Why there is a shortage of PCPs in Canada

The same problem can be said here in the US:

I am convinced a major cause of this sorry situation is the fact that family physicians have been virtually excluded from patient care in teaching hospitals with the result that medical students, interns and residents are seldom exposed to family doctors and are increasingly unaware of their very existence.

Most patients in hospital do not see their own doctors at all, from the day of admission until their discharge.

The students and the interns have consequently lost their contact with the family physicians in the community and are unaware or are ill-informed as to their value and stature.

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  • Anonymous

    I don’t have any data about this. From my own personal experience (circa 1998 med school grad) we were OVEREXPOSED to primary care. I don’t know why they did that to us, but our physical exam skills were demonstrated by family medicine residents and the class was taught by family medicine faculty. (would we have been better served to have the general surgeon show us the abdominal exam and the gynecologist show us the pelvic exam–probably)

    When I did my internal medicine residency, there was a pull from the faculty to stay general. (large, mid-tier university program).

    The real reason there aren’t enough primary care doctors is that medical students and residents are highly intelligent people who know how to defer gratification and can plan ahead. When they see the suffering the poor martyrs of primary care go through, they make the intelligent decision to avoid that dark road.

    Just my n=1 observation.

  • Martin O Gonz

    A shortage due to breadth v. depth?
    Anonymous 5:22 may “not have any data about this” but he/she is consistent with the plurality of studies attempting to identify the desires inherent in selecting a “life” in family medicine. Personal and national attitudes are probably the most significant determinates of lifelong commitment to family medicine, I believe. The breadth v. depth applies to both personal and national healthcare interests.
    Senf, Campos, Kutob concluded in “Lessons not learned from the generalist initiatives” (AcadMed 2002). “Students who reject family practice state concern about prestige, low income and breadth of knowledge required”. Every futureand present healthcare provider must decide whether it is more important to “know something about everything or know everything about something”
    Most industrialized nations have a form of nationalistic healthcare system primarily as a result of a “nationalistic sentiment”of what is “best for the most” whether individual, business, provider.
    Nayeri, Lopez concluded in “Economic crisis and access: Cubas healthcare sysytem….(Int J HealthServ 2005)”…These findings are consistent with official health care statistics, which show that, while secondary and tertiary care suffered in the early years of the crisis because of interruptions in access to medical technologies, primary care services expanded unabated, resulting in improved health outcomes”.
    How can our system forge an agreement over what is most important?. We begin the discourse on “breadth v. depth”. (Include anon5:22)

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