Practice Patterns of Respirologists in Canada

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dc.contributor.authorSharma, Sat
dc.contributor.authorDhar, Anil
dc.contributor.authorMcLean, Laura
dc.contributor.authorSahni, Perry
dc.contributor.authorLertzman, Morley
dc.date.accessioned2016-06-08T20:21:29Z
dc.date.available2016-06-08T20:21:29Z
dc.date.issued2002-1-1
dc.date.updated2016-06-07T07:01:01Z
dc.description.abstractThe demographics and practice patterns of respirologists in Canada have not been studied. To evaluate the demographic characteristics of respirologists in practice, appraise current respirology manpower and ascertain the utilization of invasive diagnostic and therapeutic procedures (interventional pulmonology), a mail survey of all Canadian respirologists was conducted. The questionnaires were completed by 62% (n=355) of 573 possible participants. Of the respirologists who responded, 69.2% were younger than 50 years of age, 70.3% had been in practice for fewer than 20 years, 64.4% were in full- or part-time academic practice, and 72.9% were based in urban centres with a catchment population of more than 250,000. The current ratio of respirologists to population in Canada, assuming a total population of 31,000,000, is 1:54,101. In the present survey, only 68.3% respirologists practised clinical respirology for 50% or more of their time, and half (49.5%) of respirologists devoted more than 50% of their time on nonrespirology or nonclinical activities. Thus, the more precise respirologist to population ratio appears to be 1:81,000. The current ratio meets the Royal College of Physicians and Surgeons of Canada recommendations, and the current training programs meet present manpower requirements. With respect to the procedures performed, most specialists carried out bedside procedures and flexible bronchoscopy; a much smaller number did invasive procedures such as rigid bronchoscopy (20.8%), transbronchial needle biopsy of lung (43%), transbronchial biopsy of mediastinal lymph nodes (38%), therapeutic bronchoscopy using laser, cryotherapy and stents (8.7%), transthoracic needle biopsy (22.2%) and thoracoscopy (11.3%). Because 97% of pulmonary specialists would like to perform invasive procedures, fellowship programs, mini-residencies and practical courses should provide the necessary training.
dc.description.versionPeer Reviewed
dc.identifier.citationSat Sharma, Anil Dhar, Laura McLean, Perry Sahni, and Morley Lertzman, “Practice Patterns of Respirologists in Canada,” Canadian Respiratory Journal, vol. 9, no. 6, pp. 395-400, 2002. doi:10.1155/2002/838103
dc.identifier.urihttp://dx.doi.org/10.1155/2002/838103
dc.identifier.urihttp://hdl.handle.net/1993/31435
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderCopyright © 2002 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.titlePractice Patterns of Respirologists in Canada
dc.typeJournal Article
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