McMaster University, Hamilton, Ontario, Canada.
Alberta Children's Hospital, Section of Pediatric Neurology, University of Calgary, Calgary, Alberta, Canada.
Can J Neurol Sci. 2019 Sep;46(5):566-574. doi: 10.1017/cjn.2019.229. Epub 2019 Jul 26.
In 2013, a task force was developed to discuss the future of the Canadian pediatric neurology workforce. The consensus was that there was no indication to reduce the number of training positions, but that the issue required continued surveillance. The current study provides a 5-year update on Canadian pediatric neurology workforce data.
Names, practice types, number of weekly outpatient clinics, and dates of certification of all physicians currently practicing pediatric neurology in Canada were obtained. International data were used to compute comparisons between countries. National data sets were used to provide information about the number of residency positions available and the number of Canadian graduates per year. Models for future projections were developed based on published projected population data and trends from the past decade.
The number of pediatric neurologists practicing in Canada has increased 165% since 1994. During this period, wait times have not significantly shortened. There are regional discrepancies in access to child neurologists. The Canadian pediatric neurology workforce available to see outpatient consultations is proportionally less than that of USA. After accounting for retirements and emigrations, the number of child neurologists being added to the workforce each year is 4.9. This will result in an expected 10-year increase in Canadian pediatric neurologists from 151 to 200.
Despite an increase in the number of Canadian child neurologists over the last two decades, we do not predict that there will be problems with underemployment over the next decade.
2013 年，成立了一个工作组来讨论加拿大儿科神经病学劳动力的未来。共识是，没有迹象表明要减少培训岗位，但这个问题需要持续监测。本研究提供了加拿大儿科神经病学劳动力数据的 5 年更新。
获得了所有目前在加拿大从事儿科神经病学的医生的姓名、执业类型、每周门诊量和认证日期。利用国际数据计算了国家间的比较。国家数据集提供了有关居住位置数量和每年加拿大毕业生数量的信息。根据过去十年的预测人口数据和趋势，建立了未来预测模型。
自 1994 年以来，在加拿大执业的儿科神经学家数量增加了 165%。在此期间，等待时间没有明显缩短。在获得儿童神经科医生方面存在地区差异。加拿大可用于门诊咨询的儿科神经科劳动力比例低于美国。在考虑退休和移民因素后，每年加入劳动力的儿童神经科医生人数为 4.9 人。这将导致加拿大儿科神经学家人数在 10 年内从 151 人增加到 200 人。
尽管在过去二十年中加拿大儿童神经科医生的数量有所增加，但我们预计未来十年不会出现就业不足的问题。
