Home LATEST NEWS HEALTH The rise in retirements worries the College of Physicians

The rise in retirements worries the College of Physicians

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: what am I going to do, Doctor, will you find me one? Me, it takes to my heart and it is sure that it makes our walk towards retirement difficult and painful”,”text”:”Me, each patient who says to me: what am I going to do, Doctor, will you find me one? Me, it takes me to the heart and it is sure that it makes our walk towards retirement difficult and painful”}}”>Me, every patient who says to me: what am I going to do, Doctor, are you going to find me one? Me, it takes me to the heart and it is sure that it makes our walk towards retirement difficult and painfulsays Dr. Claire Nantel.

She and her physician colleague Louis Duquette have been practicing as general practitioners in Saint-Patrice-de-Beaurivage for more than 40 years. Over the years, they have contributed to the establishment of the Coop de solidarité santé du Sud de Lotbinière.

Two young doctors have joined the Coop in recent years, but this will not be enough to ensure succession.

Ideally, we would like five doctors [au total] and we asked for two specialized nurse practitionersexplains Dr. Louis Duquette.

Drs. Nantel and Duquette are part of a large cohort of family physicians in their 60s who will be leaving practice in the coming years.

Tens of thousands of patients find themselves orphans every year and swell the waiting list for a family doctor. According to data obtained from the Régie de l’assurance maladie du Québec (RAMQ), the number of family doctors who signal their intention to retire has almost doubled in five years, from 145 in 2016 to 275 per year. latest.

As the general manager of the Cooperative de solidarité de santé du Sud de Lotbinière, Isabelle Jacques, points out, their departure creates a lot of uncertainty.

The Chaudière-Appalaches region already has 62,000 patients on the waiting list for a family doctor, while the province has nearly 950,000.

Middle School concerned

At the College of Physicians of Quebec (CMQ), we say we are aware of demographics and the pressure on future retirees.

The ethics of individual responsibility between a doctor and a patient, we are good at that! But combining an ethic of collective responsibility between a group of doctors and a population to be served, that, we are less good at it and it is in this sense that we are going to try to work to see how we could help these doctors who are at retirement agesays Dr. Gaudreault.

According to him, the solution does not go through an increase in the number of family doctors, as suggested by the Federation of General Practitioners of Quebec (FMOQ).

I don’t think we should resolve to train more doctors. I think that, during their training, doctors should be more trained in interdisciplinarity, says Dr. Gaudreault. He is delighted with the openness to collaborations with nurses.

Support mechanisms

When he ceased his activities as a family physician in 2013, Dr. Gaudreault was able to count on his physician colleagues from his family medicine group (FMG) in Chicoutimi to take care of his patients.

RAMQ, if the doctor has not found colleagues to take over, his clientele will not be divided into blocks and patients will be invited to register at the counter for access to a family doctor (GAMF).

When a family physician retires, moves, reorients his practice or dies, he can assign blocks of patients to other physicians.

According to data from the Régie de l’assurance maladie du Québeca record 108,414 patients were transferred between physicians in 2021, up 32% from 2018 (82,067).

But taking this data into account, 20% to 25% of patients, on average, are transferred to another doctor through the patient block transfer mechanism.

The majority of patients must register and wait on the waiting list of the One-stop access to a family doctor.

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