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AND WORKFORCE TRENDS

Physician Recruitment Agency of Saskatchewan

saskdocs.ca 2017 Edition

TABLE OF CONTENTS

INTRODUCTION ______1 DATA SOURCES ______2 ACRONYMS ______4 SPECIALTY PROFILES: PGY1 ______5 Anaesthesiology ______6 Dermatology ______8 Diagnostic ______10 Emergency ______12 ______14 General Pathology ______16 General ______18 ______20 Neurology ______22 ______24 Nuclear Medicine ______26 And Gynecology ______28 Ophthalmology ______30 Orthopaedic Surgery ______32 Otolaryngology ______34 Paediatrics ______36 Physical Medicine And Rehabilitation ______38 Plastic Surgery ______40 ______42 Public Health And Preventive Medicine ______44 Radiation Oncology ______46 ______48 SPECIALTY PROFILES: Medicine Subspecialties ______50 ______52 ______54 General Internal Medicine ______56 Haematology ______58 Medical Oncology ______60 ______62 Respirology ______64 Rheumatology ______66 WORK HOURS AND PAYMENTS BY SPECIALTY ______68 REFERENCES ______69 INTRODUCTION

The Physician Recruitment Agency of Saskatchewan, also known as saskdocs, is a one stop shop for and their families wishing to live and work in Saskatchewan, . As part of its core lines of business, the Agency is committed to working with stakeholders in the recruitment and retention of physicians in Saskatchewan.

It has been identified that the high need specialties in the province currently are anaesthesia, family medicine, general internal medicine, obstetrics and gynecology and psychiatry. Since 2007, an increased number of physicians are choosing to reside and practice in Saskatchewan with greater than 2,300 physicians licensed to practice in the province in 2017.

The University of Saskatchewan’s College of Medicine offers over 100 residency training seats in various specialties each year. This publication is intended to provide information on residency and workforce trends in Saskatchewan and Canada, to aid medical students with making informed decisions on career planning. Students are also advised to consult with course advisors, colleagues, physicians, mentors, faculty, the Saskatchewan Medical Association (SMA), the health authority and saskdocs staff for additional guidance.

1 Residency and Physican Workforce Trends, 2017 DATA SOURCES

The data and information on medical specialties and subspecialties in this handbook are from provincial and national sources. Data in this report is subject to change. Please contact saskdocs for the most recent data.

SECTIONS DESCRIPTION

Overview The overview provides a summary for each specialty profile, which includes definition, required technical skills, and residency training requirements for each profile. The majority of information presented in the overview was sourced from Canadian Medical Association (CMA) Specialty Profiles. Source: Canadian Medical Association (CMA) Specialty Profiles.

Key Highlights This section presents the following key information for each specialty:

Work hours: Showcases the total weekly work hours for physicians in Canada in 2014. Source: Canadian Medical Association (CMA) Specialty Profiles.

Community Services: Lists the number of communities in Saskatchewan that may offer services in each specialty. Sources: Physician Registry, College of Physicians and of Saskatchewan (CPSS). Regional Health Authorities.

Post-graduate Seats: Presents the quota of seats available for post-graduate residency training. Source: College of Medicine, University of Saskatchewan, 2017

Physician Payments: Provides the average annual payments for physicians in each specialty. Sources: Medical Services Branch (MSB) Annual Statistical Report, 2016-17. Medical Services Branch (MSB) Payment Grids, 2016. Saskatchewan Cancer Agency (SCA) Payment Grid, 2016.

Age Demographics Physicians in Canada and Saskatchewan are captured according to age range. Due to the small sample size of some specialists in Saskatchewan (e.g. Medical Oncology), age demographics may not be shown. Sources: Medical Services Branch (MSB) Annual Statistical Report, 2016-17 Canadian Medical Association (CMA) Specialty Profiles.

Licensed Physician This provides a graphical representation of physicians that are licensed to Workforce in Canada practice in each specialty in Canada. Data was sourced from the Royal College of Physicians and Surgeons of Canada (further sourced from The Canadian Institute for Health Information - CIHI). The Royal College is a regulatory college that helps to ensure and maintain standards of quality in the training and evaluation of medical and surgical specialists. The Medical Workforce Supply Overview provides a snapshot of trends in Canadian’s physician workforce since 2010. Source: Medical Workforce Supply Overview, Canadian Institute for Health Information (CIHI).

2 Residency and Physican Workforce Trends, 2017 Remuneration This table displays a breakdown of annual average payments made to physicians in each specialty. Payments are based on fee-for-service and non-fee-for-service billings. Data capture may not be complete for physicians participating in non-fee-for-service arrangements and may be affected by the extent of shadow billing, which may impact the average payment stated (overstated/understated). Shadow billing is defined as physicians who are not billing fee-for-service and whose submissions to MSB do not generate an actual payment. Source: Medical Services Branch (MSB) Annual Statistical Report, 2016-17.

CMG Applications and This chart provides a graphical representation of total applications, quota Quota in the R-1 Match, and quota filled for Canadian Medical Graduates (CMGs) over a 5 year Canada period from 2013 to 2017. Data was sourced from the R-1 Main Residency Match Reports that are published by CaRMS annually. CaRMS is the national organization that provides application and matching services for medical training throughout Canada. The R-1 Main Residency Match Reports presents information on match trends and results on an annual basis. Source: CaRMS R-1 Residency Match Reports.

CaRMS Results, Canada This chart provides information on the number of application quota, total matches, and seats available in 2nd Iteration, specific to Canada. Information covers a 5 year period from 2013 to 2017. Source: CaRMS R-1 Residency Match Reports.

CaRMS Results, This chart provides information on the number of application quota, and Saskatchewan seats available in 2nd Iteration, specific to Saskatchewan. Information covers a 5 year period from 2013 to 2017. Source: University of Saskatchewan, College of Medicine, 2017

Post Grad Exits vs Job A graphical representation of the national total number of postgraduate exits Postings, Canada in 2016 and job postings in 2017. This data was sourced from the Annual Census of Post-M.D. Trainees published by the Canadian Post-MD Education Registry (CAPER). CAPER is the central repository for statistical information on postgraduate medical education in Canada. CAPER gathers data from all 17 Canadian Faculties of Medicine on an annual basis. The CAPER Annual Census of Post-M.D. Trainees provide comprehensive statistical profiles of post-M.D. trainees such as their socio-demographics (e.g. gender, age), field of Post-M.D. training, source of funding, distribution of trainees across provinces, etc. Please note that job postings were compiled (by CAPER) during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time, and postings before March 2017. Source: CAPER Annual Census of Post-M.D. Trainees.

Professional & Work-Life A graphical representation of current professional life and balance of Balance Satisfaction personal and professional commitments. Source: Canadian Medical Association (CMA) Specialty Profiles.

3 Residency and Physican Workforce Trends, 2017 ACRONYMS

Below is a list of acronyms used in the handbook, accompanied by the source phrases:

CaRMS Canadian Resident Matching Service

CAPER Canadian Post-M.D. Education Registry Service

CCFP Canadian College of Family Physicians

CPSS College of Physicians and Surgeons of Saskatchewan

CMA Canadian Medical Association

CIHI Canadian Institute for Health Information

CMG(s) Canadian Medical Graduate(s)

DMHO Deputy Medical Health Officer

FRCP Fellow of the Royal College of Physicians of Canada

GIM General Internal Medicine

HA Health Authority

IMG(s) International Medical Graduate(s)

PG/Post Grad Postgraduate

PGY Postgraduate Year (ex. PGY1 = first year of medical residency)

MD

MHO Medical Health Officer

MSB Medical Services Branch

MSP Medical Services Pan

SCA Saskatchewan Cancer Agency

SK Saskatchewan

SMA Saskatchewan Medical Association

U of S University of Saskatchewan

4 Residency and Physican Workforce Trends, 2017 SPECIALTY PROFILES: PGY1

Information compiled in this section of the guide includes the specialties available in the CaRMS R-1 Main Residency Match, which medical students can apply for in the final year of their MD.

The R-1 Main Residency Match (R-1 match) for entry level postgraduate positions is CaRMS’ largest match. It encompasses all 17 Canadian medical schools and is offered in two iterations each year. The first iteration includes all graduating students and prior year graduates from Canada and the United States (US) who meet the basic eligibility criteria and have no prior postgraduate training in Canada or the US. It is also open to graduates from international medical schools (IMGs) who meet the basic criteria and have no prior postgraduate training in Canada or the US.

5 Residency and Physican Workforce Trends, 2017 ANAESTHESIOLOGY

Overview: Age Demographics Anaesthesiology (anaesthesia) is a diversified specialty requiring physicians to draw upon their knowledge of pharmacy and and to utilize their technical skills 33% in the provision of perioperative care, critical care, 29% emergency care and pain management. 26% 27% 27% 23% Certain strengths may be needed to pursue this specialty such as the ability to perform under pressure, to think quickly in stressful situations, to use your hands and to 12% 12% work in a team environment. The opportunity to establish 6% 6% continuing, long-term physician / patient relationships is limited in this specialty. <35 35-44 45-54 55-64 65+

Certification in anaesthesiology requires completion of a 5 Anaesthesiologists in Saskatchewan, 2016-17 Anaesthesiologists in Canada, 2016 year Royal College-approved residency training program.

Key highlights:

o Anaesthesiologists in Canada worked a weekly average Licensed Anaesthesiologists in Canada of 63.6 hours in 2014, 12 of which were on-call hours in direct patient care. 2014 3,217

2013 3,186 o The following communities may have anaesthesiology services in Saskatchewan: 2012 3,070

• Estevan 2011 3,032 • Lloydminster • Moose Jaw 2010 2,950 • North Battleford • Prince Albert • Regina CIHI: Licensed Anesthesiologists in Canada • Saskatoon • Swift Current • Weyburn • Yorkton

MSB Annual Statistical Report: Remuneration/Salary, 2016-17 o In 2017, the U of S quota for anaesthesiology Average Payment ($000's) Number of Physicians postgraduate seats was 5. Training seats are available Physicians* $361.2 113 in Saskatoon. Highest Paid $906.6 Less than $60,000 $8.4 4 o In 2016-17, 117 anaesthesiologists practiced in $60, 000-74,999 $69.3 3 Saskatchewan. $75,000-99,999 $78.8 1 $100,000-124,999 $115.2 3 $125,000-149,999 $136.8 2 $150,000-174,999 $163.7 3 $175,000-199,999 $179.3 3 $200,000-249,999 $228.8 9 $250,000-299,999 $267.8 10 $300,000-349,999 $330.4 18 Over $350,000 $462.2 61 * Physicians receiving $60K or more in MSP payments.

Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

6 Residency and Physican Workforce Trends, 2017 Anaesthesiology

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

213 202 203 202 194

119 117 113 114 109 119 117 113 114 109

109 106 106 104 100 109 104 104 106 100

3 1 1 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration)

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

134 6 6 6 6

5

52

2013 2014 2015 2016 2017

Canada Postings, 2017 Post Grad Exits, 2016 Quota Seats Available in 2nd Iteration

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 6%9% 11% 74%

Balance of personal & 6% 20% 21% 54% professional commitments

No Response Dissatisfied Neutral Satisfied

7 Residency and Physican Workforce Trends, 2017 DERMATOLOGY

Overview: Age Demographics Dermatology is a diverse specialty that deals with benign

and malignant disorders of the skin, mouth, external 56% genitalia, hair and nails, as well as a number of sexually transmitted diseases.

Dermatologists engage in a variety of procedural work and

have the opportunity to combine cognitive skills with 26% 25% 22% 23% surgical skills. They also have expertise in the care of 20% normal skin and in the prevention of skin disease and skin cancers. 11% 11% 7% Certification in dermatology requires completion of a 5 year 0% Royal College-approved residency training program. <35 35-44 45-54 55-64 65+ Dermatologists in Saskatchewan, 2016-17 Dermatologists in Canada, 2016

Key highlights:

o Dermatologists in Canada worked a weekly average of 51.6 hours in 2014, 3.3 of which were on-call hours in Licensed Dermatologists in Canada direct patient care.

2014 593

o The following communities may have dermatology services in Saskatchewan: 2013 584

• Regina 2012 574 • Saskatoon

2011 557

The U of S currently does not offer a dermatology o 2010 540 training program.

CIHI: Licensed Dermatologists in Canada o In 2016-17, 9 dermatologists practiced in Saskatchewan.

MSB Annual Statistical Report: Remuneration/Salary, 2016-17 Average Payment ($000's) Number of Physicians Physicians* $345.8 9 Highest Paid $665.4 Less than $60,000 - - $60, 000-74,999 - - $75,000-99,999 $85.7 1 $100,000-124,999 - - $125,000-149,999 - - $150,000-174,999 - - $175,000-199,999 - - $200,000-249,999 $241.1 1 $250,000-299,999 $275.0 2 $300,000-349,999 $328.6 1 Over $350,000 $476.8 4 * Physicians receiving $60K or more in MSP payments.

Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

8 Residency and Physican Workforce Trends, 2017 Dermatology

CMG Applications and Quota in the R-1 Match, Professional & Work-life Balance Satisfaction, 2013 Canada

92 86 84 Current professional life 6% 9% 7% 78% 67 68

Balance of personal & 6% 16% 22% 56% 32 31 31 professional commitments 27 28 32 31 31 26 28

No Response Dissatisfied Neutral Satisfied 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled

CaRMS Results, Canada

35 32 33 29 35 29 32 33 28 29

2 1 0 0 1

0 0 1 0 0

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration) Unfilled seats

CAPER: Post Grad Exits vs Job Postings, Canada

81

23

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

9 Residency and Physican Workforce Trends, 2017 DIAGNOSTIC RADIOLOGY

Overview: Age Demographics Diagnostic radiology is concerned with the use of imaging techniques in the study, diagnosis and treatment of disease. The radiologist’s major role is as a consultant to other physicians. 39% Trained and certified Radiologists are able to perform minimal invasive procedures such as biopsies, drain 27% 25% 27% abscesses, clot bleeding arteries, remove biliary or urinary 21% 24% tract stones and insert central lines. 16% 9% Certification in diagnostic radiology requires completion of 5% 6% a 5 year Royal College-approved residency training <35 35-44 45-54 55-64 65+ program. Pathologists and Diagnostic Radiologists in Saskatchewan, 2016-17 Pathologists and Diagnostic Radiologists in Canada, 2016

Key highlights:

o Radiologists in Canada worked a weekly average of 51.4 hours in 2014, 5.8 of which were on-call hours in direct patient care. Licensed Diagnostic Radiologists in Canada

2014 2,561 o The following communities may have diagnostic radiology services in Saskatchewan: 2013 2,529

• Lloydminster 2012 2,458 • Melfort • Moose Jaw 2011 2,397 • North Battleford • Prince Albert 2010 2,323 • Regina • Saskatoon • Swift Current CIHI: Licensed Diagnostic Radiologists in Canada • Yorkton

o In 2017, the U of S quota for diagnostic radiology post- graduate seats was 3. Training seats are available in Saskatoon. MSB Annual Statistical Report: Remuneration/Salary, 2016-17 Average Payment ($000's) Number of Physicians Physicians* $520.3 76 In 2016-17, 126 diagnostic radiologists and pathologists o Highest Paid $3,088.4 practiced in Saskatchewan. Average remuneration stated in the graph includes diagnostic radiologists and Less than $60,000 $20.9 50 pathologists practicing in the province. Pathologists in $60, 000-74,999 $67.1 2 Saskatchewan are in a non fee-for-service payment $75,000-99,999 $88.7 6 model (shadow billing) with a salary grid range of $100,000-124,999 $103.8 2 $346,477 - $393,893. $125,000-149,999 $134.6 2 $150,000-174,999 $156.8 3 $175,000-199,999 $192.5 5 $200,000-249,999 $234.6 2 $250,000-299,999 $275.6 5 $300,000-349,999 $316.8 2 Over $350,000 $733.7 47 * Physicians receiving $60K or more in MSP payments.

Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

10 Residency and Physican Workforce Trends, 2017 Diagnostic Radiology

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

134 133 132 126

106 91 89 89 89 82 90 87 88 89 85 84 83 82 81 78 85 77 77 73 75

7 10 1 4 3

1 2 1 0 0 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration) Unfilled seats

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

104

4 4 4 4

3 58

1

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 5%12% 13% 71%

Balance of personal & 5% 25% 23% 47% professional commitments

No Response Dissatisfied Neutral Satisfied

11 Residency and Physican Workforce Trends, 2017

Overview: Age Demographics Emergency medicine focuses on the recognition, evaluation and care of patients who are acutely ill or

injured. It is a high-pressure, fast-paced specialty that, 33% because of its diversity, requires a broad base of medical knowledge and a variety of well-honed clinical and 24% technical skills. 22%

Emergency physicians need a number of personal 12% strengths, including physical and emotional toughness, 9% confidence, composure, ability to multi task and strong interpersonal skills. They must also be willing and able to do shift work. <35 35-44 45-54 55-64 65+

After completing medical school, physicians can choose Emergency Medicine Physicians in Canada, 2016-17 either of two pathways to become a certified emergency medicine physician.

o Certification with the College of Family Physicians of Canada (CCFP) in emergency medicine, after Licensed Emergency Medicine Physicians in Canada completing a 2 year CCFP-approved family medicine residency, physicians pursue a 1 year certificate program in emergency medicine (suitable for individuals 2014 773 wishing to work in a rural and/or northern emergency department). 2013 732

2012 673 o Certification with the Royal College of Physicians and Surgeons of Canada (FRCP) through a 5 year Royal College-approved residency training program. 2011 659

2010 630 Key highlights:

CIHI: Licensed Emergency Medicine Physicians in Canada o Emergency Medicine Physicians in Canada worked a weekly average of 50.6 hours in 2014, 3.3 of which were on-call hours in direct patient care.

o In 2017, the U of S quota for the emergency medicine Royal College training program was 3. Training seats are available in Saskatoon. The U of S quota for the emergency medicine CCFP training program was 9 with training seats in Regina and Saskatoon. Saskatchewan Emergency Physician Payment Grid - FRCP and CCFP/EM Level Pay/Hour Annual Pay/Physician In 2016-17, the emergency medicine payment grid o 1 $258.32 $371,977 range was $371,977 - $420,174 per annum. 2 $266.31 $383,481 3 $274.54 $395,341 4 $283.03 $407,569 5 $291.79 $420,174 * As of April 1st, 2016

12 Residency and Physican Workforce Trends, 2017 Emergency Medicine

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

216 209 199 204

172 77 76 74 74 72 77 74 76 74 72

68 71 70 68 66 68 70 70 68 66

1 1

2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration)

Note: FRCP CaRMS match result. Note: FRCP CaRMS match result.

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

3 3 3 77 76

2 2

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017. Note: FRCP CaRMS match result.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 4% 13% 13% 71%

Balance of personal & 23% 22% 51% professional commitments 4%

No Response Dissatisfied Neutral Satisfied

13 Residency and Physican Workforce Trends, 2017 FAMILY MEDICINE

Overview: Age Demographics Family medicine is the main primary care in Canada. It focuses care on the individual within the context of the family and the community. 31%

While family medicine may seem the most “general” of the 26% 27% 26% specialties, it is in fact, a precise discipline, integrating a 22% unique blend of biomedical, behavioural and social 18% 15% sciences, while employing a diverse range of cognitive and 14% 12% procedural skills. 10%

In addition to acute disorders, which are sometimes life- threatening, there is a high frequency of chronic diseases, <35 35-44 45-54 55-64 65+ emotional problems and transient illnesses. Family Physicians in Saskatchewan, 2016-17 Family Physicians in Canada, 2016 Family physicians also play an important role in health promotion and illness prevention, acute care, coordinating care with other specialties and health professionals, and advocating on behalf of their patients with respect to the care and services they need in all parts of the Licensed Family Medicine Physicians in Canada system.

Upon completion of medical school, to become certified in 2014 40,781 family medicine with the College of Family Physicians of Canada (CFPC) requires an additional 2 years of 2013 39,392 postgraduate training. 2012 38,156 Key highlights: 2011 36,769 o In 2016-17 there were over 1,000 family physicians practicing in Saskatchewan. Approximately 52% 2010 35,366 practiced in Saskatoon or Regina, 25% practiced in rural communities and 23% practiced in smaller cities. CIHI: Licensed Family Medicine Physicians in Canada o Family physicians in Canada worked a weekly average of 53 hours in 2014, 6 of which were on-call hours in direct patient care.

o In 2017, the U of S quota for Family Medicine residency seats was 43. MSB Annual Statistical Report: Remuneration/Salary, 2016-17 Average Payment ($000's) Number of Physicians o Family physicians may sub-specialize by completing an Physicians* $254.1 955 additional year of training, known as R3 programs. The Highest Paid $1,141.5 U of S offers R3 training programs in , Emergency Medicine, Enhanced Surgical Skills and Less than $60,000 $26.5 169 Sport & Exercise Medicine. $60, 000-74,999 $65.9 33 $75,000-99,999 $87.3 83 o Family medicine postgraduate training programs are $100,000-124,999 $113.2 89 available in the following communities: $125,000-149,999 $137.4 86 $150,000-174,999 $162.0 86 • La Ronge $175,000-199,999 $187.6 63 • Moose Jaw $200,000-249,999 $225.4 116 • North Battleford $250,000-299,999 $275.0 109 • Prince Albert $300,000-349,999 $324.4 85 • Regina • Saskatoon Over $350,000 $497.3 205 • Swift Current * Physicians receiving $60K or more in MSP payments. Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

14 Residency and Physican Workforce Trends, 2017 Family Medicine

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

1,985 2,005 1,913 1,880 1,488 1,512 1,521 1,537 1,763 1,424 1,461 1,468 1,480 1,481 1,381 1,330 1,336 1,359 1,247 1,308

1,223 1,245 1,238 1,208 1,135

121 158 89 100 120

43 27 44 41 56

2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration

Total Matches (1st & 2nd Iteration) Unfilled seats

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

46 45 2,043 43 43 40

1,417

4 2

2013 2014 2015 2016 2017

Quota Seats available in 2nd Iteration Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 8% 9% 12% 72%

Balance of personal & 8% 24% 19% 49% professional commitments

No Response Dissatisfied Neutral Satisfied

15 Residency and Physican Workforce Trends, 2017 GENERAL PATHOLOGY

Overview: Age Demographics General pathology is a specialty concerned with all aspects of laboratory investigation in health and disease that focuses on the causes, manifestations and diagnosis of

disease. A pathologist may act as a consultant for clinical 29% physicians and their advice is often sought in the treatment 29% of patients. Pathologists apply a range of biomedical 20% science knowledge to achieve a diagnosis. 19%

General/clinical pathology is the specialty encompassing autopsy, surgical pathology, anatomical pathology, cytology and medical biochemistry, hematological 3% pathology, medical and transfusion medicine. <35 35-44 45-54 55-64 65+ General pathologists are competent in the selection and General/Clinical Pathologists in Canada, 2016 interpretation of diagnostic tests, in the principles of methodology instrumentation and quality control, and managerial skills appropriate to the direction of a clinical laboratory in a community .

Licensed Pathologists in Canada They are involved in the day-to-day liaison between the laboratory and the clinical staff and serve as consultants to clinical colleagues in the application of the resources of the 2014 298 laboratory to help solve clinical problems. 2013 305 Certification in general pathology requires completion of a 5 year Royal College-approved residency training program. 2012 305

2011 316 Key highlights: 2010 319 o Pathologists in Canada worked a weekly average of 47 hours in 2014. CIHI: Licensed Pathologists in Canada

o The following communities may have general pathology services in Saskatchewan:

• Moose Jaw • North Battleford • Prince Albert • Regina • Saskatoon Medical Services Branch (MSB) Salary Grid* Classification (Pay Grade) Total Annual Pay Per Pathologist** o In 2017, the U of S quota for pathology postgraduate seats was 2. Training seats are available in Saskatoon. Step 1 $346,477 Step 2 $362,281 Step 3 $378,086 o In 2016-17, the pathology payment range was $346,477 Step 4 $393,893 - $393,893 which includes the physicians salary, professional expenses and benefits. * As of April 1, 2016 ** Includes professional expenses and benefits.

.

16 Residency and Physican Workforce Trends, 2017 General Pathology

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

15 14

10 9 10 9 8 8 8 8 8 7 7 7 8 8 8 6 7 5 5 4 4 4 4 3 3 2 2 2

2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration)

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

2 2 2 2 2

7 6 1 1 1

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 16% 8% 11% 65%

Balance of personal & 16% 17% 20% 48% professional commitments

No Response Dissatisfied Neutral Satisfied

17 Residency and Physican Workforce Trends, 2017

Overview: Age Demographics The general is trained to provide surgical care for the whole patient. This includes making a diagnosis; preoperative, operative and postoperative management of 32% the patient; and the surgical treatment of the alimentary 28% 28% tract; abdomen and its contents, including the pelvis; 27% 27% breast, skin and soft tissue; and endocrine system. 22%

16% It includes head and neck surgery, pediatric surgery, surgical critical care, surgical oncology, trauma and burns, transplants and vascular surgery. 6% 6% 6%

The exact profile of a general surgeon’s practice may vary depending on whether the practice is in an academic <35 35-44 45-54 55-64 65+ centre, an urban community or a more rural centre. General Surgeons in Saskatchewan, 2016-17 General Surgeons in Canada, 2016

In rural practice, some surgeons may do gynecologic, urologic, orthopedic and Otolaryngology (ENT) . In some academic centres, a general surgeon might limit his/her practice to one subspecialty. Licensed General Surgeons in Canada General surgery tends to be a varied specialty, where the activities of a general surgeon involve time in the operating 2014 1,940 room, office, emergency department and the intensive care unit. General surgical practice requires expertise in 2013 1,916 communication and collaboration, teaching and research, health care management and continuing professional debt. 2012 1,886

Certification in general surgery requires completion of a 5 2011 1,886 year Royal College-approved residency training program. Some universities offer a 6-year program, while others 2010 1,803 offer an optional PGY6 year.

CIHI: Licensed General Surgeons in Canada Key highlights:

o General surgeons in Canada worked a weekly average of 69 hours in 2014, 14.7 of which were on-call hours in direct patient care. MSB Annual Statistical Report: Remuneration/Salary, 2016-17 Average Payment ($000's) Number of Physicians o The following communities may have general surgery Physicians* $377.8 81 services in Saskatchewan: Highest Paid $918.5 • Estevan Less than $60,000 $26.8 6 • Prince Albert $60, 000-74,999 $67.3 6 • Lloydminster • Regina $75,000-99,999 $89.6 2 • Melfort • Saskatoon $100,000-124,999 $100.5 1 • Moose Jaw • Swift Current • North Battleford • Yorkton $125,000-149,999 $129.7 3 $150,000-174,999 $160.0 2 $175,000-199,999 $190.1 2 o In 2017, the U of S quota for general surgery $200,000-249,999 $215.9 5 postgraduate seats was 4. Training seats are available $250,000-299,999 $283.7 8 in Saskatoon. $300,000-349,999 $321.9 11 Over $350,000 $535.2 41 * Physicians receiving $60K or more in MSP payments. o In 2016-17, 87 general surgeons practiced in Note: Payments above are based on fee-for-service and non fee-for-service Saskatchewan. (shadow) billings, which may impact the average payment stated.

18 Residency and Physican Workforce Trends, 2017 General Surgery

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

209 185 183 178 102 99 159 95 93 102 99 89 95 93 89

95 93 90 88 84 95 88 88 86 84

5 2 3

2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration)

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

104 6 6

5 5

4

35

1

2013 2014 2015 2016 2017

Canada Postings, 2017 Post Grad Exits, 2016 Quota Seats Available in 2nd Iteration

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 9% 13% 10% 68%

Balance of personal & 9% 23% 22% 46% professional commitments

No Response Dissatisfied Neutral Satisfied

19 Residency and Physican Workforce Trends, 2017 INTERNAL MEDICINE

Overview: CMG Applications and Quota in the R-1 Match, Canada Internal medicine is a broad based specialty that has its 928 roots in primary care and is dedicated to providing primary 869 and specialty care to adults. Internists diagnose and 807 772 manage diseases involving any of the organ systems and 748 are specially trained to manage seriously ill patients suffering from advanced illness and/or diseases of more than one system. 432 447 455 457 451 429 439 438 448 389 Internists tend to the general medical needs of their patients in the office, including disease prevention, early detection of disease, screening, patient education and follow-up care from hospitalization. 2013 2014 2015 2016 2017 In the hospital and ambulatory setting, internists manage CMG Applications Quota Quota Filled acute and chronic illness of their patients and other patients that have been referred to them by other practitioners such as family physicians. They are also trained to meet the special needs of the geriatric population. CaRMS Results, Canada Internists may take additional training and subspecialize in the following areas of internal medicine:

504 • Cardiology • Medical oncology 482 499 504 502 496 501 504 502 • Clinical allergy & immunology • Nephrology 468 • Critical care medicine • Occupational medicine • Endocrinology & metabolism • Pain medicine • Gastroenterology • Palliative medicine • General Internal Medicine • & toxicology • Geriatrics • Respiratory medicine 43 • Haematology • Rheumatology 19 16 21 • Infectious diseases & medical microbiology 4 14 3 3 0 0 • Medical biochemistry 2013 2014 2015 2016 2017 • Gastroenterology After completing medical school, to become an internist Quota Seats Available in 2nd Iteration requires 4 years of internal medicine postgraduate training. Total Matches (1st & 2nd Iteration) Unfilled seats Those who choose to subspecialize are required to complete 2-3 years of training in the subspecialty residency training program, which commences after completing 3 core years of the internist program. Residents apply for subspecialty training in their 3rd or 4th year of internal CaRMS Results, Saskatchewan medicine residency through the CaRMS Medicine 24 Subspecialty Match (MSM). 23 22 22 22

Please reference the Medicine Subspecialties section for additional information. 15 13 Key highlights: 8 8 o The information captured in the graphs reflects the R1- Main Residency Match data for internal medicine. 1 o In 2017, the U of S quota for internal medicine postgraduate seats was 23. Training seats are available 2013 2014 2015 2016 2017

in Saskatoon and Regina. Quota Seats Available in 2nd Iteration

20 Residency and Physican Workforce Trends, 2017 Internal Medicine

21 Residency and Physican Workforce Trends, 2017 NEUROLOGY

Overview: Age Demographics Neurology is the area of medicine that focusses on treating disorders of the nerves and nervous system. This includes

diagnosing and treating the spinal cord, brain, nerves and 33% other muscular conditions. 29% 28% 26% Neurologists are also involved in patient rehabilitation, as 22% many neurological problems are chronic, characterized by 17% 17% 17% pain and sometimes untreatable. Neurologists are trained to be diagnostic and therapeutic in clinical practice.

6% 5% Certification in neurology requires completion of a 5 year Royal College-approved residency training program. <35 35-44 45-54 55-64 65+

Neurologists in Saskatchewan 2016-17 Neurologists in Canada 2016 Key highlights:

o Neurologists in Canada worked a weekly average of 67.6 hours in 2014, 9.8 of which were on-call hours in direct patient care. Licensed Neurologists in Canada

o The following communities may have neurology 2014 979 services in Saskatchewan: 2013 957 • Regina • Saskatoon 2012 923

2011 889 o in 2017, the U of S quota for neurology was 3 postgraduate training seats. Training seats are 2010 861 available in Saskatoon.

CIHI: Licensed Neurologists in Canada o In 2016-17, 20 neurologists practiced in Saskatchewan.

MSB Annual Statistical Report: Remuneration/Salary, 2016-17 Average Payment ($000's) Number of Physicians Physicians* $376.7 18 Highest Paid $1,080.0 Less than $60,000 $44.8 2 $60, 000-74,999 - - $75,000-99,999 - - $100,000-124,999 $114.3 3 $125,000-149,999 - - $150,000-174,999 $150.6 1 $175,000-199,999 $197.9 1 $200,000-249,999 $202.9 1 $250,000-299,999 $280.3 2 $300,000-349,999 $318.5 1 Over $350,000 $556.4 9 * Physicians receiving $60K or more in MSP payments.

Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

22 Residency and Physican Workforce Trends, 2017 Neurology

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

103 95

83 50 51 79 48 48 48 49 51 67 47 48 48

42 43 42 42 44 43 40 40 38 9 33 5 2 2 1 1 0 0 1 0

2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration) Unfilled seats

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

3 60

48 2 2 2 2

1

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 9% 13% 12% 66%

Balance of personal & 9% 32% 21% 39% professional commitments

No Response Dissatisfied Neutral Satisfied

23 Residency and Physican Workforce Trends, 2017 NEUROSURGERY

Overview: Age Demographics Neurosurgery focuses on the central, peripheral and autonomic nervous systems. Practitioners diagnose problems through physical examination with the aid of such tools as MRI, CT scans and laboratory tests and frequently 31% 31% provide surgical treatment. 28% 23% 23% 21% Neurosurgery includes management of diseases of the skull, the brain, the pituitary and the spinal cord. 15% 16% Management of head and spinal injuries is a major challenge. As many head injuries and acute intracranial 8% emergencies occur in off-hours, this is not a specialty for 4% those who value lifestyle. It is, however, a very challenging and rewarding career. <35 35-44 45-54 55-64 65+ Neurosurgeons in Saskatchewan, 2016-17 Neurosurgeons in Canada, 2016 This specialty involves the ability to diagnose, and the technical expertise for the effective surgical treatment of congenital and acquired abnormalities. It also requires expertise in trauma and diseases affecting the nervous system that can be potentially prevented, alleviated or cured. Licensed Neurosurgeons in Canada

Certification in neurosurgery requires completion of a 6 2014 320 year Royal College-approved residency training program. 2013 315

Key highlights: 2012 303

o Neurosurgeons in Canada worked a weekly average of 2011 299 64.56 hours in 2014, 13 of which were on-call hours in direct patient care. 2010 271

CIHI: Licensed Neurosurgeons in Canada o The following communities may have neurosurgery services in Saskatchewan:

• Regina • Saskatoon

MSB Annual Statistical Report: Remuneration/Salary, 2016-17 o In 2017, the U of S quota for neurosurgery postgraduate Average Payment (S000's) Number of Physicians seats was 1. This training seat is available in Physicians* $549.8 13 Saskatoon. Highest Paid $1,335.7 Less than $60,000 - - $60, 000-74,999 $85.9 1 o In 2016-17, 13 neurosurgeons practiced in Saskatchewan. $75,000-99,999 - - $100,000-124,999 - - $125,000-149,999 - - $150,000-174,999 - - $175,000-199,999 - - $200,000-249,999 $206.1 1 $250,000-299,999 - - $300,000-349,999 $321.3 3 Over $350,000 $611.7 8 * Physicians receiving $60K or more in MSP payments.

Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

24 Residency and Physican Workforce Trends, 2017 Neurosurgery

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

31 29 27 21 23 22 19 17 19 19 16 16 17 18 16 16 17 15 16 16 17 16 15 15 14

4 3 2

2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration) Unfilled seats

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

1 1 1 1 1 22 1

5

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 7% 18% 13% 63%

Balance of personal & 8% 34% 16% 42% professional commitments

No Response Dissatisfied Neutral Satisfied

25 Residency and Physican Workforce Trends, 2017 NUCLEAR MEDICINE

Overview: Age Demographics Nuclear medicine is concerned primarily (although not exclusively) with the use of unsealed radioactive sources in the study, diagnosis and treatment of disease. Nuclear medicine combines medicine and basic biomedical science 32% and has grown out of the fields of radiology, internal 24% medicine and pathology. It is primarily a clinical, diagnostic 23% discipline using radioactivity attached to pharmaceuticals. 17% Certification in nuclear medicine requires completion of a 5 year Royal College-approved residency training program. 4%

Key highlights: <35 35-44 45-54 55-64 65+

Nuclear Medicine Physcians in Canada, 2016 o Nuclear medicine physicians in Canada worked a weekly average of 48.6 hours in 2014.

The following communities may have nuclear medicine o Licensed Nuclear Medicine Physicians in Canada services in Saskatchewan:

• Regina 2014 283 • Saskatoon 2013 273

2012 262 o The U of S currently does not offer a nuclear medicine training program. 2011 254

2010 244

CIHI: Licensed Nuclear Medicine Physicians in Canada

CMG Applications and Quota in the R-1 Match, Canada

24 24 22

14 14 10 10 10 8 8

7 6 7 5 4

2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled

26 Residency and Physican Workforce Trends, 2017 Nuclear Medicine

CaRMS Results, Canada

10 10 10 10 9 9 8 8 8

5 4 4 3 3 3 3

1 1

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration) Unfilled seats

CAPER: Post Grad Exits vs Job Postings, Canada

8 8

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 2%7% 16% 76%

Balance of personal & 2% 26% 25% 48% professional commitments

No Response Dissatisfied Neutral Satisfied

27 Residency and Physican Workforce Trends, 2017 OBSTETRICS AND GYNECOLOGY

Obstetrics and gynecology combines medical, surgical, Age Demographics obstetrical and gynecologic knowledge in the prevention, diagnosis and management of conditions affecting women's general and reproductive health.

Obstetrics/gynecology offers the ability to subspecialize in 29% 29% the areas of gynecological oncology, reproductive 27% 25% endocrinology and infertility or maternal-fetal medicine. 23% Other areas of sub-specialization include contraception, 19% adolescent gynecology and endoscopy. 17% 11% 11% Physicians in this discipline can provide services such as 7% preventive medicine, detection of sexually transmitted diseases, prenatal care, pap test screening, family planning, menopause, endometriosis, osteoporosis and <35 35-44 45-54 55-64 65+ surgery. Obstetrics and Gynecology in Saskatchewan, 2016-17 Obstetrics and Gynecology in Canada, 2016 Certification in obstetrics and gynecology requires completion of a 5 year Royal College-approved residency training program.

Licensed Obstetricians and Gynecologists in Canada Key highlights: 2014 2,127 o Obstetricians and gynecologists in Canada worked a weekly average of 62.1 hours in 2014, 13.5 of which 2013 2,076 were on-call hours in direct patient care. 2012 1,995

o The following communities may have obstetrics and 2011 1,939 gynecology services in Saskatchewan: 2010 1,845 • Estevan • Lloydminster • Moose Jaw CIHI: Licensed Obstetricians and Gynecologists in Canada • North Battleford • Prince Albert • Regina • Saskatoon • Swift Current • Yorkton MSB Annual Statistical Report: Remuneration/Salary, 2016-17 Average Payment ($000's) Number of Physicians o In 2017, the U of S quotas for obstetrics and gynecology Physicians* $419.3 62 post-graduate seats was 6. Training seats are available in Regina and Saskatoon. Highest Paid $1,072.2 Less than $60,000 $24.7 2 $60, 000-74,999 $64.5 2 o In 2016-17, 64 obstetricians and gynecologists $75,000-99,999 $88.4 1 practiced in Saskatchewan. $100,000-124,999 $111.2 2 $125,000-149,999 - - $150,000-174,999 - - $175,000-199,999 $186.9 6 $200,000-249,999 $217.5 10 $250,000-299,999 $270.3 2 $300,000-349,999 $310.7 2 Over $350,000 $570.2 37 * Physicians receiving $60K or more in MSP payments.

Note: Payments above are based on fee-for-service billings.

28 Residency and Physican Workforce Trends, 2017 Obstetrics and Gynecology

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

180 178 171 165 169

99 95 90 99 85 83 95 89 85 83 95 92 86 81 93 92 77 85 80 77

3 0 1 1 0 0 0 1 0 0

2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration) Unfilled seats

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

109

6 6 6 6 6

37

1 1

2013 2014 2015 2016 2017

Canada Postings, 2017 Post Grad Exits, 2016 Quota Seats available in 2nd Iteration

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March

Professional & Work-life Balance Satisfaction, 2013

Current professional life 6% 10% 11% 72%

Balance of personal & 6% 24% 20% 49% professional commitments

No Response Dissatisfied Neutral Satisfied

29 Residency and Physican Workforce Trends, 2017 OPHTHALMOLOGY

Overview: Age Demographics Ophthalmology deals with the screening, diagnosis and management of optical, medical and surgical disorders and diseases of the eye, associated orbital structures and neuro-visual pathways. The specialty relies on a 32% 27% combination of diagnostic, medical and surgical skills. 25% 25% 25% 21% Ophthalmologists operate within a fairly specific area of 21% expertise but on a broad range of patients, from newborns 14% to geriatric patients. A large portion of the care and

treatment they provide is done in their private office. They 7% are the leaders of the eye care team interacting with other 4% physicians and health care professionals in the management of eye care, including orthoptists, ophthalmic <35 35-44 45-54 55-64 65+ technicians, nurses and optometrists. Ophthalmologists in Saskatchewan, 2016-17 Ophthalmologists in Canada, 2016

There are a number of subspecialties within ophthalmology, including cornea and external disease, glaucoma, neuro-ophthalmology, ophthalmic pathology, ophthalmic plastic surgery, pediatric ophthalmology, retina, Licensed Ophthalmologists in Canada uveitis and low vision.

Certification in ophthalmology requires completion of a 5 2014 1,240 year Royal College-approved residency training program. 2013 1,240

Key highlights: 2012 1,224

2011 1,197 o Ophthalmologists in Canada worked a weekly average of 55.1 hours in 2014, 4.9 of which were on-call hours in direct patient care. 2010 1,143

CIHI: Licensed Ophthalmologists in Canada o The following communities may have ophthalmology services in Saskatchewan:

• Lloydminster • Moose Jaw • North Battleford • Prince Albert MSB Annual Statistical Report: Remuneration/Salary, 2016-17 • Regina Average Payment ($000's) Number of Physicians • Saskatoon Physicians* $1,198.0 28 • Swift Current Highest Paid $2,361.0 • Yorkton Less than $60,000 $15.8 2 $60, 000-74,999 - - $75,000-99,999 - - o In 2017, the U of S quota for ophthalmology postgraduate seats was 1. This training seat is available $100,000-124,999 - - in Saskatoon. $125,000-149,999 - - $150,000-174,999 - - $175,000-199,999 - - o In 2016-17, 30 ophthalmologists practiced in $200,000-249,999 - - Saskatchewan. $250,000-299,999 - - $300,000-349,999 - - Over $350,000 $1,198.0 28 * Physicians receiving $60K or more in MSP payments.

Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

30 Residency and Physican Workforce Trends, 2017 Ophthalmology

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

68 67 67 66 62 41 40 40 37 37 40 40 41 37 37 40 39 39 36 35 39 39 39 36 35

1

2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration)

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

38

24 1 1 1 1 1

2013 2014 2015 2016 2017

Canada Postings, 2017 Post Grad Exits, 2016 Quota Seats Available in 2nd Iteration

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life1%8% 11% 80%

Balance of personal & 2% 19% 24% 55% professional commitments

No Response Dissatisfied Neutral Satisfied

31 Residency and Physican Workforce Trends, 2017 ORTHOPAEDIC SURGERY

Overview: Age Demographics Orthopaedic surgery focuses on the diagnosis, treatment, rehabilitation and prevention of diseases of the bones, 37% joints, ligament, muscles, tendons and nerves. These 35% specialists employ medical, physical, rehabilitation and 28% surgery to restore normal function. 26%

22% Orthopaedic surgeons treat diseases and conditions, such 19% as fractures, dislocations, torn ligaments, sprains and 16% strains, tendon injuries, pulled muscles, bursitis, ruptured disks, sciatica, lower back pain, scoliosis, abnormalities of 7% fingers and toes and growth abnormalities, surgical 5% 5% management of degenerative joint disease, knocked knees, bow legs, bunions and hammer toes, arthritis, <35 35-44 45-54 55-64 65+ osteoporosis, bone tumors, muscular dystrophy, cerebral Orthopaedic Surgeons in Saskatchewan, 2016-17 Orthopaedic Surgeons in Canada, 2016 palsy, club feet and unequal leg length.

Orthopaedic surgeons may engage in a broad practice or may focus on a narrower area of special interest such as spine, hip, foot or . Licensed Orthopaedic Surgeons in Canada Certification in orthopaedic surgery requires completion of a 5 year Royal College-approved residency training 2014 1,557 program. 2013 1,512

Key highlights: 2012 1,495 o Orthop edic surgeons in Canada worked a weekly a 2011 1,422 average of 62.5 hours in 2014, 11.6 of which were on-call hours in direct patient care. 2010 1,354

o The following communities may have orthopaedic surgery services in Saskatchewan: CIHI: Licensed Orthopedic Surgeons in Canada

• Lloydminster • Moose Jaw • North Battleford • Prince Albert • Regina MSB Annual Statistical Report: Remuneration/Salary, 2016-17 • Saskatoon Average Payment ($000's) Number of Physicians • Yorkton Physicians* $583.1 43 Highest Paid $1,742.5 Less than $60,000 $23.4 6 o In 2017, the U of S quota for orthopaedic postgraduate seats was 2. Training seats are available in Saskatoon. $60, 000-74,999 $60.0 1 $75,000-99,999 - - $100,000-124,999 - - o In 2016-17, 49 orthopaedic surgeons practiced $125,000-149,999 - - in Saskatchewan. $150,000-174,999 - - $175,000-199,999 $176.4 1 $200,000-249,999 $216.2 3 $250,000-299,999 $297.8 2 $300,000-349,999 $321.7 4 Over $350,000 $697.1 32 * Physicians receiving $60K or more in MSP payments.

Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

32 Residency and Physican Workforce Trends, 2017 Orthopaedic Surgery

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

105

89 83 85 76 68 70 69 74 60 59 62 67 56 65 55 60 59 53 51 56 55 52 52 51

5 7 3 1 0 2 1 0 0 0 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration) Unfilled seats

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

101 3

2 2 2 2

19

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 6% 11% 12% 71%

Balance of personal & 6% 21% 20% 54% professional commitments

No Response Dissatisfied Neutral Satisfied

33 Residency and Physican Workforce Trends, 2017 OTOLARYNGOLOGY

Overview: Age Demographics Otolaryngology is a medical specialty focused on the screening, diagnosis and management of medical surgical disorders of the ear, the upper respiratory and upper 33% alimentary system, and related structures of the head and 29% neck. Which includes the ear, nose, and throat and most of 28% 26% the head and neck. With the exception of eye-related 22% disorders (ophthalmology) and lesions of the brain 19% 19% (neurology and neurosurgery), otolaryngologists treat virtually all diseases and lesions above the shoulders. 11% These specialists receive training in octology, rhinology, 7% 6% laryngology, allergy, head & neck surgery, facial surgery, plastic & reconstructive surgery, and bronchesophagology. <35 35-44 45-54 55-64 65+

Otolaryngology embraces some components of neurology, Otolaryngologists in Saskatchewan, 2016-17 Otolaryngologists in Canada, 2016 neurosurgery, plastic surgery, dermatology, respirology, pathology and oral surgery. It requires clinical competence and detailed knowledge of the scientific rationale for the medical and surgical management of otolaryngologic disorders in patients of all ages. This includes knowledge Licensed Otolaryngologists in Canada of the techniques of craniofacial surgery, neurotologic surgery, facial cosmetic surgery and reconstructive surgery of the head and neck. 2014 740

Certification in otolaryngology requires completion of a 5 2013 736 year Royal College-approved residency training program. 2012 717

Key highlights: 2011 706

o Otolaryngologists in Canada worked a weekly average 2010 661 of 58.6 hours in 2014, 6 of which were on-call hours in direct patient care. CIHI: Licensed Otolaryngologists in Canada

o The following communities may have otolaryngology services in Saskatchewan:

• Lloydminster • North Battleford MSB Annual Statistical Report: Remuneration/Salary, 2016-2017 • Prince Albert Average Payment ($000's) Number of Physicans • Regina Physicians* $590.7 18 • Saskatoon Highest Paid $1,281.7 Less than $60,000 - - o The U of S currently does not offer a otolaryngology $60, 000-74,999 $69.7 1 training program. $75,000-99,999 $81.3 2 $100,000-124,999 - - $125,000-149,999 - - o In 2016-17, 18 otolaryngologists practiced in $150,000-174,999 $156.2 1 Saskatchewan. $175,000-199,999 - - $200,000-249,999 $226.0 1 $250,000-299,999 - - $300,000-349,999 $344.3 1 Over $350,000 $806.1 12 * Physicians receiving $60K or more in MSP payments. Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

34 Residency and Physican Workforce Trends, 2017 Otolaryngology

CMG Applications and Quota in the R-1 Match, Professional & Work-life Balance Satisfaction, 2013 Canada

60 55 54 53 Current professional life 5%12% 6% 78%

44

30 30 30 29 28 29 29 29 28 28 Balance of personal & 5% 15% 21% 59% professional commitments

2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled No Response Dissatisfied Neutral Satisfied

CaRMS Results, Canada

30 30 30 30 28 30 30 30 30 28

1 2 1

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration)

CAPER: Post Grad Exits vs Job Postings, Canada

36

18

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March

35 Residency and Physican Workforce Trends, 2017 PAEDIATRICS

Overview: Age Demographics Paediatricians are specialists who focus on the physical, emotional and social health of neonates, infants, children, adolescents and young adults. This specialty deals with 36% health promotion and prevention, and the detection and management of physical, behavioural, developmental, 27% mental/emotional, environmental and social problems that 24% 24% 24% affect children. 17%

14% 12% Paediatricians work closely with a large network of 11% 11% physicians and other health care professionals. Paediatrics provides a fair degree of flexibility in the type of practice. Some are affiliated with community and have consulting general paediatric practices where patients are <35 35-44 45-54 55-64 65+

referred by other physicians such as family physicians, Paediatricians and Medical Geneticists in Saskatchewan, 2016-17 Paediatrians in Canada, 2016 emergency physicians or obstetricians.

Certification in paediatrics requires completion of a 4 year Royal College-approved residency training program.

Paediatricians may take additional training and Licensed Paediatricians in Canada subspecialize in the following areas of paediatrics: 2014 2,611 • Cardiology • Hematology-Oncology • Clinical Immunology & Allergy • Infectious Disease • Clinical Pharmacology & Toxicology • Neonatal-Perinatal Medicine 2013 2,550 • Critical Care Medicine • Nephrology • Developmental • Neurology 2012 2,478 • Emergency Medicine • Respirology • Endocrinology & Metabolism • Rheumatology • Gastroenterology 2011 2,517

2010 2,462 Key highlights:

o Paediatricians in Canada worked a weekly average of CIHI: Licensed Paediatricians in Canada 56.5 hours in 2014, 9.5 of which were on-call hours in direct patient care.

o The following communities may have paediatric services in Saskatchewan: MSB Annual Statistical Report: Remuneration/Salary, 2016-17 Average Payment ($000's) Number of Physicians • Lloydminster Physicians* $206.8 66 • Moose Jaw Highest Paid $987.0 • Prince Albert Less than $60,000 $23.6 22 • Regina $60, 000-74,999 $71.2 2 • Saskatoon • Swift Current $75,000-99,999 $86.5 9 • Yorkton $100,000-124,999 $113.0 10 $125,000-149,999 $137.2 9 $150,000-174,999 $158.6 7 o In 2017, the U of S quota for paediatrics postgraduate $175,000-199,999 $184.3 6 seats was 8. Training seats are available in Saskatoon. $200,000-249,999 $220.0 6 $250,000-299,999 $273.9 8 $300,000-349,999 $333.7 1 o In 2016-17, 88 paediatricians and medical Over $350,000 $537.9 8 geneticists practiced in Saskatchewan. * Physicians receiving $60K or more in MSP payments.

Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

36 Residency and Physican Workforce Trends, 2017 Paediatrics

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

308 309 308 297 274 158 156 156 155 150 158 156 156 155 150

140 137 138 136 132 138 136 130 136 131

8 2 2 1 2

2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration

Total Matches (1st & 2nd Iteration)

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

186 8 8

7 7 142 6

2

1 1

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 7% 9% 10% 75%

Balance of personal & 7% 22% 21% 51% professional commitments

No Response Dissatisfied Neutral Satisfied

37 Residency and Physican Workforce Trends, 2017 PHYSICAL MEDICINE AND REHABILITATION

Overview: Age Demographics Physical medicine and rehabilitation is the area of medicine that is concerned with optimizing and restoring functional ability to individuals or groups with physical impairments or disabilities. 27% 26% Physicians in this discipline approach treatment options by 24% considering the physical and psychosocial aspects of a patient's diagnosis and basing evaluations on both 16% neurological and musculoskeletal factors. 7% Certification in physical medicine and rehabilitation requires completion of a 5 year Royal College-approved residency training program. <35 35-44 45-54 55-64 65+

Physical Medicine and Rehabilitation Physicians in Canada, 2016

Key highlights:

o Physical medicine and rehabilitation physicians in Canada worked a weekly average of 48.1 hours in Licensed Physical Medicine and Rehabilitation 2014. Physicians in Canada

2014 453 o The following communities may have physical medicine and rehabilitation services in Saskatchewan: 2013 442

• Regina 2012 427 • Saskatoon 2011 413

o In 2017, the U of S quota for physical medicine and 2010 399 rehabilitation postgraduate seats was 2. Training seats are available in Saskatoon. CIHI: Licensed Physical Medicine and Rehabilitation Physicians in Canada

CMG Applications and Quota in the R-1 Match, Canada

48 48 46 45

39

27 28 25 25 25 27 24 25 25 20

2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled

38 Residency and Physican Workforce Trends, 2017 Physical Medicine and Rehabilitation

CaRMS Results, Canada Professional & Work-life Balance Satisfaction, 2013

Current professional life 2%5% 11% 83% 29 29 27 28 28 29 29 27 27 28

Balance of personal & 2% 19% 25% 55% 5 professional commitments 1 2 0 1 0 1 0 0 0

2013 2014 2015 2016 2017 No Response Dissatisfied Neutral Satisfied

Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration) Unfilled seats

CaRMS Results, Saskatchewan

2 2 2 2 2

1 1

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration

CAPER: Post Grad Exits vs Job Postings, Canada

34

25

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

39 Residency and Physican Workforce Trends, 2017 PLASTIC SURGERY

Overview: Age Demographics Plastic surgery includes the management of major burns, reconstruction of congenital malformations, cosmetic surgery and other minor surgical procedures.

Plastic surgeons treat a wide variety of clinical disorders 43% including congenital and developmental problems, trauma, 30% 29% cancer and degenerative diseases. Often their goal is not 27% only to improve appearances but also to restore function. 23% Depending on the type of practice, many procedures are 14% 14% 14% done under local anesthetic on an outpatient basis. 6% Certification in plastic surgery requires completion of a 5 0% year Royal College-approved residency training program. <35 35-44 45-54 55-64 65+

Plastic and Reconstructive Surgeons in Saskatchewan, 2016-17 Plastic Surgeons in Canada, 2016

Key highlights:

o Plastic surgeons in Canada worked a weekly average of 69.3 hours in 2014, 10.5 of which were on-call hours in Licensed Plastic Surgeons in Canada direct patient care.

2014 569 o The following communities may have plastic surgery services in Saskatchewan: 2013 557

• Regina 2012 534 • Saskatoon 2011 512

o The U of S currently does not offer a plastic surgery 2010 493 training program.

CIHI: Licensed Plastic Surgeons in Canada o In 2016-17, 18 plastic and reconstructive surgeons practiced in Saskatchewan.

MSB Annual Statistical Report: Renumeration/Salary, 2016-17 Average Payment ($000's) Number of Physicians Physicians* $537.7 14 Highest Paid $1,152.9 Less than $60,000 $30.4 4 $60, 000-74,999 - - $75,000-99,999 - - $100,000-124,999 - - $125,000-149,999 - - $150,000-174,999 $155.5 1 $175,000-199,999 - - $200,000-249,999 - - $250,000-299,999 - - $300,000-349,999 $321.3 2 Over $350,000 $611.7 11 * Physicians receiving $60K or more in MSP payments

Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

40 Residency and Physican Workforce Trends, 2017 Plastic Surgery

CMG Applications and Quota in the R-1 Match, Professional & Work-life Balance Satisfaction, 2013 Canada

73 70

62 57 56 Current professional life 10% 10% 11% 70%

26 26 25 26 23 26 26 26 Balance of personal & 25 8% 33% 15% 44% 23 professional commitments

2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled No Response Dissatisfied Neutral Satisfied

CaRMS Results, Canada

28 26 26 28 25 26 23 26 25 23

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration)

CAPER: Post Grad Exits vs Job Postings, Canada

30 28

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

41 Residency and Physican Workforce Trends, 2017 PSYCHIATRY

Overview: Age Demographics Psychiatry is the medical specialty that deals with the study, diagnosis, prevention, and treatment of mental

illness, and emotional and behavioural disorders. 33%

29% Psychiatrists use a combination of biological, psychological 27% 23% 23% and social treatment methods to provide diagnosis and 21% treatment plans for patients. 15% 15% Psychiatrists are employed in general hospitals, outpatient 10% , psychiatric hospitals and in community office practice. They may specialize in areas such as addictions 4% and substance abuse disorders, mood and anxiety disorders, schizophrenia or eating disorders. Other areas <35 35-44 45-54 55-64 65+ of interest include Aboriginal mental health, women’s Psychiatrists in Saskatchewan, 2016-17 Psychiatrists in Canada, 2016 mental health, gender issues, cross-cultural psychiatry, sleep medicine, or psychosomatic medicine and the care of patients with cancer, heart disease and diabetes.

Certification in psychiatry requires completion of a 5 year Royal College-approved residency training program. Licensed Psychiatrists in Canada

2014 5,008 Key highlights: 2013 4,930 o Psychiatrists in Canada worked a weekly average of 50.6 hours in 2014, 4.4 of which were on-call hours in 2012 4,768 direct patient care. 2011 4,665

o The following communities may have psychiatry 2010 4,504 services in Saskatchewan:

• Lloydminster Licensed Psychiatrists in Canada • Moose Jaw • North Battleford • Prince Albert • Regina • Saskatoon • Swift Current MSB Annual Statistical Report: Remuneration/Salary, 2016-17 • Weyburn Average Payment ($000's) Number of Physicians • Yorkton Physicians* $365.0 67 Highest Paid $1,203.8 o In 2017, the U of S quota for psychiatry postgraduate Less than $60,000 $26.5 10 seats was 7. Training seats are available in Saskatoon $60, 000-74,999 $67.7 2 and Regina. $75,000-99,999 $85.3 9 $100,000-124,999 $112.9 4 $125,000-149,999 $134.4 3 o In 2016-17, 77 psychiatrists practiced in Saskatchewan. $150,000-174,999 $159.7 2 $175,000-199,999 $187.0 3 $200,000-249,999 $221.1 9 $250,000-299,999 $284.7 7 $300,000-349,999 $326.9 4 Over $350,000 $688.7 24 * Physicians receiving $60K or more in MSP payments. Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

42 Residency and Physican Workforce Trends, 2017 Psychiatry

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

323

278 272 260 202 202 204 188 194 203 219 201 202 182 187 178 179 181 167 171 173 163 168 145 130 38 27 16 11 10

6 7 1 0 1

2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration) Unfilled seats

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

208 7 7

180 6 6 6

3

2

1 1

2013 2014 2015 2016 2017

Canada Postings, 2017 Post Grad Exits, 2016 Quota Seats Available in 2nd Iteration

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 8% 10% 9% 73%

Balance of personal & 8% 24% 15% 53% professional commitments

No Response Dissatisfied Neutral Satisfied

43 Residency and Physican Workforce Trends, 2017 PUBLIC HEALTH AND PREVENTIVE MEDICINE

Overview: Age Demographics Public health and preventive medicine is the branch of medicine concerned with the health of the population. These specialists use population health knowledge and 33% skills to play leading and collaborative roles in the maintenance and improvement of the health and well-being 23% of the community. They measure the health needs of 21% populations and develop strategies for improving health 19% and well-being, through health promotion, disease prevention and health protection.

They work in places such as public health departments, 3% hospitals, universities, family practice setting, public agencies, industry and non-governmental organizations. <35 35-44 45-54 55-64 65+ Public Health & Preventive Medicine Physicians in Canada, 2016 Certification in public health and preventative medicine requires completion of a 5 year Royal College-approved residency training.

Licensed Public Health & Preventive Medicine Key highlights: Physicians in Canada

o Public health and preventive medicine worked a weekly 2014 488 average of 41.3 hours in 2014. 2013 482

o The following communities may have public health and 2012 468 preventive medicine services in Saskatchewan: 2011 470 • La Ronge • Melfort 2010 441 • Moose Jaw • North Battleford • Prince Albert CIHI: Licensed Public Health & Preventive Medicine Physicians in Canada • Regina • Saskatoon • Swift Current • Weyburn

o In 2017, the U of S quota for public health and preventive medicine postgraduate seats was 1. This seat is available in Saskatoon. MHO Payment Grid* Medical Health Officer (MHO) Deputy Medical Health Officer (DMHO) o As of April 1, 2016, the annual starting wage for Medical Health Officers (MHO) is $255,837 and $225,138 for Step 1 $255,837 $225,138 Deputy Medical Health Officers (DMHO) in Step 2 $266,073 $235,370 Saskatchewan. Step 3 $276,307 $245,603 Step 4 $286,540 $255,838 Step 5 $296,772 $266,073 * As of April 1st, 2016

44 Residency and Physican Workforce Trends, 2017 Public Health and Preventive Medicine

CMG Applications and Quota in the R-1 Match, CaRMS Results, Canada Canada

44 40 38 37 27 27 26 27 24 27 30 27 24 23 23 24 24 24 21 19 13 11 18 9 15 14 14 7 12 6 8

3

2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration) Unfilled seats

CaRMS Results, Saskatchewan CAPER: Post Grad Exits vs Job Postings, Canada

16

12 1 1 1 1 1 1 1 1 1 1

2013 2014 2015 2016 2017

Canada Postings, 2017 Post Grad Exit, 2016 Quota Seats Available in 2nd Iteration

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 7% 13% 7% 73%

Balance of personal & 7% 19% 22% 52% professional commitments

No Response Dissatisfied Neutral Satisfied

45 Residency and Physican Workforce Trends, 2017 RADIATION ONCOLOGY

Overview: Age Demographics Radiation oncologists are medical specialists with unique knowledge, understanding and expertise in the diagnosis and care of patients with malignant disease. They are 34%

integrally involved in the formulation and execution of the 29% management plan of cancer patients and therefore require specific knowledge and skills in the application of ionizing 23% radiations to cancer treatment.

Typically, a radiation oncologist practices in a 7% multidisciplinary fashion in close collaboration with general 6% and subspecialty surgeons, medical and gynecological oncologists. Ambulatory patient care is the norm. <35 35-44 45-54 55-64 65+ Certification in radiation oncology requires completion of a Radiation Oncologists in Canada, 2016 5 year Royal College-approved residency training program.

Key highlights:

Licensed Radiation Oncologists in Canada o Radiation oncologists in Canada worked a weekly average of 54.7 hours in 2014, 3.3 of which were on-call hours in direct patient care. 2014 522

2013 504 o The following communities may have radiation oncology services in Saskatchewan: 2012 488

• Regina 2011 468 • Saskatoon 2010 447

o The U of S currently does not offer a radiation oncology training program. CIHI: Licensed Radiation Oncologists in Canada

o In 2016-17, the radiation oncology payment grid range was $327,209-$422,266. In addition to receiving a salary physicians may also receive a benefits package which includes but is not limited to a pension plan, extended healthcare coverage and vacation leave.

Saskatchewan Cancer Agency (SCA) Salary Grid* Classification (Pay Grade) Annual Pay Per Oncologist Step 1 $327,209 Step 2 $374,738 Step 3 $422,266 * As of October 2016

46 Residency and Physican Workforce Trends, 2017 Radiation Oncology

CMG Applications and Quota in the R-1 Match, Professional & Work-life Balance Satisfaction, 2013 Canada

31 30 27 28 Current professional life 6% 17% 14% 63% 25

21 21 20 20 20 20 20

16 Balance of personal & 16 6% 32% 16% 46% professional commitments 13

No Response Dissatisfied Neutral Satisfied 2013 2014 2015 2016 2017

CMG Applications Quota Quota Filled

CaRMS Results, Canada

22 22 21 20 20 21 20 17 16 13

7 5 4 1 1

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration)

CAPER: Post Grad Exits vs Job Postings, Canada

24

10

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

47 Residency and Physican Workforce Trends, 2017 UROLOGY

Overview: Age Demographics Urology is a surgical subspecialty that focuses on the medical and surgical treatment of disorders and diseases of the female urinary tract and the male urogenital system. 35%

29% It involves diagnosis, endoscopy, surgery and lithotripsy. 25% The most common clinical encounters involve prostate 24% 20% disease, renal dysfunction particular to surgical 18% 17% management (colic, stones), bladder dysfunction and urinary tract infections. 12% 12% 8% A urologist must understand the normal function and the pathological processes and diseases that affect the adrenal gland, the kidneys, ureters, bladder, urethra in the <35 35-44 45-54 55-64 65+ male and female, and the prostate and external genitalia of Urologists in Saskatchewan 2016-17 Urologists in Canada 2016 the male. This includes an understanding, appropriate to the practice of urology of normal development and embryology, biochemistry and pharmacology, physiology, , and gross and microscopic pathology of the genito-urinary tract. Licensed Urologists in Canada Certification in urology requires completion 5 year of Royal College-approved residency training program. 2014 692

2013 666 Key highlights: 2012 651 o Urologists in Canada worked a weekly average of 70.1 hours in 2014, 13.3 of which were on-call hours in direct 2011 644 patient care. 2010 623

o The following communities may have urology services in Saskatchewan: CIHI: Licensed Urologists in Canada

• Moose Jaw • Prince Albert • Regina • Saskatoon • Swift Current MSB Annual Statistical Report: Remuneration/Salary, 2016-17 Average Payment ($000's) Number of Physicians Physicians* $446.7 17 o The U of S currently does not offer a urology training Highest Paid $1,114.8 program. In 2017, the province purchased 1 urology training seat at the University of Dalhousie. The Less than $60,000 $38.4 2 successful candidate has a return of service to the $60, 000-74,999 - - province upon completion of training. $75,000-99,999 $81.2 1 o $100,000-124,999 $116.6 1 $125,000-149,999 - - o In 2016-17, 19 urologists practiced in Saskatchewan. $150,000-174,999 - - $175,000-199,999 - - $200,000-249,999 $228.9 2 $250,000-299,999 - - $300,000-349,999 $319.6 2 Over $350,000 $572.7 11 * Physicians receiving $60K or more in MSP payments. Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

48 Residency and Physican Workforce Trends, 2017 Urology

CMG Applications and Quota in the R-1 Match, Professional & Work-life Balance Satisfaction, 2013 Canada

75 69 65 Current professional life 9% 8% 16% 67%

53 49

33 33 33 33 31 33 33 33 Balance of personal & 31 30 9% 33% 21% 38% professional commitments

2013 2014 2015 2016 2017 No Response Dissatisfied Neutral Satisfied

CMG Applications Quota Quota Filled

CaRMS Results, Canada

35 34 34 35 35 35 35 34 33 33

3 1 2 1 1 1 1 1 0 0

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd iteration) Unfilled seats

CAPER: Post Grad Exits vs Job Postings, Canada

36

22

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

49 Residency and Physican Workforce Trends, 2017 SPECIALTY PROFILES: Medicine Subspecialties

Information compiled in this section of the guide includes the subspecialties available in the CaRMS Medicine Subspecialty Match, which internal medicine residents may apply for in their third year residency training.

50 Residency and Physican Workforce Trends, 2017 51 Residency and Physican Workforce Trends, 2017 CARDIOLOGY

Overview: Age Demographics Cardiologists are highly specialized practitioners in a dynamic field who place a premium on mastery and competence. They use their hands for invasive procedures 35% 35%

and other manual tasks, but they also apply cognitive skills 29% 26% to the physical exam and other diagnostic procedures. 25% Their daily tasks are diverse. With the pace of new 19% developments (both in medical technology and in broader 17% treatment trends) a high level of challenge and diversity, as 12% well as significant intellectual demands are associated with this specialty. 3% 0% Cardiologists are expected to act as consultants in <35 35-44 45-54 55-64 65+ cardiovascular disease to all branches of medicine and Cardiologists in Saskatchewan, 2016-17 Cardiologists in Canada, 2016 . They must be proficient in the management of acute coronary care problems, participate in the medical and surgical therapy of coronary artery disease and deal with the pre- and post-operative evaluation of cardiac surgical cases. This specialist must deal with cardiovascular problems associated with hypertensive, MSB Annual Statistical Report: Remuneration/Salary, 2016-17 rheumatic and congenital heart disease and with Average Payment ($000's) Number of Physicians cardiomyopathies. Physicians* $860.4 26 Highest Paid $1,781.9 Certification in cardiology requires completion of 3 core Less than $60,000 - - years of internal medicine or paediatrics residency, $60, 000-74,999 $70.2 1 followed by an additional 3-4 years of training in a Royal $75,000-99,999 $75.0 1 College-approved cardiology residency training program, $100,000-124,999 - - for a total of 6-7 years of postgraduate residency $125,000-149,999 - - education. $150,000-174,999 - - $175,000-199,999 - - $200,000-249,999 $237.1 1 Key highlights: $250,000-299,999 - - $300,000-349,999 - - o Cardiologists in Canada worked a weekly average of Over $350,000 $956.1 23 68.7 hours in 2014, 10 of which were on-call hours in * Physicians receiving $60K or more in MSP payments. direct patient care. Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

o The following communities may have cardiology services in Saskatchewan: CAPER: Post Grad Exits vs Job Postings, Canada

• Moose Jaw 70 • Regina • Saskatoon

o In 2017, the U of S quota for cardiology postgraduate

seats was 2. Training seats are available in Saskatoon. 26

o In 2016-17, 26 cardiologists practiced in Saskatchewan.

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

52 Residency and Physican Workforce Trends, 2017 Cardiology

CaRMS Results, Canada

64 66 61 60 61 59 58 54 48 47

16 13 7 7 3

2013 2014 2015 2016 2017 Quota Seats Available in 2nd Iteration Canada Matches in 1st Iteration

CaRMS Results, Saskatchewan

2 2 2 2 2

2013 2014 2015 2016 2017

Quota Seats available in 2nd Iteration

Professional & Work-life Balance Satisfaction, 2013

Current professional life 7% 11% 9% 73%

Balance of personal & 7% 28% 16% 49% professional commitments

No Response Dissatisfied Neutral Satisfied

53 Residency and Physican Workforce Trends, 2017 GASTROENTEROLOGY

Overview: Age Demographics

Gastroenterology is a subspecialty of internal medicine and/or pediatrics dealing with the diagnosis and treatment 38% of diseases and disorders related to the digestive system including the esophagus, stomach, small intestine and large intestine (colon), gallbladder, pancreas and liver. 22% 20% It is a procedures oriented specialty that requires some

manual dexterity and the ability to analyze problems and 13% data. 8% The gastroenterologist is generally not the primary care physician, but instead, part of a health care team that provides a diagnostic and therapeutic function in patient <35 35-44 45-54 55-64 65+ care. Gastroenterologists in Canada, 2016

Gastroenterologists do not perform surgery; however, they do perform procedures such as liver biopsies, endoscopic ("scope") examinations of the esophagus, stomach, small and large bowel. Gastroenterologists frequently work with CaRMS Results, Canada surgeons in helping them select the best operation for a particular patient.

Certification in gastroenterology requires completion of 3 core years of internal medicine or paediatrics residency, 42 43 followed by an additional 2 years of training in a Royal 35 37 32 34 33 35 34 College-approved gastroenterology residency training 31 program, for a total of 5 years of postgraduate residency education. 10 8 3 1 Key highlights: 2013 2014 2015 2016 2017

o Gastroenterologists in Canada worked a weekly Quota Seats Available in 2nd Iteration average of 59.3 hours in 2014, 10 of which were on-call Total Matches (1st Iteration) hours in direct patient care.

o The following communities may have gastroenterology services in Saskatchewan: CAPER: Post Grad Exits vs Job Postings, Canada

• Prince Albert • Regina • Saskatoon • Yorkton 43

o The U of S currently does not offer a gastroenterology

training program. 21

o In 2016-17, the average payment for gastroenterologists in Saskatchewan was $733,252 per annum.

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

54 Residency and Physican Workforce Trends, 2017 Gastroenterology

Professional & Work-life Balance Satisfaction, 2013

Current professional life 6% 9% 19% 67%

Balance of personal & 28% 20% 48% professional commitments 6%

No Response Dissatisfied Neutral Satisfied

55 Residency and Physican Workforce Trends, 2017 GENERAL INTERNAL MEDICINE

Overview: Age Demographics General internal medicine (GIM) physicians diagnose and manage diseases involving any of the organ systems and are specially trained to manage seriously ill patients suffering from advanced illness and/or diseases of more 30% than one system. 27% 24% 22% 20% 19% In the hospital and ambulatory setting, internists manage 16% acute and chronic illness of their patients and other 16% 15% patients that have been referred to them by other 11% practitioners such as family physicians. They are also trained to meet the special needs of the geriatric population. <35 35-44 45-54 55-64 65+ After completing medical school, to become an internist Internists and Physiatrists in Saskatchewan, 2016-17 General Internal Medicine in Canada, 2016 requires additional training that takes 4 years. Those who choose to subspecialize are required to complete 2 years of subspecialty training in General Internal Medicine (GIM), which they can begin once completing the 3 core years of the internist program, for a total of 5 years of postgraduate Licensed Internists in Canada education.

2014 2,715 Key highlights: 2013 2,755 o Internists in Canada worked a weekly average of 58.7 hours in 2014,11.6 of which were on-call hours in direct 2012 2,543 patient care. 2011 2,631

o The following communities may have general internal 2010 2,486 medicine services:

• Estevan CIHI: Licensed Internists in Canada • Lloydminster • Moose Jaw • North Battleford • Prince Albert • Regina • Saskatoon MSB Annual Report: Remuneration/Salary, 2016-17* • Swift Current Average Payment ($000's) Number of Physicians • Weyburn Physicians** $389.8 159 • Yorkton Highest Paid $1,478.5 Less than $60,000 $24.9 23 $60, 000-74,999 $68.5 9 o In 2017, the U of S quota for general internal medicine $75,000-99,999 $90.1 6 postgraduate seats was 3. Training seats are available $100,000-124,999 $110.6 7 in Saskatoon. $125,000-149,999 $136.7 13 $150,000-174,999 $162.0 12 $175,000-199,999 $179.6 3 o In 2016-17, 182 internists and physiatrists practiced in Saskatchewan. $200,000-249,999 $231.2 14 $250,000-299,999 $280.3 11 $300,000-349,999 $324.9 11 Over $350,000 $628.6 73 *Average payments include internists and physiatrists. ** Physicians receiving $60K or more in MSP payments.

Note: Payments above are based on fee-for-service and non fee-for-service (shadow) billings, which may impact the average payment stated.

56 Residency and Physican Workforce Trends, 2017 General Internal Medicine

CaRMS Results, Canada Professional & Work-life Balance Satisfaction, 2013

Current professional life 8% 9% 11% 72% 88 88 91 89 83 84 83 81 81 70 Balance of personal & 7% 22% 19% 53% professional commitments

18 10 5 2 5 No Response Dissatisfied Neutral Satisfied

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration

Total Matches in 1st Iteration

CaRMS Results, Saskatchewan

4

3 3

2 2

2013 2014 2015 2016 2017

Matches Seats Available in 2nd Iteration

CAPER: Post Grad Exits vs Job Postings, Canada

128 122

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

57 Residency and Physican Workforce Trends, 2017 HAEMATOLOGY

Overview: Age Demographics Haematology is a subspecialty of internal medicine and is concerned with the nature, function, and diseases of the

blood. Haematology uses highly developed technology to 33% make specific diagnoses and treat illnesses occurring in all organ systems. 24% 25% The haematologist must be able to interpret a wide range of laboratory procedures. They require knowledge of the basic medical sciences (e.g., physiology, pharmacology, 11% biochemistry, immunology), in addition to clinical medicine 7% and relevant aspects of pathology. Since advances come rapidly in this field, physicians are required to stay current with scientific knowledge and laboratory procedures. <35 35-44 45-54 55-64 65+ Haematologists in Canada, 2016 Haematologists treat all age groups and should be able to provide consultant advice in diagnosis and management of patients of any age. Close patient contact is common and haematologic diseases are often serious or fatal.

Haematology is an academic pursuit, closely related to medical oncology with which its training programs are connected. Saskatchewan Cancer Agency (SCA) Salary Grid* Certification in haematology requires completion of 3 core Classification (Pay Grade) Annual Pay Per Haematologist years of internal medicine or paediatrics residency, Step 1 $327,209 followed by an additional 2-3 years of training in a Royal College-approved haematology residency training Step 2 $374,738 program, for a total of 5-6 years of postgraduate residency Step 3 $422,266 education. * As of October 2016

Key highlights:

o Haematologists in Canada worked a weekly average of 57.4 hours in 2014, 8.8 of which were on-call hours in direct patient care.

o The following communities may have haematology services in Saskatchewan: CaRMS Results, Canada

• Regina • Saskatoon

39 35 34 34 The U of S currently does not offer a haematology 32 o 28 training program. 30 28 25

19

o In 2016-17, the haematology payment grid range was 9 10 5 $327,209 - $422,266. In addition to receiving a salary, 4 4 physicians may also receive a benefits package which includes but is not limited to a pension plan, extended 2013 2014 2015 2016 2017 healthcare coverage and vacation leave. Quota Seats Available in 2nd Iteration Matches in 1st Iteration

58 Residency and Physican Workforce Trends, 2017 Haematology

CAPER: Post Grad Exits vs Job Postings, Canada

28

16

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 5%6% 12% 77%

Balance of personal & 5% 21% 10% 64% professional commitments

No Response Dissatisfied Neutral Satisfied

59 Residency and Physican Workforce Trends, 2017 MEDICAL ONCOLOGY

Overview: Age Demographics Medical oncology is a subspecialty of internal medicine that focusses on the diagnosis and treatment of cancer.

Oncologists are tasked with managing therapeutic 32% programs for patients such as chemotherapy and 29% radiotherapy. They also provide services such as counselling, physiotherapy and . 20%

Certification in medical oncology requires completion of 3 11% core years of internal medicine residency, followed by an 8% additional 2 years of training in a Royal College-approved medical oncology residency training program, for a total of 5 years of postgraduate residency education. <35 35-44 45-54 55-64 65+

Medical Oncologists in Canada, 2016

Key highlights:

o Medical oncologists in Canada worked a weekly average of 56.5 hours in 2014, 4 of which were on-call hours in direct patient care.

o The following communities may have medical oncology services in Saskatchewan: Saskatchewan Cancer Agency (SCA) Salary Grid for Oncologists Classification (Pay Grade) Average Payment • Regina • Saskatoon Step 1 $327,209 Step 2 $374,738 Step 3 $422,266 o The U of S currently does not offer a medical oncology * As of October 2016. training program. The province has purchased 1 medical oncology training seat at the University of Dalhousie for the 2018 CaRMS Medicine Subspecialty Match. The successful candidate will have a return of service to the province upon completion of training.

o I2016-17, the haematology payment grid range was $327,209 - $422,266. In addition to receiving a salary, physicians may also receive a benefits package which includes but is not limited to a pension plan, extended CaRMS Results, Canada healthcare coverage and vacation leave.

41 40 37 35 33

32 31 30 30 27

10 7 8 10 5 6 8 7 5 6

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration Total Matches (1st & 2nd Iteration) Unfilled seats

60 Residency and Physican Workforce Trends, 2017 Medical Oncology

CAPER: Post Grad Exits vs Job Postings, Canada

42

5

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 5% 13% 9% 73%

Balance of personal & 5% 29% 27% 40% professional commitments

No Response Dissatisfied Neutral Satisfied

61 Residency and Physican Workforce Trends, 2017 NEPHROLOGY

Overview: Age Demographics Nephrology is a subspecialty of internal medicine.

Practitioners diagnose and treat diseases of the kidneys 37% and urinary system. Nephrologists are motivated by the opportunity to restore chronically ill patients to productive 31% lives and are often challenged by life-and-death situations. The practice of nephrology is closely linked to a teaching hospital so these specialists incorporate a major 18% component of teaching and research into their overall activity profile. This may be viewed as one of the 8% attractions of nephrology, in as much as it allows for 6% tremendous diversity and flexibility.

Nephrologists care for patients with kidney disease <35 35-44 45-54 55-64 65+ (including the management of dialysis and renal Nephrologists in Canada, 2016 transplantation), and disturbances with acid-base, fluid and electrolyte metabolism.

They work in a variety of health care settings including acute and chronic care hospitals, dialysis units (hemodialysis and peritoneal dialysis), as well CaRMS Results, Canada as ambulatory care clinics (general nephrology, pre- dialysis, renal transplantation). They should function as a member of a multi-disciplinary team, effectively

collaborating with other health professionals. 45

35 Certification in nephrology requires completion of 3 core 34 31 years of internal medicine or paediatrics residency, 29 23 30 21 followed by an additional 2 years of training in a Royal 22 26 25 College-approved nephrology residency training program, 14 for a total of 5 years of postgraduate residency education. 4 5 4

2013 2014 2015 2016 2017 Key highlights: Quota Seats Available in 2nd Iteration o Nephrologists in Canada worked a weekly average of Matches (1st Iteration) 67.2 hours in 2014, 10.7 of which were on-call hours in direct patient care.

o The following communities may have nephrology CaRMS Results, Saskatchewan services in Saskatchewan:

• Regina • Saskatoon

o In 2017, the U of S quota for Nephrology postgraduate 2 2 2 training seats was 2. Training seats are available in Saskatoon. 1 1 o In 2016-17, the average payment for nephrologists in Saskatchewan was $552,571.

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration

62 Residency and Physican Workforce Trends, 2017 Nephrology

CAPER: Post Grad Exits vs Job Postings, Canada

23

19

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 4% 22% 13% 62%

Balance of personal & 4% 32% 36% 29% professional commitments

No Response Dissatisfied Neutral Satisfied

63 Residency and Physican Workforce Trends, 2017 RESPIROLOGY

Overview: Age Demographics Respirology medicine is a subspecialty of internal medicine which deals with the diagnosis and treatment of diseases of the respiratory system. 29% This specialty offers a balance between direct patient care, 27% doing procedures and working with technology. Since 23% pulmonary medicine touches upon other subspecialties, it requires in-depth knowledge of internal medicine. 12% 9% Respirologists may specialize in either adult or pediatric respiratory medicine.

Certification in respirology requires completion of 3 core <35 35-44 45-54 55-64 65+ years of internal medicine or paediatrics residency, Respirologists in Canada, 2016 followed by an additional 2 years of training in a Royal College-approved respirology residency training program, for a total of 5 years of postgraduate residency education.

CaRMS Results, Canada Key highlights:

o Respirologists in Canada worked a weekly average of 59.4 hours in 2014, 8.8 of which were on-call hours in 49 direct patient care. 41 42 43 43 41 39 38 34 o The following communities may have respirology 32 services in Saskatchewan: 10 10 7 10 5 7 10 2 • Regina 5 2 • Saskatoon 2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration o In 2017, the U of S quota for respirology postgraduate Total Matches (1st & 2nd Iteration) Unfilled seats seats was 2. Training seats are available in Saskatoon.

o In 2016-17, the average payment for respirologists in CaRMS Results, Saskatchewan Saskatchewan was approximately $283,433 per year.

2 2

1 1

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration

64 Residency and Physican Workforce Trends, 2017 Respirology

CAPER: Post Grad Exits vs Job Postings, Canada

35

21

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 5%6% 14% 75%

Balance of personal & 5% 33% 20% 42% professional commitments

No Response Dissatisfied Neutral Satisfied

65 Residency and Physican Workforce Trends, 2017 RHEUMATOLOGY

Overview: Age Demographics Rheumatology is concerned with the diagnosis and treatment of rheumatic diseases, which may involve many systems, as well as joint, muscle and skeletal disorders.

27% A rheumatologist must be effective in the assessment, 25% 26% investigation, management, and rehabilitation of patients with: acute and chronic forms of arthritis; soft tissue rheumatic disorders; collagen-vascular diseases and 16% vasculitides; spinal and regional pain problems; and the musculoskeletal manifestations of systemic disease. 6%

Certification in rheumatology requires completion of 3 core years of internal medicine or paediatrics residency, <35 35-44 45-54 55-64 65+ followed by an additional 2 years of training in a Royal Rheumatologists in Canada, 2016 College-approved rheumatology residency training program, for a total of 5 years of postgraduate residency education.

CaRMS Results, Canada Key highlights:

o Rheumatologists in Canada worked a weekly average 38 of 61.3 hours in 2014, 6.7 of which were on-call hours in 35 32 37 32 direct patient care. 30

29 30 27

o The following communities may have rheumatology 22 services in Saskatchewan:

10 • Regina 6 3 • Saskatoon 1 2

2013 2014 2015 2016 2017

o In 2017, the U of S quota for rheumatology Quota Seats Available in 2nd Iteration postgraduate seats was 2. Training seats are available Total Matches (1st Iteration) in Saskatoon.

o In 2016-17, the average payment for rheumatologists in CaRMS Results, Saskatchewan Saskatchewan was approximately $216,378 per year.

2 2

1

2013 2014 2015 2016 2017

Quota Seats Available in 2nd Iteration

66 Residency and Physican Workforce Trends, 2017 Rheumatology

CAPER: Post Grad Exits vs Job Postings, Canada

31

24

Canada Postings, 2017 Post Grad Exits, 2016

Note: Postings above were compiled during a 2 week period in August 2017, and only represent opportunities that are exclusive of locums, part-time and postings before March 2017.

Professional & Work-life Balance Satisfaction, 2013

Current professional life 4%7% 6% 83%

Balance of personal & 4% 23% 20% 54% professional commitments

No Response Dissatisfied Neutral Satisfied

67 Residency and Physican Workforce Trends, 2017 WORK HOURS AND PAYMENTS BY SPECIALTY

This chart provides weekly average hours (including on-call hours in direct patient care) worked by physicians (Canada-wide) and annual average payments made to physicians in Saskatchewan by specialty:

Average Weekly Average Annual Work Hours Payment/Grid (Canada) 1 (Saskatchewan) 2 PGY1 Specialties Anaesthesiology 63.3 $361,200 Dermatology 51.6 $345,800 Diagnostic Radiology 51.4 $520,300 Emergency Medicine 50.6 $371,977 - $420,174 i Family Medicine 53 $254,100 General Pathology 47 $346,477 - $393,893 i General Surgery 69 $377,800 Neurology 67.6 $376,700 Neurosurgery 64.5 $549,800 Nuclear Medicine 48.6 Unavailable ii Obstetrics and Gynecology 62.1 $419,300 Ophthalmology 55.1 $1,198,000 Orthopaedic Surgery 62.5 $583,100 Otolaryngology 58.6 $590,700 Paediatrics 56.5 $206,800 Physical Medicine and Rehabilitation 48.1 Unavailable ii Plastic Surgery 69.3 $537,700 Psychiatry 50.6 $365,000 Public Health and Preventive Medicine 41.3 $225,138 - $296,772 iii Radiation Oncology 54.7 $327,209 - $422,266 iv Urology 70.1 $446,700 Medical Subspecialties Cardiology 68.7 $860,400 Gastroenterology 59.3 $733,251 General Internal Medicine 58.7 $389,800 Haematology 57.4 $327,209 - $422,266 iv Medical Oncology 56.5 $327,209 - $422,266 iv Nephrology 67.2 $552,571 Respirology 59.4 $283,433 Rheumatology 61.3 $216,378

1: Source: CMA Specialty Profiles; work hours outsourced from the 2014 National Physician Survey. 2: Source: Medical Services Branch (MSB) Annual Statistical Report, 2016-17; based on both fee-for-service and non-fee-for-service billings (unless stated otherwise: i - iv). i: Based on MSB Payment Grid, 2016. ii: Payment information is unavailable due to the small sample size of physicians in this specialty. iii: Based on MSB Payment Grid for Medical Health Officers (MHO) and Deputy Medical Health Officers, 2016-17. iv: Based on Saskatchewan Cancer Agency (SCA) Payment Grid, 2016.

68 Residency and Physican Workforce Trends, 2017 REFERENCES

SECTIONS REFERENCES

Overview Canadian Medical Association (CMA) Specialty Profiles https://www.cma.ca/En/Pages/specialty-profiles.aspx

Key Highlights Work hours Canadian Medical Association (CMA) Specialty Profiles https://www.cma.ca/En/Pages/specialty-profiles.aspx

Community Services Physician Registry, College of Physicians and Surgeons of Saskatchewan (CPSS) - https://www.cps.sk.ca/imis/ Regional Health Authorities

Post-graduate Seats College of Medicine, University of Saskatchewan, 2017

Physician Payments Medical Services Branch (MSB) Annual Statistical Report, Ministry of Health, Government of Saskatchewan, 2016-17 https://www.saskatchewan.ca/government/government- structure/ministries/health/other-reports/annual-report-archive#step-3 Medical Services Branch (MSB) Payment Grids, 2016 Saskatchewan Cancer Agency (SCA) Payment Grids, 2016

Age Demographics Medical Services Branch (MSB) Annual Statistical Report, Ministry of Health, Government of Saskatchewan, 2016-17 https://www.saskatchewan.ca/government/government- structure/ministries/health/other-reports/annual-report-archive#step-3

Canadian Medical Association (CMA) Specialty Profiles https://www.cma.ca/En/Pages/specialty-profiles.aspx

Medical Workforce Supply Overview, Canadian Institute for Health Licensed Physician Information (CIHI) Workforce in Canada http://www.royalcollege.ca/rcsite/health-policy/medical-workforce- knowledgebase/mwk-supply-overview-e

Remuneration Medical Services Branch (MSB) Annual Statistical Report, Ministry of Health, Government of Saskatchewan, 2016-17 https://www.saskatchewan.ca/government/government- structure/ministries/health/other-reports/annual-report-archive#step-3

CMG Applications and CaRMS R-1 Residency Match Reports Quota in the R-1 Match, https://www.carms.ca/en/data-and-reports/r-1/ Canada

CaRMS Results, Canada CaRMS R-1 Residency Match Reports https://www.carms.ca/en/data-and-reports/r-1/

69 Residency and Physican Workforce Trends, 2017 CaRMS Results, College of Medicine, University of Saskatchewan, 2017 Saskatchewan

Post Grad Exits vs Job Canadian Post-MD Education Registry (CAPER) Annual Census of Post- Postings, Canada M.D. Trainees https://caper.ca/~assets/documents/2016-17_CAPER_Census_en.pdf

Professional & Work-Life Canadian Medical Association (CMA) Specialty Profiles Balance Satisfaction https://www.cma.ca/En/Pages/specialty-profiles.aspx

70 Residency and Physican Workforce Trends, 2017 NOTES

NOTES

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