Correct. Earning it once during the QL3 is the only requirement. No requirement to continue on with holding a license currently exists.
I think Adam's comments are good. That is the reason the MCSP has just been considerably overhauled to the MCRP and that civilian on-car rotations are now and optional versus required (this is second hand info, truth be told I have not looked at the new MCRP in depth, but rather attended a meeting on it and then skimmed the documents).
The MCRP is much more attainable then the old MCSP is the premise.
The CF cannot reach universal agreement with all geographically co-located EHS's to allow Med Techs to meaningful on car ride along experience. This is the reality of a provincially regulated system that is municipally managed / administered. There have, in some cases, also been union issues I am told. The CFHS is working hard at securing other MCRP hospital based rotations in all locals through the use of MOUs established by the National CIMIC Cell. Hospitals seem to be little easier to work with for some reason.
Agreed, some of the biggest reasons why we only have a 17% maintenance of PCP license rate for Med Techs is operational / training tempo, geographic location of on-car opportunities, local ambulance service pre-requisites for on car rotations, and number of on-car billets available. In the vast majority of cases it is not lack of motivation.
When the reality hit all of the higher ups the conclusion was obvious that it is just not feasible to have all Med Techs maintain licenses even if they wanted them to do so. In the end there is no occupational specification requirement to do so and attaining a civilian provincial license once at the start of ones career meets the requirements of the CF, the Auditor General, and the Chief of the Review Service.
I do not know much about the SAR Tech situation / initial qualifications so I do not feel right at commenting. I can only suggest that SAR Techs may not have come under scrutiny of the Auditor General / CRS over the past decade and a half and are not now held to the Accreditation Canada standard for health care organizations.
Nursing Officers / Medical Officers / Pharmacy Officers / Social Work Officers / Physiotherapy Officers are much smaller in total numbers per MOS then Med Techs and are required by occupational specification, the Auditor General, agreements with various Provincial bodies, a few federal laws, and now importantly Accreditation Canada to maintain a civilian license (in at least one province), hence why it has occurred. It has been a challenge for some of these groups to maintain their civilian license especially when the deployment cycle was high. It has been easier (in most cases) to transfer one of these licenses from province to province and once you are licensed in the province getting you into a hospital / clinical placement that is in the geographical location of your posting is not all that difficult for the CIMIC folks and it can usually occur with a phone call. Many of these professionals are also moonlighting which has helped things.