Ontario Geriatric Specialist Physician Resources 2018

  • Michael J. Borrie Western University
  • Tracy Cooper St. Joseph's Health Care London
  • Monisha Basu University of Toronto
  • Kelly Kay Provincial Geriatrics Leadership Office
  • Jeannette C. Prorok Canadian Frailty Network
  • Dallas Seitz University of Calgary
Keywords: geriatricians, care of the elderly physicians, physician human resources, specialized geriatric services, Ontario

Abstract

Background

The number of older adults with complex health needs in Ontario is growing. The Ministry of Health and Long-Term Care requested a resource mapping project to assess the current 2018 and projected 2025 number of specialist physi­cian resources.

Methods

Geriatric specialist physicians were defined as geriatricians, geriatric psychiatrists, and Care of the Elderly (COE) physi­cians. We determined the current number of geriatricians, geri­atric psychiatrists, and COEs and clinical full-time-equivalent complement (CFTE) for geriatric medicine and geriatric psychiatry specialists. We projected the number of new train­ees expected to enter practice and the number of physicians expected to retire by 2025. We compared these numbers and projections against established specialist/population ratios for geriatricians and geriatric psychiatrists.

Results

There was a deficit of geriatricians and geriatric psychiatrists (geriatricians: CFTE deficit of 150.5; geriatric psychiatrists: CFTE deficit of 116.3). In 2025, the projected CFTE deficit of geriatricians will increase to at least 210.35 and geriatric psychiatrists to 194.6. Only about 30% of COE physicians work in direct support of specialized services for the elderly.

Conclusions

There is significant current and anticipated undersupply in the required number of geriatricians, geriatric psychiatrists, and COE physicians to meet anticipated population demand.

Author Biographies

Michael J. Borrie, Western University

Division of Geriatric Medicine, Schulich School of Medicine & Dentistry

Tracy Cooper, St. Joseph's Health Care London

Division of Geriatric Medicine, Parkwood Institute

Monisha Basu, University of Toronto

Faculty of Medicine

Kelly Kay, Provincial Geriatrics Leadership Office

Regional Geriatric Programs of Ontario (RGPO)

Jeannette C. Prorok, Canadian Frailty Network

Research and Knowledge Translation

Dallas Seitz, University of Calgary

Departments of Psychiatry and Community Health Sciences, Cumming School of Medicine

Published
2020-09-01
How to Cite
Borrie, M., Cooper, T., Basu, M., Kay, K., Prorok, J., & Seitz, D. (2020). Ontario Geriatric Specialist Physician Resources 2018. Canadian Geriatrics Journal, 23(3), 245-253. https://doi.org/10.5770/cgj.23.448
Section
Systematic Reviews/Meta-analysis