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Dr Rachel Molloy's avatar

So interesting to read that you have the same problems as we do in the UK. Many of our younger doctors dream of working in Canada. But with a global shortage of doctors, all developed countries are having the same trouble meeting thr needs of their ageing populations. And front line medics always bear the brunt of it. Hope you’re managing to look after yourself as well as everyone else.

Mike Rubin MD's avatar

Thanks for the reply. That is so interesting that your younger doctors dream of working in Canada. Can you tell me why?

Dr Rachel Molloy's avatar

They feel the remuneration and feeling valued is better there than in UK - and there are a lot of training bottlenecks here, so they feel progression is better in Canada. Many young doctors struggling to find posts here - crazy when we have staff shortages but funding shortfalls. Primary care docs in particular are moving to Canada. Two of my recent residents.

Don Shows's avatar

This situation is a universal problem. Unfortunately, in the US and apparently in many other countries, too much falls upon the ED physician. I’ve learned to deal with this situation in the following ways.

1. Explain the situation with the patient. Many will understand but may still blame you. Do not take it personal. The system is at fault.

2. Do not go home and

Push frustrations out on your spouse, friends, or family.

3. Minimize the number of times this happens by having good relationship with specialists. Good specialists, understand your situation and will accommodate patients. As a specialist, I know that supporting the ED is critical.

Shauna's avatar

I guess somewhere I missed that you are in Canada. Sounds exactly like what our US system is dealing with. It's truly a universal problem.

Mike Rubin MD's avatar

It is certainly a universal problem that seems to transcend different system structures.