{"id":1880,"date":"2022-11-23T05:38:52","date_gmt":"2022-11-23T05:38:52","guid":{"rendered":"https:\/\/www.rbc.com\/en\/economics\/2022\/11\/23\/proof-point-canada-needs-more-doctors-and-fast\/"},"modified":"2025-03-26T04:54:42","modified_gmt":"2025-03-26T04:54:42","slug":"proof-point-canada-needs-more-doctors-and-fast","status":"publish","type":"post","link":"https:\/\/www.rbc.com\/en\/economics\/canadian-analysis\/featured-analysis\/insights\/proof-point-canada-needs-more-doctors-and-fast\/","title":{"rendered":"<b>Proof Point: <\/b> Canada needs more doctors\u2014and fast"},"content":{"rendered":"<ul class=\"disc pad-l\">\n<li>Canada will be short about 44,000 physicians by 2028, with family doctors accounting for 72% of the deficit. <\/li>\n<li>In addition to closing that gap, Canada will need to train or hire 30,000 more physicians by 2028 to match the average number of doctors per capita among OECD peers. <\/li>\n<li>Limited residency spots, a lack of professionals to evaluate prospective physicians, and funding shortfalls have created a chain of bottlenecks. <\/li>\n<li>And the shortages are adding pressure to an already strained healthcare system, as patients unable to find family doctors turn to emergency rooms instead. <\/li>\n<li><b>The bottom line:<\/b> Hiring and training more doctors specializing in high-demand disciplines will help alleviate chronic shortages. Adding residency spots for fresh domestic and international medical graduates can help address some long-term challenges. And technology and policy that support the current workforce can improve efficiencies.<\/li>\n<\/ul>\n<hr>\n<h4>The doctor is out: a severe shortage of physicians is fast approaching<\/h4>\n<p>Finding a family doctor in Canada is getting harder. Roughly <a href=\"https:\/\/angusreid.org\/canada-health-care-family-doctors-shortage\/\">six million Canadian adults<\/a> don\u2019t have access to a family doctor\u2014up from 4.6 million in 2019. The situation is particularly alarming in <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31854338\/\">rural communities<\/a> where only 8% of physicians are serving nearly one-fifth of Canada\u2019s population. The pain of this shortfall is already being felt in the broader healthcare system. Family doctors are often the first stop for patients seeking medical attention. And without quick access to them, patients are turning to emergency departments already overwhelmed by the pandemic. <\/p>\n<p>The crisis is set to deepen. Canada is estimated to be <a href=\"https:\/\/occupations.esdc.gc.ca\/sppc-cops\/.4cc.5p.1t.3onsummaryd.2tail@-eng.jsp?tid=104\">short<\/a> nearly 44,000 physicians, including over <a href=\"https:\/\/occupations.esdc.gc.ca\/sppc-cops\/.4cc.5p.1t.3onsummaryd.2tail@-eng.jsp?tid=105\">30,000<\/a> family doctors and general practitioners, before the end of the decade. Though 2,400 family physician <a href=\"https:\/\/www.cma.ca\/news-releases-and-statements\/critical-family-physician-shortage-must-be-addressed-cma\">positions<\/a> were advertised on government websites by the end of 2021, just <a href=\"https:\/\/www.rbc.com\/en\/economics\/wp-content\/uploads\/sites\/4\/2024\/11\/2021.h-9.pdf\">1,496<\/a> family doctors exited residency training that year.  <\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.rbc.com\/en\/economics\/wp-content\/uploads\/sites\/23\/2025\/03\/Doctors-ProofPoint-2_Chronic_1200px.png\" alt=\"\" width=\"2501\" height=\"1307\" class=\"alignnone size-full wp-image-41484\" \/><\/p>\n<h4>Canada\u2019s supply of doctors has fallen behind other major economies<\/h4>\n<p>The number of doctors per capita in Canada is well behind that of peer countries like France and Germany, according to OECD data. What\u2019s more, due to data comparability issues, these figures paint a rosier picture for Canada by including non-practicing doctors (educators, researchers, managers, etc.) in overall physician statistics. With Canada\u2019s population set to rise 7.7% by 2028, addressing this primary healthcare crunch is critical. But easing bottlenecks across the system is more complex than simply recruiting more domestic and international individuals to study medicine.<\/p>\n<p> The first choke point is a quota system that all 17 Canadian medical schools are subject to, and that limits student admissions to just under 3,000 spots for prospective doctors each year. The second is the disproportionate number of graduates from international medical schools (both Canadian and foreign-born) who don\u2019t end up with residency positions. Over 90% of the roughly 2,100 applicants who went unmatched in the past three years were international medical graduates (IMGs). The third is the expansion of quotas for medical students without a commensurate increase in residency opportunities\u2014a vital requirement to practice medicine.<\/p>\n<p>The final bottleneck is the <a href=\"https:\/\/www.carms.ca\/data-reports\/r1-data-reports\/r-1-match-interactive-data\/\">declining share<\/a> of medical students choosing to study family medicine\u2014the discipline most in demand in Canada. An incentive drive to encourage more people to pursue this career, and for medical practitioners to take trainees, is urgently needed.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.rbc.com\/en\/economics\/wp-content\/uploads\/sites\/23\/2025\/03\/Doctors-ProofPoint-2_Fewer-residency_1200px.png\" alt=\"\" width=\"2501\" height=\"1307\" class=\"alignnone size-full wp-image-41486\" \/><\/p>\n<h4>Streamlined credentialing, more funding needed to curb doctor shortage <\/h4>\n<p>Investment will be needed to expand the capacity of hospital and university networks, to add educators and assessors, and to increase residency spaces in the Canadian medical system. More residency spaces are also needed to align with the increase in medical school student quotas. And streamlining credential recognition for internationally-trained physicians (ITPs) and international medical graduates (IMGs) will be crucial. Programs like Practice-Ready Assessment (PRA) can assess ITPs and IMGs in a clinical environment over a period of twelve weeks by evaluating candidates more practically and thoroughly while expediting their workforce integration. Currently, however, only seven of ten provinces employ PRA. Ontario, home to 39% of Canada\u2019s population, scrapped the PRA program in 2018. This has exacerbated the province\u2019s doctor shortage.  <\/p>\n<p>Many provinces are taking important steps to alleviate shortages. Ontario is making it easier for out-of-province physicians to temporarily practice in the province, while British Columbia is raising family doctors\u2019 earnings. But more should be done to attract internationally-trained physicians who can begin providing care to Canadians quickly. <\/p>\n<p>As we work to attract more trainees to family medicine, we can unlock other efficiencies, including by encouraging family physicians to work collaboratively with other healthcare professionals to ensure timely patient care. Technology can help streamline the prescription process, and telehealth consultations can reduce administrative burdens.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.rbc.com\/en\/economics\/wp-content\/uploads\/sites\/23\/2025\/03\/Doctors-ProofPoint-2_Canadas-supply_1200px.png\" alt=\"\" width=\"2501\" height=\"1308\" class=\"alignnone size-full wp-image-41487\" \/><\/p>\n<p>\u00a0<\/p>\n<hr>\n<p><em><b>Ben Richardson<\/b> Ben is responsible for researching pieces for RBC Economics and Thought Leadership. Prior to joining RBC, he obtained a Master\u2019s degree from the University of Toronto and worked in Washington, D.C., at the Woodrow Wilson Center, researching topics concerning Canada-US relations.<\/em><\/p>\n<p><em><b>Yadullah Hussain <\/b>is Managing Editor, Climate &#038; Energy, at RBC Thought Leadership. Before joining RBC, Hussain was a business journalist covering the economy, energy and financial markets in a career spanning two decades.<\/em><\/p>\n<p><em><b>Naomi Powell<\/b> is responsible for editing and writing pieces for RBC Economics and Thought Leadership. Prior to joining RBC, she worked as a business journalist in Canada and Europe, most recently reporting on international trade and economics for the Financial Post.<\/em><\/p>\n<hr>\n","protected":false},"excerpt":{"rendered":"<p>Canada will be short about 44,000 physicians by 2028, with family doctors accounting for 72% of the deficit.<\/p>\n","protected":false},"author":189,"featured_media":1786,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":""},"categories":[83,82,84],"tags":[67],"rbc_econ_content_type":[],"class_list":["post-1880","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-canadian-analysis","category-featured-analysis","category-insights","tag-proof-point"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - 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ago"},"absolute_dates":{"created":"Posted on November 23, 2022","modified":"Updated on March 26, 2025"},"absolute_dates_time":{"created":"Posted on November 23, 2022 5:38 am","modified":"Updated on March 26, 2025 4:54 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