Dr. Rob Beck

• U.S.-trained internist from Tennessee, MPH + med school + residency + chief year at Tulane (New Orleans)
• Practised internal medicine in Nashville for ~10 years
• Moved to Vancouver Island in 2020, first in Nanaimo, now full-time in Victoria across three hospitals
• Family of internists (wife and sister-in-law)
• Became a Canadian citizen in February

Why did he move to Canada?

• Burnout and U.S. political climate pushed a move
• Wife and sister-in-law Canadian, family connection in North Vancouver
• Researched opportunities through Health Match BC
• Chose Victoria for lifestyle, climate, and outdoor activities

How did licensing and credential transfer work?

• In 2020, had to pass Canadian Royal College written and oral exams
• Now, U.S. board-certified physicians often get full Canadian licensure without extra exams
• Process today is simpler and less expensive

How are physicians paid and how does billing work?

• Two main models:
  • Hourly (common in ER)
  • Fee-for-service (common in internal medicine)