PLASTIC SURGERY PROFILE
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1 PLASTIC SURGERY PROFILE GENERAL INFORMATION (Source: Pathway Evaluation Program and Royal College) Plastic surgery includes the management of major burns, reconstruction of congenital malformations, cosmetic surgery and other minor surgical procedures. Although many plastic surgeons concentrate on cosmetic procedures, there is a great opportunity for major reconstructive surgery that can be done with an understanding of the principles of wound healing, skin flaps, and skin grafting. There is ample opportunity for innovation and synthesis of new approaches (e.g., craniofacial surgery, microsurgery, fat transfers and artificial skin). Plastic surgeons treat a wide variety of clinical disorders including congenital and developmental problems, trauma, cancer and degenerative diseases. Often their goal is not only to improve appearances but also to restore function. Depending on the type of practice, many procedures are done under local anesthetic on an outpatient basis. Practitioners characterize plastic surgery as a highly creative specialty, requiring good aesthetic sense, the ability to think in three-dimension and appreciation of detail.
2 Upon completion of medical school, to become certified in plastic surgery requires an additional 5 years of Royal College-approved residency training. This training includes: a minimum of 2 years of foundational training in the core aspects of surgery related to plastic surgery, including rotations in: plastic surgery; general surgery; orthopedic surgery; critical care; otorhinolaryngology; vascular surgery; neurosurgery; pediatric surgery; surgical ophthalmology; surgical oncology; oral surgery; and urology; 3 years of progressive senior residency training in plastic surgery, which must incorporate the principle of graded increasing responsibility. This period includes rotations as a senior or chief resident, research or elective time. It must also include exposure to burn surgery, hand surgery, aesthetic surgery, craniofacial trauma surgery, and reconstructive surgery of the breast, trunk, head and neck, lower limb and upper limb, and pediatric plastic surgery. For further training requirements go to: The Canadian Society of Plastic Surgeons PLASTIC SURGERY PROFILE
3 Number of physicians and physicians/100,000 population in Plastic Surgery in Canada, 2015 Province/Territory Physicians Phys/100k pop'n Newfoundland/Labrador Prince Edward Island Nova Scotia New Brunswick Quebec Ontario Manitoba Saskatchewan Alberta British Columbia Territories CANADA Source: 2015 CMA Masterfile
4 Physicians/100,000 population in Plastic Surgery in Canada, 1995 to Source: CMA Masterfile
5 700 Plastic Surgeons by gender and year in Canada, 1995 to Total Males Females Source: CMA Masterfile
6 Plastic Surgeons by age and gender in Canada, 2015 Gender Age Group 34 and under 6% Male 79% Female 21% % 65 and over 16% % % Source: 2015 CMA Masterfile
7 Plastic Surgeons by age and gender in Canada, and over and Under Female Male Source: 2015 CMA Masterfile
8 Main work setting of Plastic Surgeons in Canada, 2014 Private Office/Clinic 45% Academic Health Sciences Centre 33% Community Hospital 15% Community Clinic/Health-centre 3% Admin/Corp office 2% Non-AHSC Teaching Hospital 1% Free-standing Lab/Diag Clinic 1% Source: 2014 National Physician Survey. CFPC, CMA, Royal College
9 Practice organization for Plastic Surgeons in Canada, % 4% 56% Solo Practice Group Practice Interprofessional Practice Hospital-based Practice NR 1% Source: 2014 National Physician Survey. CFPC, CMA, Royal College
10 Hours worked per week (excluding on-call) by Plastic Surgeons in Canada, 2014 Activity Hours worked per week Direct patient care without teaching component 27.6 Direct patient care with teaching component 10.2 Teaching without patient care 3.0 Indirect patient care 6.4 Health facility committees 0.7 Administration 2.3 Research 0.8 Managing practice 3.6 Continued professional development 3.0 Other 1.2 TOTAL HOURS PER WEEK 58.8 Source: 2014 National Physician Survey. CFPC, CMA, Royal College
11 On-call duty hours spent per month by Plastic Surgeons in Canada, % 11% 19% 41% Up to 120 hrs/month More than 120, up to 180 hrs/month More than 180, up to 240 hrs/month 27% More than 240 hrs/month No response Time spent on call in direct patient care = 45 hrs./month Source: 2014 National Physician Survey. CFPC, CMA, Royal College
12 Remuneration for Plastic Surgeons in Canada Primary payment method 1 in % 2% 11% 8% Average gross clinical earnings for Plastic Surgeons in 2013/14 (those earning at least $60,000) = $362, % 90% + fee-for-service 90% + salary Average percent overhead reported by all surgeons specialists in 2010 = 28.4% 3 90% + other* Blended NR * Other includes capitation, sessional, contract and other methods 1 National Physician Survey, 2013, CFPC, CMA, Royal College 2 National Physician Database, 2013/14, CIHI 3 National Physician Survey, 2010, CFPC, CMA, Royal College
13 Satisfaction among Plastic Surgeons in Canada, 2013 Balance of personal & professional commitments 8% 8% 25% 15% 27% 17% Current professional life 10% 4% 6% 11% 34% 36% NR Very dissatisfied Dissatisfied Neutral Satisfied Very satisfied Source: 2013 National Physician Survey. CFPC, CMA, Royal College
14 Plastic Surgeons who are Royal College, CFPC or CMQ certified in Canada, % 16% 10% Royal College CFPC CMQ Outside Canada Note: Subset of those who reported a certification. Physicians could indicate more than one certification body. Source: 2014 National Physician Survey. CFPC, CMA, Royal College
15 Number of Plastic Surgeons who retired during the THREE year period of 2012 to 2014 Males Females < Total Age Group Source: CMA Masterfile year over year comparisons Note: Retired is based on giving up licence and is therefore excludes those who have retired from clinical practice but are still licensed; it includes physicians who have temporarily given up their license but will return to practice at a later date.
16 Total and Ministry funded postgraduate MD trainees in 2014/15 Plastic Surgery Faculty of Medicine Ministry funded Total Faculty of Medicine Ministry funded Memorial U N&L 0 0 McMaster U Dalhousie U UWO U Laval 2 2 NOSM 0 0 U Sherbrooke 2 3 U Manitoba U Montréal U Sask 0 0 McGill U 9 15 U Alberta U Ottawa U Calgary Queens U 0 0 UBC Total U Toronto Canada Source: 2014/15 Annual Census of Post-MD Trainees, CAPER
17 First year and exiting postgraduate-md trainees in 2014/15 Plastic Surgery Female Male IMG GCMS 0 First year Exits from postgrad Source: 2014/15 Annual Census of Post-MD Trainees, CAPER 0 First year Postgrad exits IMG International Medical Graduates GCMS Graduates of Canadian Medical Schools
18 Postgraduate-MD trainees in 2014/15 Plastic Surgery Total of 26 first year Plastic Surgery trainees representing 19% of all Plastic Surgery trainees. Total of 140 Plastic Surgery trainees representing 1% of all Ministry funded trainees. Total of 31 visa trainees in Plastic Surgery. Total of 35 Plastic Surgery trainees completed postgraduate training in Source: 2014/15 Annual Census of Post-MD Trainees, CAPER
19 Location of 2013 Postgraduate-MD exits in 2015 Plastic Surgery Of the 29 exits in 2013, 26 (90%) were known to be practising in Canada Source: 2014/15 Annual Census of Post-MD Trainees, CAPER
20 Stress associated with finding employment at end of residency FM resident 7% 43% 42% 8% Other spec res 6% 20% 50% 25% NR/NA Not stressful Somewhat stressful Very stressful Source: 2012 National Physician Survey of residents. CFPC, CMA, Royal College
21 Links to the organizations supplying information for this document National Physician Survey Canadian Medical Association Association of Faculties of Medicine of Canada Royal College of Physicians and Surgeons of Canada College of Family Physicians of Canada Canadian Institute for Health Information
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