Impression of surgical specialty workloads

[Guest cracked30]

I don't know how to set up a poll.

 

Of the following surgical specialties, which do you feel rank first second and third for workload, hours, nightime and weekend work? I mean, which do you think are the hardest?

 

Gynecology, General surgery, urology, ENT, neurosurgery, orthopedics, vascular surgery, thoracic surgery, transplant surgery, plastic surgery, pediatric surgery,

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<username>Spencer</username>

<dateline>1073680200</dateline>

<title>Is There a Doctor in the Town?</title>

<pagetext>Hiya Folks,

 

After finishing dinner last night, I went to pick up the weekly issue of the town newspaper, The Economist and Sun...for the Markham-Stouffville area which is situated just north of Toronto...like literally across the street as south of Steeles Ave. is Toronto and north of Steeles Ave. is Markham...so anyways, I flipped the first page of the newspaper and an article called "Is There a Doctort in the Town?" took up the whole front page...it was very interesting and I'd like to share it with you...

 

 

Is there a doctor in the town?

 

Underserviced York Region communities consider options to attract medical professionals, without hurting existing doctors

 

Jan 8, 2004

Lisa Queen, Staff Writer

 

Communities across York Region are kicking off 2004 by boosting efforts to recruit desperately needed doctors and health services.

 

"Ensuring communities have the health care they need in all forms, from doctors to nurse practitioners to the health environments needed to provide the services to the diagnostics, is a huge priority for the region as we enter the new year," said Fred Tufnell, chairperson of the Simcoe York District Health Council.

 

"I would say recruiting doctors is a key issue but I wouldn't say it's the overwhelming issue. It goes hand-in-hand with working to develop and provide the best tools, environment, diagnostics etc. But obviously we need the doctors in the numbers required to provide the services."

 

Virtually every community is trying to hike its health services.

 

For example, an increasingly nasty battle is raging in Georgina over plans for a clinic in Sutton.

 

In an effort to bring doctors to the underserviced town, the Georgina community health care council has attempted to open a medical clinic on Baseline Road using a $1-million grant from the town, obtained from the sale of Georgina's hydro utility.

 

However, the deal has been clouded in controversy.

 

Members of the health council have been accused of not being accountable. Six Keswick doctors threatened to leave Georgina, upset public funds would be used to finance a competing clinic.

 

Finger-pointing over the clinic dominated the municipal elections and resulted in Mayor Rob Grossi defeating incumbent Jeff Holec.

 

"It's been a huge issue," said Mr. Grossi, a vocal opponent of the health council's actions.

 

"At the end of the day, the problem is bringing health care to an underserviced community. We've been abandoned (by higher levels of government) when it comes to health care and the issue has landed on our doorstep.

 

"If growth is going to occur -- and we know growth is going to occur -- and the responsibility for health care lies with the federal and provincial governments and they approve immigration and emigration, shouldn't ensuring adequate health care in communities be in their purview?"

 

Meanwhile, physicians in Whitchurch-Stouffville are warning of a drastic family doctor shortage.

 

"With the population expected to expand, the situation can only get worse. There's a definite shortage," said Dr. Donald Petrie, who is not accepting new patients.

 

"You can't look after the ones you're committed to. You can't look after the whole world. There's a limit."

 

Dr. Petrie said the government needs to increase the supply of doctors, but acknowledged there's no quick solution.

 

"It's a bad situation but we do the best we can."

 

Mayor Sue Sherban is establishing a task force to develop a doctor recruitment strategy.

 

"Like every community that's growing, doctors need to grow with it," she said.

 

"We don't really have the space right now for physicians. Doctors want a turn-key operation where they can walk in and have the facilities ready to begin practising. We need somebody to come to the table and build a facility that would be physician friendly."

 

To make sure the situation in Georgina isn't repeated, Ms Sherban acknowledged the town will have to walk a fine line between attracting new doctors and ensuring current physicians don't feel alienated.

 

Rural areas aren't the only communities hoping to improve health care.

 

Despite expansion projects at York's three existing hospitals, Vaughan residents and community leaders are calling on Queen's Park to approve a new health care facility for their city.

 

Councillor Mario Ferri said the growing municipality needs its own hospital.

 

"We are the only large city that doesn't have a hospital within our own borders," he said, noting Vaughan grows by 10,000 residents a year.

 

"The rate at which the population is growing has put tremendous pressure on the existing hospitals. As this population continues to age and grow, the existing hospitals will not be able to absorb the extra pressures and so we need to start now, so that in the future we can have a hospital."

 

Demands for improved health care aren't limited to York.

 

The Ontario Medical Association estimates almost 1,600 doctors are needed immediately to care for the more than 1 million residents across the province who can't get a family physician.

 

"This shortage is expected to increase to between 2,400 and 3,400 physicians by 2010, depending on the degree of government action," a report from the association warns.

 

"Ontario's current physician shortage is projected to almost double within 10 years. As a result, it is anticipated that between 1.4 million and 2 million Ontarians will be seriously hindered in their access to medical treatment."

 

During last fall's provincial election, Premier Dalton McGuinty promised to improve access to health care by establishing 150 family health teams, including doctors, nurses, pharmacists and other health care professionals.

 

Thornhill MPP Mario Racco serves on a legislative health and social issues committee and expects the committee to begin addressing the doctor shortage within days.

 

The focus will be on increasing medical school spaces, removing barriers preventing foreign doctors from practising and providing incentives for physicians to work in underserviced areas.

 

"Hopefully, in a few years we can start providing enough additional doctors to provide the services we need," he said. "Doctors are needed and expected in one of the wealthiest provinces in the world."

 

Despite the hurdles, it is possible for communities to recruit new doctors. But as Mount Albert residents know, it's an uphill battle.

 

The town finally found a doctor in October 2001, following an exhaustive three-year search.

 

Dr. Gail Firestone became the lone physician for the community of 4,000, which had been dependent on patchwork medical care before she began.

 

Although York North MPP Julia Munro was relieved Mount Albert had eventually found a doctor, she blamed Ontario's physician shortage on a joint federal/provincial decision in 1992, which reduced the number of openings in medical schools.

 

"I just couldn't imagine, I know hindsight is 20-20, but if you looked at immigration statistics, demographics, the aging population, how could you think you need fewer doctors, not more?"

 

 

**I found it interesting how there was no mention of increasing residency placements to remedy the doctor shortage situation...only increasing medical school enrollment.

 

**I never knew the situation was THAT bad...even in York Region...a community of 800,000 just north of Toronto. I wonder how places like Malton, Dorchester and Saltford get along...

 

Any thoughts?

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<username>UTMed07</username>

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<title>Make a Mistake. Go to Jail. Is this the future?</title>

<pagetext>What do people think about this one {Full text}{PDF}?

 

I wonder what happened to... studying mistakes so we learn from them and look at how to minimize their occurance?

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<username>driedcaribou</username>

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<pagetext>www.telegraph.co.uk/news/...xhome.html

 

"Sons I gave birth to are 'unrelated' to me

By Roger Highfield

(Filed: 13/11/2003)

 

 

One human chimera came to light when a 52-year-old woman demanded an explanation from doctors after tests showed that two of her three grown-up sons were biologically unrelated to her.

 

Although the woman, "Jane", conceived them naturally with her husband, tests to see if she could donate a kidney suggested that somehow she had given birth to somebody else's children.

 

A study in the New England Journal of Medicine by Dr Margot Kruskall, of the Beth Israel Deaconess Medical Centre in Boston, Massachusetts, showed that Jane is a chimera, a mixture of two individuals - non-identical twin sisters - whose cells intermingled in the womb and grew into a single body.

 

Dr Kruskall believes the most likely explanation is that Jane's mother conceived non-identical twin girls, who fused at an early stage of the pregnancy to form a single embryo, according to a report published today in New Scientist.

 

For some reason, cells from only one twin dominate in Jane's blood - used for tissue-typing. In her other tissues, however, including her ovaries, cells of both twins live amicably alongside each other, hence the apparently impossible genetics of her three sons.

 

One son came from an egg derived from the twin whose cells dominate Jane's blood, while his brothers came from eggs derived from the other twin's cells.

 

Around 30 similar instances of chimerism have been reported, and there are probably many more who will never discover their unusual origins. Most chimeras probably go through life unaware of their unusual constitution.

"

 

Wow, that's the first time I've ever heard of it. Has anyone ever encountered this in a hospital yet?

Did you even learn this in school?

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