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Published on: November 9, 2016
Health human resources for emergency medicine: a framework for the future
Douglas Sinclair1,2,3, Peter Toth4, Alecs Chochinov4
1St. Michael's Hospital, Toronto, ON, Canada.
Canada faces a growing emergency physician shortage, projected to reach 1518 by 2025. The Future of Emergency Medicine in Canada (FEMC) committee aims to address this by defining ED categories, physician needs, and optimal training pathways.
Area of Science:
- Medical Education
- Health Human Resources
- Emergency Medicine
Background:
- The Collaborative Working Group (CWG) identified significant emergency physician (EP) Human Health Resource (HHR) shortfalls in Canada.
- Recommendations from the CWG report were endorsed by major Canadian medical organizations.
- An estimated 478 EP shortfall in 2016 projected to rise to 1518 by 2025.
Purpose of the Study:
- To advocate for and implement CWG recommendations to improve emergency care access.
- To define emergency department (ED) categories and required full-time equivalents (FTEs).
- To recommend optimal training and certification for Canadian EPs and optimize existing training programs.
Main Methods:
- The Future of Emergency Medicine in Canada (FEMC) committee was formed to advance CWG recommendations.
- A workshop was held at the Canadian Association of Emergency Physicians (CAEP) 2018 meeting to develop regional advocacy strategies.
- This paper outlines the workshop's output to guide FEMC's future deliberations.
Main Results:
- The CWG report highlighted a critical and escalating shortage of emergency physicians.
- The FEMC committee has established specific goals to address HHR needs and training.
- A regional approach to HHR advocacy was recognized as essential due to varying provincial realities.
Conclusions:
- Urgent action is needed to address the projected emergency physician shortfall.
- Defining ED categories and FTE requirements is crucial for strategic workforce planning.
- Optimizing current training programs and defining ideal EP qualifications are key to ensuring high-quality emergency care for all Canadians.
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