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The Canadian Heart Failure Society (CHFS) Workforce Committee Report 2024: Addressing the Challenges Facing the Heart
Aws Almufleh1, Darshan H Brahmbhatt2, Filio Billia3
1Division of Cardiology, Department of Medicine, Queen's University, Kingston, Ontario, Canada.
Journal of Cardiac Failure
|December 5, 2025
Summary
Canada faces a critical heart failure (HF) physician shortage. This consensus report identifies workforce barriers and proposes solutions to strengthen the HF physician workforce and improve patient care.
Area of Science:
- Cardiology
- Health Workforce Research
- Public Health Policy
Background:
- Heart failure (HF) significantly impacts Canadian morbidity, mortality, and healthcare costs.
- The demand for HF care is rising, but the physician workforce has not kept pace, creating a critical gap.
Purpose of the Study:
- To identify key drivers of the heart failure physician workforce crisis in Canada.
- To propose actionable, consensus-based solutions to stabilize and strengthen the HF workforce.
Main Methods:
- Convened a national workforce committee of 16 diverse Canadian physicians.
- Utilized structured interviews and consensus-building to examine systemic issues.
- Mapped identified issues to tailored interventions, categorizing by impact and implementation effort.
Main Results:
- Identified systemic issues: insufficient/inflexible training, remuneration inequities, poor job visibility, lack of mentorship, burnout, and attrition.
- Proposed interventions: revised training curricula, flexible models, compensation advocacy, improved job visibility, mentorship incentives, and well-being promotion.
- Recommended national coordination tools: HF job board, mentorship networks, advocacy toolkits, and economic analyses.
Conclusions:
- This paper provides a comprehensive framework and strategic recommendations to address physician-level barriers in Canadian HF care.
- The proposed solutions aim to sustain and grow the HF physician workforce to meet current and future health system demands.
- This is the first national consensus effort to tackle the Canadian HF physician workforce crisis.
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