More doctors more jobs
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Mike McLoughlin, co-owner of Medi-Kel Family Practice and Walk In Clinic describes the challenges he faces recruiting Family doctors to the Central Okanagan.
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- 1. More Doctors + More Jobs = BETTER HEALTHCARE = BETTER QUALITY OF LIFE = BETTER ECONOMY
- 2. Patient Access to Physicians in the Okanagan 200000 210000 220000 230000 240000 250000 260000 270000 280000 2003 2005 2007 2008 2009 2010 2011 2012 Physician Access Has a regular medical doctor (46) Contact with a medical doctor in the past 12 months (47,48,88) Source: Statistics Canada(CANSIM) Health Indicator Profile http://www5.statcan.gc.ca/cansim/a26
- 3. Emergency Room Visits Increasing Source: Kelowna General Hospital Facility Profile 2013 prepared by Sharon McMillan https://www.interiorhealth.ca/AboutUs/QuickFacts/PopulationLocalAreaProfiles/Pages/default.aspx
- 4. Further Demand from Aging Popn Source: Central Okanagan LHA Profile 2013 prepared by Emily Watt https://www.interiorhealth.ca/AboutUs/QuickFacts/PopulationLocalAreaProfiles/Pages/default.aspx
- 5. Physician Supply in the Okanagan 2008, 374 2009, 411 2010, 424 2011, 424 2012, 450 0 50 100 150 200 250 300 350 400 450 500 Okanagan FAMILYPHYSICIANS Physician Supply 2008 to 2012 Source: Canadian Institute for Health Information (CIHI) http://www.cihi.ca/
- 6. Family Doctors per 100,000 Okanagan vs BC BC Okanagan 95 100 105 110 115 120 125 130 2008 2009 2010 2011 2012 BC Okanagan Source: Canadian Institute for Health Information (CIHI) http://www.cihi.ca/
- 7. Okanagan Physician Vacancy Rate is 8 times the Lower Mainland Rate Source: Health Match BC http://www.healthmatchbc.org/
- 8. Aging Physician workforce Source: Canadian Institute for Health Information (CIHI) http://www.cihi.ca/
- 9. Increasing Percentage of Female Physicians Source: Canadian Institute for Health Information (CIHI) http://www.cihi.ca/
- 10. Canadian Doctors Retiring Source: Canadian Institute for Health Information (CIHI) http://www.cihi.ca/
- 11. There is a significant physician shortage in the Okanagan Kelowna & Kamloops listed as the top BC Cities looking for Physicians in Canada
- 12. Who is there to help?
- 13. Four Silos for Physician Recruitment – Don’t talk to each other! For Example, IH produced a 20 page Guide to Long-Term Physician Recruitment and Retention (April, 2014) but did not consult the other players in its development.
- 14. How can the EDC help? IH needs Physicians UBC trains physicians Division coordinates physicians Bring the Silos together for the sake of recruiting more physicians!
- 15. What’s in it for the EDC? “Public and private sector informants have suggested that health research, biotechnology, health care and the health related industry have the ability to become a leading or main economic driver in the Central Okanagan.” – EDC Report on Economic Development in the Okanagan But EDC has no Healthcare partners listed in their active partnerships! (see Central Okanagan Economic Development Commission 2014 Strategic.) Recruit active partners in the local Healthcare sector!
- 16. Doctors create jobs! “The bottom line is that the family practice physician will generate $889,156 in income (wages, salaries and benefits) in the community and create 22.9 jobs throughout the community.” – (The Economic Impact of a Rural Primary Care Physician and the Potential Health Dollars Lost to Out-migrating Health Services) “Ontario’s doctors create a significant amount of economic benefit via their spending on practice overhead. Each Ontario physician supports approximately four full time jobs in Ontario’s economy, generates about $205,000 in GDP, and over $50,000 in tax revenues for various levels of government.” Impact of physician practice overhead spending on the Ontario economy. Boris Kralj, PhD, OMA Economics Department, Ed Mansfield, PhD, MNP LLP
- 17. Economic Impacts of Physician Practice Start Ups Source: Ontario Medical Association http://www.oma.org
- 18. Next Steps Gather the key organizations together to work out some joint strategies. Involve local physicians in the process right from the beginning. Connect Medical Students into your Okanagan Young Professionals program.
- 19. Summary There is a significant shortage of Family Doctors in the Okanagan. The shortage has the potential to develop into a crisis that is not easily solved. Proactive action to prevent the crisis is needed. EDC can provide leadership by bringing important players together to develop strategies to recruit and retain doctors. This will not only benefit the medical well being of the community but also the economic well being by providing spin off jobs. The time to act is now before the problem gets worse! Audio for the presentation can be found here.
- 20. Mike McLoughlin and Dr. Sue McLoughlin, founded Medi-Kel Family Practice and Walk In clinic in 2001. Since then the business has recruited over 10 family physicians to the Okanagan and serviced over 85,000 patients in three different clinic locations in Kelowna. Medi- Kel currently has one clinic operating inside the Real Canadian Superstore with four full time physicians. We are open seven days per week.
Editor's Notes
- The idea to speak to the Economic Development Commission occurred because of a chance meeting between myself and Jim Patterson on September 30th, 2013. Jim was on an EDC sponsored “Business Walk” in Rutland. I was moving equipment out of our former medical clinic. Jim was surprised to learn we were closing our clinic. We discussed the problem of recruiting family doctors to the Okanagan.
- Okanagan Patients report increasing demand for physicians services while at the same time reporting less access to regular medical doctors. Blue line shows persons reporting they have a regular family doctor. Red line is persons who saw a doctor in the past twelve months.
- 10 percent increase in ED utilization – Mostly by Young Adults who used to be seen in Walk In clinics, Closing our Rutland clinic probably increased this number.
- Okanagan is home to an aging demographic who will need increasing medical services.
- Physician supply appears to be increasing.
- Physicians per 100000, Okanagan supply of physicians is better than the provincial average.
- For every 100 physicians in Lower Mainland there is 1 physician vacancy, In the Interior there are EIGHT physicians vacancies for every 100 physicians and in the North there are TWELVE physicians vacancies. The increased vacancy rate is a result of Okanagan physicians announcing their retirement and the recruitment of more female family doctors who work less than male doctors.
- Average age of physicians in the Okanagan is increasing. Many are nearing retirement age.
- Increasing percentage of physicians in the Okanagan are female. Female doctors work 30 percent less than male doctors.
- There is a significant physician shortage in the Okanagan. And it is set to get worse before it gets better. Kamloops has a city team working on the problem. Kelowna does not.
- These are the four organizations who are responsible for physician supply in the Okanagan. The College of Physicians of BC have delegated their responsibility to supply doctors to BC to the Ministry of Health and the Health Authorities.
- These four organizations operate in a Silo Mentality.