“Of particular concern are recent studies in animal models that report subtle effects on the physiology and development of the fetal brain,” the joint policy statement said. Malegus said 10 to 20 minutes is the maximum amount of time expectant moms are exposed to the ultrasound procedure, similar to the medical ultrasound. “It doesn’t replace a medical (ultrasound) and that’s not what we’re there for,” Malegus said. “The medical procedure is not there to promote bonding, there’s no bonding at the hospital (during an ultrasound) whatsoever and that’s where we come in. “It’s not just Mom and Dad that come in, it’s their (other) children, their parents, grandparents, aunties, uncles, cousins, whoever they want to involve in this life event.” An editorial in the Canadian Medical Association Journal in January 2012 stated “Research in Canada has found the strongest evidence of fetal sex selection among some Canadians of Asian descent, including people from India, China, Korea, Vietnam and the Philippines.” The CMAJ editorial said a possible solution is for information on the gender of a fetus to be withheld until after 30 weeks when “an unquestioned abortion is all but impossible.” The editorial noted the gender of a baby is “medically irrelevant information, except when dealing with gender-related illnesses.” Republished from the Winnipeg Free Press print edition February 22, 2014 0 History Fact Check Have you found an error, or know of something weve missed in one of our stories? Please use the form below and let us know. * Required In which story did you find the error? * Please post the headline of the story or the title of the video with the error. What was the error? * Please post exactly what was wrong with the story. What should we have written?
New study shows 1 in 6 newly graduated medical specialists can’t find work
(CBC) The Royal College report on physician unemployment and underemployment (Note: CBC does not endorse and is not responsible for the content of external links.) The dean of the Northern Ontario School of Medicine says there’s an ongoing demand for new doctors trained in various specialties in northwestern Ontario, despite a nationalstudy’s findings that some recent medicalgraduates are having trouble finding work in their fields. The dean of the Northern Ontario School of Medicine, Dr. Roger Strasser, says there is plenty of demand for medical specialists in northwestern Ontario. (Yvon Theriault/CBC) Last week, the Royal College of Physicians and Surgeons of Canada reported that one-in-sixnewlycertified medical graduatesin Canada say they can’t find a position in their specialty areas. But NOSM dean Roger Strassersaid the study was limited in scope and the findings were only broken down to a provincial level. They did not examine the supply and demand of medical specialists in specific regions like northwestern Ontario. “I think it’s important when you look at the study not to jump to conclusions,” he told CBC News, addingthe study doesn’t consider how the demand for various types of specialized medicine might change in the future. Strasser said medical specialists who have the most difficulty finding jobs are likely located in other larger urban centresin the province. Dr. Stewart Kennedy, executive vice-president of academic and medical affairs at Thunder Bay Regional Health Sciences Centre, agreed. Dr. Stewart Kennedy, executive vice-president of academic and medical affairs at Thunder Bay Regional Health Sciences Centre, says northwestern Ontario is finally gaining much-needed medical specialists. (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 …
Medical specialists still needed in northwestern Ont.
The report pointed to a number of factors that have contributed to the oversupply of specialists. Poor stock market returns in recent years have meant that some older doctors most of whom must finance their own pension plans have delayed retirement. And there has been a realignment or rationalization of tasks in health care, with nurses and physician assistants taking on responsibilities that were once left to doctors, freeing them up to do some tasks that used to fall to specialists. That effect, which Lewis called sensible, will only accelerate as less invasive treatments are brought on line. For instance, angioplasty opening blocked cardiac arteries with balloons and stents has replaced many open heart surgeries to bypass blocked arteries. Lewis suggested the cycle of training specialists which typically takes about nine years is out of sync with the cycle of assessing future medical system requirements. Forecasting health human resource needs more than three or four or five years out is a fools game, because medical science changes, health needs can change, technology can change and so on. But Frechette said there are some low hanging fruit problems that should be relatively easy to address. For instance, her study noted there are jobs going for the asking. And yet while it seems inconceivable in the era of Craigslist and LinkedIn, doctors are having a hard time finding these help wanted ads. Our research did discover that there are a lot of people who cant find jobs, including orthopedic surgeons who would gladly go to where the jobs are, but they dont know where they are, she said. Lewis said there are some other adjustments the system should consider. One is shortening the period of time it takes to train a specialist, which would allow planners to adjust the course more quickly if it appeared that a glut of doctors was forming. If your whole life is going to be doing hip and knee replacements, I think one can question whether it should take nine years of training, he said. Another suggestion involves sharing the wealth. He said it isnt uncommon to hear of small communities where patients have to wait to see a specialist but the three specialists in town arent keen to let a fourth hang a shingle. I think the one thing thats clear is there wont be a spontaneous solution that employs all of these new doctors effectively.