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"When the truth is on your side, you have nothing to fear". Dr. Simul Parikh (https://twitter.com/ParikhSimul) is well-versed in the issue of physician over-supply, and an advocate for current trainees. I spoke to him about the damaging effects that over-supply has on patients, doctors, and systems. We delve into the root problems that cause over-supply and maldistribution, and cross-pollinate between efforts in Canada and the USA to synergize solutions to the critical issue of Orthopaedic Surgeon Under/Unemployment in Canada. See this fantastic article for an overview of the article (https://coa-aco.org/unemployment-and-underemployment-of-orthopaedic-surgeons/)
Timestamps:
2:10 - What is oversupply? What is substantial oversupply?
5:00 - How does oversupply affect patient care and clinical decision making?
7:30 - What effects does oversupply have on physician wellbeing?
10:15 - How does maldistribution occur? What does Canada do to address maldistribution in a country with low population density?
12:30 - How would changing institutional composition and mandates influence maldistribution?
17:15 - Why should we fix oversupply?
19:00 - What is the roadmap to fixing oversupply (1-acknowledgement, 2-institutional changes, 3-billing changes)
22:15 - What is the root cause of the growing oversupply?
24:45 - How can institutions keep the same workload without hiring more residents?
26:00 - What changes can be made to compensation to prevent the forces that lead to oversupply?
27:15 - What can trainees do to open up the conversation & advocate for themselves?
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