Physical Medicine & Rehabilitation. Physical Medicine and Rehabilitation Profile
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1 Physical Medicine & Rehabilitation Updated March 2018
2 Click on any of the contents below to navigate to the slide. Please click the home icon located at the top right of each slide to return to the table of contents slide. TABLE OF CONTENTS Physical Medicine & Rehabilitation Slide General Information 3-5 Total number & number/100,000 population by province, Number/100,000 population, Number by gender & year, Percentage by gender & age, Number by gender & age, Percentage by main work setting, Percentage by practice organization, Hours worked per week (excluding on-call), Percentage by remuneration method 14 Professional & work-life balance satisfaction, Number of retirees during the three year period of Employment situation, Links to additional resources 22 Updated March
3 Physical Medicine & Rehabilitation GENERAL INFORMATION Physical medicine & rehabilitation (also known as physiatry) is concerned with the comprehensive diagnosis, medical management and rehabilitation of people of all ages with neuromusculoskeletal disorders and associated disabilities. Physical medicine & rehabilitation (PM & R) requires expertise in many areas and offers good research opportunities. It is a broad, team-oriented field with a variety of practices to choose from including pediatric rehabilitation, orthopedic rehabilitation, electrodiagnosis and sports medicine. These physicians treat the whole person by considering the physical and psychosocial aspects of a patient s diagnosis, basing evaluations on both neurological and musculoskeletal factors. A high degree of patient contact and long-term care are common. Updated Source: Pathway March 2018 evaluation program 3
4 Physical Medicine & Rehabilitation GENERAL INFORMATION To be a competent specialist in PM & R, a physician must be capable of assuming a consultant s role in the specialty. The physician must acquire a working knowledge of the specialty, including its foundations in the basic medical sciences and research. Upon completing medical school, in order to become certified in PM & R requires a further 5 years of Royal College-approved residency training. This period must include: 1 year of basic clinical training to be completed within the first 18 months of residency consisting of: 6 months in internal medicine, which must include at least 3 months of general internal medicine (clinical teaching unit (CTU) or its equivalent); 2 months in surgery consisting of 1 month in two of the following: general surgery, neurosurgery, orthopedic surgery, plastic surgery, urology or vascular surgery; 4 months training consisting of 1 month in four of the following: anesthesiology, critical care medicine, diagnostic radiology, elective, emergency medicine, family medicine, geriatrics, palliative care, pediatrics, and psychiatry; Updated Source: Pathway March 2018 evaluation program 4
5 Physical Medicine & Rehabilitation GENERAL INFORMATION 9 months residency training to include 3 months each of rheumatology, neurology and orthopedic surgery; 36 months residency training in core physical medicine & rehabilitation including time in cardiac and/or respiratory rehabilitation and residency training in each of the rehabilitation of persons with amputation (including prosthetics Physical and orthotics), cerebrovascular Medicine disease, spinal and cord disorders and acquired brain disorders. For further details on training requirements please go to: Royal College of Physicians and Surgeons of Canada Canadian Association of Physical Medicine & Rehabilitation Updated Source: Pathway March 2018 evaluation program 5
6 Physical Medicine & Rehabilitation Total number & number/100,000 population by province, 2017 Province/Territory Physicians Phys/100k pop'n Newfoundland/Labrador Prince Edward Island Nova Scotia New Brunswick Quebec Ontario Manitoba Saskatchewan Alberta British Columbia Territories CANADA Updated Source: 2017 March CMA 2018 Masterfile 6
7 Number/100,000 population, 1995 to 2017 Physical Medicine & Rehabilitation Updated Source: March 2018 CMA Masterfiles 7
8 Number by gender & year, 1995 to 2017 Physical Medicine & Rehabilitation Total Males Females Updated Source: March 2018 CMA Masterfiles 8
9 Percentage by gender & age, 2017 Physical Medicine & Rehabilitation Gender Age Group <35 Male 62% Female 38% % % % 7% % Excludes those where gender or age is unknown. Updated Source: 2017 March CMA 2018 Masterfile 9
10 Number by gender & age, 2017 Physical Medicine & Rehabilitation Physical 31 Medicine and < Female Excludes those where gender or age is unknown. Updated Source: 2017 March CMA 2018 Masterfile Male 10
11 Percentage by main work setting, 2017 Physical Medicine & Rehabilitation Private Office/Clinic 36% Academic Health Sciences Centre 35% 11% Non-AHSC Teaching Hospital Community Hospital 10% Other 5% University 2% Updated Source: 2017 March CMA 2018 Workforce Survey. Canadian Medical Association 11
12 Percentage by practice organization, 2017 Physical Medicine & Rehabilitation Physical Medicine 22% and 8% 53% 1% 15% Solo Practice Group Practice Interprofessional Practice Hospital-based Practice NR Updated Source: 2017 March CMA 2018 Workforce Survey. Canadian Medical Association 12
13 Physical Medicine & Rehabilitation Hours worked per week (excluding on-call), 2017 Activity Hours worked per week Direct patient care without teaching component 22.0 Direct patient care with teaching component 9.8 Physical Teaching without patient Medicine care and 1.8 Indirect patient care 7.2 Rehabilitation Health facility committees Profile 0.8 Administration 4.2 Research 1.3 Managing practice 2.0 Continued professional development 2.0 Other 2.6 TOTAL HOURS PER WEEK 53.7 Updated Source: 2017 March CMA 2018 Workforce Survey. Canadian Medical Association 13
14 Percentage by remuneration method Primary payment method 1 in 2017 Physical Medicine & Rehabilitation 2% 29% 54% 15% Average percent overhead 90% + fee-for-service 90% + salary 90% + other* Blended NR * Other includes capitation, sessional, contract and other methods Average gross fee-for-service payment per physician for Physical Medicine & Rehabilitation in 2015/16 (those earning at least $60,000) = $287,238 2 reported by Rehabilitation specialists in 2017 = 19% 3 1 Source: 2017 CMA Workforce Survey. Canadian Medical Association 2 National Physician Database, 2015/16, CIHI 3 Updated Source: 2017 March CMA 2018 Workforce Survey. Canadian Medical Association 14
15 Physical Medicine & Rehabilitation Professional & work-life balance satisfaction, 2017 Balance of personal & professional commitments 2% 29% 17% 52% Current professional life 12% 6% 82% NR Dissatisfied or very dissatisfied Neutral Satisfied or very satisfied Updated Source: 2017 March CMA 2018 Workforce Survey. Canadian Medical Association 15
16 Physical Medicine & Rehabilitation Number of retirees during the three year period of Male Female 10 Physical Medicine 8 and and Under and over Total Age Group 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 Updated March 2018 later date. 16
17 Employment situation, 2017 Physical Medicine & Rehabilitation 2% Overworked in my discipline 23% Employed in my discipline to my satisfaction 75% Underemployed in my discipline Not employed in my discipline No response Updated Source: 2017 March CMA 2018 Workforce Survey. Canadian Medical Association 17
18 Physical Medicine & Rehabilitation Links to additional resources 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 ( ) Royal College of Physicians and Surgeons of Canada Updated March
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Occupational Noise Exposure Tim Kelsall CIH, ROH Director Noise and Vibration Hatch - Consulting Engineers tkelsall@hatch.ca 1 Noise Induced Hearing Loss > one million adults across the country reported