Canadian Doctors Say Fee Cuts, Pay Inequalities Will Spur Exodus


The wide gaps between specialities are also a chronic concern, though little action has been taken to rectify it. Ontario spent $4-million on a report released in 2002 that used a complex formula to methodically calculate the value of every medical service on the schedule of fees. The result was a major reshuffling of the pool of money paid to doctors, with some like radiologists seeing major drops in their fees and others such as neurosurgeons graced with increases. Perhaps the most-cited inequity involves fees for some eye operations, such as cataract removal. New technology makes them faster to carry out, but in many provinces the payment has stayed the same, resulting in something of a windfall for ophthalmologists. The reaction to the recommendations was swift. The losing specialties voiced outrage, predicting harm to patients and a mass flight out of the province. As had happened when B.C. and Alberta went through a similar process, nothing ever came of the report. Comparing Canada to other countries is tricky, given the different methods of paying doctors and varying costs of living. A 2009 report by the Organization for economic co-operation and development (OECD) tries to even it all out, relating doctor pay to each nations average worker salaries. It puts Canadian specialist doctors at 4.7 times the average wage, higher than all but Germany and Holland, with the U.K.

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Canadian doctor dies in Grand Canyon-area BASE jump

— An extreme jumper killed in a leap near the Grand Canyon in Arizona was identified by authorities as Canadian physician David Stather. Stather, a 41-year-old pulmonary specialist from Calgary, died Friday while making a BASE jump in a wing suit in Coconino County, the Canadian Broadcasting Corp. reported Monday. Stather had told two companions he was going to make one more jump and climbed back up a cliff, Detective Pat Barr of the county sheriff’s office said. “The two stayed behind at the bottom to watch for him,” Barr said. “After a period of time went by and they did not see him jump, so they decided to hike back to the top. They could not locate him at the top of the rim where their cars were parked.” Stather’s body was found the next day. Police said he had jumped from a steep cliff. “Between where they would launch from and the canyon floor, there is terrain on the way down, almost as if it’s a ridges and a step type terrain,” Barr said. “The idea is to fly over all those ridges to get down to the bottom, and it appears he may have miscalculated the height of one of those ledges and did collide with it.” BASE stands for building, antenna, span and earth. BASE jumpers make their leaps without aid of aircraft. Elaine Dumoulin, a colleague and friend of Stather, said he was a frequent skydiver. “He was an amazing guy. He was very generous, very intense. He was living his life 200 percent,” Dumoulin said.

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Canadian Patients Wait Longest To See Family Doctors

Are Canadian Doctors Ignoring Patients to Protect Big Oil?

Many Canadians don’t have aregular doctor Dobrow said the report raises important questions about the wide variations among provinces in areas such as access to after-hours care, emergency department wait times, affordability of care, co-ordination among care providers, and uptake of screening programs. “Do we have the rights goals for our system? Are we looking at better health, better care, better value for all Canadians?” he said. In September, the council suggested that provinces pay attention to issues such as leadership, having theright types of policies, and legislation and capacity building. For example, overall resources in primary care could be increased by expanding scopes of practice of somehealth professionals and improving their interdisciplinary training. At Toronto’s Wellpoint Clinic, the physicians changed to an “open access” system, meaning patients no longer make appointments weeks in advance. Exceptions include people who need to prebook wheelchair transit services or a physical checkup. “As physicians, we were worried that we would become inundated with patients on a daily basis,” said family physician Dr. Nandini Sathi. “In fact, what’s happened it’s opened up a little bit more time throughout the day for patients who need to be seen.” Previously, a non-urgent patient may have had to wait up to 10 days or sometimes longer if a doctor was on vacation. “Now it really is 48 hours,” Sathi said. More urgent care slots are also available.

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117 get causes updates Imagine this: you get sick after eating at a local restaurant. You go to the doctor for help, but after learning the circumstances that led to your illness, the doctor refuses to offer a diagnosis or treatment advice. When pressed for an explanation, the doctor says he doesnt want to tarnish the restaurants reputation. Most of us would consider that scenario outrageous and a complete violation of a doctors sworn duty, but its happening and on a much more life-threatening scale in Canada. According to areport prepared by Dr. Margaret Sears , an Ottawa-based PhD who specializes in toxicology and public health, doctors have refused to care for local residents who complain that emissions from local tar sands operations are making them sick. In 2011, Baytex Energy, a company that cooks tar sandsbitumen in above-ground tanks to extract oil, purchased almost four dozen oil wells in the Alberta area.According to, thats about the time local residents started complaining about serious symptoms, such as severe headaches, dizziness, sinus problems, vomiting, muscle spasms and fatigue, amongst others. When visiting their local doctors, residents often correlated the symptoms with thepowerful, gassy smells coming from the Baytex operation, a dangerous association that seems to have spooked the medical community. In the report, co-authored by Sears,researchers note that, Physician care was refused and that analytical services were refused by an Alberta laboratory when told that the proposed analysis was to investigate exposure to emissions related to bitumen extraction. Sears concludes that doctors reluctance stems from a lack of information about environmental health but also from a troubling history of perceived retribution for speaking out against oil developments in Canada, reports Al Jazeera . Tar sands and fracking are the hot button issues for the fossil fuel industry right now, but one cant deny that weve seen a similar situation play out before with coal and were still paying the penalties of inaction. Thanks to decades of allowing coal miners and coal-fired power plants to operate with little accountability for pollution, thousands of Americans have suffered negative health effects. In a 2010 report titled The Toll of Coal [PDF], the Clean Air Task Force linked power plant pollution to 13,200 premature deaths that year. It also estimated that coal pollution contributes to9,700 hospitalizations and more than 20,000 heart attacks per year. In 2011, a Harvard Medical School study foundhealth costs due to air pollution from coal power plants total around $187 billion per year , and thats not even including the intangible cost of what coal waste is doing to the nations drinking water . Obviously, the oil and gas industry has learned a lot from its buddy Big Coal, and its doing whatever it can to discourage doctors from admitting that these toxic fumes can have a negative impact on public health. Communications with public health officials and medical professionals revealed a universal recognition that petrochemical emissions affect health; however, this was countered by a marked reluctance to speak out, writes Sears in the report, citing past examples of attacks on doctors who sound the alarm. According to the Edmonton Journal , Sears will get the chance to present her findings about health impacts and doctor intimidationat an upcoming local hearing into complaints about emissions from the Baytex oilsands operation.

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Uk Physicians Call For Boycott Of Israeli Medical Association

Scots doctors line patients’ stomachs with ‘faecal transplant’ in bid to save them from c diff superbug

(Khaleel Reash/ MaanImages ) 130 UK Physicians Call for a Boycott of the Israeli Medical Association (IMA) and its expulsion from the World Medical Association (WMA) In a letter appearing in the Guardian on 21 April 2007, prominent UK physicians have called for a boycott of the IMA and its expulsion from the WMA. The letterfollows: Persistent violations of medical ethics have accompanied Israels occupation. The Israeli Defence Force has systematically flouted the fourth Geneva convention guaranteeing a civilian population unfettered access to medical services and immunity for medical staff. Ambulances are fired on (hundreds of cases) and their personnel killed. Desperately ill people, and newborn babies, die at checkpoints because soldiers bar the way to hospital. The public-health infrastructure, including water and electricity supplies, is wilfully bombed, and the passage of essential medicines like anti-cancerdrugs and kidney dialysis fluids blocked. In the West Bank, the apartheid wall has destroyed any coherence in the primary health system. UN rapporteurs have described Gaza as a humanitarian catastrophe, with 25 percent of children clinicallymalnourished. The Israeli Medical Association has a duty to protest about war crimes of this kind, but has refused to do so. Appeals to the World Medical Association and the British Medical Association have also been rebuffed. Eighteen leading Palestinian health organisations have appealled to fellow professionals abroad to recognise how the IMA has forfeited its right to membership of the international medical community. We are calling for a boycott of the Israeli Medical Association and its expulsion from the WMA. There is a precedent for this: the expulsion of the Medical Association of South Africa during the apartheid era. A boycott is an ethical and moral imperative when conventional channels do not function, for otherwise we are merely turningaway. Dr Derek Summerfield, Professor Colin Green, Dr Ghada Karmi, Dr David Halpin, Dr Pauline Cutting and 125 otherdoctors RelatedLinks

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But they insist its safe and highly effective. In fact, its been such a success that the NHS has changed its guidance to medics to make sure its used as much as possible. Clostridium difficile kills 150 Scots per year and blights the lives of many others. Around 1700 people caught the gastric bug last year, and it can be highly resistant to antibiotics. And although its not for the squeamish, doctors believe the faecal transplant treatment is the way forward. A tube is put into the patients nose and used to place a very small amount of poo from a member of their family into their stomach. Once there, it re-populates the patients gut with healthy bacteria, which grow and spread and drive out the c diff bugs. Germ expert Professor Alistair Leanord, who chaired the group of experts who came up with the idea, said: There have been a lot of studies showing this is an effective treatment and its quite simple. It can be lifesaving. The issue has been with patients accepting the idea. But to be fair, they are at the far end of severe. They are willing to anything that will give them their life and their bowels back. We do have standard antibiotic treatment.

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More Than 1,200 Top Uk Consultants Sign Up To New Patient-centred Healthcare Network

The service aims to reduce time to diagnosis for both NHS and private patients by eliminating the need for waiting lists or GP referrals. Members simply call with their symptoms and are assessed by a medical professional who will decide on the best specialist required to address their individual needs. Many of the specialists have national and international reputations in their sub specialism and all are recommended by at least two other consultants as people they would trust to look after them or their family. In addition, their work must undergo regular clinical audits if they are to retain their place within Collectively, these specialists see approximately 400,000 patients privately and 2 million through the NHS each year. Unlike an insurance service, consultants are not restricted by hospital networks, and usually recommend NHS treatment, unless a patient is ineligible or specifically requests to be seen privately. Charles Ranaboldo, specialist explained, After seeing me for a private consultation its your choice as to whether you choose to see me as an NHS patient or as a private patient; from my perspective it doesnt make a difference. There is no denying that the NHS is one of the greatest healthcare providers in the world. In a comparison with the healthcare systems of six other countries (Australia, Canada, Germany, Netherlands, New Zealand and USA) by the Commonwealth Fund in 2010, the NHS was rated as the best in terms of delivering effective care to patients, and in the 2012 Care Quality Commission inpatient satisfaction survey, 81% of approximately 61,400 respondents rated their overall experience as 7/10 or higher. endeavours to help its members access quality care and treatment through the NHS wherever possible. However, in situations where NHS treatment doesnt meet the needs of the individual, will advise on the best affordable self-pay treatment as an alternative choice. When asked, 98% of patients who had used said they were extremely satisfied with the service. Membership is open to all, regardless of age, health or medical history, from just 25 a month or 285 for the year. The first face-to-face consultation in every year is covered and you can gain healthcare credits to use for consultations or paid-for treatments at any time in the future. Find out more and sign up today at NHS Confederation. Key statistics on the NHS available from the NHS website.

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Rare disease patients need integrated care from specialists and local teams

However, in this case, there is certainly a strong financial argument for rebalancing existing funding to improve services. Severe respiratory infections, falls and cardiac problems all accompany forms of muscular dystrophy. Sadly, frequent and traumatic health emergencies are a fact of life for many families living with the conditions. Health professionals based locally, with full knowledge of medical history, a thorough understanding of a particular condition and a direct line to regional specialists, can both prevent crises and be available to advise emergency teams should one occur. NHS data indicates that around 40% of emergency admissions to hospital for this patient group could have been avoided through preventative care monitoring, early intervention and physiotherapy. This amounts to potential savings of up to 32m a year on emergency care. It seems unlikely that ‘complex care’ practices have a part to play here. It is not workable or beneficial to have a scenario where a severely disabled patient is forced to travel long distance to see a GP who, while specialising in complex care, is still unlikely to come in contact with a substantial number of patients with the same rare condition. Some regions have benefited from investment in specialist centres and teams to improve ongoing care for those with neuromuscular conditions. Following the critical Walton Report in 2009 , the number of specialist neuromuscular care advisers and nurses in the UK is increasing. Many work both directly with patients in the community by linking in with GP practices and clinics, and with neuromuscular consultants, specialist physiotherapists and respiratory teams through expert specialist centres. They are well placed to share expertise on how specific conditions progress, and help evolve knowledge of effective treatments with GPs and other health professionals delivering primary care. The Muscular Dystrophy Campaign has also recently received funding from the Department of Health to run its Bridging the Gap national project. This is focused on new regional neuromuscular forums and brings together those delivering primary and specialist care.

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United Kingdom-London: Medical specialist services

The Services to be provided will also include the Provider undertaking some post-decision casework in a limited number of cases. The Framework Agreement will be will be awarded for an initial term of 3 years with an option to extend for a further one year, which will be exercised at the discretion of the Contracting Authority. Owing to the nature of appeals it is impossible to estimate the total number of expected appeals throughout the duration of the Framework Agreement. For example were there to be a major incident where a large number of officers were seriously injured, the caseload may increase quickly. This Procurement is being managed and facilitated by Government Procurement Service (referred to as the Agent). The Agent is acting on behalf of the Contracting Authority throughout the procurement process. The Police Medical Appeals Framework Agreement will be between the successful supplier and the Contracting Authority, not the Agent. Estimated value excluding VAT: Range: between 950 000 and 2 000 000 GBP II.2.2) Information about options Options: yes Description of these options: The Framework Agreement will be awarded for an initial term of 3 years with an option to extend for a further one year period, which will be exercised at the discretion of the Contracting Authority. Provisional timetable for recourse to these options: in months: 36 (from the award of the contract) II.2.3) Information about renewals This contract is subject to renewal: yes Number of possible renewals: 1 In the case of renewable supplies or service contracts, estimated timeframe for subsequent contracts: in months: 12 (from the award of the contract) II.3) Duration of the contract or time limit for completion Duration in months: 36 (from the award of the contract) Section III: Legal, economic, financial and technical information III.1) Conditions relating to the contract III.1.1) Deposits and guarantees required: Participants will be advised if this is necessary during the procurement. Parent company and/or other guarantees of performance and financial liability may be required by the Agent if considered appropriate. III.1.2) Main financing conditions and payment arrangements and/or reference to the relevant provisions governing them: III.1.3) Legal form to be taken by the group of economic operators to whom the contract is to be awarded: No special legal form is required but if a Framework Agreement is awarded to a consortium, the Contracting Authority may require the consortium to form a legal entity before entering into the Framework Agreement. III.1.4) Other particular conditions The performance of the contract is subject to particular conditions: no III.2) Conditions for participation III.2.1) Personal situation of economic operators, including requirements relating to enrolment on professional or trade registers Information and formalities necessary for evaluating if the requirements are met: Candidates will be assessed in accordance with Part 4 of the Public Contracts Regulations 2006, as amended (implementing Title II, Chapter V11, Section 2 of Directive 2004/18/EC), on the basis of information provided in response to an Invitation to Tender (ITT). This procurement will be managed electronically via the Agent’s e-Sourcing Suite.

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Australian Mp Proposes Doctor Who Be Filmed In Australia

Australian MP proposes Doctor Who be filmed in Australia

George Christensen, a member of the ruling Coalition, wore one of actor Tom Baker’s trademark scarves in the House of Representatives as he used the fiftieth anniversary of the show to insist it is an “Australian institution”. He said the theme song was composed by an Australian, Ron Grainer, but resisted calls from across the chamber to sing it because “we have only got ten minutes”. “Australia is pretty similar to the UK in terms of its settings but I have got to say, imagine the Tardis landing near the Sydney Opera House, the Sydney Harbour Bridge, in the Australian outback, Uluru, Ayers Rock,” he told Parliament. “Think of all the exotic locations we could have.” The motion was supported by MPs and Doctor Who fans on both sides of the chamber, who were later photographed with a blow-up Dalek in the halls of Parliament. The motion has bipartisan support and is not expected to be put to a vote. Related Articles Are aliens really watching Doctor Who? 14 Nov 2013 Mr Christensen’s office told The Telegraph the MP attempted to bring a “real” Dalek a movable replica into Parliament House but security would not allow it. Instead, he flew his own blow-up Dalek to Canberra from the state of Queensland. “In the lead-up to this 50th anniversary of Doctor Who there are so many connections between this show and this nation that I think Doctor Who is as much an Australian institution as it has been a British institution,” Mr Christensen said. “In the lead-up to this debate there have been lots of MPs who have approached me telling me the same thing over and over, that when they were a kid they used to hide behind the couch and build cushion fortresses to protect themselves from whatever was on the screen, and they loved the show.” Mr Christensen said the show has been filmed abroad before and urged Australia’s public broadcaster, the ABC, and other entertainment and tourism agencies to support the move. “It is great to have the Australian connection with it, but I think a greater Australian connection could come if a series were actually filmed down under,” he said.

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Doctor Who – A Global Phenomenon: Part 1 Australia


Cinema Screenings: Australia has become theguinea pig testing farm for Doctor Who episode screenings on the big screen. On two separate occasions, theyve had special events that have sold out in cinemas all over Australia with the first event showing The Impossible Astronaut and Day of the Moon in one epic evening, and more recently Asylum of the Daleks and The Angels Take Manhattan being screened a few weeks later. On both these occasions Village Cinemas (the organisation that hold the events) have invited fans to dress up in Doctor Who inspired decor with prize hampers donated by the ABC for the winners. Conventions: Australia in the last few months has played host to the biggest names in Doctor Who. Stars such as Paul McGann, Sylvester McCoy, Peter Davison, Colin Baker, Alex Kingston, Eve Myles, Neve McIntosh, Dan Starkey and many many more greeted our shores this year. Shopping: The ABC have pulled out all the strings this year merchandise-wise, with massive product launch parties for midnight releases of DVDs, Pop-Up Doctor Who shops in major cities and holding many in-store competitions for the most eager of fans. 50th Anniversary events: BBC Worldwide are also teaming up with the ABC to hold 3 major headline events for the 50th Anniversary. A few months ago, many of Doctor Who TVs regulars will have seen a video of the amazing Vivid Light Display that echoed through the Sydney streets when it made it to the highly popular Weird and Wonderful article. Currently, Australia has opened our own smaller version of Englands Doctor Who Experience with a 50th Anniversary museum featuring props and costumes lovingly loaned by the BBC open to the public until early next year. Also returning to Australia in the early months of 2014 is the Doctor Who Symphonic Spectacular with both the Melbourne and Brisbane Orchestras teaming up with Murray Gold to present something truly special. Doctor Who? Doctor Who, although not the most popular show in Australia, is still well-known and becoming increasingly so. Theres Doctor Who everywhere you look; sometimes you may have to look hard, but ultimately its there. Through the various different gimmicks and publicity parades hitting the Australian public in the face this year (in a good way), theres no doubt that it is becoming more popular by the second.

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An Australian Audit Of Vaccination Status In Children And Adolescents With Inflammatory Bowel Disease

Table 2. Baseline Characteristics One hundred and one hospital patient records were reviewed as detailed in the study flow diagram. (Figure 1 ) A telephone immunization survey was completed in 42% and primary care practitioner records obtained in 66% (33/50) of consenting participants. In those whom a complete telephone immunization survey was obtained, 90% (38/42) [95% confidence intervals (CI) 77%; 97%] were up-to date with routine primary childhood immunizations. Figure 1. Flow diagram of study participants. For additional recommended vaccines, only 5% (5/101) [95% CI 2%; 11%] had received a recommended pneumococcal ‘booster’ and all were on active therapy including azathioprine (4) and infliximab (1). 10% (10/101) [95% CI 5%; 17%] had evidence of having ever received an influenza vaccination, 7% (7/101) [95% CI 3%; 14%] in the year of the survey. Those living in rural Victoria (Odds ratio 6.51 95% CI 1.33; 41.25, p = 0.005) and younger at the age of diagnosis (Pearson square for trend 2 = 16.8; p = 0.002) were more likely to have received an influenza vaccine. The reasons for not having received an influenza vaccine (n = 33) included: not being aware of it (24%); concerned about side effects (24%) not necessary (15%); doctor did not offer it (6%), allergy (6%) and unspecified or other reason (25%). Serological testing, reviewing historical protection from VPD, identified 18% (17/94) with evidence of at least one serology sample.

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Abortions To Be Allowed Without Doctor Approval Under New Uk Guidelines

Doctors say pressure on ERs may rise, give U.S. failing grade

The draft guidance proposals, which Department of Health officials have said is just a clarification of the law, state there will be no legal requirement for a woman to visit a doctor before undergoing a termination. The document says that it is “not a legal requirement” for women to visit a doctor, it is “good practice”. According to ministers supporting the move,more than 96,000 abortions a year in England and Wales are given approval without the woman seeing a doctor in the flesh. It also states that doctors should have”turned their minds to the particular facts of the case”, but it is not legally enforced. The new guidelines also state it is not a legal requirement for doctors to give individual requests any consideration before granting an abortion. The proposals say nurses can carry out terminations and gives examples of nurses administering drugs for medical abortions. It does not rule out nurses carrying out surgical terminations. For reasons of privacy, the paper states women should be free to “expel” the foetus at home, after taking abortion pills. The proposals are being contained in a government consultation which was opened before Christmas, with no publicity. It closes in two weeks, which has led to opponents accusing the law of being reinterpreted “clandestinely”. However, MPs and campaign groups have condemned the plan, saying it trivialised abortion into being a simple procedure and rendered the central components of the 1967 Abortion Act meaningless. The legislation states that two doctors must authorise a termination, having agreed the physical or mental health of the woman and foetus is threatened.

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While the physician’s report does not factor in all of the effects of the law — its grades are based on data from early 2013 — emergency rooms could be used even more as more Americans gain insurance coverage under Obamacare, it said. Some health experts have predicted that increasing the number of insured patients should reduce pressure on hospital emergency rooms because access to regular doctor care will improve, something that is hoped would prevent chronic conditions from spiraling out of control or help catch other problems before they worsen. But insurance coverage could also lead those who might have held off going to the emergency room to seek care, said Jon Mark Hirshon, an emergency medicine doctor and researcher at the University of Maryland who oversaw the group’s report card. Newly insured people also may have a hard time finding a regular doctor who accepts their plan, he said. “On top of that, emergency departments are open 24 hours a day, seven days a week. If I have a primary care provider but it’s 9 o’clock at night on a Friday and they’re closed, then people come to the emergency department,” Hirshon told Reuters. The group is asking for congressional hearings to probe whether the law puts “additional strains” on emergency rooms. Already, beds for patients have fallen from a rate of 358 per 100,000 people four years ago to about 330 beds per 100,000 people now, the report said. Wait times have increased to a median of 4.5 hours compared to four hours in 2009. Despite the dismal U.S. grade given by the group, it noted that policies and infrastructure varied widely by state. States with the best emergency care include Massachusetts, Maine, Nebraska and Colorado, while Kentucky, Montana, New Mexico and Arizona rounded out the bottom, just above Wyoming.


Doctor ‘laughed at’ plea to help girl who died in hospital

Your Local Guardian:

A junior doctor in Kingston Hospital was laughed at by a senior colleague when she suggested a consultant should examine a four-year-old Freya Wells, from Wallington , who died hours later after suffering a severe infection, West London Coroner’s Court heard. Little Freya died in the hospital after being admitted for breathing difficulties, vomiting and diarrhoea. Dr Hilary Towse, a paediatric senior house officer (SHO), told the court she tried to convince paediatrics registrar Dr Rosita Ibrahim to call for a consultant in the early hours of November 22, 2012. She said she thought Freya should be given rapid fluids through a bolus and IV drugs rather than oral, but Dr Ibrahim disagreed with her. Kingston Hospital Dr Towse said: “I specifically said that she needed to have a bolus, I specifically said that she needed to have IV antibiotics and I specifically said that she would need intensive care. “She thought what I was saying was ridiculous. Dr Towse began to cry and added: “I do recall that she laughed.” When asked why she did not contact the consultant herself, she said: “It will always be something I’ll regret for the rest of my life. “It would never normally be the role of the SHO to do that. Probably I had some experiences where I’ve been entirely appropriate to speak to a consultant but they would not want to speak to me because I was the SHO.” Nurse Kate Lynch, who also cared for Freya at the hospital, told the hearing that she disagreed with Dr Ibrahim that the youngster should be given intravenous rather than oral antibiotics. Richard Baker, representing Freya’s family, asked her: “Are you saying on this occasion the doctor was wrong?” Ms Lynch replied: “I felt that she should have had intravenous antibiotics.” The inquest, that is due to finish tomorrow, continues.

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Are Canadian Medical Schools Graduating The Doctors Of Yesterday? Study Finds 1 In 6 Specialists Can’t Find Work

Medical specialists still needed in northwestern Ont.

Dr. Roger Strasser

And he said the situation the report captures will only get worse, because medical schools will continue to graduate specialists at current levels for the next few years at least. I think we overshot the mark, said Lewis, who was not involved in this study. Related Doctor salaries have shot up 30% in past decade over fears of physician shortage, brain drain to U.S.: report I think that there is no question that almost doubling medical school enrolments since the late 1990s combined with easier paths to licensure for international medical grads was the wrong thing to do. We didnt think it through as a country. The study was conducted for and released by the Royal College of Physicians and Surgeons. The principal investigator was Danielle Frechette, executive director for health systems innovation for the college. Frechette said the organization, which sets standards for physician education in the country, had been hearing anecdotes about rising numbers of unemployed doctors, so decided to assess the situation. The ensuing report, released Thursday, is based on a survey of over 4,000 newly graduated doctors and interviews with about 50 people knowledgeable about the situation deans of medical schools, hospital CEOs and the like. Were hoping that our research shows that this is not a simple issue. And that we shouldnt have any knee-jerk reactions, otherwise we will perpetuate this boom-bust cycle that weve been in. Its like Groundhog Day The report paints a grim picture but does not recommend ways to fix it; that was not the mandate. The Royal College of Physicians and Surgeons is convening a national summit in February to explore ideas for developing a co-ordinated approach to planning health system workforce needs, Frechette said. She noted a fix will not be easy.

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(Nicole Ireland/CBC) “Sometimes [specialists are] unable to find a position in a locality that they want,” Kennedy said. “So I think we really have to look at the distribution of physicians [geographically].” ‘Advantage’ in northwestern Ontario Kennedy said NOSMis accomplishing its goalto graduate much-needed physicians and specialists to work at the hospital and in the region. “We had challenges with human resources for a good number of years,” he said. “We have increased medical student enrolmentby … 40 or 50 per cent over the past eight years, because we’ve had such shortages,” he said. “It’s playing to our advantage in northwestern Ontario because we are able to recruit top, talented doctors [who], at one point … always wanted to stay in an academic centre in eastern Ontario.” Strasser saidthe Royal College report shows the need for better medical workforce planning at the national level to ensure doctors are trained in the specialties where there is projected demand,and available to work in the geographic areas where they are needed. “It’s really looking to plan for and ensure the supply of the right physicians with the right skills in the right places … across Canada.” Kennedy said right now, Thunder Bay Regional is well-staffed in some specialties like neurosurgery and orthopedicsurgery, but the hospital needs more emergency physicians and psychiatrists. It is also recruiting vascular surgeons and anesthetists. Cautions against ‘knee-jerk reaction’ Both Kennedy and Strasseremphasized that, even thougha certain specialty area may not have vacancies right now, it can change by the time a current medical student is ready to practise. They said specialists may retire or move elsewhere, or hospitalresources maychange. For example, if hospitals have the money to open up more operating rooms, they could accommodate more surgeons.

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B.C. medical specialists struggle to find work

In B.C., the number of unemployed specialists was slightly higher than the national average at 16.5 per cent. The findings are counter-intuitive, given patient complaints about accessing timely care and surgery. “Never in my medical career have I even heard of unemployed doctors, until now, so this comes as a real surprise,” said Dr. William Cunningham, president of the B.C. Medical Association. Cunningham has been practising medicine since 1986 and works in a hospital emergency department on Vancouver Island. The report doesn’t address the issue of whether there are too many specialists for the Canadian health care system, in which operating room time and budgets are fixed. But it makes it clear that doctors are competing for resources. The report also pinpoints reasons why newly certified specialists are having trouble finding work: older doctors are delaying retirement; established surgeons are protecting their precious (often only one day a week) operating room time so young doctors aren’t getting the hospital/surgical positions they covet; and a lack of cohesion in medical resource planning and coordination between medical schools, governments and hospital or health care authorities. As well, there are relatively new categories of health professionals encroaching on doctors’ territory, such as advanced practice nurses, nurse practitioners and physician assistants. Respondents to the survey were graduates of Canada’s 17 medical schools and/or Canadian residency training programs in fields such as cardiac surgery, neurosurgery, nuclear medicine, ophthalmology, radiation oncology, urology, critical care, gastroenterology, general surgery, hematology and medical microbiology. The report does not include data on family doctors. While about one in five specialists or subspecialists said they are having challenges finding jobs, another 22 per cent of newly certified specialists said they are taking locum positions or other various part-time positions. Locums assume another doctor’s duties during holidays or extended absences.

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Specialist Medical Services In Australia – Industry Risk Rating Report – New Industry Profile Report

Three types of risk are recognized in our analysis. These are: risk arising from within the industry itself (structural risk), risks arising from the expected future performance of the industry (growth risk) and risk arising from forces external to the industry (external sensitivity risk). This approach is new in that it analyses non-financial information surrounding each industry. Industries are scored on a 9-point scale, where 1 represents the lowest risk and 9 the highest. The Industry Risk score measures expected Industry Risk over the coming 12-18 months. Industry Definition This industry comprises registered medical practitioners (including medical clinics or group practices) that provide specialist medical services (other than pathology and diagnostic imaging specialities) on their own account or for government agencies or non-profit organisations. Report Contents Risk Overview The Risk Overview chapter includes sections on Industry Definition and Activities, Industry Risk Score and Risk Rating Analysis. The Industry Definition and Activities section provides a detailed definition of the activities carried out by operators in this industry as defined in NAICS. A list of the primary activities of the industry is also included. The Industry Risk Score section provides the Overall Industry Risk Score as well as the Risk Scores for each of the three types of risk covered that combine to form the Overall Industry Risk Score. These three types of risk are Structural Risk, Growth Risk and External Sensitivity Risk. The Risk Rating Analysis section discusses the underlying factors contributing to the Overall Industry Risk Score. Structural Risk The Structural Risk chapter looks at risk arising from within the industry itself and provides a detailed discussion of the industryAaas level of exposure to seven key indicators.

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Doctor Who Writers Give Peter Capaldi And Jenna Coleman ”spiky Relationship” As He Begins As New Time Lord

Matt Smith as an old Doctor

Peters Doctor has to get past a spiky opening and try to make Clara a sidekick who will help him save the world from the usual mix of aliens and monsters from the galaxy. Matt Smith as an old Doctor BBC As well as Clara, Capaldi was joined on set yesterday by familiar characters Madam Vastra, Strax and Jenny. Fans hoped they would see him at several locations where filming took place outside but Capaldis first scenes were confined to Studio 1 in Roath Lock Studios in Cardiff. Arriving on set in Cardiff to begin filming, Peter Capaldi, said: New job, first day, slightly nervous. Just like the Doctor, Im emerging from the TARDIS into a whole other world. Referring to his previous brief cameos on the show, Steven Moffat, Lead Writer and Executive Producer, added: First the eyebrows! Then, at Christmas, the face! Coming soon, the whole Doctor. In the Cardiff studios, the Capaldi era begins. One crew member said Capaldi seemed excited more than anything and didnt show many nerves as he delivered his first lines. Capaldi has been left nursing a dislocated thumb after an on-set accident for his last TV role after getting tangled in a frock. The actor got caught in a co-stars period costume while filming his new BBC drama The Musketeers, based on the characters created by Alexandre Dumas. Capaldi had to twist the injured digit back into place himself leaving him weak at the knees with the pain. He plays Cardinal Richelieu, the first minister and confidant of the French King in the new BBC One series which begins later this month. Capaldi said the shooting of the sword-wielding adventure series was beset by injuries: Dislocated shoulders, bruised shins, the odd concussion. Its one of the occupational hazards of being a swashbuckler. I myself suffered a nasty dislocated thumb, but embarrassingly not from swinging a sword around.

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Peter Capaldi begins filming Doctor Who

Please note: according to the BBC, the picture above does not show the new Doctor’s costume 10.2 million tuned in on Christmas Day to see Matt Smith regenerate into Capaldi at the conclusion of the festive special ‘The Time Of The Doctor’. Zoe Ball revealed Capaldi as the new Doctor in a live BBC One show in August, following months of speculation about who would be next to board the TARDIS. Arriving on set in Cardiff to begin filming, Peter Capaldi, said: New job, first day, slightly nervous. Just like the Doctor, I’m emerging from the TARDIS into a whole other world. Lead Writer and Executive Producer Steven Moffat added: First the eyebrows! Then, at Christmas, the face! Coming soon, the whole Doctor. In the Cardiff studios, the Capaldi era begins.” Ben Stephenson, Controller of Drama Commissioning, said: “Excitement and anticipation fills the air as Peter Capaldis Doctor takes control of the TARDIS for the very first time today. Its going to be one hell of a ride and I can’t wait for the journey to start.” BBC One Controller, Charlotte Moore, added: “A new year, a new face, a new Doctor! 2014 has arrived and it’s Peter Capaldi’s time so let the adventures begin!” The first and second episodes for season eight have been written by Steven Moffat and Phil Ford respectively and are also the first episodes that Peter will shoot, both directed by Ben Wheatley. Filming based at the BBC studios in Cardiff is expected to continue until August 2014.

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