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A doctor treats an elderly patient.

Average age of doctors in Canada on the rise

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CTV News: Denelle Balfour explains the shortage
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Date: Thu. Oct. 25 2007 10:24 PM ET

The number of physicians in Canada continues to increase, says a new report, but the average age of those doctors is rising too, leading to worries there won't be enough of them when our aging medical workforce begins to retire.

"Canada has an aging population, a demographic crisis, if you like, in terms of the demands on the health care system," Canadian Medical Association President Brian Day told CTV News.

In an annual report tracking changes in the physician workforce in Canada, the Canadian Institute for Health Information (CIHI) says the average age of doctors in Canada reached 49 years in 2006, an increase of 1.5 years since 2002.

Over the past five years, the number of physicians aged 60 or more has increased by a full 28 per cent, while the number of physicians under the age of 40 actually decreased by 10 per cent.

What's more, these younger doctors joining the workforce tend to approach their profession differently than their older counterparts, says Geoff Ballinger, CIHI Manager of Health Human Resources.

"They tend to put more emphasis on work-life balance, and may see fewer patients on average than older physicians as a result," says Ballinger.

"It's important for health planners to understand these differences in practice patterns, particularly as a greater number of doctors approach their retirement years."

Overall, the number of family physicians rose 5.7 per cent between 2002 to 2006, slightly outpacing the growth of the Canadian population during the same time, but the number of specialists rose by just 4.0 per cent.

The number of family practitioners rose from 96 per 100,000 Canadians in 2002 to 98 per 100,000 in 2006. The number of specialists relative to the size of the population saw a slight decrease over this five-year period, from 93 per 100,000 to 92 per 100,000.

Meanwhile, the number of female physicians grew by an impressive 13 per cent between 2002 and 2006, compared to an increase of just one per cent for male physicians.

Overall last year, women made up 33 per cent of the total physician workforce and nearly half (49 per cent) of all medical doctors under the age of 40.

More physicians returning to Canada

The number of physicians who moved abroad decreased by 57 per cent over the past five years. Furthermore, for the third year in a row, the number of physicians returning from abroad in 2006 was greater than the number leaving Canada (238 compared to 207).

Many physicians also moved between jurisdictions within Canada. Between 2002 and 2006, Alberta and British Columbia were the only two jurisdictions that continuously experienced net gains in physicians from interprovincial migration.

The number of doctors trained in Canada grew by 5.2 per cent between 2002 and 2006, compared to an increase of 0.7 per cent in the number of foreign-trained physicians. Doctors trained abroad come primarily from the United Kingdom and Ireland, South Africa, India, Egypt and the United States.

Comments are now closed for this story

Frank Markus
said

Wake up people!

Your OMA has been limiting the number of new students allowed to study medicine for years. The OMA, who are doctors, continue to limit the number of practicing physicians so as to keep doctors pay in the stratosphere.

The OMA will never open up the doors to medical school, never. More doctors? Yea, we can work on that....

The OMA is all about limiting the number of practicing Ontario doctors. Need examples?

Just review the "assistance" they continue to give to newly arrived doctors, it's closer to "interference".


John Abraham
said

I agree with minhdta! I am a Canadian citizen who graduated summa cum laude at a top Canadian institution but still could not get into the Canadian system. I went to medical school at the University of Pennsylvania, and did my graduate training there as well. Despite this world class training, I am reportedly NOT good enough to return. I have passed all my Canadian exams, yet still I am required to do an additional year of training under a mentor in Ontario. This is an insult; do you really expect to recruit American trained specialists (arguably amongst the best in the world) to come to Canada with these ridiculous obstacles?



Ron
said

You want to fix up the health care problem. If I were the P.M. here is what I would do:

1. Double the number of doctors. We don't have enough doctors. Can we produce more of them? Yes we can. Do we have a large pool of A+ students who want to be doctors? Yes we do. Why don't we tell the Canadian Medical Association that WE DEMAND MORE DOCTORS!

2. We should stop doctors going to America. We, the Canadian people, have subsidized the doctors education. When they leave, they rip us off. We should go to the Americans and tell them to quit poaching our doctors. We should make every doctor sign a contact to stay in Canada for some minimum amount of time.

3. We should tell these people who want private health care to take a hike. They want the system to fail so that they can make introduce private health care and make money. The answer lies in fixing they system we have. When private health care comes up, people compare to USA. That is the only industrialized country in the world with private health care, and it doesn't work there. Just watch the movie by Michael Moore titled Sicko if you want see what goes on down there.


Sahib Reginawale
said

Hope:
Here are some statistics regarding Canada's elderly population: In 2001 approximately 12% of Canadians were 65 years of age and above. By 2041 the projection is that 22% of Canadians will be 65 years of age and above. For more detailed information check out
www.phac-aspc.gc.ca/seniors-aines/pubs/fed_paper/pdfs/fedpager_e.pdf


minhdta
said

I'm currently physician-in-training in the United States... and trust me .. it's not as easy as they say to return and practice in Canada where I grew up. They portray the shortage as an alarming disaster (which it is!) but yet .. put all kind of obstacles and make sure that we can not get back.

ern
said

This is disturbing seeing the age rise of doctors but an even more disturbing demographic is the average age of farmers in the mid to late fifties with very few new entrants.Who is going to feed the population in the future?


Hope
said

Nice start!! BUT we have a long way to go!!

How many of these doctors have any training in the treatment of the increasing Geriatric population??

It is my understanding that over 50% of Canada's population will be "senior citizens" within the next few years.

Has anyone considered doing some research into the Medicine Programs and therefore qualifications of the many doctors who have immigrated to Canada but are not allowed to practice.

If need be, have them all become residents at hospitals all over the country so that a decision can be made into whether their level of training is acceptable or whether they require additional training.

My other big concern is how well they can speak and understand English?!
The is nothing more dangerous than misunderstanding what a patient is saying to them or their possible inability to explain things to their patients! After all "Doctors are responsible for our lives".



M. Cameron
said

This may be true but it's too bad small communities like mine don't attract doctors where they are needed.


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