千名沙特醫生將離加返國 多省缺醫生 外科手術延誤

[YINGWA]

http://www.mingpaocanada.com/tor/htm/News/20180821/tdb1.htm?m=0
【明報專訊】斯高沙省衛生廳表示，因為加拿大與沙特外交風波，該省將出現醫療人員缺口，近60名在斯高沙省的沙特住院醫生(medical resident)於月底前返國，原定數月內進行的外科手術或會延誤。

斯高沙省行政醫療總監泰勒醫生(Mark Taylor)表示，沙特醫療人員離加後，將導致一些已排期進行的手術面臨「少許延誤」，醫療人員正設法填補這個缺口，手術或延後數周進行。

自加國政府在推特批評沙特逮捕婦女維權人士後，沙特中斷外交關係，並召回在加拿大的約1,000名沙特住院醫生及實習醫生。他們必須於本月31日前離開加國。

泰勒表示，衛生當局、達爾豪斯大學(Dalhousie University)和省衛生廳正商議，評估包括骨科、心臟和神經外科手術在內，哪些手術有特殊需要，急需進行手術。內科是另一面臨問題的領域。

根據達爾豪斯大學網站，該大學醫學院有59名沙特醫生正駐院實習，衛生部門的數字則為58人。大學發言人吉勒斯(John Gillis)證實有24名沙特住院醫生，包括10人在骨科，4人在心臟外科。其中部分人在兒科，因此在IWK兒童醫院作住院醫。

泰勒表示，雖然或許能透過增聘醫生解決某些醫科的人手短缺問題，但部分沙特實習醫生有非常複雜的醫療技術，相信短期難以找人代替，這意味着當地外科醫生和其他專家在此期間需要承擔更多工作。

泰勒說，加國其他醫學院也面臨同樣問題，魁省麥基爾大學(McGill University)與多倫多大學缺人的情況更嚴峻，也在爭聘新的醫療專業人員。

衛生部發言人巴倫(Tracy Baron)在電郵中證實，正制訂一旦沙特醫科生離開的應變計劃，各方正努力將影響減至最輕微，現在要知道臨床要求和成本仍為時過早。

達爾豪斯大學醫學院的住院醫由沙特資助。斯高沙省環境廳長德洛利(Randy Delorey)及斯高沙省醫生協會(Doctors Nova Scotia)均表示有能力處理這個問題。

泰勒表示，省府早前已承諾，下個夏季將增設15個住院醫生職位。

** Resident salary is 65000 CAD,
https://neuvoo.ca/salary/residency/
and those medical residents are paid by Saudi Arabia Government, plus additional fee of 100000 CAD per resident each year to hospital to allow resident to work there. These residents work in hospital for FREE (no cost to province).
Canada has lost 1000 residents * (65000 + 100000) = 165 million CAD per year
Most important of all, 1000 medical residents.

 

[ccc]

沙特援助加拿大医疗队?

走好，不送!　

 

[向问天]

对加拿大医学院刚刚毕业的学生是好事。

 

[向问天]

沙特援助加拿大医疗队?

走好，不送!　

他们回去沙特有这么多职位给他们？

 

[向问天]

沙特援助加拿大医疗队?

走好，不送!　

听说他们是沙特政府付工资的。

 

[ccc]

听说他们是沙特政府付工资的。

为啥? 援助加拿大?

 

[ccc]

他们回去沙特有这么多职位给他们？

他们是否都拿到了医生资格还是个问题呢。

 

[ccc]

Loss of Saudi residents a 'staggering' problem for Canadian hospitals, doctor warns
the Ottawa Citizen
Blair Crawford
Updated: August 17, 2018

Dr. Frank Rybicki is a pioneer in the use of 3D technology in medicine. Darren Brown / Ottawa Citizen

It will take a “Herculean” effort from Canadian hospitals to fill the void left when Saudi medical trainees leave, says the chairman of the University of Ottawa’s department of radiology.

Last week, Saudi Arabia ordered all Saudis studying medicine in Canada home — roughly 1,000 in total — in its angry response to a tweet from Global Affairs Canada that criticized the arrest and imprisonment of human rights activists in the kingdom. The trainees were ordered home by Aug. 31.

“The implications on both sides are staggering,” Dr. Frank Rybicki wrote in an editorial he published Wednesday on LinkedIn. “Disrupting the training for young Saudi physicians is heartbreaking for most, and stressful for all.”

With barely two weeks until the deadline for the Saudis’ withdrawal, Rybicki pleads for a delay until mid-October — midway through the current training term — giving both the Saudis and the Canadian hospitals more time to adapt or perhaps work out a solution.

“Even if there is no amicable solution to the issue, it is not possible to mobilize all the Saudi trainees elsewhere in such a short period of time,” Rybicki writes in the editorial, which was approved for publication by the University of Ottawa.

Rybicki, who is also chair of the department of radiology at The Ottawa Hospital, made it clear he wasn’t commenting on the politics of the Saudi-Canada dispute, but said the Saudi withdrawal would have “significant” impact on Canadian hospitals and medical schools. The Saudis will take with them valuable knowledge and experience when they leave their programs.

“These lessons are hard, or impossible, to replace as all research programs are different,” he wrote.

“From the Canadian hospital side, finding the proper human resources to manage the void created by the departure of our Saudi trainees will take Herculean efforts. Having a few months of grace will help hospitals manage and cope.”

There are 67 medical trainees at the University of Ottawa, most of whom train and work at either The Ottawa Hospital or Children’s Hospital of Eastern Ontario. Rybicki said he has had more than 80 Saudi trainees in his own labs, both in Ottawa and at the Harvard Medical School in Boston.

In another op-ed written for the Citizen and published online Thursday, Dr. John Stewart, a professor emeritus at McGill University, criticized the “very disquieting” aspects of the Canada-Saudi medical training partnership.

He says the Saudi doctors, whose training is paid for the Saudi government, are irresistible for Canadian medical schools because of the money they bring in and because they are “free extra pairs of hands to help in the day-to-day running of university teaching hospitals.”

Meanwhile, 115 of this year’s Canadian medical school graduates were unable to find a residency placement in a Canadian hospital, Stewart notes. But the departure of the Saudis won’t necessarily open up spots for those Canadian doctors since there will be no money to pay for the training, says Stewart, who argues Canada should make the “wise investment” by increasing its spending on medical training.

 

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Saudi Arabian students across Canada have been told to leave the country by Aug. 31 because of a diplomatic spat between the two nations, however medical residents studying at Dalhousie University have had that deadline extended to Sept. 22.

The pending departure of almost 60 Saudi Arabian medical residents will cause surgical delays over the coming months, says an official with the Nova Scotia Health Authority.

Dr. Mark Taylor, executive medical director for the NSHA’s central zone, said “minor delays” would likely occur for scheduled surgeries as health officials look to fill gaps created by the departures.

“Patients who have been waiting for scheduled surgery, I would say there may be delays of up to a few weeks as a result of this, but I don’t think it will be more than that,” Taylor said in an interview Monday.

“I don’t think the delays are likely to be major and probably we will be able to carry on because everybody takes up the slack.”

About 1,000 Saudi residents and fellows in Canada have been called back to the kingdom after diplomatic relations between the two countries were abruptly suspended over a tweet from a Canadian government official criticizing the Saudis’ arrest of female social activists.

Taylor said the NSHA, Dalhousie University, and the provincial Health Department are in the process of determining the needs of surgical areas facing acute problems, particularly orthopaedic, cardiac and neurosurgery departments. Internal medicine is another area where “we have some problems,” Taylor said.

Orthopaedic surgeries already have some of the longest wait lists in the province and losing so many residents at one time could increase those wait times.

“I don’t think it’s a crisis,” Taylor said.

“I believe that there will be some delays in treatment but I believe those will be manageable, and we always have the capacity to treat urgent cases faster. That will never change.”

According to the Dalhousie website, there are 59 Saudi physicians working to complete their residency at the Halifax school, although the health authority said in an email the number is 58.

Spokesman John Gillis confirmed there are 24 Saudi residents who work in surgical services, including 10 of 23 residents in orthopaedics and four of nine residents in cardiac surgery.

Gillis said those numbers include paediatric surgery so some of the residents would be primarily based at the IWK Children’s Hospital rather than facilities administered by the NSHA.

Taylor said it’s possible for doctors to be hired to work in fields that require coverage, although trainees won’t be introduced into the system until a new cohort arrives for the next academic year, which begins July 1.

“Some of those trainees were very senior in their training so some of them were providing highly sophisticated specialized medical services and those obviously can’t be replaced with just anybody off the street,” Taylor said.

He said some residents could prove very difficult to replace in the short term, which means more work over that period for local attending surgeons, residents and other specialists.

“Obviously, there is some concern and anxiety around that,” said Dr. Caitlin Lees, president of Maritime Resident Doctors.

“Residents already work very long hours. We do have a contract to regulate but we’re capped at 90 hours a week so it’s still a very long work week.”

Complicating matters, Taylor said, is that provinces with much larger medical schools such as Quebec and Ontario will also be looking to hire new health professionals.

“Many other Canadian health-care training facilities are in the same position. McGill (University) and the University of Toronto are both in even worse situations than us so they will be trying to hire these people as well,” he explained.

With the deadline extension, Saudi residents can continue to stay and work until Sept. 22. This gives them enough time to fit in another rotation, but for some medical students the news comes too late as they have already withdrawn from the program, and some have even left the country.

In an email, Health Department spokeswoman Tracy Baron confirmed that a plan is being developed in case all the residents depart.

“All the parties are working hard to mitigate against those impacts, and it’s too early to know what the clinical requirements and costs may be,” said Baron.

The residencies of Saudi students at Dalhousie’s medical school are funded by Saudi Arabia, and Health Minister Randy Delorey is on record as saying Nova Scotia can handle the losses.

Doctors Nova Scotia has also said the province could handle any initial problems. The organization pointed out that there didn’t seem to be a direct impact on the recruitment and retention of doctors, adding that many of the Saudis would have moved on to practice in other countries once their training was completed.

Taylor said the province had already previously announced that there will be 15 new residency positions added beginning next summer.

“That will go some ways to dealing with this problem, actually, since many of those positions will be taken up by new Canadian residents entering the system,” he said.

 

[A Special Day]

虽然不赞成和沙特搞僵关系，但像沙特这样的国家，除了石油和美国的支持什么都不是，也和加拿大叫板，真是呵呵了。加拿大有求于它吗？

 

[kukululu]

他们回去沙特，是不是加拿大医学院可以招更多本土学生了啊？

 

[uglyducking]

加拿大人的生命怎么可以放在木木医生们的手中赶紧走人别再回来

 

[一亩三分地]

现在30多岁回去读医学院还来得及吗？生物化学物理都不好的那种
在线等比较急

 

[rottenmelon]

按规矩不能用你们碰过猪肉的手帮神教的人动手术...

 

[ccc]

现在30多岁回去读医学院还来得及吗？生物化学物理都不好的那种
在线等比较急

回沙特？