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Dermatology
Profile
Updated
December 2019
Slide

Table of Contents
General Information 3-5
 Total number & number/100,000 population by province, 2019 6
 Number/100,000 population, 1995-2019 7
 Number by gender & year, 1995-2019 8
 Percentage by gender & age, 2019 9
 Number by gender & age, 2019 10
 Percentage by main work setting, 2019 11
 Percentage by practice organization, 2017 12
 Hours worked per week (excluding on-call), 2019 13
 On-call duty hours per month, 2010 14
 Percentage by remuneration method 15
 Professional & work-life balance satisfaction, 2019 16
 Number of retirees during the three year period of 2016-2018 17
 Employment situation, 2017 18
 Links to additional resources 19
2
General information
Dermatology is a diverse specialty that deals with benign and malignant disorders of the skin, mouth,
external genitalia, hair and nails, as well as a number of sexually transmitted diseases.
Dermatologists engage in a variety of procedural work and have the opportunity to combine cognitive
skills with surgical skills. They also have expertise in the care of normal skin and in the prevention of
skin disease and skin cancers.
A dermatologist must be knowledgeable about:
 all primary diseases of the skin and cutaneous manifestations of diseases in internal medicine,
pediatrics, and other specialties;
 normal and disturbed immunological cutaneous mechanisms;
 venereal diseases;
 Dermatopathology;
Source: Pathway evaluation program
3
Source: Pathway evaluation program
General information
4
 dermatologic therapy, including a knowledge of percutaneous absorption, the pharmacology
of topical and systemic medications, and light and ionizing radiation;
 the rational use of dermatological surgical procedures, including cryotherapy and more
extensive cutaneous surgery.
Upon completion of medical school, it takes an additional 5 years of Royal College-approved
residency training to become certified in dermatology. This period must include:
 2 years of basic clinical training (including a minimum of 12 months of internal medicine and
3 months of pediatrics, and must include specific rotations in rheumatology, infectious
diseases and oncology). In addition, rotations in plastic surgery, emergency medicine and
pathology are recommended;
 3 years of Royal College-approved residency training in dermatology, at least 1 year of
which must be spent in a general hospital with not less than 6 months on in-patient or
consultation services. Up to 1 year of this training may include full time clinical or basic
science research related to dermatology or dermatopathology, provided both the resident
and the site of training are approved by the program director.
For further details on training requirements please go to:
Royal College of Physicians and Surgeons of Canada
Canadian Dermatology Association
Source: Pathway evaluation program
General information
5
Total number & number/100,000 population by province, 2019
Province/Territory Physicians Phys/100k pop'n
Newfoundland/Labrador 11 2.1
Prince Edward Island 0 0.0
Nova Scotia 17 1.8
New Brunswick 9 1.2
Quebec 228 2.7
Ontario 215 1.5
Manitoba 15 1.1
Saskatchewan 12 1.0
Alberta 63 1.5
British Columbia 64 1.3
Territories 0 0.0
CANADA 634 1.7
6
Source: 2019 CMA Masterfile
Number/100,000 population, 1995 to 2019
7
1.0
1.2
1.4
1.6
1.8
2.0
1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019
Source: 1995-2019 CMA Masterfiles
Number by gender & year, 1995 to 2019
8
0
100
200
300
400
500
600
700
1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019
Total Males Females
Source: 1995-2019 CMA Masterfiles
Percentage by gender & age, 2019
Gender
49%
51%
Male Female
Age Group
9
23%
24%
20%
24%
9%
65+ 55 - 64 45 - 54 35 - 44 < 35
Excludes those where gender or age is unknown.
Source: 2019 CMA Masterfile
Number by gender & age, 2019
10
34
92
71
63
47
20
55
53
81
93
<35
35-44
45-54
55-64
65+
Female Male
Excludes those where gender or age is unknown.
Source: 2019 CMA Masterfile
Percentage by main work setting, 2019
11
79%
13%
5%
3%
Private Office/Clinic
Academic Health Sciences Centre
Other
Community Clinic/Health-centre
Source: 2019 CMA Physician Workforce Survey. Canadian Medical Association
Percentage by practice organization, 2017*
12
37%
28%
9%
26%
Solo Practice
Group Practice
Interprofessional Practice
Hospital-based Practice
NR
*Most recent available data for this specialty
Source: 2017 CMA Workforce Survey. Canadian Medical Association
Hours worked per week (excluding on-call), 2019
13
Activity Hours worked per week
Direct patient care without teaching component 27.4
Direct patient care with teaching component 5.3
Teaching without patient care 1.4
Indirect patient care 6.3
Health facility committees 0.4
Administration 1.4
Research 1.4
Managing practice 2.6
Continued professional development 3.5
Other 0.1
TOTAL HOURS PER WEEK 49.8
Source: 2019 CMA Physician Workforce Survey. Canadian Medical Association
On-call duty hours per month, 2010*
62%
6%
5%
9%
18%
Up to 120 hrs/month
More than 120, up to 180 hrs/month
More than 180, up to 240 hrs/month
More than 240 hrs/month
No response
14
Time spent on call in direct patient care = 14 hrs./month
*Most recent available data for this specialty
Source: 2010 National Physician Survey. CFPC, CMA, Royal College
Percentage by remuneration method
15
Primary payment method1 in 2017
76%
2%
14%
7%
90% + fee-for-service 90% + salary
90% + other* Blended
NR
Average gross payment per physician for
Dermatology in 2017/18 (those earning at least
$60,000) = $410,1562
Average percent overhead reported by all
medical specialists in 2017** = 35%3
*Other includes capitation, sessional, contract and other methods
**Most recent available data for this specialty
1 Source: 2017 CMA Workforce Survey. Canadian Medical Association
2 National Physician Database, 2017/18, CIHI
3 Source: 2017 CMA Workforce Survey. Canadian Medical Association
Professional & work-life balance satisfaction, 2019
16
17%
34%
15%
29%
68%
37%
Current
professional life
Balance of
personal &
professional
commitments
NR Dissatisfied or very dissatisfied Neutral Satisfied or very satisfied
Source: 2019 CMA Physician Workforce Survey. Canadian Medical Association
Number of retirees during the three year period of 2016-2018
17
1
22
23
1
10
11
34 and Under 35-44 45-54 55-64 65 and over Total
Age Group
Male Female
Source: CMA Masterfile – year over year comparisons
Note: “Retired” is based on giving up licence and therefore excludes those who have retired from clinical practice but are still licensed;
those younger than 45 may include physicians who have temporarily given up their licence but return to practice at a later date.
Employment situation, 2017
18
44%
49%
7%
Overworked in my discipline
Employed in my discipline to my satisfaction
Underemployed in my discipline
Not employed in my discipline
No response
Source: 2017 CMA Workforce Survey. Canadian Medical Association
Links to additional resources
19
 Association of Faculties of Medicine of Canada
 Canadian Institute for Health Information
 Canadian Medical Association’s Physician Data Centre
 Canadian Post-MD Education Registry (CAPER)
 College of Family Physicians of Canada
 National Physician Survey (2004-2014)
 Royal College of Physicians and Surgeons of Canada
17. Dermatology Profile Autor Canadian Medical Association.pdf

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17. Dermatology Profile Autor Canadian Medical Association.pdf

  • 2. Slide  Table of Contents General Information 3-5  Total number & number/100,000 population by province, 2019 6  Number/100,000 population, 1995-2019 7  Number by gender & year, 1995-2019 8  Percentage by gender & age, 2019 9  Number by gender & age, 2019 10  Percentage by main work setting, 2019 11  Percentage by practice organization, 2017 12  Hours worked per week (excluding on-call), 2019 13  On-call duty hours per month, 2010 14  Percentage by remuneration method 15  Professional & work-life balance satisfaction, 2019 16  Number of retirees during the three year period of 2016-2018 17  Employment situation, 2017 18  Links to additional resources 19 2
  • 3. General information Dermatology is a diverse specialty that deals with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. Dermatologists engage in a variety of procedural work and have the opportunity to combine cognitive skills with surgical skills. They also have expertise in the care of normal skin and in the prevention of skin disease and skin cancers. A dermatologist must be knowledgeable about:  all primary diseases of the skin and cutaneous manifestations of diseases in internal medicine, pediatrics, and other specialties;  normal and disturbed immunological cutaneous mechanisms;  venereal diseases;  Dermatopathology; Source: Pathway evaluation program 3
  • 4. Source: Pathway evaluation program General information 4  dermatologic therapy, including a knowledge of percutaneous absorption, the pharmacology of topical and systemic medications, and light and ionizing radiation;  the rational use of dermatological surgical procedures, including cryotherapy and more extensive cutaneous surgery. Upon completion of medical school, it takes an additional 5 years of Royal College-approved residency training to become certified in dermatology. This period must include:  2 years of basic clinical training (including a minimum of 12 months of internal medicine and 3 months of pediatrics, and must include specific rotations in rheumatology, infectious diseases and oncology). In addition, rotations in plastic surgery, emergency medicine and pathology are recommended;
  • 5.  3 years of Royal College-approved residency training in dermatology, at least 1 year of which must be spent in a general hospital with not less than 6 months on in-patient or consultation services. Up to 1 year of this training may include full time clinical or basic science research related to dermatology or dermatopathology, provided both the resident and the site of training are approved by the program director. For further details on training requirements please go to: Royal College of Physicians and Surgeons of Canada Canadian Dermatology Association Source: Pathway evaluation program General information 5
  • 6. Total number & number/100,000 population by province, 2019 Province/Territory Physicians Phys/100k pop'n Newfoundland/Labrador 11 2.1 Prince Edward Island 0 0.0 Nova Scotia 17 1.8 New Brunswick 9 1.2 Quebec 228 2.7 Ontario 215 1.5 Manitoba 15 1.1 Saskatchewan 12 1.0 Alberta 63 1.5 British Columbia 64 1.3 Territories 0 0.0 CANADA 634 1.7 6 Source: 2019 CMA Masterfile
  • 7. Number/100,000 population, 1995 to 2019 7 1.0 1.2 1.4 1.6 1.8 2.0 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019 Source: 1995-2019 CMA Masterfiles
  • 8. Number by gender & year, 1995 to 2019 8 0 100 200 300 400 500 600 700 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019 Total Males Females Source: 1995-2019 CMA Masterfiles
  • 9. Percentage by gender & age, 2019 Gender 49% 51% Male Female Age Group 9 23% 24% 20% 24% 9% 65+ 55 - 64 45 - 54 35 - 44 < 35 Excludes those where gender or age is unknown. Source: 2019 CMA Masterfile
  • 10. Number by gender & age, 2019 10 34 92 71 63 47 20 55 53 81 93 <35 35-44 45-54 55-64 65+ Female Male Excludes those where gender or age is unknown. Source: 2019 CMA Masterfile
  • 11. Percentage by main work setting, 2019 11 79% 13% 5% 3% Private Office/Clinic Academic Health Sciences Centre Other Community Clinic/Health-centre Source: 2019 CMA Physician Workforce Survey. Canadian Medical Association
  • 12. Percentage by practice organization, 2017* 12 37% 28% 9% 26% Solo Practice Group Practice Interprofessional Practice Hospital-based Practice NR *Most recent available data for this specialty Source: 2017 CMA Workforce Survey. Canadian Medical Association
  • 13. Hours worked per week (excluding on-call), 2019 13 Activity Hours worked per week Direct patient care without teaching component 27.4 Direct patient care with teaching component 5.3 Teaching without patient care 1.4 Indirect patient care 6.3 Health facility committees 0.4 Administration 1.4 Research 1.4 Managing practice 2.6 Continued professional development 3.5 Other 0.1 TOTAL HOURS PER WEEK 49.8 Source: 2019 CMA Physician Workforce Survey. Canadian Medical Association
  • 14. On-call duty hours per month, 2010* 62% 6% 5% 9% 18% Up to 120 hrs/month More than 120, up to 180 hrs/month More than 180, up to 240 hrs/month More than 240 hrs/month No response 14 Time spent on call in direct patient care = 14 hrs./month *Most recent available data for this specialty Source: 2010 National Physician Survey. CFPC, CMA, Royal College
  • 15. Percentage by remuneration method 15 Primary payment method1 in 2017 76% 2% 14% 7% 90% + fee-for-service 90% + salary 90% + other* Blended NR Average gross payment per physician for Dermatology in 2017/18 (those earning at least $60,000) = $410,1562 Average percent overhead reported by all medical specialists in 2017** = 35%3 *Other includes capitation, sessional, contract and other methods **Most recent available data for this specialty 1 Source: 2017 CMA Workforce Survey. Canadian Medical Association 2 National Physician Database, 2017/18, CIHI 3 Source: 2017 CMA Workforce Survey. Canadian Medical Association
  • 16. Professional & work-life balance satisfaction, 2019 16 17% 34% 15% 29% 68% 37% Current professional life Balance of personal & professional commitments NR Dissatisfied or very dissatisfied Neutral Satisfied or very satisfied Source: 2019 CMA Physician Workforce Survey. Canadian Medical Association
  • 17. Number of retirees during the three year period of 2016-2018 17 1 22 23 1 10 11 34 and Under 35-44 45-54 55-64 65 and over Total Age Group Male Female Source: CMA Masterfile – year over year comparisons Note: “Retired” is based on giving up licence and therefore excludes those who have retired from clinical practice but are still licensed; those younger than 45 may include physicians who have temporarily given up their licence but return to practice at a later date.
  • 18. Employment situation, 2017 18 44% 49% 7% Overworked in my discipline Employed in my discipline to my satisfaction Underemployed in my discipline Not employed in my discipline No response Source: 2017 CMA Workforce Survey. Canadian Medical Association
  • 19. Links to additional resources 19  Association of Faculties of Medicine of Canada  Canadian Institute for Health Information  Canadian Medical Association’s Physician Data Centre  Canadian Post-MD Education Registry (CAPER)  College of Family Physicians of Canada  National Physician Survey (2004-2014)  Royal College of Physicians and Surgeons of Canada