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Monthly Archives: September 2013

Kuwait – Obstetrician/Gynecologist – $350,000 – $400,000 Cdn, plus….

CanAm’s client in Kuwait is seeking a general Obstetrician/Gynecologist for a First Class private hospital. Candidates must have Canadian FRCSC Certification OR American ACOG certification, and at least 5 years’ experience.

Academic and Management experience is considered an asset.

Estimated annual tax free income = $350,000-400,000 Cdn, and potential for a significant productivity bonus, with first rate accommodation provided.

If you are interested please forward your CV to Dr. Eric Parsons, CanAm Regional Manager, Email: eparsons@canamrecruiting.ca, Phone: 709-690-9990.

 

Premiere Canadian CanAm Job Posting – October 2013

Family Physician – A First-Rate Medical Career Opportunity

CanAm Job Board #: 837

UHMedicalMarqee

 Yes, we are seeking an energetic GP to jump-start this state-of-the-art urban medical clinic. However, if you are GPs, and also a married couple seeking to attain that perfect work-life balance – this is your chance to achieve control of your goal!

This is also your chance to live in a Canadian city ranked among the best places to live in North America. It is a city with education and arts as the center of its cultural life, an outstanding place to raise a family, earn excellent income and enjoy a very comfortable lifestyle.

University Heights Medical Clinic is a brand new clinic strategically located in a high visibility, busy location in Saskatchewan’s largest, bustling and vibrant City of Saskatoon. The clinic’s close proximity to a major retail district, pharmacy, university, major hospital, clinical lab services and medium to high density housing assures a steady flow of both walk-in and Family Medicine patients.

This ‘turn-key’ 6 exam room clinic boasts state of the art equipment and technology, including new examination tables, diagnostic tools, Electronic Medical Records, fully computerized patient care management and scheduling software, – all managed by a professional and competent support staff team.

Other perks include:

–       The ability to earn above average compensation.

–       Enjoying work schedule and lifestyle flexibility.

–       Practice setup assistance, including financing and local advertising campaign.

–       To expect a 60/40 Family Practice to Walk-in patient mix.

–       Immigration assistance for you and your family, if required.

–       Medical licensing and credentialing assistance.

–       Housing and travel assistance.

–       Generous start-up assistance leading to a 75%/25% revenue split.

–       A lucrative option for eventual business partnership.

Qualifications: The ideal candidates will already hold a current SK license, or be Canadian CCFP certified or Eligible, USA board certified, UK-MRCGP, Irish-MICGP, or Aus-FRACGP certified.

This is truly an extra-ordinary Canadian dream career opportunity. If this sounds like the ideal job for you contact – Phil Jost, CanAm VP Operations NOW!  – at 902-439-3400, or Email –  phil@canamrecruiting.ca, Twitter – @CanAm_Phil.

Toll Free USA & Canada – 866-446-4447.

Canadian Doctor Total at Record High

Canada had a record 75,142 doctors last year and they earned $328,000 gross on average, according to two new reports.

The annual reports on physician supply and payments for both general practitioners and specialists were released Thursday by the Canadian Institute for Health Information.

“The year 2012 saw the highest level of physicians per capita ever recorded in Canada,” the authors of the reports said.

What’s more, the six-year trend of growth in the number of doctors outpacing population growth is expected to continue since data from medical schools indicate more students are graduating with MD degrees.

Between 2008 and 2012, the number of female physicians increased by nearly 24 per cent, while the number of male doctors increased by 10 per cent. In all provinces, women represented a larger proportion of family doctors than specialists.

Since 2008, the number of doctors working in rural areas increased five times faster than the rural population, with almost 6,400 physicians in 2012.

But the numbers alone don’t present the full picture. It’s important to ask not just how many doctors are needed, but where are they most needed and in what specialties, said Geoff Ballinger, CIHI’s manager of physician information.

Kristin Speth, 35, of Toronto, has been looking for a regular doctor since she moved from Alberta four years ago. She’s had headaches since childhood and has been going to walk-in clinics but is frustrated with the experience.

She’s tried the provincial service to find a doctor but keeps getting notices saying there are no leads.

“It is extremely frustrating,” said Speth.

“It’s just so hard to find someone who will just stay longer than the one year that I need for my physical. They just don’t stick around or you know, you can’t find anyone who is taking new patients.”

In 2011-12, clinical payments to doctors’ offices also increased nine per cent over the previous year to more than $22 billion, the institute reported. In the two previous years, the increases were 6.1 per cent and 7.9 per cent, respectively.

How doctors are paid is also changing.

Fee-for-service payments that reimburse doctors for each clinical service they provide continued to be the majority, at 71 per cent, last year. The average cost per service paid was $56.99.

Out of the gross amount, doctors pay for taxes, rent, salaries and equipment.

Alternative clinical payments, such as paying by hour or by the number of patients in a doctor’s practice, rose to 29 per cent, up from 11 per cent of total payments a decade ago.

“Now they’re being paid in ways that encourages them to see perhaps fewer patients but spend more time with patients, which is particularly important for older patients or patients with chronic disease,” Ballinger said in an interview.

Ontario’s health minister, Deb Matthews, said the province is moving towards team-based models of care that maximizes the ability of nurses, nurse practitioners and others to provide primary care.

The per capita number of doctors “becomes a little bit less meaningful than it would have in the old days when you had a family doctor or nothing at all,” said Matthews.

(CBC, September 26, 2013)

When the Patient is Racist

White Coat Black Art looks at one of medicine’s most uncomfortable secrets: the patients who discriminate against the growing ranks of health professionals who belong to visible minorities and the system that lets those patients get away with it.

In a feature interview, we talk to Dr. Sanjeet Saluja, a Sikh MD in Montreal who has been a visible opponent to Quebec’s proposed charter of values. Saluja talks about life in a Montreal ER and the ethnic slurs he faces on a regular basis when he’s on duty.

South of the border, Dr. Sachin Jain tells why he wrote The Racist Patient, the storm it created in medical circles, and his prescription for a medical culture that lets patients cross the line.

It’s an episode we hope you will listen to, read my blog post about racist patients and then add your voice to the discussion.

You can hear more of Sanjeet Saluja in this interview from our CBC Radio One colleagues at Home Run in Montreal.

Click to listen to the interview –  http://www.cbc.ca/whitecoat/episode/2013/09/13/when-the-patient-is-racist/#

(CBC Radio – Friday, September 13, 2013)

UK GPs Suffering Highest Stress Rates for 15 Years

FlagUKGPs are suffering the highest levels of stress recorded since 1998, with over half of those aged over 50 years saying they intend to quit direct patient care within five years, a DH-commissioned survey has found.

The national GP worklife survey – carried out by researchers at the University of Manchester – found the number of GPs over 50 intending to quit direct patient care has increased by 30% in the last two years.

The news comes as Pulse launched its Battling Burnout campaign earlier this year, which urged GPs to write to their MP to raise awareness to the issue. This followed from an investigation which found that almost half of GPs were at a high risk of becoming emotionally exhausted, depersonalised towards patients and feeling like they are not making a positive contribution to people’s lives in their job.

The national GP worklife study also found that stress in GPs was rising. In terms of job satisfaction, it revealed that on a seven-point scale where 1 means ‘extremely dissatisfied’ and 7 means ‘extremely satisfied’, average satisfaction had declined from 4.9 points in 2010 to 4.5 points in 2012 in both the cross-sectional and longitudinal samples.

GPs were least satisfied with hours of work, recognition for good work and hours of work, with the largest decreases in job satisfaction between 2010 and 2012 in the domains relating to hours of work and remuneration.

The survey also found that almost a third of GPs indicated there was a considerable or high likelihood that they would quit direct patient care within five years.

For those aged 50 years or over the corresponding figures was over half (54.1%), with the vast majority of these indicating that the likelihood was high. The average reported age of planned retirement was 61 in a range of 52 to 76 years.

The proportion of GPs expecting to quit direct patient care in the next five years was at the highest levels since the survey began in 1998. It had increased from 41.7% in 2010 to 54.1% in 2012 amongst GPs aged 50 years and over and from 6.4% in 2010 to 8.9% in 2012 amongst GPs under 50 years-old.

Reported levels of stress increased between 2010 and 2012 on all 14 stressors, generally by 0.2-0.4 points on a five-point scale where 1 means ‘no pressure’ and 5 means ‘high pressure’.

In 2012, as in 2010, GPs reported most stress due to increasing workloads, paperwork and having insufficient time to do the job justice, and the least stress reported due to finding a locum and interruptions from emergency calls during surgery.

Almost 70% of GPs agreed to some extent that they did not have time to carry out all their work, and that they were required to do unimportant tasks, detracting from more important ones, but that they always knew what their responsibilities were.

95% of respondents were likely to agree to some extent with the statement that they had to work very intensively, 84.1% that they had to work very fast, but 82.5% agreed their job provided a variety of interesting things.

Only a tenth of respondents agreed that changes in the job in the last year had let to better patient care.

The seventh national GP worklife survey concluded: ‘The 2012 survey reveals the lowest levels of job satisfaction amongst GPs since before the introduction of the new contract, the highest levels of stress since the start of the survey series, and a substantial increase over the last two years in the proportion of GPs intending to quit direct patient care within the next five years.’ (PULSE – Thursday 26 September 2013)

Australia Has ‘Too Many GPs’ and Should Reduce Immigration, Claims Report

FlagAustraliaA major report has called for a reduction in the number of overseas GPs entering Australia to work, after a ‘huge influx’ of GPs from abroad.

According to the report, there has been ‘sharp increase’ in the numbers of GPs in Australia seen since 2006, and that the level of GP services currently being provided is well above the level needed.

The report from the Centre for Population and Urban research at Monash University – called ‘Too Many GPs’ was published earlier this year and recommended that the recruitment of international medical graduates on ‘limited registration’ should be stopped because there is ‘no need’ for them.

Pulse recently reported that more GPs than ever are considering emigrating from the UK, with Australia a popular destination.

But the report’s authors recommended that immigration of GPs should be reduced.

It says: ‘The recruitment of further IMGs from overseas on limited registration to GP and hospital doctor positions should cease. There is no need for more limited-registration IMGs, yet the numbers being sponsored on 457 visas is surging-reaching 2,633 in 2011-12.’

It adds: ‘There has been a sharp increase in the number of full-time-work-equivalent GPs billing on Medicare since the mid-2000s.

‘The level of GP services in both metropolitan and non-metropolitan is well above that considered by the medical manpower authorities in the past to be adequate.’

‘Much of this growth in GP employment came from a huge influx of doctors from overseas since 2006.’

But Health Workforce Australia – a Australian government body – criticised the report, claiming that many of the findings were based on inaccurate and outdated data.

It said: ‘Health Workforce Australia has completed a thorough analysis of the criticisms and has found a number of inaccuracies and issues.’ (PULSE – Thursday 26 September 2013)

Alberta Health Services Fires 5 Top Executives, Plus 70 More Could Follow!

The provincial government fired five senior Alberta Health Services executives today as part of a shake-up that could see 80 vice-president positions whittled down to ten.

The move follows a review that found the system is top-heavy with managers and should focus more on supporting health-care providers.

“We’ve heard a lot of criticism over the years about the weight of bureaucracy in AHS. It’s time to look at it, it’s time to go,” said Dr. Chris Eagle, CEO of AHS.

“I don’t know what the right number is right now, but we have to decrease that number.”

In addition to the five positions eliminated, the plan calls for 65 other senior executives to be reassigned to positions that better support front-line staff, says Janet Davidson, who led the review.

“Healthcare… is a people business. It’s all about people,” Davidson said. “You have to design and structure your organization to support the people.”

The five fired executives include chief operating officer Chris Mazurkewich; chief medical officer David Megran; senior vice-president of communications Roman Cooney; senior vice-president of the Edmonton zone Mike Conroy; and Barbara Pitts, the senior vice president of priorities and performance.

Health minister Fred Horne says the restructuring won’t affect front-line healthcare staff.

“We’re not reinventing the healthcare system. We’re talking about a relatively small number of very senior positions in AHS,” Horne said.

AHS structure top-heavy and confusing, review finds

The governance review came after Horne fired the entire AHS board on June 12 shortly after the release of a report that was highly critical of the organization’s operations.

The report described a lack of “stability in leadership” and a “tendency on the part of the government to become overly involved in AHS operations.”

It also says greater performance should be expected considering how much money the government spends on health care.

It recommended a slimmer management structure, with every level of administrative position being justified in terms of what it would do to improve patient care, teaching or research.

Davidson also called for improvements in the way that AHS consults with patients and other stakeholders.

with files from CBC’s Charles Rusnell and Canadian Press

Per The Wall Street Journal – Overseas Americans: Time to Say ‘Bye’ to Uncle Sam?

FlagUSAHere is a sign that life is getting complicated for U.S. taxpayers with assets abroad: More of them are deciding they are better off cutting official ties with America.

In the first half of 2013, 1,809 people renounced their American citizenship or permanent-resident status, according to a tally by Andrew Mitchel, a tax lawyer who tracks U.S. data. At that pace, the 2013 total would double the previous high of 1,781 renunciations in 2011.  http://online.wsj.com/article/SB10001424127887323455104579014772169287210.html.