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1/14
#FamilyDoctorShortage?
Lazy Millennials ... OR… ?
A TWEETORIAL of our new paper
http://doi.org/10.1186/s12960-020-00508-5
@SpringerOpen @UBCMedicine @PHCResearch @CHEOSNews @SFU_FHS @LindsayKHedden @SetarehBani @NardiaStrydom @DrRitaMc
#BCPrimaryCare
@adriandix @BCFamilyDoctors
#FamilyDoctorShortage?Lazy Millennials ... OR… ?
A TWEETORIAL of our new paper
http://doi.org/10.1186/s12960-020-00508-5
@SpringerOpen @UBCMedicine @PHCResearch @CHEOSNews @SFU_FHS @LindsayKHedden @SetarehBani @NardiaStrydom @DrRitaMc
#BCPrimaryCare
@adriandix @BCFamilyDoctors
2/14
How do we explain the #FamilyDoctorShortage in when we have more doctors training & graduating than ever before? https://globalnews.ca/news/5950663/federal-parties-promise-family-doctors/
How do we explain the #FamilyDoctorShortage in
when we have more doctors training & graduating than ever before? https://globalnews.ca/news/5950663/federal-parties-promise-family-doctors/
3/14
There is much conjecture about the cause of the shortage (cue the #LazyMillenial trope) but so far little evidence to tell us what is really going on. https://www.cfp.ca/content/64/12/875.long
There is much conjecture about the cause of the shortage (cue the #LazyMillenial trope) but so far little evidence to tell us what is really going on. https://www.cfp.ca/content/64/12/875.long
4/14
The assumptions being used to count family doctors and estimate their workload are decades old and…it turns out…inaccurate.
The assumptions being used to count family doctors and estimate their workload are decades old and…it turns out…inaccurate.
5/14
Our survey was completed by 525 FPs, 56% female and 21% who do at least some work rurally
(from N=1017 FPs in a large BC health authority who were invited to complete the survey during routine privileging)
Our survey was completed by 525 FPs, 56% female and 21% who do at least some work rurally
(from N=1017 FPs in a large BC health authority who were invited to complete the survey during routine privileging)
6/14
We split the sample into 2 groups:
1-Those who provide AT LEAST SOME community-based primary care N=355 (68%)
2-Those who DON'T or who ONLY work as locums* N=170 (32%)
*locums are valuable but we wanted to avoid counting service delivery to the same pop'n twice
We split the sample into 2 groups:
1-Those who provide AT LEAST SOME community-based primary care N=355 (68%)
2-Those who DON'T or who ONLY work as locums* N=170 (32%)
*locums are valuable but we wanted to avoid counting service delivery to the same pop'n twice
7/14
We then took a really close look at those providing ANY community-based primary care…
So, how do BC Family Doctors work in 2020?
We then took a really close look at those providing ANY community-based primary care…
So, how do BC Family Doctors work in 2020?
8/14
Are Millennial Family Doctors lazy?
Nope.
We found those in their first 10 years of practice were working approximately 3 hours more per week than their “classic” counterparts.
#BCPrimaryCare
#healthhumanresources
Are Millennial Family Doctors lazy?
Nope.
We found those in their first 10 years of practice were working approximately 3 hours more per week than their “classic” counterparts.
#BCPrimaryCare
#healthhumanresources
9/14
On top of working more hours than established physicians, new grads also:
work in more locations
are more likely to work in locum practice than full-time community-based care
are more likely to work in mixed practices than focused or general practice models
On top of working more hours than established physicians, new grads also:
work in more locationsare more likely to work in locum practice than full-time community-based careare more likely to work in mixed practices than focused or general practice models
10/14
Most existing literature relies on billing data, which cannot
account for practice across multiple locations,
distinguish between community-based and other venues of care delivery, nor
calculate actual hours spent working
Most existing literature relies on billing data, which cannot
account for practice across multiple locations, distinguish between community-based and other venues of care delivery, nor calculate actual hours spent working
11/14
Our results indicate that
family doctors are finding
alternative practice models
shifting from
single-location MD-owned clinics
to
models that BLEND
community-based care AND work in other settings
(eg hospitalist)
And, we need to COUNT in a way that acknowledges this.
Our results indicate that
family doctors are finding
alternative practice models
shifting from
single-location MD-owned clinics
to
models that BLEND
community-based care AND work in other settings
(eg hospitalist)
And, we need to COUNT in a way that acknowledges this.
12/14
Limitations:
This study is surveyed Family Doctors who have privileges at a health authority, who agreed to complete the survey.
Our sample over-counts women and undercounts IMGs.
More research is needed!
#BCPrimaryCare
Limitations:
This study is surveyed Family Doctors who have privileges at a health authority, who agreed to complete the survey.Our sample over-counts women and undercounts IMGs. More research is needed!
#BCPrimaryCare
13/14
This work was funded and supported by @VCHhealthcare and @Providence_Hlth and is part of the http://MAAP-BC.ca project.
Many thanks to our incredible research volunteers, administrative support (and Sarah Spencer!)
This work was funded and supported by @VCHhealthcare and @Providence_Hlth and is part of the http://MAAP-BC.ca project.
Many thanks to our incredible research volunteers, administrative support (and Sarah Spencer!)
14/14
Stay tuned for additional publications from this dataset as well as new work on access to and capacity of #BCPrimaryCare by @LindsayKHedden and @DrRitaMc and their teams @SFU_FHS and @UBCFamPractice / @UBCISU
Stay tuned for additional publications from this dataset as well as new work on access to and capacity of #BCPrimaryCare by @LindsayKHedden and @DrRitaMc and their teams @SFU_FHS and @UBCFamPractice / @UBCISU
