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New doctors want better work-life balance: study
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CTV.ca News Staff
Date: Mon. Apr. 28 2008 11:53 AM ET
TORONTO More medical students want a better work-life balance when they become practisng physicians, a new survey reports.
In the 2007 National Physician Survey, released Monday, 60 per cent of medical students and 52 per cent of residents said achieving a balance between their work and professional lives will be the most important factor when establishing a fulfilling career in medicine.
"I think the medical students, the medical residents and doctors alike will tell you that a good life-work balance is important in not only maintaining a healthy family, maintaining a healthy physical ability and maintaining a healthy mind, but it's also important in the work you do and the quality of care you deliver to patients," Shaheed Merani, president of the Canadian Federation of Medical Students, told CTV's Canada AM on Monday.
"So I think that the focus that medical students and residents are taking towards their own work-life balance is very important and will result in better care offered to patients across Canada."
Dr. Ruth Wilson, president of the College of Family Physicians of Canada, conceded that historically, the medical community has accepted long hours as part of a doctor's life.
"I think one of the mistakes we've made as a medical profession is defining a 60-hour work week as normal and defining 'on-call' as not being work," Wilson said.
"The flip side is there are important demands and important health needs from patients, and those of us who go into medicine to try and make a difference to individuals see those needs and try to work as hard as we can to meet them."
The survey's findings could have an impact on how government, medical schools and professional organizations address current crises in the Canadian health-care sector, including family doctor shortages, particularly in rural areas, and long wait times for various medical procedures.
"Wait times will be further influenced by changing patterns of physician practice," Canadian Medical Association President, Dr. Brian Day, said in a statement.
"While future physicians are part of the solution, the way they want to practice and their priorities must be considered in ongoing efforts to improve timely access."
New doctors themselves will be keen to find ways to streamline their practices so they can spend more time away from work. Technology will help new doctors do this.
According to the survey, 75 per cent of second-year residents want to use electronic medical records (EMRs) as part of their practice. Currently, only one quarter of Canadian physicians use EMRs.
"Electronic medical records, for example, reduce the amount of paperwork and give patients and physicians more time to interact on a one-on-one basis," Merani said.
As well, financial incentives may play an important role in recruiting physicians to underserved rural communities because of the debt load that many new doctors carry as they start their careers.
About 36 per cent of medical students who completed the survey said they anticipate their medical-school-related debt to exceed $80,000. One quarter of residents said they left medical school more than $80,000 in debt.
However, medical students don't start paying off their loans until after they have completed the required two to six years of residency training, which they must do in order to become a practicing physician, said Merani.
"By the time these medical students are paying back their student debts, of almost $100,000 and in some cases even more, they're almost 40 years old, they've started young families, and it is quite burdensome and it is definitely a source of stress to students," Merani said.
The National Physician Survey is the largest survey of physicians and medical students in Canada. It is a joint effort of The College of Family Physicians of Canada, the Canadian Medical Association and The Royal College of Physicians and Surgeons of Canada.
For the 2007 edition, 2,800 medical students and 730 second-year residents completed the survey.
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I certainly don't blame him. He wants to at least have a fair shot at a World Series ring -- and it is highky unlikely that would be in Toronto, in his lifetime.
Even the "Beast and Pat team" won't be able to pull off that miracle!
Thanks Doc, for the memories. It was great to have you here this long.
Best wishes for that Ring wherever you land.



Comments are now closed for this story
Roch
said
joe
said
Dean
said
Sahib Reginawale
said
Its Socialism Stupid!
said
One payer pays for all essential and elective health coverage, finances and maintains some medical facilities, pays the physicians and ..... foots the entire bill for the cost of medical training (well excluding tuition which is not alot in Canada).
They can't do it all as they (governments who strongly support single payer single tier health care) would have you believe. So they have to limit or cut back on some spending. Sometimes the cutbacks come in the form of a limit on the number of folks in medical schools and the various residencies. This naturally means fewer doctors out there practicing.
If the system were more market driven, there'd be more physicians out there meeting increased demand. This could happen if the CHA was ammended to allow private practitioners to operate outside of the government. But we love the system that we share with Cuba!
Steve in Fredericton
said
dwigget
said
40 hrs is NOT the norm for everyone. It's a western-world concept, actually - most of the world people work 6 (or more) days a week, sunrise to sunset. I've sure neer had the luxery. Not that I'm complaining - I chose my lines of work.
This will only get 'worse' as labour market (skilled & otherwise) continues to tighten. Get used to it - & learn to organize & prioritize your 'off' time well - especially if you are married/children/whatever.
John
said
Catharine
said
We all do. Some are better paid than others.
Karmen
said
Ingrid D.
said
Mark in Ottawa
said
Doctors are considered self-employed which means if they take a month off they don't get paid. Similarily, bills based on patients seen which means cutting back to 40 hours means less money.
I'm sure there are doctors out there who would love to have a guaranteed salary. Then they could take time off AND get paid.
A 60+ hour a week physician is a divorce waiting to happen. Those are expensive too and the extra billable hours don't make up for that, emotionally or financially. Furthermore, a physician's kids have as much right to build memories with their father/mother as the children of their patients.
Scott Cameron
said
Taylor
said
When you only accept students who like to devote more time to sports and music and less time on school-work, is it really surprising when the doctors you train end up wanting to devote more time for themselves and less time working?
1st Year Medical Student
said
As residents, we have lots of debt but are only paid $50 000 a year for working 80-100 hours a week with call. It shouldn't be surprising then that we want to cut back on those hours when we're fully licensed physicians!
Albert
said
Jasper
said
We need to train our own kids. Open up more spaces in the Univerity programs and train more doctors. Get rid of some of the artsy fartsy classes and shorten the length and cost of the program. Make it more affordable for the average Canadian family to send their kids to med school.
Money isn't everthing if you are over worked and stressed out and your family life is suffering. If we keep our doctors happy they are less likely to pack up and head south of the border.
Ian
said
Learning to Heal
said
While this debate is likely to spark a lot of harsh words, understand that many of us sacrificed our youth to serve our communities. There's no such thing as work-life balance during medical school, so it's not strange for us to want reasonable work-life balance eventually.
Mike
said
The impacts of this decision are only starting.
GH
said
Shawnosporin
said