Shaping our Physician Workforce

Working Groups

 

Physician Resource Planning Data

Work has begun on constructing the 2013 – 2014 physician roster which serves as the base for a new 10 year physician resource planning projection. Processes are being streamlined to integrate improved data sources from the College of Physicians and Surgeons of Nova Scotia, Medavie Blue Cross and other internal Department of Health and Wellness sources. The process of constructing a roster, validating it with DHA medical leadership and recalculating tenure projections of need and supply that was used for the last roster will be repeated and strengthened where needed. Online access to the consultants’projection model has been demonstrated and agreement reached for ongoing access to create a variety of model scenarios for Nova Scotia.

Medical Education Working Group

The Medical Education Working Group has completed recommendations for the 2015 CaRMS match. It has also made recommendations and addressed position funding challenges for subspecialties. Work is beginning on recommendations for the 2016 CaRMS match. Further review of newer and small subspecialty residency programs continues.

National Physician Resource Planning Task Force

Nova Scotia is represented at the joint Health Canada, Committee on Health Workforce and Association of Faculties of Medicine of Canada Physician Resource Planning Task Force. Funding was allocated and an RFP offered for a supply based National planning model. Response to the RFP is now being considered. AFMC has taken the lead in developing a web-based information system for prospective and current medical students and residents outlining career and job opportunity information on a national basis. The site will be known as FutureMD and should be up early in 2015.

Primary Health Care Community Cluster Planning

The Primary Health Care and EHS Branch is leading work on developing physician resource and other primary health care provider plans for team-based care in community clusters of sustainable size populations. A metric is being developed and a model primary health care core team for a population of 7000 is being discussed. Work is proceeding with DHA’s to better understand how this approach can be adapted to specific community circumstances.

Core Complement and Clinical Service Planning

Visits to DHA’s to review current complement of core specialty disciplines were undertaken in the late spring and early summer. Information from those discussions is being combined with roster information, consultant recommended benchmarks and ongoing clinical service planning. Discussions with the VP’s Medicine and individual DHA’s should move physician resource planning towards agreed-upon core specialty complements for each regional centre and zones within the consolidated Provincial Health Authority.

Recruitment Action Team Report

The Minister has directed staff to prepare processes for implementation of the Tuition Relief program. The Action Team is waiting for the feedback on the other recommendations and the overall report.

New MD Appointment Process

The Deputy Minister continues to review requests from DHA CEOs for new and replacement MD positions. The Deputy looks to Physician Resource Planning to inform his response to these requests. Request for replacement are generally supported and request for new positions considered in the light of overall provincial plan for clinical services, resource requirements and evidence of population need.

Ongoing Input to Other Related Processes

Physician Resource Planning continues to support the Diagnostic Imaging Pathology Lab Medicine Initiative (DIPLMI), Perioperative Advisory Committee, Provincial Emergency Care Visor Committee Academic Funding Plan and Master Agreement negotiations, and Clinical Services Planning for the new Provincial Health Authority.