缅北强奸

Directors propose five solutions to improve access to family physicians

The four directors of the universities鈥� family medicine departments expect Bill 20 will negatively impact patients by reducing the number of new doctors trained and, consequently, the capacity and quality of care.

The directors presented their positon today to the Commission de la sant茅 et des services sociaux during hearings held on the proposed Bill. They affirm that the lack of accessibility to family doctors and primary care is a major issue, and they support the government鈥檚 goal to remedy it. The directors say, however, that the approach put forward by the Minister to address the problem is not viable, and they are proposing alternate solutions to meet both the current and future needs of Quebecers.

The Bill, the directors explained, will make it impossible for family physicians who teach to reconcile their educational mandate with their clinical practice. The minimum caseloads they will be required to support will jeopardize the faculties鈥� graduation targets, which are set by the government. In addition to training the next generation of family medicine practitioners, family doctors who teach are also responsible for 20% to 60% of the training of first-, second- and third-year medical students, regardless of their future specialty, in each of the faculties.

The directors affirm that the equivalency system the Minister is considering for the regulations cannot take into account the full complexity of teaching. 鈥淭he system will be heavy, hard to manage and incapable of encompassing the range of scenarios听we deal with in the field, including the unique needs of our patients and the teaching we provide,鈥� said Dr. Jean Pelletier of Universit茅 de Montr茅al.

鈥淥ur faculties are currently training highly skilled and motivated new physicians to serve the public. This system will greatly compromise everything we have introduced in recent years to make family medicine more attractive to our students,鈥� added Dr. Guy B茅land of Universit茅 Laval.

Proposed solutions

To improve access to quality care in Quebec, the signatories of the brief proposed five solutions. Among these is a system referred to as 鈥渢imely access to care,鈥� which aims to increase the number of patients seen in Family Medicine Units (FMUs). 鈥淭his approach to scheduling makes it possible to see patients who need care at the moment when they need it, and it has already proven successful in certain locations in Quebec and in other Canadian provinces,鈥� said Dr. Marie Giroux of Universit茅 de Sherbrooke.

They also recommend training all graduates of family medicine programs in 鈥渢imely access to care,鈥� so that new doctors can quickly and effectively take on a larger number of patients. In the next three years, 1,000 additional graduates will be trained to practice based on this system. These physicians, in turn, will sensitize their colleagues to this more efficient scheduling approach and will use it to train future students.

鈥淲e recognize how serious the problem of access is in Quebec. The notions of social responsibility and comprehensive patient care are core values of our profession,鈥� said Dr. Howard Bergman of 缅北强奸. 鈥�Physician teachers play a crucial and decisive role in the accessibility of medical care for Quebecers. The main responsibility of our departments is to train a new generation of family physicians and emergency room doctors, in sufficient numbers, to meet the needs of the population.鈥�

Currently, 3,300 family physicians contribute to medical training in Quebec; 800 of these work in one of the province鈥檚 48 FMUs. Over the past 10 years, the number of students entering residency in family medicine has doubled. Bill 20 puts these excellent results, which are in large part the outcome of the faculties鈥� efforts, at risk.

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To read the brief, click .