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AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Stand Up and Be Counted: Measuring and Mapping the Rheumatology Workforce in Canada.

Claire E H Barber1,2, Lauren Jewett3,4, Elizabeth M Badley3,4

  • 1From the Division of Rheumatology, Department of Medicine, University of Calgary, Cumming School of Medicine, McCaig Institute for Bone and Joint Health; Department of Geography, and Department of Community Health Sciences, University of Calgary, Calgary; Division of Pediatric Rheumatology, Faculty of Medicine and Dentistry, University of Alberta; Division of Rheumatology, Department of Medicine, University of Alberta, Edmonton, Alberta; Arthritis Research Canada, Richmond; Division of Rheumatology, Department of Medicine, University of British Columbia, Vancouver, British Columbia; Krembil Research Institute, Toronto Western Hospital; Dalla Lana School of Public Health, University of Toronto; Hospital for Sick Children; Pediatrics, University of Toronto; Faculty of Medicine, University of Toronto, Toronto; Rheumatology, McMaster University, Hamilton; William Osler Health System, Brampton; Private Practice, Kingston; Canadian Rheumatology Association; The Arthritis Program at Southlake Regional Health Centre, Newmarket; Division of Rheumatology, University of Western Ontario, London; Department of Medicine, Division of Rheumatology, University of Ottawa, Ottawa; Private Practice, Guelph; Private Practice, Markham, Ontario; University of Manitoba, Winnipeg, Manitoba; Rheumatology, Hôpital Maisonneuve-Rosemont; Université de Montréal, Montreal, Quebec; University of Saskatchewan, Regina, Saskatchewan, Canada. cehbarbe@ucalgary.ca.

The Journal of Rheumatology
|December 3, 2016
PubMed
Summary

Canada faces a significant rheumatologist shortage, with one-third planning to retire soon. This workforce survey highlights an urgent need for recruitment and retention strategies to address the growing deficit in rheumatology care.

Keywords:
ADULT RHEUMATOLOGISTPEDIATRIC RHEUMATOLOGISTRHEUMATOLOGISTWORKFORCE

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Area of Science:

  • Rheumatology Workforce Analysis
  • Canadian Healthcare System
  • Medical Demographics

Background:

  • The Canadian Rheumatology Association (CRA) initiated a workforce survey to understand the practicing rheumatologist landscape.
  • Characterizing the rheumatologist workforce is crucial for healthcare planning and patient access to care.

Purpose of the Study:

  • To characterize the practicing rheumatologist workforce in Canada.
  • To identify current shortages and future challenges in rheumatology care provision.

Main Methods:

  • A 2015 electronic workforce survey was distributed to Canadian rheumatologists.
  • Data on demographics, practice patterns, and clinical time allocation were collected.
  • Full-time equivalent (FTE) rheumatologists per population were estimated using median clinical practice time and provincial numbers.

Main Results:

  • The survey achieved a 68% response rate from expected practicing rheumatologists.
  • The median age of rheumatologists was 50, with one-third planning retirement within 5-10 years.
  • A significant deficit of 1 to 77 FTE rheumatologists per province/territory was identified against the recommended ratio.

Conclusions:

  • Canada is experiencing a current shortage of rheumatologists, projected to worsen due to impending retirements.
  • Urgent strategies for trainee encouragement and workforce retention are essential to mitigate the rheumatologist deficit.