MEDICAL MICROBIOLOGY INFECTIOUS DISEASES PROFILE MICROBIOLOGY INFECTIOUS DISEASES PROFILE ... including laboratory management, ... residency in the clinical microbiology laboratory,

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  • MEDICAL MICROBIOLOGY & INFECTIOUS DISEASES PROFILE

    Microbiology and infectious diseases focuses on the diagnosis and treatment of infectious diseases; thus, it is concerned with human illness due to micro-organisms. Since such disease can affect any and all organs and systems, this specialist must be prepared to deal with any region of the body. The specialty of Medical Microbiology and Infectious Disease consists primarily of four major spheres of activity:

    1. the provision of clinical consultations on the investigation, diagnosis and treatment of patients suffering from infectious diseases; 2. the establishment and direction of infection control programs across the continuum of care; 3. public health and communicable disease prevention and epidemiology; 4. the scientific and administrative direction of a diagnostic microbiology laboratory.

    Once youve completed medical school, it takes an additional 5 years of Royal College-approved residency training to become certified in medical microbiology and infectious disease. This residency training must include the following:

    - 1 year of basic clinical training; - 2 years of diagnostic laboratory residency in an approved department or division of

    microbiology, including bacteriology, immunology, mycology, mycobacteriology, parasitology and virology. In addition the resident must attain adequate experience

  • in general hospital microbiology, including laboratory management, infection control, molecular biology, research and how microbiology relates to other hospital departments including administration;

    - 1 year of approved residency in directly relevant clinical medicine (e.g. Internal Medicine or Pediatrics). This year must include six months of clinical practice centred around the management of patients with infectious diseases;

    - 1 further year of residency that may consist of: residency in the clinical microbiology laboratory, infectious diseases, infection prevention and control, research, public health, epidemiology, community medicine; or residency in other branches of laboratory or clinical medicine; or residency or research at a hospital or university centre recommended by the program director.

    For more detailed training requirements go to: http://www.royalcollege.ca/portal/page/portal/rc/credentials/start/routes/traditional_route Association of Medical Microbiology and Infectious Disease Canada: www.ammi.ca

    MEDICAL MICROBIOLOGY & INFECTIOUS DISEASES PROFILE

    http://www.royalcollege.ca/portal/page/portal/rc/credentials/start/routes/traditional_routehttp://www.ammi.ca/

  • Number of physicians and physicians/100,000 population in Medical Microbiology & Infectious Diseases in Canada, 2015

    Source: 2015 CMA Masterfile

    Province/Territory Physicians Phys/100k pop'n

    Newfoundland/Labrador 4 0.8

    Prince Edward Island 1 0.7

    Nova Scotia 13 1.4

    New Brunswick 10 1.3

    Quebec 214 2.6

    Ontario 169 1.2

    Manitoba 20 1.6

    Saskatchewan 14 1.2

    Alberta 74 1.8

    British Columbia 76 1.6

    Territories 1 0.9

    CANADA 596 1.7

  • Physicians/100,000 population in Medical Microbiology & Infectious Diseases in Canada, 1995 to 2015

    Source: CMA Masterfile

    1.0

    1.1

    1.2

    1.3

    1.4

    1.5

    1.6

    1.7

    1.8

    1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015

  • Medical Microbiology & Infectious Disease specialists by gender and year in Canada, 1995 to 2015

    0

    100

    200

    300

    400

    500

    600

    700

    1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015

    Total Males Females

    Source: CMA Masterfile

  • Medical Microbiology & Infectious Disease specialists by age and gender in Canada, 2015

    Source: 2015 CMA Masterfile

    Female 43%

    Male 57%

    Gender

    34 and under 6%

    35 - 44 30%

    45 - 54 26%

    55 - 64 26%

    65 and over 12%

    Age Group

  • Medical Microbiology & Infectious Disease specialists by age and gender in Canada, 2015

    Source: 2015 CMA Masterfile

    19

    88

    60

    63

    18

    15

    83

    91

    89

    50

    34 and Under

    35-44

    45-54

    55-64

    65 and over

    Female Male

  • Main work setting of Medical Microbiology & Infectious Disease specialists in Canada, 2014

    Source: 2014 National Physician Survey. CFPC, CMA, Royal College

    61%

    15%

    5%

    5%

    4%

    3%

    3%

    Academic Health Sciences Centre

    Non-AHSC Teaching Hospital

    Community Hospital

    Free-standing Lab/Diag Clinic

    Nursing home/ long term care facility/ seniors residence

    Private Office/Clinic

    Community Clinic/Health-centre

  • Source: 2014 National Physician Survey. CFPC, CMA, Royal College

    Practice organization for Medical Microbiology & Infectious Disease specialists in Canada, 2014

    4% 8%

    1%

    87%

    Solo Practice

    Group Practice

    Interprofessional Practice

    Hospital-based Practice

    NR

  • Hours worked per week (excluding on-call) by Medical Microbiology & Infectious Disease specialists in Canada, 2014

    Source: 2014 National Physician Survey. CFPC, CMA, Royal College

    Activity Hours worked per week

    Direct patient care without teaching component 12.0

    Direct patient care with teaching component 7.8

    Teaching without patient care 3.8

    Indirect patient care 5.4

    Health facility committees 2.0

    Administration 6.6

    Research 5.7

    Managing practice 1.5

    Continued professional development 3.2

    Other 1.4

    TOTAL HOURS PER WEEK 49.5

  • Time spent on call spent in direct patient care = 44 hrs./month

    On-call duty hours spent per month by Medical Microbiology & Infectious Disease specialists in Canada, 2014

    Source: 2014 National Physician Survey. CFPC, CMA, Royal College

    53%

    29%

    11%

    12%

    1%

    Up to 120 hrs/month

    More than 120, up to 180 hrs/month

    More than 180, up to 240 hrs/month

    More than 240 hrs/month

    No response

  • Remuneration for Medical Microbiology & Infectious Disease specialists in Canada

    12%

    15%

    15%

    56%

    2%

    Primary payment method1 in 2013

    90% + fee-for-service 90% + salary

    90% + other* Blended

    NR

    * Other includes capitation, sessional, contract and other methods

    Average gross clinical earnings for Internal Medicine in 2013/14 (those earning at least $60,000) = $396,1052

    Average percent overhead reported by Internal Medicine specialists in 2010 = 22%3

    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

  • Satisfaction among Medical Microbiology & Infectious Disease specialists in Canada, 2013

    2%

    2%

    1%

    8%

    12%

    23%

    11%

    24%

    52%

    31%

    22%

    12%

    Currentprofessional life

    Balance of personal& professionalcommitments

    NR Very dissatisfied Dissatisfied Neutral Satisfied Very satisfied

    Source: 2013 National Physician Survey. CFPC, CMA, Royal College

  • Medical Microbiology & Infectious Disease physicians who are Royal College, CFPC or CMQ certified in Canada, 2014

    100%

    25%

    5%

    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

  • Number of Medical Microbiology & Infectious Disease specialists who retired during the THREE year period of 2012 to 2014

    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 licence but may return to practice at a later date.

    1 1

    7

    9

    1

    3 4

    < 35 35-44 45-54 55-64 65 + Total

    Age Group

    Males Females

  • Faculty of Medicine

    Ministry funded

    Total Faculty of Medicine

    Ministry funded

    Total

    Memorial U N&L 0 0 McMaster U 3 4

    Dalhousie U 0 3 UWO 0 0

    U Laval 10 10 NOSM 0 0

    U Sherbrooke 14 14 U Manitoba 1 2

    U Montral 10 10 U Sask 0 0

    McGill U 7 7 U Alberta 9 9

    U Ottawa 4 4 U Calgary 0 0

    Queens U 0 0 UBC 5 5

    U Toronto 4 4 Canada 67 72

    Total and Ministry funded postgraduate MD trainees in 2014/15 Medical microbiology

    Source: 2014/15 Annual Census of Post-MD Trainees, CAPER

  • Faculty of Medicine

    Ministry funded

    Total Faculty of Medicine

    Ministry funded

    Total

    Memorial U N&L 0 0 McMaster U 4 6

    Dalhousie U 2 3 UWO 0 0

    U Laval 0 0 NOSM 0 0

    U Sherbrooke 0 0 U Manitoba 5 9

    U Montral 1 2 U Sask 0 0

    McGill U 2 3 U Alberta 7 9

    U Ottawa 5 5 U Calgary 7 8

    Queens U 0 0 UBC 7 9

    U Toronto 11 26 Canada 51 80

    Total and Ministry funded postgraduate MD trainees in 2014/15 Infectious Disease*

    Source: 2014/15 Annual Census of Post-MD Trainees, CAPER

    * Includes Infectious Disease (Int Med) and Infectious Disease (Ped)

  • 5 5

    5

    3

    0

    6

    12

    First year Exits frompostgrad