Depending on the size of the community, the departure can have a devastating effect on the service provision in the area. The loss has a direct negative influence on the quality and continuity of care. It has been said that we are placing too much emphasis on future physician supply, but one must keep in mind what we are dealing with. An ageing population presents more complex health problems. It has been suggested by some that all we have to do is to get doctors to change their practice to an area of shortage.
Medical training is a long process.
Health care resource planning is a complex exercise that must take into account the needs of the population and the health professions. All levels of governments, physicians, and other health professionals must work together in ongoing consultation to provide a balanced and integrated health care work force. There should be a transparent process and an absence of coercion. If we are to avoid what appears to be a significant worsening crisis, planning for the future must begin now. We must also focus on repatriating the Canadian physicians that have left the country and work together to recruit and retain physicians where they are needed.