Canaries in the mineshaft: the dermatology workforce shortage in Eastern Ontario.
BACKGROUND
The number of dermatology residency positions in Canada has not reflected the growing workforce shortage. Until 2005, all dermatology residents at the University of Ottawa were committed to return to their funding area at the completion of their training. This has left Eastern Ontario with a critical shortage of dermatologists.


OBJECTIVE
To survey dermatologists practicing in Eastern Ontario to understand the basis of the workforce shortage and outlook for the future.


METHODS
Mailed surveys sent in 1999, 2003, and 2006 to all dermatologists in Eastern Ontario requesting demographic information, workload data, and future career plans.


RESULTS
There was a 100% response rate in each survey year. Between 1999 and 2006, the total number of practicing dermatologists decreased from 26 to 23, whereas the average age increased from 51.4 to 57.4 years. The waiting time to see new and returning patients increased, from 5.8 to 18.5 weeks and 4.9 to 11.8 weeks, respectively. Ten of the 23 dermatologists practicing in 2006 plan to retire within the next 5 years.


CONCLUSIONS
The inadequate supply of dermatologists in Eastern Ontario will increasingly threaten patient care. This emphasizes the need for additional funding for dermatology training positions, continued mentorship, and improved dermatology training for nondermatologists.
Division of Dermatology, University of Ottawa and the Ottawa Health Research Institute, The Ottawa Hospital, Ottawa, ON. cheughan@dal.ca
Caroline
C
Heughan
Nordau
N
Kanigsberg
Esiahas
E
Amdemichael
Dean
D
Fergusson
Darcy
D
Ammerman
D003625:Data Collection; D003880:Dermatology / Q000639:trends; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario; D000078329:Workforce