5 proposed solutions to the 'dire' doctor shortage in rural northwestern Ontario

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5 proposed solutions to the 'dire' doctor shortage in rural northwestern Ontario
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More than a week after a shortage of available physicians closed the emergency room in Red Lake, health professionals are weighing in on possible solutions to the northern Ontario doctor shortage.

The emergency room at Red Lake Margaret Cochenour Memorial Hospital was closed from 8 a.m. March 26 to 8 a.m. March 27.

The government and the Ontario Medical Association have already followed through on some solutions to the doctor shortage that physicians in the region had previously proposed — prior to the Red Lake closure. Those include: Increasing the number of medical students in the province. Ontario has announced it is adding 160 undergraduate seats and 295 postgraduate positions to medical schools over the next five years, including 30 new undergraduate positions and 41 new residence spots at the Northern Ontario School of Medicine University .

Setting up a similar system in Ontario would require the leadership of Ontario Health, the provincial agency that co-ordinates the province's health-care system, Newbery said. That can be a deterrent if the student is already paying rent on an apartment in southern Ontario, Newbery said."We know that one in five postgraduate residents who comes and does an elective in northern Ontario will come back for future work," Newbery said.

When some international medical graduates, or IMGs, first arrive in Canada, the CPSO issues them a restricted licence and requires them to work under supervision for a year or more. "We certainly make exceptions for one supervisor providing supervision for multiple physicians and for remote supervision," said Shae Greenfield in an email.There should be a clear pathway for physicians coming to work in the north that responds to the realities of the region, Van Der Loo said.

Part of the problem with those programs, according to Newbery, is most communities in Ontario are now classed as underserved, meaning doctors need not travel as far away as northern Ontario to work in an underserved community."It may be that we need to create a bit of an enhancement for that kind of program for northern Ontario," Newbery said.

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