Physicians in Canada
Physicians in Canada
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Physicians in Canada

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Physicians in Canada

Physicians and surgeons play an important role in the provision of health care in Canada. They are responsible for the promotion, maintenance, and restoration of health through the study, diagnosis, prognosis, and treatment of disease, injury, and other physical and mental impairments. As Canadian medical schools solely offer the Doctor of Medicine (M.D.) or Doctor of Medicine and Master of Surgery (M.D., C.M.) degrees, these represent the degrees held by the vast majority of physicians and surgeons in Canada, though some have a Doctor of Osteopathic Medicine (D.O.) from the United States or Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.) from the commonwealth countries and Europe.

In order to practice in a Canadian province or territory, physicians and surgeons must obtain certification from either the College of Family Physicians of Canada (CFPC) or the Royal College of Physicians and Surgeons of Canada (RCPSC), as well as become members of the provincial or territorial medical professional regulatory authority.

Hospitals were initially places which cared for the poor as those with higher socioeconomic status were cared for at home. In Quebec during the 18th century, a series of charitable institutions, many set up by Catholic religious orders, provided such care.

The first medical schools were established in Lower Canada in the 1820s. These included the Montreal Medical Institution, which is the McGill University Faculty of Medicine today. In the mid-1870s, Sir William Osler changed the face of medical school instruction with the introduction of the hands-on approach. The College of Physicians and Surgeons of Upper Canada was established in 1839, and in 1869, it was permanently incorporated. In 1834, William Kelly, a surgeon with the Royal Navy, introduced the idea of preventing the spread of disease via sanitation measures following epidemics of cholera. In 1892, Dr. William Osler wrote the landmark text The Principles and Practice of Medicine, which dominated medical instruction in the West for the following half century. Around this time, a movement began that called for the improved healthcare for the poor, focusing mainly on sanitation and hygiene. This period saw important advances including the provision of safe drinking water to most of the population, public baths and beaches, and municipal garbage services to remove waste from the city. During this period, medical care was severely lacking for the poor and minorities such as First Nations.

In the late nineteenth and early twentieth centuries, women made inroads into various professions including teaching, journalism, social work, and public health. In 1871, female physicians Emily Howard Stowe and Jennie Kidd Trout won the right for women to be admitted to medical schools and were granted licences from the College of Physicians and Surgeons of Ontario. In 1883, Emily Stowe led the creation of the Ontario Medical College for Women, affiliated with the University of Toronto. These advances included the establishment of a Women's Medical College in Toronto, as well as in Kingston, Ontario. Stowe's daughter, Augusta Stowe-Gullen, became the first woman to graduate from a Canadian medical school.

Healthcare in Canada is delivered through thirteen provincial and territorial systems of publicly funded health care, informally called Medicare. It is guided by the provisions of the Canada Health Act of 1984. The government ensures the quality of care through federal standards. The government does not participate in day-to-day care or collect any information about an individual's health, which remains confidential as per the doctor-patient relationship. Canada's provincially based Medicare systems are cost-effective because of their administrative simplicity. In each province, each doctor handles the insurance claim against the provincial insurer. There is no need for the person who accesses healthcare to be involved in billing and reclaim. Private health expenditure accounts for about 30% of health care financing. The Canada Health Act does not cover prescription drugs, home care or long-term care, or dental care, which implies that most Canadians rely on private insurance from their employers or the government to pay for the costs associated with these services. Provinces provide partial coverage for children, those living in poverty, and seniors. Programs vary by province.

Canada has a ratio of practising physicians to population that is below the OECD average.

In 2018-2019, the average gross payment per physician reached $347,000 a year. Alberta had the highest average salary of around $230,000, while Quebec had the lowest average annual salary at $165,000, arguably creating inter-provincial competition for doctors and contributing to local shortages at the time. In 2018, to draw attention to the work of nurses and the declining level of service provided to patients, more than 700 physicians, residents, and medical students in Quebec signed an online petition asking for their pay raises to be canceled.

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