aThis is particularly troubling. These individuals have spent years training, but Canadians continue to wait for timely care.a The report warned of a potential abrain draina a doctors leaving Canada to find jobs a and a abrain wastea in underemployed surgeons going to office practice, for example. aThe research reveals one big piece that weave been missing all along,a FrAchette said: Lots of specialists need essential medical resources to practice a hospital beds, operating rooms, operating room nurses, support staff in intensive care units a and these aare very sensitive to the state of the economy.a Frozen health budgets affect hospital operating budgets, which, in turn, affect specialty medicine. As a result, physicians are competing for shrinking resources. Frechette cited her own 14-months wait for a hip replacement. Her surgeon had one operating day a week a and lots of patients on his wait-list. aSo if we increase the number of orthopedic surgeons without increasing the number of resources available to them, my waits are still going to continue,a she said. Independently of this report, the federation of Quebec medical residents last month warned that 30 per cent of their graduates have yet to find suitable work in the last two months of their residency. Young Quebec doctors are accepting part-time positions to stay in their chosen fields, the federation said, and also health jobs that do not make use of their medical or surgical specialties. This unprecedented employment study by the Royal College, undertaken after several of its medical societies reported in 2010 that their specialists were jobless or underemployed, found that most of these MDs without permanent jobs were going for extra training or taking part-time, fill-in positions. Early signs came from orthopedic surgeons, who reported that nine per cent of their ranks across Canada were not working. Slightly more than half of 176 orthopedic specialists a 56 per cent a who graduated between 2006 to 2011, found full-time work, 35 per cent extended their training in fellowship or postgraduate degrees because they could not find a job. Of the nine per cent who were jobless, 69 per cent took on-call shifts and 31 per cent had no work at all. And cardiac surgeons reported that among 62 Canadian graduates between 2002 and 2008 a 98 per cent said finding work was adifficult or extremely difficult,a 27 per cent extended their training while 34 per cent considered themselves underemployed. Frechetteas team conducted about 50 interviews with physicians, health-care leaders, planners, educators and residents, plus sent online surveys to medical specialists who were certified (had successfully completed national exams) in the past two years.