Environmental Scan - Government of Nova Scotia

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Physician Resource PlanningAn Environmental Scanhealth, obstetrics and gynaecology, gastroenterology, and nursing. Current identified strengthsincluded the above plus neurosciences, psychiatry, and general internal medicine.19. DFM current areas of research focus, as measured by CIHR grant revenue (only), are in investigationsled by physicians originating in the neuroscience, geriatric, psychiatric, and population health/healthoutcomes specialties. DFM total research revenue (excluding industry contract research revenue) in2008/09 was $50,887,000.District Health Authorities20. Significant productivity differences exist across DHAs for the same specialty. Productivity is a functionof many factors including infrastructure, distance, call-duty, volume of local demand, etc., etc.Productivity does not consider the quality of services provided.21. DHA local residents will commute outside their county and DHA to receive care and physicians will alsocommute outside of their primary location to other communities to deliver care. This ‘(export)’/import(see Terminology) behaviour is commonplace in health systems. Export/import behaviour providesvaluable insight for service planning. For example, residents of DHAs 1 and 4 access 6% and 9% ofgeneral practice services outside their DHA. This may represent a PRP service gap. Similar examplesexist in the data regarding generalist services such as internal medicine, general surgery, andobstetrics.22. Surgical wait lists and times are tracked comprehensively. Wait lists are growing in most surgicalservices with significant variance across DHAs. Productivity per surgeon also varies significantly acrossDHAs.23. There were 1,988 FTE in 2009/10 in the province with a count of 2,215.24. Variance in population per Family/General practice FTE ranges from 1,001 in DHA7/GASHA to 1,378 isDHA6/PCHA.Physician Profiles25. Generalist ratios – NS family/general practice is 1 FTE per 997 is comparable to the national average of1 FTE per 947. NS internal medicine is 1 FTE per 21,652 (CIHI data not comparable). NS psychiatry is 1FTE per 7,268 (9,016 nationally). NS general paediatrics 1 FTE per 4,075 under age 18 (CIHI data notcomparable). NS general surgery 1 FTE per 18,258 (17,481 nationally) and NS obstetrics & gynaecology1 FTE per 19,818 (18,335 nationally).26. 31% of the current workforce will retire by 2021. This rate is consistent with national averages.27. Gender shift will continue in all specialties and in general practice, medical, and diagnostics inparticular. Female physicians work less as physicians over the course of their careers than males. 42.1%of Family Practice FTEs are female however 63% of PGME 1 st year trainees are female. The adultmedical specialties are 32% female now and this ratio will continue to change towards 53% in time.Paediatrics is 48% female and this will change somewhat over time to 50%-55%. Surgical specialties are18% female currently and this will increase towards 45% overall with significant variation by surgicalspecialty.28. IMGs – Postgraduate trainee positions for Canadian citizens and permanent residents have increased57% (4,011 positions) nationally since 2000. This will have a dramatic effect on IMG positions and need.186 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011
Physician Resource PlanningAn Environmental ScanSection 4.INDIVIDUAL SPECIALTIESA REVIEW BY INDIVIDUAL SPECIALTY OF THE LITERATURE, THENOVA SCOTIA WORKFORCE, AND NOVA SCOTIA SPECIALTYINPUT187 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011
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3 KEY OBSERVATIONS3.1 IntroductionP
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KEY OBSERVATIONSPhysician Resource
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Figure 23 Population per Physician
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11 POPULATIONPhysician Resource Pla
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INCIDENCEPhysician Resource Plannin
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PHYSICIAN SERVICESPhysician Resourc
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Environmental Scan - Government of Nova Scotia

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