Environmental Scan - Government of Nova Scotia

More documents

Recommendations

Info

Physician Resource PlanningAn Environmental ScanRetirement - 31% of the current workforce will retire by 2021. This rate is consistent with nationalaverages.Gender – Gender shift will continue in all specialties, especially in family practice, medical specialties, anddiagnostic specialties. Female physicians work less over the course of their careers than males. 42.1% offamily physician FTEs are female however 63% of PGME 1st year trainees are female. The adult medicalspecialties are 32% female now and this ratio will continue to increase to 53% over time. Paediatrics is 48%female and this will change somewhat over time to 50%-55%. Surgical specialties are 18% female currentlyand this will increase to 45% overall but with significant variation by surgical specialty.International Medical Graduates (IMGs) – Postgraduate trainee positions for Canadian citizens andpermanent residents have increased by 57% (4,011 positions) nationally since 2000. This will have adramatic downward effect on the need for IMG positions.National comparison of population to generalist physician FTE ratios – Compared to the national averagepopulation per FTE Nova Scotia has:o 4% fewer General Surgeons at 1:18,258 population compared to 1:17,481 nationally;o 5% fewer Family Physicians at 1:997 population compared to 1:947 nationally;o 8% fewer Obstetrician/Gynaecologists at 1:19,818 population compared to 1:18,335 nationally;o 54% fewer General Internal Medicine specialists at 1:21,652 compared to 1:14,058 nationally;o 24% more Psychiatrists at 1:7,268 population compared to 1:9,016 nationally;o 44% more General Paediatricians at 1:4,075 population under age 18 years compared to 1:7,287 underage 18 years nationally;Individual SpecialtiesFigure 16 Provincial ratio of population per FTE by Functional Specialty, March 31, 2010 (Source: PHReD)The adjacent figure is a list, bylicensed specialty, of thenumber of FTEs as of March 31,2010 and relative to the NovaScotia population.Among the generalistdisciplines the FTE topopulation ratios are:• Family/general practice 1:1,121;• General internal medicine1:21,652;• Psychiatry 1:7,268;• General paediatrics 1:4,075under age 18;• General surgery 1:18,258;and• Obstetrics and gynaecology1:19,818.(Source: MSI, PHReD, AFPdata, Departmental review)24 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011
Physician Resource PlanningAn Environmental ScanProvincial ratio of population per FTE by Specialty, March 31, 2010 continued…The provincial population of 942,522 is used as the denominator (column 3) except for the paediatricspecialties where the Nova Scotia and Maritime population aged 0 to 17 of 173,054 (column 4) and 343,846(column 5) respectively, has been applied.25 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011
Page 1 and 2: Social Sector Metrics Inc. & Health
Page 4 and 5: Physician Resource PlanningAn Envir
Page 10: 3 KEY OBSERVATIONS3.1 IntroductionP
Page 13 and 14: KEY OBSERVATIONSPhysician Resource
Page 23: Physician Resource PlanningAn Envir
Page 31 and 32: 4.4 ConsultantPhysician Resource Pl
Page 33 and 34: 4.8 Methodology Guiding PrinciplesP
Page 35 and 36: ContextooPhysician Resource Plannin
Page 43 and 44: 7 CONCEPTUAL MODELS7.1 Methodologie
Page 45 and 46: 7.4 BenchmarkingPhysician Resource
Page 47 and 48: Figure 23 Population per Physician
Page 51 and 52: 8 NATIONAL ENVIRONMENT8.1 Quality o
Page 53 and 54: All communities in all LHAs:oo−
Page 61 and 62: 8.4.3 NationalPhysician Resource Pl
Page 75 and 76:
Physician Resource PlanningAn Envir
Page 77 and 78:
Page 79 and 80:
9.5 Canadians Studying AbroadPhysic
Page 81 and 82:
Figure 53 Net in/(out) migration by
Page 83 and 84:
9.7 Worked HoursPhysician Resource
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
11 POPULATIONPhysician Resource Pla
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
INCIDENCEPhysician Resource Plannin
Page 99 and 100:
PHYSICIAN SERVICESPhysician Resourc
Page 101 and 102:
12.5 Renal DiseasePhysician Resourc
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
−−Physician Resource PlanningAn
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
−−−−−−−Physician Reso
Page 151 and 152:
POPULATION NEEDPhysician Resource P
Page 153 and 154:
• Specific Disciplines−−−
Page 155 and 156:
Background DataPhysician Resource P
Page 157 and 158:
Key (selected) ChallengesooooooPhys
Page 159 and 160:
Page 161 and 162:
Background DataPhysician Resource P
Page 163 and 164:
Page 165 and 166:
• Social-economic−Physician Sup
Page 167 and 168:
−Physician Resource PlanningAn En
Page 169 and 170:
Page 171 and 172:
−−−−−−Physician Resourc
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
19.1.2 GenderPhysician Resource Pla
Page 179 and 180:
Page 181 and 182:
19.1.4 Language - FrenchPhysician R
Page 183 and 184:
Page 185 and 186:
Page 187 and 188:
Page 189 and 190:
22 FAMILY MEDICINE22.1.1 NationalPh
Page 191 and 192:
PRIMARY CARE NETWORK - COORDINATED
Page 193 and 194:
Page 195 and 196:
Page 197 and 198:
23 MEDICAL DISCIPLINES23.1 National
Page 199 and 200:
Page 201 and 202:
Page 203 and 204:
Page 205 and 206:
Page 207 and 208:
• Benchmark(s):Physician Resource
Page 209 and 210:
Page 211 and 212:
Page 213 and 214:
Page 215 and 216:
Page 217 and 218:
• Benchmark(s)Physician Resource
Page 219 and 220:
23.3.3 Paediatrics - PsychiatryPhys
Page 221 and 222:
Page 223 and 224:
Page 225 and 226:
Page 227 and 228:
Page 229 and 230:
Page 231 and 232:
Page 233 and 234:
24.3.9 Orthopaedic SurgeryCurrently
Page 235 and 236:
Page 237 and 238:
Page 239 and 240:
Page 241 and 242:
Page 243 and 244:
Page 245 and 246:
Residency ProgramsPhysician Resourc
Page 247 and 248:
Page 249 and 250:
Medical BiochemistryPhysician Resou
Page 251 and 252:
Page 253 and 254:
Page 255 and 256:
−−−Physician Resource Plannin
Page 257 and 258:
Page 259 and 260:
−−−Physician Resource Plannin
Page 261 and 262:
Page 263 and 264:
PHYSICIAN SUPPLY• Critical mass
Page 265 and 266:
Page 267 and 268:
Page 269 and 270:
Page 271 and 272:
−−−−−Physician Resource P
Page 273 and 274:
• Social-economic−−PHYSICIAN
Page 275 and 276:
26.5.3 OphthalmologyPhysician Resou
Page 277 and 278:
Page 279 and 280:
Page 281 and 282:
Page 283 and 284:
Page 285 and 286:
Page 287 and 288:
Page 289 and 290:
Page 291 and 292:
Page 293 and 294:
27.3.3 General - Not Cited - Papers
Page 295 and 296:
Page 297 and 298:
28 Interview 16-Aug Department ofHe
Page 299 and 300:
information18 Preliminarymeeting fo
Page 301 and 302:
20 Preliminarymeeting forinformatio
Page 303 and 304:
Page 305 and 306:
Page 307 and 308:
Page 309 and 310:
Page 311 and 312:
Page 313 and 314:
Page 315 and 316:
Page 317 and 318:
Page 319 and 320:
Page 321 and 322:
Page 323 and 324:
Page 325 and 326:
Page 327:
show all

Environmental Scan - Government of Nova Scotia

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?