挺身而出，接受统计：加拿大风湿病学劳动力的测量与测绘

Stand Up and Be Counted: Measuring and Mapping the Rheumatology Workforce in Canada.

作者信息

Barber Claire E H, Jewett Lauren, Badley Elizabeth M, Lacaille Diane, Cividino Alfred, Ahluwalia Vandana, Averns Henry, Baillie Cory, Ellsworth Janet, Pope Janet, Levy Deborah, Charnock Christine, McGowan Claire, Thorne J Carter, Barnabe Cheryl, Zummer Michel, Lundon Katie, McDougall Robert S, Thomson John G, Yacyshyn Elaine A, Mosher Dianne, Brophy Julie, Ruban Thanu Nadarajah, Marshall Deborah A

机构信息

From the Division of Rheumatology, Department of Medicine, University of Calgary, Cumming School of Medicine, McCaig Institute for Bone and Joint Health; Department of Geography, and Department of Community Health Sciences, University of Calgary, Calgary; Division of Pediatric Rheumatology, Faculty of Medicine and Dentistry, University of Alberta; Division of Rheumatology, Department of Medicine, University of Alberta, Edmonton, Alberta; Arthritis Research Canada, Richmond; Division of Rheumatology, Department of Medicine, University of British Columbia, Vancouver, British Columbia; Krembil Research Institute, Toronto Western Hospital; Dalla Lana School of Public Health, University of Toronto; Hospital for Sick Children; Pediatrics, University of Toronto; Faculty of Medicine, University of Toronto, Toronto; Rheumatology, McMaster University, Hamilton; William Osler Health System, Brampton; Private Practice, Kingston; Canadian Rheumatology Association; The Arthritis Program at Southlake Regional Health Centre, Newmarket; Division of Rheumatology, University of Western Ontario, London; Department of Medicine, Division of Rheumatology, University of Ottawa, Ottawa; Private Practice, Guelph; Private Practice, Markham, Ontario; University of Manitoba, Winnipeg, Manitoba; Rheumatology, Hôpital Maisonneuve-Rosemont; Université de Montréal, Montreal, Quebec; University of Saskatchewan, Regina, Saskatchewan, Canada.

C.E. Barber, MD, FRCPC, PhD, Assistant Professor, Division of Rheumatology, Department of Medicine, University of Calgary, Cumming School of Medicine, McCaig Institute for Bone and Joint Health, and Research Scientist, Arthritis Research Canada; L. Jewett, MGIS (Candidate), Department of Geography, University of Calgary; E.M. Badley, PhD, Krembil Research Institute, Toronto Western Hospital, and Dalla Lana School of Public Health, University of Toronto; D. Lacaille, MD, FRCPC, MHSc, Professor, Division of Rheumatology, Department of Medicine, University of British Columbia, and Senior Scientist, Arthritis Research Canada; A. Cividino, MD, FRCPC, Professor, Division Director, Rheumatology, McMaster University; V. Ahluwalia, MD, FRCPC, Corporate Chief of Rheumatology, William Osler Health System; H. Averns, MB, ChB, FRCP ( UK), FRCPC, Rheumatologist, Private Practice; C. Baillie, MD, FRCPC, Assistant Professor, University of Manitoba, and Past President Canadian Rheumatology Association; J. Ellsworth, MD, FRCPC, Professor and Head, Division of Pediatric Rheumatology, Faculty of Medicine and Dentistry, University of Alberta; J. Pope, MD, MPH, FRCPC, Professor of Medicine, Division of Rheumatology, University of Western Ontario; D. Levy, MD, MS, FRCPC, Staff Rheumatologist, Hospital for Sick Children, and Assistant Professor of Pediatrics, University of Toronto; C. Charnock, CAE, CEO/PDF, Canadian Rheumatology Association; C. McGowan, Project Coordinator, Canadian Rheumatology Association; J.C. Thorne, MD, FRCPC, Assistant Professor, University of Toronto, and Medical Director, The Arthritis Program at Southlake Regional Health Centre; C. Barnabe, MD, MSc, FRCPC, Associate Professor, Departments of Medicine and Community Health Sciences, University of Calgary; M. Zummer, MD, FRCPC, Chief, Rheumatology, Hôpital Maisonneuve-Rosemont, and Associate Professor, Université de Montréal; K. Lundon, BScPT, MSc, PhD, Advanced Clinician Practitioner in Arthritis Care, Program Director, Faculty of Medicine, University of Toronto; R.S. McDougall, MD, FRCPC, Clinical Professor, University of Saskatchewan; J.G. Thomson, MD, FRCPC, Assistant Professor, Department of Medicine, Division of Rheumatology, University of Ottawa; E.A. Yacyshyn, MD, FRCPC, Associate Professor of Medicine, Division of Rheumatology, Department of Medicine, University of Alberta; D. Mosher, MD, FRCPC, Chief, Division of Rheumatology, Department of Medicine, University of Calgary; J. Brophy, MD, FRCPC, Rheumatologist, Private Practice; T.N. Ruban, MD, FRCPC, Rheumatologist, Private Practice; D.A. Marshall, PhD, Professor, Arthur J.E. Child Chair in Rheumatology Research, Department of Community Health Sciences, Cumming School of Medicine, and Division of Rheumatology, Department of Medicine, University of Calgary, McCaig Institute for Bone and Joint Health.

出版信息

J Rheumatol. 2017 Feb;44(2):248-257. doi: 10.3899/jrheum.160621. Epub 2016 Dec 1.

DOI:10.3899/jrheum.160621

PMID:27909087

Abstract

OBJECTIVE

To characterize the practicing rheumatologist workforce, the Canadian Rheumatology Association (CRA) launched the Stand Up and Be Counted workforce survey in 2015.

METHODS

The survey was distributed electronically to 695 individuals, of whom 519 were expected to be practicing rheumatologists. Demographic and practice information were elicited. We estimated the number of full-time equivalent rheumatologists per 75,000 population from the median proportion of time devoted to clinical practice multiplied by provincial rheumatologist numbers from the Canadian Medical Association.

RESULTS

The response rate was 68% (355/519) of expected practicing rheumatologists (304 were in adult practice, and 51 pediatric). The median age was 50 years, and one-third planned to retire within the next 5-10 years. The majority (81%) were university-affiliated. Rheumatologists spent a median of 70% of their time in clinical practice, holding 6 half-day clinics weekly, with 10 new consultations and 45 followups seen per week. Work characteristics varied by type of rheumatologist (adult or pediatric) and by practice setting (community- or university-based). We estimated between 0 and 0.8 full-time rheumatologists per 75,000 population in each province. This represents a deficit of 1 to 77 full-time rheumatologists per province/territory to meet the CRA recommendation of 1 rheumatologist per 75,000 population, depending on the province/territory.

CONCLUSION

Our results highlight a current shortage of rheumatologists in Canada that may worsen in the next 10 years because one-third of the workforce plans to retire. Efforts to encourage trainees to enter rheumatology and strategies to support retention are critical to address the shortage.

摘要

目的

为了解执业风湿病专科医生队伍的情况，加拿大风湿病协会（CRA）于2015年开展了“站出来，让大家了解你”的劳动力调查。

方法

该调查以电子方式分发给695人，其中预计有519人为执业风湿病专科医生。收集了人口统计学和执业信息。我们根据投入临床实践的时间中位数乘以加拿大医学协会提供的省级风湿病专科医生人数，估算出每75,000人口中全职等效风湿病专科医生的数量。

结果

预期执业风湿病专科医生的回复率为68%（355/519）（304人为成人执业医生，51人为儿科执业医生）。年龄中位数为50岁，三分之一的人计划在未来5至10年内退休。大多数（81%）与大学有关联。风湿病专科医生将其时间的中位数70%用于临床实践，每周开设6个半天的门诊，每周进行10次新的会诊和45次随访。工作特点因风湿病专科医生类型（成人或儿科）和执业环境（社区或大学）而异。我们估算出每个省份每75,000人口中有0至0.8名全职风湿病专科医生。这意味着每个省/地区缺少1至77名全职风湿病专科医生，以达到CRA每75,000人口配备1名风湿病专科医生的建议，具体数量因省/地区而异。