-to-medium panel, and who still have room to attach more patients, are eligible for the contract provided they meet the other criteria outlined above.

Are part-time positions available for Family Physicians?

Yes, part-time opportunities working a minimum 50 per cent (also known as 0.5 FTE) of a full-time contract are available. Payments for service contracts that are less than 100 per cent (1.0 FTE) are pro-rated.

Will I need to start right away?

Discuss your start date with your host clinic, leaving sufficient time for contract execution and licensure. Once you confirm that you are joining a clinic, the Vancouver Coastal Health (VCH) Contracts Team requires approximately four to six weeks to execute the contract and practice agreement. For new graduates, it takes additional time to obtain licensure and complete registration with the College of Physicians and Surgeons of BC.

Does the PCN contract allow me to see other patients, i.e., walk-in, long-term care, etc.?

You may commit to other opportunities provided that you meet all obligations under both the PCN service contract and your group Practice Agreement, including extended/after hours and on-call requirements. These other types of opportunities are outside the scope of both the contract and contracted panel commitments.

In this case, you may bill separately as fee-for-service (FFS) for services outside the scope of the contract, including:

  • Services provided outside of the clinic.
  • Services provided to third parties.
  • Specialized services provided to referred patients who are not attached to the practice.
  • GPSC networking fees and fees for the Long Term Care Initiative (LTCI).

Time spent for services outside the scope of the contract and billed under FFS cannot contribute to the PCN contract hours requirement.

Can I work full-time under the PCN contract in Richmond, and also conduct work in family practices in other communities (for example, work at other clinics via the fee-for-service (FFS) payment model, either in-person or virtually)?

Physicians may work at another clinic and bill as FFS while on the PCN contract. The PCN NTP contract does allow for telehealth visits (virtual care). While the contract does not limit the amount of allowed telehealth visits, the Ministry of Health may provide additional guidance on this topic.

If I see patients who are not attached to me (for example, providing practice coverage for others in my group practice), do these visits count toward the 1680 hours stipulated in my contract?

Yes, providing practice coverage for other physicians can count toward your PCN contract hours. You may neither bill as fee-for-service (FFS) for these patients, nor attach these patients to your panel.

While on the PCN NTP contract, may I bill for virtual care if I see patients at other clinics?

PCN physicians may only bill as fee-for-service (FFS) for services provided at a different clinic, whether patients are in-person or virtual.

How is payment made to physicians?

Payments are made to the physician group. It is the responsibility of the physician group to determine how to allocate the payments among themselves. Physicians and Vancouver Coastal Health (VCH, which is the local health authority) will determine whether payment will be made on a biweekly or monthly basis. Payments are made in equal installments throughout the year.

A special overhead incentive is  available of $75,000 per full-time equivalent NTP physician, for a period of three years, to reduce or replace your overhead contribution to your PCN Host Clinic.

 

How does the funding for overhead work?

As a physician under the PCN contract, you are required to contribute to the overhead costs of your clinic at the rate set out in the Practice Agreement. A special overhead incentive is  available of $75,000 per full-time equivalent NTP physician, for a period of three years, to reduce or replace your overhead contribution to your PCN Host Clinic.

What will be my employment status for tax purposes?

You will be an independent contractor and will not receive a T4 Statement of Remuneration for your salary under the PCN contract.

How will I fill my patient panel?

Family Physicians practicing under the PCN contract are provided with support through the Richmond Primary Care Networks for patient attachment. The Richmond Health Connect Registry allows patients to request a family physician, and the Richmond Attachment Program connects patients who are especially vulnerable and have urgent needs for longitudinal care.

I have been working at a walk-in clinic and have a small patient panel. Can I transition into a New-to-Practice Family Physician (NTP FP) contract at a different group family practice to build the remainder of my longitudinal care panel?

Yes, if you have been working at a walk-in clinic and billing as fee-for-service (FFS), you may sign a NTP FP contract with a different clinic.

Fee-for-Service (FFS) Information

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What is a normal billing split?

Physicians and host clinics negotiate their revenue sharing agreement and therefore arrangements will vary. One common billing split model is 70:30. Often, FFS family physicians retain 70 per cent of the payment and provide 30 per cent of the payment to the clinic owner toward overhead costs.

How can I arrange practice coverage?

Practice coverage arrangements may be a component of the agreement with your group practice, or you may be responsible for finding your own locum. The BC Family Doctors and Locums.ca provide online recruitment platforms to promote locum jobs. 

What arrangements are available for after-hours call coverage?

You may cover your own calls, you may participate in an after-hours call group arranged by your group practice, or you may join the Richmond Division After-Hours Call Group. For details contact recruitment@rdfp.ca

Other Types of Practice Opportunities

Learn More about other types of family practice opportunities, including:

  • Roles within Richmond’s Long-Term Care Initiative (LTCI)
  • Walk-in-Clinic jobs related to Episodic Care
  • Locum positions
  • Practice takeover from retiring or reducing family physicians

Essential Information for Family Physicians: International Medical Graduates (IMGs)

UBC St. Paul’s Hospital/Coastal IMG Return of Service Program Participants 

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Introduction to the British Columbia Postgraduate Medical Education International Medical Graduate (IMG) Program

IMGs are Canadian citizens or permanent residents who have completed medical school outside of Canada or the United States. The program  provides IMGs with an opportunity to train and qualify as a practising physician in British Columbia.

Since 2006, the Province of British Columbia has funded the residency positions of hundreds of participants. In exchange, participants complete a Return of Service (ROS) following completion of their residency. Learn more.

Download the 2023 IMG Toolkit

DOWNLOAD LINK  >> The 2023 IMG Toolkit contains the following:
1. Current IMG Job Postings
2. Essential Information
3. Career Supports + Resources
4. Clinic + Community Highlights

For settlement support and newcomer resources, visit the About Richmond section of this website. For support, contact recruitment@rdfp.ca.

2023 Richmond IMG Presentation + Video

View the 2023 Richmond IMG Presentation, and watch a video about the exciting life that Richmond offers you.

2023 B.C. Ministry of Health IMG Return of Service Information Package

View the latest information about the 2023 International Medical Graduate Return of Service Program from the B.C. Ministry of Health.

NEW! BC Physician Integration Program for IMGs

The British Columbia Physician Integration Program (BC-PIP) aims to support the successful transition of practice-eligible international medical graduates (IMGs) from the provisional registry to full licensure to practice medicine in British Columbia.

The College of Physicians and Surgeons of BC (CPSBC) requires all provisionally licensed IMGs new to practice in BC to complete the program within eight months of the date they obtained their registration.

Topics include Billing in British Columbia, Safe Prescribing, the Landscape of Health Care in B.C. and in Canada, Introduction to WorkSafeBC and ICBC, Continuous Learning & Practice Improvement, and Practice Management.

Practice Ready Assessment BC (PRA-BC) Family Physicians

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Update in Progress

Thanks for checking in! We are in the process of updating our information for PRA-BC IMGs. In the meantime, please contact the recruitment team at recruitment@rdfp.ca.

Essential Information for Host Clinics

Becoming a PCN Host Clinic

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NEW! Physician recruitment season is now open for PRA-BC family physicians

Welcome a family physician through PRA-BC into your clinic

PDF: PRA-BC Family Physician Recruitment Information for Host Clinics

Family physicians who have successfully completed the Practice Ready Assessment-British Columbia (PRA-BC) program will launch their practices in Fall 2025. Recruitment season for these physicians to join your clinic is now open.

The Richmond Division manages clinic-physician matching for PRA-BC. Register your clinic’s interest by selecting the relevant link below:

First-time host clinics (never hosted a PRA-BC physician)

Experienced host clinics (have hosted a PRA-BC physician in the past)

A member of the RDFP Recruitment Team will contact you to begin the process.

NEW! Host Clinic Check-Up: Preparing to Recruit a Family Physician

Host Clinic Check-Up: Preparing to Recruit a Family Physician

PDF: Host Clinic Check-Up

Clinics that are successful at attracting and retaining family physicians offer the qualities that family physicians are looking for to establish their lives and careers in Richmond:

  • modern atmosphere
  • team-based care
  • updated technology
  • collegial environment
  • supportive administrative team

Email us to access our knowledgeable Recruitment Team and essential resources that can support you in the physician recruitment process. 

What is the Expression of Interest (EOI) process to become a Host Clinic?

The EOI process, including host eligibility, terms, patient eligibility for PCN attachment, resources, and the step-by-step procedure, is laid out in the Call for Expressions of Interest document and in the RDFP PCN Host Application.

What incentives are available to host clinics?

A Team-Based Care Grant provides $15,000 to eligible family practices that have onboarded interprofessional team (IPT) members. It is the latest step taken by the Family Practice Services Committee (FPSC) to support the growth of team-based care practices.  This grant helps to address the costs of recruiting and onboarding into a practice, which physicians have identified as a barrier to creating team-based care practices. 

An Overhead Incentive of $75,000 per year, for a period of three years, is provided to each full-time equivalent NTP physician to support their total overhead costs, to be paid directly from physician to host clinic. Overhead is a set percentage of the physician’s clinical or patient visit income as outlined in the existing practice agreement between a physician and their clinic. This incentive is designed to support host clinics in adding new physicians, and to significantly reduce or in some cases replace a physician’s overhead contribution to the host clinic.

Is supervision required for practitioners working under provisional licence?

SUPERVISION OF FAMILY PHYSICIANS (FPs)
A physician on a provisional licence will require supervision. The level of supervision is at the discretion of the supervisor and depends on supervisee competency. Supervision is meant to be high-level; not all patient interactions require observation. Supervisors do not need to sign off on patient charts or medications, but should review them as a component of regular reporting. No legal liability applies to a supervisor for their supervisees; any complaints against a supervisee bears no consequence for their supervisor.
Supervisor reports are required at the three-month mark and annually until the physician sits for examinations and/or obtains Licentiate of the Medical Council of Canada (LMCC) and Certification in the College of Family Physicians (CCFP) designations to become fully licensed. A minimum of two reporting methods are required, such as chart reviews, chart discussions, direct patient–physician observation, 360-degree evaluation with other health professional colleagues, and other evaluation systems. Once the physician has met all other requirements and the first satisfactory report is received, the physician is eligible for full licensing. The maximum duration within the provisional class is five years.

The United States Medical Licensing Examination (USMLE) is equivalent to the LMCC, and that CCFP certification is granted without examination to physicians trained in the US, UK, Ireland, and Australia.

A supervisor is eligible to supervise a maximum of two provisional registrants and two clinical observers at one time. The College of Physicians and Surgeons of British Columbia must provide written approval for the supervision of additional registrants.

SUPERVISION OF NURSE PRACTITIONERS (NPs)
The supervision of nurse practitioners falls under the B.C. College of Nurses and Midwives. NP practice dos not require physician supervision. The NP is held to the same standards of care required of nursing, physician, and midwifery colleagues. 

What support is available to help me recruit practitioners who speak a language other than English?

We work closely with host clinics to help you recruit family physicians and nurse practitioners into your family practice. We promote specific needs wherever possible; given the shortage of practitioners in British Columbia we are unable to guarantee fluency in additional languages. Translation services are available; view access codes and instructions.

Hosting International Medical Graduates (IMGs)

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Update in Progress

Thanks for checking in! We are in the process of updating our information for clinics who would like to host IMGs. In the meantime, please contact the recruitment team at recruitment@rdfp.ca.

“We have a lot of experience connecting patients to family physicians and nurse practitioners. We schedule around everyone’s needs, and provide the essential practice support that is so important.”

Richmond Clinic Medical Director

Essential Information for MOAs

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Update in Progress

Thanks for checking in! We are in the process of updating our information for MOAs. In the meantime, please contact MOArecruitment@rdfp.ca

Essential Information for Nurse Practitioners (NPs)

Download the 2023 Richmond Nurse Practitioner Toolkit

DOWNLOAD LINK  >> The 2023 Richmond Nurse Practitioner Toolkit contains the following:

  1. Current NP Job Postings
  2. Essential Information
  3. Career Supports + Resources
  4. Clinic + Community Highlights

For settlement support and newcomer resources, visit the About Richmond section of this website.

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What is HealthMatch BC?

HealthMatch BC is a recruitment service for health care professionals funded by the province of British Columbia. If you see a position that interests you, email recruitment@rdfp.ca so that our team can help you through the application process. You can also access support through Nurse and Nurse Practitioners of B.C. by contacting the Vancouver & Coastal Regional Lead, NP Provincial Initiatives.

What contract is available to Nurse Practitioners?

Independent PCN Contracts are available for nurse practitioners within a primary care network setting. These three-year contacts provide income security while you establish your practice an build your patient panel. More information is available through the Family Practice Services Committee (FPSC), or email recruitment@rdfp.ca. You can also access support through Nurse and Nurse Practitioners of B.C. by contacting the Vancouver & Coastal Regional Lead, NP Provincial Initiatives.

Are part-time positions available for Nurse Practitioners (NPs)?

Yes, part-time opportunities working a minimum 50 per cent (also known as 0.5 FTE) of a full-time contract are available. Payments for service contracts that are less than 100 per cent (1.0 FTE) are pro-rated.

How will I fill my patient panel?

Nurse Practitioners practicing under the PCN contract are provided with support through the Richmond Primary Care Networks for patient attachment. The Richmond Health Connect Registry manages most patient attachment and allows patients to request a nurse practitioner. The Richmond Attachment Program is a separate, special program that connects patients who are especially vulnerable and have urgent needs for longitudinal care.

What will be my employment status for tax purposes?

You will be an independent contractor and will not receive a T4 Statement of Remuneration for your salary under the PCN contract. You can also access support through Nurse and Nurse Practitioners of B.C. by contacting the Vancouver & Coastal Regional Lead, NP Provincial Initiatives.

How does funding for overhead work?

The overhead amount is paid directly to the contracted NP in monthly installments. The NP is responsible for paying their contribution to the group practice. Costs covered by NP overhead contribution to the practice vary depending on the arrangement with the clinic. Vancouver Coastal Health (VCH) will also pay the NP either $75,000 (rural/urban) or $85,000 (metro) per year for 1.0 FTE toward ongoing overhead costs, in equal monthly installments during each year of the term. You can access support through Nurse and Nurse Practitioners of B.C. by contacting the Vancouver & Coastal Regional Lead, NP Provincial Initiatives.

Should I become incorporated?

The Nurses and Nurse Practitioners of British Columbia (NNPBC) provides contract navigation for NPs and other related support.

If I go on maternity leave during my PCN contract, do I need to find an NP to cover for me?

You have two options: you can either find an NP to subcontract, or request that your contract be put on hold during your maternity leave provided the clinic has sufficient coverage for your patient panel. If your contract is put on hold, the term of your contract will be extended equivalent to the maternity leave period. You can also access resources for additional coverage through Nurse and Nurse Practitioners of B.C. by contacting the Vancouver & Coastal Regional Lead, NP Provincial Initiatives.