ICES | Emergency Department Services in Ontario 1993 - 2000 - page 22

The total clinical workload for
ED physicians has increased
from 1993 to 2000. ED
physicians now spend more
days working the ED and see
more patients during the year.
This increase in workload is
related to the fact that there are
fewer doctors working in EDs
(see Exhibit 11).
Exhibit Highlights
Exhibit 12: Clinical Workload of Emergency Department Physicians, 1993 to 2000
Data Sources: Ontario Health Insurance Plan (OHIP), Ontario Physician Human Resource Data Centre (OPHRDC)
21
Institute for Clinical Evaluative Sciences
Emergency Department Services in Ontario
1993
2000
1993
2000
FRCP(C) *
141
127
24.8
23.2
CCFP(EM
)
123
130
23.4
23.6
GP/FP
60
68
20.8
21.1
Other
26
36
19.0
22.9
Total
Specialty
Average Days
Worked in ED
Per Physician Per Year
Average Number
of ED Patients
Seen Per Day Worked
Average Number
of ED Patients
Seen Per Physician Per Year
2000
1993
64
76
21.2
21.7
3505
2874
1250
486
1357
2945
3074
1432
813
1672
Notes:
ED
= emergency department.
FRCP(C)
= certified specialist in emergency medicine.
CCFP(EM)
= family physician with special emergency medicine certification.
GP/FP
= general practitioner or family physician without special emergency medicine certification.
Other
= physicians in other specialties.
All figures are based on physicians who saw at least 100 ED patients per year in an ED which was on fee-for-service or shadow billing
throughout the study period. Physicians had to see at least four patients in a day to count as having worked that day.
*
Results reported for FRCP(C) physicians should be interpreted with caution.
Many FRCP(C) physicians have been excluded from
calculations because they work in major teaching hospitals which are in non-fee-for-service, non-shadow-billing settings. The apparent
decline in clinical workload for FRCP(C) physicians could be due to these physicians taking on more administrative duties, or due to a
shift from fee-for-service to non-fee-for-service practice among those physicians who spend part of their time in both settings.
1...,12,13,14,15,16,17,18,19,20,21 23,24,25,26,27,28,29,30,31,32,...54
Powered by FlippingBook