Environmental Scan - Government of Nova Scotia

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Physician Resource PlanningAn Environmental ScanThe table also compares counts with FTEs. In Nova Scotia, a count of 411 female family physicians translates to220.45 FTE for a 54% ratio of count to FTE, 58% ratio for specialists and 55% overall. Nationally the ratios are60% in family medicine, 67% in specialties, and 63% overall.Figure 40 FFS counts and FTE by Province, Gender, and Broad Physician Specialty, 2008/09 (Source: CIHI)Nationally, and more pronounced in Nova Scotia, female physicians work less as physicians over the course oftheir careers 38 . There are many reasons for this but raising a family is perhaps the most significant. The femaleratio of count to FTE is not unexpected. Quality PRP planning can, however, inform the medical educationsystem as it considers and/or implements growth scenarios.The following figure describes the difference in FTE by functional category between males and females basedupon all actual province-wide 2009/10 FFS and Shadow-bill compensation data (source: MSI and PHReD). Thefemale to male ratio is 0.84 in general practice, 0.93 in surgical specialties, and 0.96 in medical specialties.38 Canadian Medical Association, Average Hours Worked Per Week by Physicians, by Sex, 1982–2007 (Ottawa, Ont.: CMA)72 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011
Physician Resource PlanningAn Environmental ScanFigure 41 Nova Scotia – FTE by Gender - Actual province-wide 2009/10 FFS and Shadow-bill data (source: MSI and PHReD)The following CIHI table compares FFS counts with FFS FTEs. In Nova Scotia the ratio of female to male is 0.75in family medicine, 0.82 for specialists, and 0.77 overall. Nationally the ratio’s are 0.73, 0.78, and 0.75respectively.Figure 42 Physician Ratio of Counts and FTEs, 2008/099.3 Profile – AgeCIHI released the latest national estimates of physician age in 2009. The figure below shows Nova Scotia verysimilar to the national average for general practitioners and specialists. Nova Scotia is 49.6 and 49.9,respectively, and nationally the average is 49.1 and 50.3, respectively, for general practitioners and specialists.The American Association of Medical Colleges (AAMC), in 2008 (data by specialty), reported the specialties withthe highest percentage of members over age 55 were preventive medicine, psychiatry, pathology, allergy &immunology, urology, and thoracic surgery. The 2010 National Physician Survey, Nova Scotia specific, reported73 | Page Social Sector Metrics Inc. & Health Intelligence Inc. | 12/31/2011
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Environmental Scan - Government of Nova Scotia

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