Board-certified Gastroenterologist Explains Why Colon Cancer Screening Participation Lags Behind That Of Breast Cancer Screening

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[1] Its a shocking statistic given the success we are having with colorectal cancer screenings and being able to remove precancerous polyps before they turn into cancer. On average, more than 140,000 people in the U.S. are diagnosed with colorectal cancer annually and over 50,000 die because of this cancer each year. Some of this variance can be attributed to the national breast cancer awareness month campaign starting in 1985, while the colon cancer awareness month campaign was not initiated until 2000. In addition to the 15-year head start, breast cancer has been made more accessible to the medically underserved in the U.S. through programs like the National Breast and Cervical Cancer Early Detection Program and the Centers for Disease Control and Prevention. Both assist with free screenings or matching funds to lower the cost of getting screened for breast cancer. Barriers to Colorectal Screening According to Matthew Eidem, M.D., who is a board-certified gastroenterologist in Plano TX and a member of the largest gastroenterology group (Digestive Health Associates of Texas) in North America, its important to continually stress the importance of health maintenance roles such as colon cancer screening to patients. However, there is several challenges physicians face in getting the colon cancer screening participation rates higher. A few of the challenges are: Patient awareness and education Varying insurance reimbursements rates amongst states in the U.S. Availability of programs to educate and financially assist the medically underserved As physicians we need to increase our patients awareness to practicing preventive health care, especially for diseases like colon cancer, where early detection can literally be the difference between life and death, said Plano TX gastroenterologist Matthew Eidem, MD . Adhering to the screening recommendations of the American Gastroenterological Association (AGA) can improve a patients prognosis and lead to increased treatment options for people who are diagnosed. Opportunities to Increase Colon Cancer Screening Participation In February 2013, the federal government issued an important clarification on preventive screening benefits under the Affordable Care Act. Patients with private insurance will no longer be liable for cost sharing when a pre-cancerous colon polyp is removed during screening colonoscopy. This ensures colorectal cancer screening is available to privately insured patients at no additional cost, as intended by the new healthcare law.[2] While the specifics of the Affordable Care Act are slowly emerging, this legislation may lead to similar programs developed for breast cancer screening and increase participation rates. In addition to new legislation and needed government programs to assist with increasing colon cancer screening participation rates, there are initiatives in place currently that are leading the way towards this goal. Availability of Open Access Colonoscopy Patient education from primary care physicians Direct patient communications both reminding and educating them on the benefits of getting screened at the suggested AGA guidelines Its hopeful that collectively between the supporters of the Colon Cancer Screening awareness message we can significantly increase participation rates in the U.S., and make awareness of colorectal cancer more main stream. Campaigns such as the CDCs Screen for Life and Colon Cancer Alliances Go Blue are definitely a step in the right direction. However, it will take a combined effort from the medical community, cancer organizations and governmental support to achieve the awareness needed to reduce the death rate of colon cancer in the U.S.

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It is a quick and simple procedure, associated with rapid recovery, no or minimal discomfort and excellent results. Hemorrhoids are a collection of blood vessels in the lower rectum which can be caused by straining, constipation, aging and genetic predisposition. The most common symptoms of hemorrhoid disease are rectal bleeding or prolapse during bowel movement and itching or discomfort. While symptoms alone can have a significant effect on a persons quality of life, advanced hemorrhoid disease may lead to serious complications. At 73, Carolyn Hall of Hampton, has osteoarthritis and suffered for years with hemorrhoids. She tried many over the counter medications that would only provide temporary relief. She sought help from her Gastroenterologist, Stephen Willis, M.D., Advanced Gastroenterology and Nutrition. Willis recommended the HET System. I had the procedure on Feb. 12 at 9 a.m. and was discharged at 10:30 a.m. I felt immediate relief and no pain. I was able to go on with my normal activities and even went to Bible Study that evening, explained Hall.

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Doctor Who – A Global Phenomenon: Part 1 Australia


Outside the production itself, the Australian Broadcasting Company (or the ABC for short), which is still the current primary channel for Doctor Who airing in Australia, was one of the first and longest term purchasers of the series from the BBC from its beginning, initially planning to screen the series in May 1964, within months of the UK premiere. The ABC later put up production money for an anniversary special The Five Doctors. Although a Doctor Who story has never been filmed in Australia, there have been many references to the great land down under! From the Fourth Doctor meeting Aussie opera singer Dame Nellie Melba, to the Second Doctor briefly visiting before being captured on the shores of an Australian beach in The Enemy of the World, to even Amy Pond suggesting the Australian Outback as a possible place for the Silurians to live in Cold Blood Australia is no stranger to being mentioned in Doctor Who scripts! Who knows maybe an Australian adventure may be on the cards for Series 8!!! (See what I did there Who knows) Classic Australian humour. Whovian Culture Although we are no Great Britain when it comes to Doctor Who, Australia still knows how to celebrate the 50th Anniversary in style! How exactly are we bringing Who into the spotlight? Well. Cinema Screenings: Australia has become theguinea pig testing farm for Doctor Who episode screenings on the big screen. On two separate occasions, theyve had special events that have sold out in cinemas all over Australia with the first event showing The Impossible Astronaut and Day of the Moon in one epic evening, and more recently Asylum of the Daleks and The Angels Take Manhattan being screened a few weeks later.

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Association Between Thiopurine Use And Nonmelanoma Skin Cancers In Patients With Inflammatory Bowel Disease: A Meta-analysis

‘TOWIE’ Star Sam Faiers Reportedly Diagnosed With Crohn’s Disease After ‘Celebrity Big Brother’ Mystery Illness

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E-mail: Received 13March2013; Accepted 5November2013 Advance online publication 14January2014 OBJECTIVES: Thiopurines are the mainstay of treatment for patients with inflammatory bowel disease (IBD). Thiopurine therapy increases the risk of nonmelanoma skin cancers (NMSCs) in organ transplant patients. The data on NMSC in patients with IBD on thiopurines is conflicting. METHODS: We searched electronic databases for full journal articles reporting on the risk of developing NMSC in patients with IBD on thiopurine and hand searched the reference lists of all retrieved articles. Pooled adjusted hazard ratios and 95% confidence intervals (CIs) were determined using a random-effects model. Publication bias was assessed using Funnel plots and Egger’s test. Heterogeneity was assessed using Cochran’s Q and the I2 statistic. RESULTS: Eight studies involving 60,351 patients provided data on the risk of developing NMSC in patients with IBD on thiopurines. The pooled adjusted hazards ratio of developing NMSC after exposure to thiopurines in patients with IBD was 2.28 (95% CI: 1.50 to 3.45). There was significant heterogeneity (I2=76%) between the studies but no evidence of publication bias. Meta regression analysis suggested that the population studied (hospital-based vs. population-based) and duration of follow-up contributed significantly to heterogeneity. Grouping studies based on population studied and duration showed higher hazard rations in hospital-based and shorter duration studies. CONCLUSIONS: The risk of developing NMSC in patients with IBD on thiopurines is only modestly elevated. The difference in pooled risk between population-based and hospital-based studies suggests the possibility that ascertainment bias could have contributed to this increased risk.

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Locum Consultant Gastroenterologist, N.Ireland

The call comes after a UK-wide audit from the society revealed that nearly half of UK hospitals do not provide an out-of-hours endoscopy service, despite 60% of acute upper gastrointestinal bleeding episodes occurring out of normal working hours. According to the British Society of Gastroenterology (BSG), more than 700 lives could be saved each year if all hospitals offered a 24-hour service. Addressing a meeting at Number 11, Downing Street yesterday to raise awareness of gastroenterological conditions, BSG president, professor Chris Hawkey, said: Our audit has shown that about 80,000 patients a year are admitted with gastrointestinal bleeding, which has an 8% mortality rate. Yet only 55% of trusts at the moment provide a comprehensive out-of-hours GI bleeding service we need to get this to 100%, he added. The BSG is also calling for six new standards of care for patients with inflammatory bowel disease to be implemented by all UK commissioners by October 2010. Readers’ comments (1) Anonymous | 26-Jun-2009 8:24 pm The B.S.G. is correct in calling for a 24/7 service. In my experience, during almost 20 years of endoscopy nursing, most bleeds and other emergencies occurred outside of the normal working day. The equipment is available and I believe that the service should be funded. Patients deserve prompt effective diagnosis and treatment.

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Gastroenterology experts call for 24-hour service in all UK hospitals

Please send ref SZD080702 with cv to What you can expect from Mediplacements: – A dedicated one to one service – Fast track registration process – Assistance with travel and accommodation – Excellent rates of pay – Weekly pay – on time, every time – Access to exclusive NHS and Private sector jobs – 24 hour service from our friendly consultants Additional benefits include: – Our loyalty scheme; TPG incentives – thousands of online and in store discounts – No Registration Fee! Why choose us? Prior to applying for this job please note that all applicants must be able to provide proof of the following criteria: Your right to work within the UK (e.g. copy of your UK or EU passport or relevant work permit or visa). If applicable, registration with the relevant UK governing body (e.g. the Health and Care Professions Council, General Pharmaceutical Council, General Medical Council etc). Relevant experience of the role you are applying for. You will also be required to complete the following prior to any offer of work: A Disclosure and Barring Service (DBS) check (formerly CRB check), Mediplacements can assist you with this process (please note this is not applicable for Medical Lab Staff). Full occupational health clearance regarding immunisations etc. in the form of a valid ‘fitness to practice certificate’ as per current Government Procurement Service (GPS) standards (e.g. an occupational health report stating dates of your last TB, Hep B immunisations etc.). Please enter your full name: Please enter your email address: Please enter your phone number: Please attach your CV: Genuine specialist suppliers with a proven track record We only recruit for the medical sector and during our 18 years trading history we have established long term relationships with most Hospital trusts and healthcare organisations. In-depth knowledge of the Doctors sector We have real knowledge and understanding of every individual medical specialty we supply in to and endeavour to place every candidate into jobs which will best match their skills and experience. Government Procurement Service (GPS) Approved Mediplacements are delighted to confirm our inclusion on the latest NHS National Framework Agreements (NFA) for the provision of Allied Health Professionals, Health Science Services Staff and Hospital Doctors. Your own dedicated consultant that only covers the Doctors profession Every medical sector we recruit for has there own team of consultants only supporting that medical specialty. Providing consistent, well informed help and advice at every stage of the recruitment process.

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They report the 23-year-old has lost a stone and a half since her appearance on ‘CBB’ in January. Sam Faiers A source told The Mirror: She is suffering from lots of ulcers, so she needs to give them time to heal before she looks at the long term effects of diagnosis. At the moment, she is just trying to cope with the excruciating stomach cramps. That has been the most difficult thing. Now, she is working with her gastroenterologist to see if she can work around her illness. Sam wont let things hold her back, shes dealing with it in the best way she can. She knows she cant change anything, but she can educate herself about the disease. Crohn’s disease is a long-term condition involving inflammation of the lining of the digestive system and can sometimes require surgery. A spokeswoman for Sam said: I can confirm Sam has very recently been diagnosed with Crohns Disease. During her time in ‘Celebrity Big Brother’ Sam was escorted from the house to hospital. A representative for Sam told Digital Spy: “Sam left the house yesterday morning to attend an appointment with a consultant for an ongoing medical concern. Sam Faiers

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Uk Doctors And Nurses To Face Jail For Negligence

Health Secretary Jeremy Hunt

Speaking from Sri Lanka, Prime Minister David Cameron said: “The NHS is full of brilliant doctors, nurses and other health workers who dedicate their lives to caring for our loved ones. “But Mid-Staffordshire hospital showed that sometimes the standard of care is not good enough. That is why we have taken a number of different steps that will improve patient care and improve how we spot bad practice. “Never again will we allow substandard care, cruelty or neglect to go unnoticed.” The legal penalty was among the recommendations made by a senior academic who was asked to suggest ways to improve patient safety after a report supervised by Robert Francis QC found that patients in Mid-Staffordshire were left thirsty and in dirty conditions, causing “appalling and unnecessary suffering of hundreds of people”. Professor Don Berwick, a former adviser to US President Barack Obama, recommended new criminal penalties for “leaders who have acted wilfully, recklessly, or with a ‘couldn’t care less’ attitude and whose behaviour causes avoidable death or serious harm”. Police were able to bring a successful prosecution against the Mid-Staffordshire trust on health and safety grounds following the death of 66-year-old Gillian Astbury, a diabetic patient who was not given insulin and lapsed into a fatal coma at the hospital. The trust last month pleaded guilty to failing to ensure Astbury’s safety. The law is to be discussed by Department of Health officials in the coming months, and may be put to public consultation. It is believed to be modelled on a law introduced under the 2005 Mental Capacity Act, under which negligent care workers can be punished with up to five years in jail. Medical unions and organisations have attacked the law, claiming it could create a climate of fear under which professional negligence would be less likely to be reported by colleagues. They called for staffing levels to be boosted in line with another of Professor Berwick’s recommendations. Dr Andrew Collier, co-chairman of the BMA’s junior doctors’ committee, told the BBC that doctors “don’t need this new climate of fear. They don’t need to be concerned that they may be sent to jail. What they need to do is learn from their mistakes and develop their practice.” Peter Carter, general secretary of the Royal College of Nursing, said a law change on its own was “not a panacea”. He said that legally enforcing staffing levels would be a more effective way of improving standards, as recent cases in Australia and California showed. The Guardian reports that while front-line care staff have been successfully prosecuted under the 2005 law, senior managers and social care organisations had not.

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How To See A Specialist Faster Using Medical Specialists Melbourne Search Website

AXA Gulf launches first-of-its-kind Sure Health enables second opinion on medical treatment

Most GPs only know a few specialists to refer their patients to, so although there are many qualified alternatives with available appointments all of the patients are queuing up to see only a select few of the more connected medical specialists. The saddest part is, most people dont know how to see a specialist faster so they just accept the situation and wait it out. But when it comes to medical situations the length of the wait can mean the difference between complete healing and landing in the emergency room, or worse. Today, even the Australian government and medical community recognise the importance of seeing medical specialists as soon as possible. Health Minister David Davis told a budget estimates committee that an independent panel of experts reported that 79,000 people were waiting for their first outpatient appointment in 2011. The 2011 audit also showed 248,000 patients were on outpatient waiting lists. Australian Medical Association Victoria President Dr. Stephen Parnis said doctors had been waiting 18 months for the list showing the number of people with referrals from GPs waiting to get into outpatient clinics. He says, The longer someone has to wait for elective treatment, the more likely it is to become an urgent or emergency problem. When a GP refers someone to a specialist at a public hospitals outpatient clinic, they are placed on a waiting list and then have to wait to be reviewed for surgery before making it onto another waiting list for elective surgery. Opposition health spokesman Gavin Jennings says, More people are now waiting longer than ever before for surgery they desperately need. Leukaemia survivor, Melbourne-based father and I Need A Specialist Director Darren Lemin says, From my own health battle experience and through the diagnosis of my sons juvenile diabetes, my family and I know exactly how important it is to see a specialist as soon as possible, and thats why we came up with an online Melbourne medical specialists search engine program that would provide patients with an alternative to being trapped in a system that doesnt seem to be working for everyone. I Need A Specialist is a free service that helps patients understand how to see a specialist faster and helps them find the specialist theyre looking for in their area or vicinity. This online system allows patients to request an appointment anytime day or night quickly and easily.

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For more information log on to About AXA Group The AXA Group is a worldwide leader in insurance and asset management, with more than 160,000 employees serving 102 million clients in 57 countries. In 2012, IFRS revenues amounted to Euro 90.1 billion and IFRS underlying earnings to Euro 4.3 billion. AXA had Euro 1,116 billion in assets under management as of December 31, 2012. For additional information, please contact: Alexis de Beauregard Menna Talla MOHY EL DIN Regional Communication Manager, AXA Insurance (Gulf) B.S.C. (c) Tel. : 971 (0) 4 447 6349 – Mob. : 971 (0) 56 682 7104 Email: About AXA Gulf With a workforce of over 800 employees, 22 branches region-wide, more than 500,000 customers and 2012 gross written premium of over US 625 million, AXA is the largest international non-life player in the GCC offering a wide range of insurance products and services for corporate and individual customers. AXA in the Gulf was recently awarded Insurer of the Year and Personal Lines insurer in 2012 at the MENA Insurance Awards and best SME insurance product by the Banker Middle East. For more information log on to Omani companies to sell shares , MENAFN (MENAFN) Some three Omani companies plan to sell shares to the public as the Muscat Securities Market plans to sell state-owned assets, according to Khaleej Times. Ahmed Saleh Al Marhoon, MSM … Feb 19 2014 Qatar – QE index loses 33.71 points , The Peninsula (MENAFN – The Peninsula) The Qatar Exchange index ended in the red area when trading closed yesterday at 11,690.49 points, down 33.71 points or 0.29 percent, from the previous closing of 11,724.20 … Feb 19 2014 Qatar – Al Meera’s 2013 revenue hits QR1.95bn , The Peninsula (MENAFN – The Peninsula) Al Meera Consumer Goods Company’s net profit for the year-ended December 31, 2013 is up at QR196.1m compared to QR105.7m reported in 2012, the company said in a … Feb 19 2014 Qatar – QNB, QDB tie up to finance Al Naqeeb project , The Peninsula (MENAFN – The Peninsula) As part of its commitment to provide easy access to banking products and services to local small and medium enterprises (SMEs), Qatar National Bank (QNB), Al Naqeeb Plastic … Feb 19 2014 Qatar – QNCC for QR1.19bn expansion plan , The Peninsula (MENAFN – The Peninsula) Qatar National Cement Company (QNCC), the largest maker of cement in Qatar, will expand its production capacity from 10,000-12,000 tonnes per day (TPD) to around 20,000 TPD …

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Gastroenterologist Peyton P. Berookim Rated Best Gi In Los Angeles

SBL Welcomes New Gastroenterologist

Looking for a qualified and caring gastroenterologist who treats patients with a variety of GI issues in the Los Angeles area? Then look no further than Dr. Peyton P. Berookim, MD, FACG , a double-board certified gastroenterologist with a record of providing top-quality and compassionate care to his patients. Based in Beverly Hills at the Gastroenterology Institute of Southern California , Dr. Berookimspecializes in the prevention and treatment of a number of digestive track disorders and conditions. He also performs important medical screening exams, including colonoscopies and endoscopies. Dr. Berookim is dedicated to providing a wide-ranging number of state-of-the art services to his patients. Thats why he seeks to use the most advanced and minimally invasive medical techniques to ensure that his patients are getting the best medical care out there to treat their gastroenterological problems. Dr. Berookim is also committed to seeing patients when they need to be seen, which is why most patients are able to get an appointment with him within two days are less. At the Gastroenterology Institute of Southern California, patient care is their top priority, and he center is devoted to providing patients with exceptional care. As such, they can expect benefits and advantages like having knowledgeable and caring doctors, nurses, and staff, being able to schedule a same-day emergency appointment, and having access to a patient portal and their medical records, among other things. Quality medical care should be accessible to all; Through Dr. Berookim and the Gastroenterology Institute of Southern California, it is.

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Michael Uzer Gastroenterologist Dr. Michael Uzer has 21 years of experience in advanced endoscopic procedures to diagnose and treat gastrointestinal diseases. He recently joined Dr. Alexis Ayonote in providing gastroenterology services at Sarah Bush Lincoln. Dr. Uzer received his internal medicine training from Northwestern Memorial Hospital and his gastroenterology fellowship from Rush University Medical Center in Chicago. He completed additional fellowship training in advanced therapeutic endoscopy from Indiana University Medical Center. He served as Director of Endoscopy at Rush Presbyterian-St. Luke’s Medical Center for six years before going into private practice in the Chicago area. Dr. Uzer specializes in performing endoscopic retrograde cholangiopancreatograpy (ERCP), a procedure used to diagnose diseases of the gallbladder, biliary system, pancreas, and liver. He looks forward to establishing relationships and providing compassionate care to people at Sarah Bush Lincoln. His mission is simply to help those who are sick get better and to prevent others from getting sick through proactive screenings, such as colonoscopy. To schedule an appointment with Dr. Uzer, call Gastroenterology and Special Procedures at 217-258-4155.

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Are Canadian Medical Schools Graduating The Doctors Of Yesterday? Study Finds 1 In 6 Specialists Can’t Find Work

Frechette suggested, however, that a national health systems workforce planning body would be an important start. Australia, Britain and the U.S. all have such an entity. The report pointed to a number of factors that have contributed to the oversupply of specialists. Poor stock market returns in recent years have meant that some older doctors most of whom must finance their own pension plans have delayed retirement. And there has been a realignment or rationalization of tasks in health care, with nurses and physician assistants taking on responsibilities that were once left to doctors, freeing them up to do some tasks that used to fall to specialists. That effect, which Lewis called sensible, will only accelerate as less invasive treatments are brought on line. For instance, angioplasty opening blocked cardiac arteries with balloons and stents has replaced many open heart surgeries to bypass blocked arteries. Lewis suggested the cycle of training specialists which typically takes about nine years is out of sync with the cycle of assessing future medical system requirements. Forecasting health human resource needs more than three or four or five years out is a fools game, because medical science changes, health needs can change, technology can change and so on. But Frechette said there are some low hanging fruit problems that should be relatively easy to address. For instance, her study noted there are jobs going for the asking. And yet while it seems inconceivable in the era of Craigslist and LinkedIn, doctors are having a hard time finding these help wanted ads. Our research did discover that there are a lot of people who cant find jobs, including orthopedic surgeons who would gladly go to where the jobs are, but they dont know where they are, she said. Lewis said there are some other adjustments the system should consider. One is shortening the period of time it takes to train a specialist, which would allow planners to adjust the course more quickly if it appeared that a glut of doctors was forming. If your whole life is going to be doing hip and knee replacements, I think one can question whether it should take nine years of training, he said.

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Demand high but medical specialists not finding work in Canada

The beautiful city of Vancouver, B.C. will welcome the world’s dermatology community as it hosts the 23rd World Congress of Dermatology in 2015. The Canadian Dermatology Association is delighted by the announcement that delegates at the 22nd World Congress of Dermatology (WCD) in Seoul voted to see the largest conference of dermatologic specialists come to Canada. Other locations that were in the running to the host the 23rd WCD included Rome, Vienna, Istanbul and Bangalore. “The Vancouver Bid Committee has worked tirelessly over the last three years attending countless dermatology meetings and strengthening international relationships in order to put a face to the Canadian bid,” says Dr Ian Landells, CDA President. The theme for the Vancouver WCD will be A Global Celebration of Dermatology and will mark the first time the conference has ever been held in Canada. To encourage participation from dermatologists around the globe, the Committee established a comprehensive scholarship program targeted at dermatologists and trainees from developing countries who might otherwise be unable to attend. “Vancouver is a dynamic, multicultural city in a spectacular natural environment and we’re honoured our colleagues around the world elected to use it as the setting for the 2015 World Congress of Dermatology,” says Dr Jerry Shapiro, Vancouver Bid Committee President. Canada’s dermatologists and their supporters will be taking time to celebrate this well-earned victory at the WCD Gala in Seoul before returning home to begin planning for the 2015 WCD. About CDA The Canadian Dermatology Association, founded in 1925, represents Canadian dermatologists. The association exists to advance the science and art of medicine and surgery related to the health of the skin, hair and nails; provide continuing professional development for its members; support and advance patient care; provide public education on sun protection and other aspects of skin health; and promote a lifetime of healthy skin, hair and nails. For further information:

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Canada to Host World’s Medical Specialists

The oncologists are not alone. Medical organizations say physicians in a half-dozen or more specialties are facing unemployment or underemployment, despite the countrys continuing shortage of doctors and long wait lists for many medical services. Its really frustrating, said Dr. Shaun Loewen, 36, who recently finished his five-year residency in radiation oncology. I want to start working and treating patients. Thats what the public has paid me to do and thats what I want to do. Unfortunatley, if I cant find those opportunities in Canada, Ill have to look elsewhere. Some of those stymied in their job search are trained in areas like oncology and orthopedic surgery where governments have invested hundreds of millions of dollars in recent years to expand services and reduce patient delays. But while provincial governments have paid to train more specialists in those high-demand areas, hospitals and health regions often lack the money to hire them once they hit the job market, experts say. Others argue there is a disconnect between the divvying up at medical schools of specialty training positions, called residencies, and the real-world patient demand for the graduates various services. The Royal College of Physicians and Surgeons which oversees and sets standards for medical specialties has already catalogued a list of high-unemployment specialties. It includes not only oncology and orthopedics but cardiac surgery, nephrology, neurosurgery, plastic surgery, otolaryngology the ear, nose and throat field and public health and preventive medicine. We thought, Wow, this is a really surprising list, said Danielle Frechette, the colleges health-policy director.

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