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Anatomical Pathology Anatomical Pathology Profile Updated August 2018

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Page 1: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Anatomical Pathology Profile

Updated August 2018

Page 2: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

AAnatominatomical cal PathologPathologyy

Anatomical Pathology Profile

Updated August 20182

Click on any of the contents below to navigate to the slide. Please click the “home icon” located at the top right of each slide to return to the “table of contents” slide.

TABLE OF CONTENTS Slide▪ General Information 3-4▪ Total number & number/100,000 population by province, 2018 5▪ Number/100,000 population, 1995-2018 6▪ Number by gender & year, 1995-2018 7▪ Percentage by gender & age, 2018 8▪ Number by gender & age, 2018 9▪ Percentage by main work setting, 2017 10▪ Percentage by practice organization, 2017 11▪ Hours worked per week (excluding on-call), 2017 12▪ On-call duty hours per month, 2017 13▪ Percentage by remuneration method 14▪ Professional & work-life balance satisfaction, 2017 15▪ Number of retirees during the three year period of 2014-2016 16▪ Employment situation, 2017 17▪ Links to additional resources 18

Page 3: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Anatomical Pathology

Updated August 20183

Anatomical Pathology

GENERAL INFORMATION

Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical pathologists specialize in examining tissues removed by needle aspiration, surgical procedures or autopsy. They are responsible for diagnosing diseased tissue and investigating the mechanisms and development of disease. This may include the structural and physical changes that occur.

Anatomical pathology includes subspecialties that deal specifically with organ systems. These include: gyneProfilecological pathology; dermatopathology; gastrointestinal pathology; cardiovascular pathology; respiratory pathology; musculoskeletal pathology; renal pathology, genito-urinary pathology; endocrine pathology; ophthalmic pathology; E.N.T. pathology; and neuropathology. It also involves specific laboratory methods such as cytopathology, immunopathology and electron microscopy, or certain types of clinical cases including pediatric pathology and forensic pathology.

Source: Pathway evaluation program

Page 4: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Anatomical Pathology Profile

Updated August 20184

GENERAL INFORMATION

Anatomical Pathology

Upon completion of medical school, to become certified in this specialty requires an additional 5 years of approved residency training. This training includes: 1 year of basic clinical training; 3 years of approved residency training in anatomical pathology (including training in surgical pathology and autopsy pathology); a minimum of 3 months' training in cytopathology; and training in forensic pathology and pediatric pathology. A further year of approved residency is also required.

For further details on training requirements please go to:

Royal College of Physicians and Surgeons of Canada

Canadian Association of Pathologists

Source: Pathway evaluation program

Page 5: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Anatomical Pathology Profile

Updated August 20185

Total number & number/100,000 population by province, 2018

Anatomical Pathology

Province/Territory Physicians Phys/100k pop'n

Newfoundland/Labrador 19 3.6Prince Edward Island 3 2.0

Nova Scotia 37 3.9New Brunswick 19 2.5

Quebec 183 2.2Ontario 390 2.7

Manitoba 48 3.6Saskatchewan 24 2.1

Alberta 122 2.8British Columbia 116 2.4

Territories 0 0.0CANADA 961 2.6

Source: 2018 CMA Masterfile

Page 6: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Number/100,000 population, 1995 to 2018

Anatomical Pathology Profile

1.6

1.8

2.0

2.2

2.4

2.6

2.8

3.0

3.2

1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2018

Updated August 2018Source: 1995-2018 CMA Masterfiles6

Anatomical Pathology

Page 7: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Updated August 2018

Anatomical Pathology

7

Number by gender & year, 1995 to 2018

Anatomical Pathology Profile

0

200

400

600

800

1000

1200

1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2018

Total Males Females

Source: 1995-2018 CMA Masterfiles

Page 8: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

AnatomicP

Anatomical Pathology

Updated August 20188

Percentage by gender & age, 2018

Gender

Female44%Male

56%

Age Group

aro

l Pathology file

<353% 35 - 44

20%

45 - 5426%

55 - 6433%

65+18%

Excludes those where gender or age is unknown.Source: 2018 CMA Masterfile

Page 9: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Number by gender & age, 2018

Anatomical PathologProfile

Female Male

<35 16 15

35-44 96 83

45-54 106 130

55-64 122 172

65+ 52 108

Excludes those where gender or age is unknown.

y

Updated August 20189

Anatomical Pathology

Source: 2018 CMA Masterfile

Page 10: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Updated August 2018

Percentage by main work setting, 2017

Anatomical Pathology Profile

Academic Health Sciences Centre 44%

Community Hospital 26%

Non-AHSC Teaching Hospital 16%

Free-standing Lab/Diag Clinic 8%

Other Hospital 3%

Admin/Corp office 2%

Community Clinic/Health-centre 2%

10

Anatomical Pathology

Source: 2017 CMA Workforce Survey. Canadian Medical Association

Page 11: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Percentage by practice organization, 2017

Anatomical Pathology Profile

5%5%

90%

Solo Practice

Group Practice

Interprofessional Practice

Hospital-based Practice

NR

Updated August 201811

Anatomical Pathology

Source: 2017 CMA Workforce Survey. Canadian Medical Association

Page 12: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Anatomical Pathology Profile

Updated August 2018

Anatomical Pathology

12

Hours worked per week (excluding on-call), 2017

Activity Hours worked per week

Direct patient care without teaching component 21.3

Direct patient care with teaching component 4.6

Teaching without patient care 2.5

Indirect patient care 11.3

Health facility committees 1.0

Administration 3.4

Research 1.4

Managing practice 1.1

Continued professional development 2.3

Other 2.2

TOTAL HOURS PER WEEK 51.0

Source: 2017 CMA Workforce Survey. Canadian Medical Association

Page 13: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Anatomical Pathology Profile

Updated August 201813

Anatomical Pathology

On-call duty hours per month, 2017

• 72% provide on-call services

• On-call hours = 75hours/month

• On-call hours spent in direct patient care = 11 hours/month

Source: 2017 CMA Workforce Survey. Canadian Medical Association

Page 14: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Updated August 201814

Percentage by remuneration method

Primary payment method in 2017

Anatomical Pathology Profile

28%

27%

32%

10%2%

90% + fee-for-service 90% + salary 90% + other* Blended NR

* Other includes capitation, sessional, contract or other methods

Anatomical Pathology

Source: 2017 CMA Workforce Survey. Canadian Medical Association

Page 15: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Updated August 201815

Professional & work-life balance satisfaction, 2017

Anatomical Pathology Profile

Balance ofpersonal &

professionalcommitments

2% 28% 18% 52%

Currentprofessional life 15% 13% 72%

NR Dissatisfied or very dissatisfied Neutral Satisfied or very satisfied

Anatomical Pathology

Source: 2017 CMA Workforce Survey. Canadian Medical Association

Page 16: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

16

Anatomical Pathology

Number of retirees during the three year period of 2014-2016

Male Female

Anatomical Pathology Profile

34 and Under 35-44

1

45-54

1 1

55-64

3

7

65 and over

25

13

Total

29

22

Age Group

Source: CMA Masterfile – year over year comparisons

Updated August 2018

Note: “Retired” is based on giving up licence and therefore excludes those who have retired from clinical practice but are still licensed; those younger than 45 may include physicians who have temporarily given up their licence but return to practice at alater date.

Page 17: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Anatomical Pathology Profile

Employment situation, 2017

40%

58%

2%

Overworked in my discipline

Employed in my discipline to my satisfaction

Underemployed in my discipline

Not employed in my discipline

No response

Updated August 201817

Anatomical Pathology

Source: 2017 CMA Workforce Survey. Canadian Medical Association

Page 18: Anatomical Pathology Profile - Canadian Medical Association · Anatomical pathology is the branch of medicine concerned with the study of the morphologic aspects of disease. Anatomical

Anatomical Pathology

Anatomical Pathology Profile

Updated August 201818

Anatomical Pathology

Links to additional resources

▪ Association of Faculties of Medicine of Canada

▪ Canadian Institute for Health Information

▪ Canadian Medical Association’s Physician Data Centre

▪ Canadian Post-MD Education Registry (CAPER)

▪ College of Family Physicians of Canada

▪ National Physician Survey (2004-2014)

▪ Royal College of Physicians and Surgeons of Canada