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Doctors & patients : supply, use and payments in British Columbia, 1998-1999 : part I - physician FTEs… Kazanjian, Arminée, 1947-; Chen, Alice W.; Wood, Laura Christine, 1955-; Fung, Patrick Wong Jun 30, 2001

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Centre for Health Servicesand Policy ResearchDOCTORS & PATIENTS:SUPPLY, USE AND PAYMENTS IN BRITISH COLUMBIA,1998-1999Part I - Physician FTEs and Distribution in B.C.Arminée KazanjianAlice ChenLaura WoodPatrick Wong FungHHRU 01:3 June 2001Health Human Resources UnitResearch ReportsTHE  UNIVERSITY  OF  BRITISH  COLUMBIAThe “Doctors & Patients” reports are an updated version of the HHRU series of reports formerly titled:“Fee Practice Medical Services Expenditures per Capita and Full-Time-Equivalent (FTE) Physicians”.DOCTORS & PATIENTS:SUPPLY, USE AND PAYMENTS IN BRITISH COLUMBIA,1998-1999Part I - Physician FTEs and Distribution in B.C.HHRU 01:3Health Human Resources Unit Arminée KazanjianCentre for Health Services and Policy Research Alice ChenThe University of British Columbia Laura WoodVancouver, British Columbia  V6T 1Z3 Patrick Wong FungJune 2001iiiFOREWORDThe Health Human Resources Unit (HHRU) was established as a demonstration project by theBritish Columbia Ministry of Health in 1973.  Since that time, the Unit has continued to befunded on an ongoing basis (subject to annual review) as part of the Centre f r Health Servicesand Policy Research.  The Unit undertakes a series of research studies that are relevant to healthhuman resources management and to public policy decisions.The HHRU’s research agenda is determined through discussions of key current issues andavailable resources with the senior staff of the Ministry of Health.  Various health care providergroups participate indirectly, through on-going formal and informal communications withMinistry of Health officials and with HHRU researchers.Three types of research are included in the Unit’s research agenda.  In conjunction withprofessional licensing bodies or associations, the HHRU maintains the Cooperative HealthHuman Resources Database.  The Unit uses these data to produce regular status reports thatprovide a basis for in-depth studies and for health human resources planning.  The Unitundertakes more detailed analyses bearing on particular health human resources policy issues andassesses the impact of specific policy measures, using secondary analyses of data from theCooperative Database, data from the administrative databases maintained under the HIDU, orprimary data collected through surveys.  The HHRU also conducts specific projects pertaining tothe management of health human resources at local, regional and provincial levels.Arminée Kazanjian  Dr SocPrincipal InvestigatorCopies may be obtained at no charge from:Health Human Resources UnitCentre for Health Services and Policy ResearchThe University of British Columbia#429-2194 Health Sciences MallVancouver, BC V6T 1Z3Ph:  (604) 822-4810Fax:  (604) 822-5690email:  hhru@chspr.ubc.cahttp://www.chspr.ubc.caivACKNOWLEDGEMENTSThe authors would like to thank Liza Kallstrom of the Health Association of BritishColumbia who reviewed the initial project outline.  We are also grateful to Dr. Robert Reid of theCentre for Health Services and Policy Research for his review of the final draft of this report.Their observations and suggestions were extremely valuable in the preparation of this document.vTABLE OF CONTENTSPageList of Tables ............................................................................................ viList of Figures ......................................................................................... viii I. Introduction .................................................................................... 1 II. Methods .......................................................................................... 3 III. Physicians in British Columbia by RCPSC Specialty ................................. 9 IV. Physicians in British Columbia by Health Authority and RCPSC Specialty ... 13viLIST OF TABLESTable PageSection III1 Non-postgraduate Physicians in British Columbiaby RCPSC Specialty ........................................................................... 102 Non-postgraduate Physicians in British Columbiaby Grouped RCPSC Specialist Categories ................................................ 12Section IV3 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the North Okanagan Regional Health Board ........................................ 144 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the Okanagan Similkameen Regional Health Board ................................ 155 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the Thompson Regional Health Board ................................................. 166 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the Fraser Valley Regional Health Board ............................................ 177 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the South Fraser Regional Health Board .............................................. 188 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the Simon Fraser Regional Health Board ............................................. 199 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the Central Vancouver Island Regional Health Board ................................ 2010 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the Northern Interior Regional Health Board ....................................... 2111 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the Vancouver/Richmond Regional Health Board ................................ 2212 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the North Shore Regional Health Board .............................................. 2313 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the Capital Regional Health Board ....................................................... 24viiTable Page14 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the East Kootenay Community Health Services Society ............................ 2515 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the Kootenay Boundary Community Health Services Society ................... 2616 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the Coast Garibaldi Community Health Services Society .......................... 2717 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the Upper Island/Central Coast Community Health Services Society ........ 2818 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the Cariboo Community Health Services Society ................................ 2919 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the North West Community Health Services Society ................................ 3020 B.C. Physicians by Grouped RCPSC Specialist Categoriesfor the Peace Liard Community Health Services Society ................................ 31viiiLIST OF FIGURESFigure PageSection IV1 GP/FP FTEs in B.C. by Health Authority .................................................. 322 General Internal Medicine FTEs in B.C. by Health Authority ......................... 333 Medical Subspecialties FTEs (Regionally-Adjusted) in B.C. by HealthAuthority ...................................................................................... 344 General Surgery FTEs in B.C. by Health Authority .................................. 355 Surgical Subspecialties FTEs in B.C. by Health Authority .............................. 366 Paediatrics FTEs (Regionally-Adjusted) in B.C. by Health Authority ............. 377 Psychiatry FTEs in B.C. by Health Authority ........................................... 388 Obstetrics/Gynaecology FTEs in B.C. by Health Authority ............................. 399 Lab/X-ray FTEs (Regionally-Adjusted) in B.C. by Health Authority .............. 4010 Anaesthesiology FTEs in B.C. by Health Authority .................................. 4111 Other Physician FTEs (Regionally-Adjusted) in B.C. by Health Authority ..... 421I. INTRODUCTIONThis report on physician supply and utilization in B.C. is a revised version of the FePractice Medical Service Expenditures per Capita and Full-time-equivalent Physicians inB.C. reports previously published by the Health Human Resources Unit (HHRU), inresponse to ongoing concern about supply and distribution of physicians in the province.The purpose of the reports, therefore, is to provide descriptive information to medicalservice planners for their reference.  This current report includes data about physicianfull-time-equivalent supply and utilization in each health authority and by specialty forthe year 1998-99.Physician supply may be measured in both head counts and as estimates of full-time-equivalents (FTEs).  Each measure gives a different estimate of the availability ofphysician services.  This report provides data on both measures.Since the last Fee Practice report, major changes have been made in the sources of dataand the methods by which they are classified.1. Specialty CategoryIn the previous Fee Practice reports, type of practice was assigned by HHRUaccording to the billing pattern of each physician for that payment year.  Payments foreach physician were grouped into Medical Services Commission specialty categoriesaccording to the fee-for-service schedule and the category that contained the largestshare of payments was identified as the specialty category for that physician.  If aphysician received no payments for that year, the MSC type of practice – based on thecategory containing the largest share of payments in a previous year’s billings – wasused.In this report, the Royal College of Physicians and Surgeons of Canada (RCPSC)certification is used to identify the specialty of each physician.  Findings from anotherHHRU report (Issues in Physician Resources Planning in B.C.: Key Determinants ofSupply and Distribution 1991-96) indicated that RCSPC certification was an accuratereflection of type of clinical services provided.  RCPSC specialists billed servicesalmost entirely within their own clinical domain.  Therefore, RCPSC certification isused to designate the specialty category of each physician in this report.  In addition,RCPSC certification accurately reflects clinical training and licensure.2. Full-Time-Equivalent (FTE) DefinitionIn previous Fee Practice reports, nine different definitions were used to determineFTE.  An FTE was calculated for each physician according to a pre-determinedpayment amount, or to the mean or median payment in relation to the physician’speers in the same specialist category.The Health Canada FTE definition is adopted for this report since it has been widelyaccepted by health planners and researchers.  Some adjustments are made in2individual specialties.  Under the Health Canada formula, a physician is considered tobe one FTE if the payment he/she receives is within the 40th and 60th percentile ofhis/her peers in that specialty.  Details of this definition are described in the Methodssection.3. LocationIn the last Fee Practice report, distribution of physicians was described according tothe 21 health regions operational at the time.For this report, the 11 regional health boards and 7 community health servicesocieties currently administering health services in B.C. are used to classify thelocation of physicians.As a result of these changes, the data in this report may not be directly compared with thedata in previous Fee Practice reports.Tables 1 and 2 show the distribution of B.C. physicians across different specialties at twolevels of aggregation.  The levels of aggregation are explained further in the Methodssection.  Tables 3 to 20 describe the supply and utilization of physicians in each healthauthority by specialty.  Charts 1 to 11 display the geographical distribution of thesephysicians according to each specialist category.3II. METHODSData Sources1. College of Physicians and SurgeonsThe College of Physicians and Surgeons of British Columbia (CPSBC) isresponsible for establishing, monitoring, and enforcing standards of education andpractice for all physicians in B.C.  Registration with the CPSBC is required of anyphysician delivering clinical services in the province.  The CPSBC collectslicensing data from each physician on his or her initial registration and updatesthis information annually upon renewal.  Moreover, this database is continuallyupdated for additions and deletions, physician address changes, and specialtystatus as certified by the Royal College of Physicians and Surgeons of Canada(RCPSC) and the Canadian College of Family Physicians (CCFP).Licensing data from the CPSBC were extracted from the March 31st 1999registration database.  These data concerned those Directory Active Non-Postgraduate Physicians resident in B.C. who were on the full, temporary, orspecial registers as of that date.  The fields to be examined were:  date of birth,sex, postal code, most recent RCPSC certified specialty, date of most recentRCPSC specialty, and GP/FP status.2. Medical Services Plan – Fee-for-Service PaymentsThe Medical Services Plan (MSP) Fee-for-Service Payments (FFS) is theprincipal method by which physicians are paid for their services in B.C.Physicians bill the MSP for each item of service provided to a patient.  Thepayment databases contain one record for each service paid under thismechanism.  Since the submission of claims is vital to physician reimbursement,fee-for-service payments databases are generally thought to capture the vastmajority of services paid through this mechanism.From the 1998-99 FFS Payments file were drawn the practitioner identifiers(MSP and CPSBC), the services delivered, payments for services delivered, fee-item codes, and the dates of payment for services delivered.  Interest paymentsand isolation payments were excluded.  The practitioner identifier was used toaggregate all payments to each physician and to link with other data sources.  Allidentifiers were scrambled before data were released to the research team tomaintain anonymity and confidentiality.3. Medical Services Plan – Salaried and Sessional PaymentsIn addition to FFS payments, the B.C. government also remunerates physicians byother methods, one of which is salaried and sessio al payments through theAlternative Payments Branch.  Under these mechanisms, physicians are paid a setamount for a specified time period of work.  For some specialties, non-FFS4payment schemes comprise a large part of the practitioners’ payments.  Theinclusion of these data is, therefore, crucial in calculating physician supply andutilization.From the Salaried and Sessional files of the Alternate Payments branch wereextracted the practitioner identifiers (MSP and CPSBC), payment(s), date(s) ofpayment, and location of practitioner.The data from these three files were then combined to form physician-specific records,and those records grouped according to the RCPSC specialty categories used in otherHHRU publications (e.g. ROLLCALL 99).  Then FTEs were calculated for allphysicians, using FFS data only, as well as with FFS and Salaried and Sessional data.The Health Canada FTE definition was used for both calculations.Another non-FFS method by which physicians may be remunerated is with ServiceAgreements.  Beginning in fiscal year 1995-96, the Ministry of Health began contractingdirectly with health care facilities, health regions, and other organizations to provide adefined set of physician services.  The contracting organizations in turn employ, orcontract with, individual physicians or physician groups to provide the specified servicesand compensate them from payments received from the Alternative Payments Branch.The Ministry collects payment information for these service agreements only as it relatesto the contracting organization.  The data cannot be linked to specific physicians.Full-Time-EquivalentsHealth Canada FTE DefinitionThe Health Canada method uses 40th and 60th percentiles of specialty-specific incomes asbenchmarks to measure full-time-equivalence.  Physicians with payments within thisrange are counted as one FTE; those below the 40th perc ntile are counted as fractions ofan FTE, and those above the 60th percentile are counted as more than one FTE.For physicians with incomes below the 40th percentile, the FTE is calculated in directproportion to their billings below this level.  For instance, if the physician bills 50% ofthe 40th percentile billings, he or she is assigned an FTE of 0.5.  For physicians withpayments above the 60th percentile, the Health Canada method uses the logarithm of theratio of the physician’s billings to the 60th percentile billings to prevent very highincomes from translating into unrealistic numbers of FTEs.Adjustments to Health Canada DefinitionSeveral important modifications were made to the Health Canada formula due tolimitations in the available B.C. physician payment data.  In some tables and charts, anadjusted FTE was calculated for some specialties (see details below); in these cases, thenumber of FTEs in a specialty was assumed to be equal to the number of physicianscertified in that specialty.5Tables 1 and 2 display data about Directory Active Non-postgraduate physicians in theprovince by specialty.  The first column is a head count of number of physicians in eachspecialist category.  The second column is the unadjusted number of FTEs, as calculatedfrom the MSP payment data.  The third column is the unadjusted number of FTEs per10,000 population.The fourth and fifth columns represent FTE numbers and FTEs per 10,000 populationadjusted by specialty.  Adjustments were made in some specialist categories for tworeasons.  Each physician in the following RCPSC specialties was counted as one FTEbecause MSP billings in these specialties do not necessarily reflect the services providedby individual physicians:· Pathology – General· Pathology – Anatomical· Medical Biochemistry· Medical Microbiology· Diagnostic Radiology· Nuclear MedicineFor instance, in B.C., services provided by several laboratory or radiology specialists maybe billed through a single physician’s billing number.Each physician in the following RCPSC specialties was counted as one FTE because asubstantial proportion of the individual physicians certified and working in these areasare paid through Service Agreements:· Community Medicine· Emergency Medicine· Medical Genetics· Medical Oncology· Paediatrics· Radiation OncologyNo data are available which permit the linkage of physician-specific information from theCPSBC with the Service Agreement payments, but in the HHRU report Issues inPhysician Resources Planning in B.C.: Key Determinants of Supply and Distribution,1991-96, we were able to assign total FTEs to Service Agreement payments based on thespecialty for which the contract had been signed.  This resulted in the addition of FTEs tothe specialties outlined above.Both of these modifications may result in over-counting of FTEs, but failing to correctfor the absence of service- or physician-specific information in other than FFS paymentsystems will inevitably lead to under-counting.For each health authority, adjustment was made to the FTE number of the above-mentioned categories of specialties if the unadjusted FTE number was significantly lowerthan the head-count number of physicians in those specialties.  The sixth and seventh6columns in Tables 1 and 2 present regionally adjusted FTE numbers and FTEs per 10,000population calculated by adding the FTE numbers for each health authority, using theregionally adjusted FTE numbers if adjustment was made for that health authority.  Inaddition, physicians and FTEs lacking location information (0.89% of total) wereexcluded from the regionally adjusted FTEs and FTEs per 10,000 population, in bothTables 1 and 2 and Tables 3 through 20.The last two columns in Tables 1 and 2 represent adjustments made to FTE counts byadding the number of FTEs from Service Agreement data for 1998-99 to the unadjustednumber of FTEs for each specialty.  The assignment of specialities to Service Agreementdata was based on the program description of the Service Agreement contract.  In somecases, the program description may not correspond to RCPSC specialty categories andthe best approximation was made as to the specialty involved.  For instance, “sexualassault service” was assigned to the specialty of Emergency Medicine and“transplantation services” to General Surgery.  Owing to a lack of adequate informationto determine the specialties required, FTEs for the programs in “cancer services”,“oncology” and “transport advisor” were excluded from this adjustment.The same adjustment with Service Agreement data was performed for each HealthAuthority where Service Agreement contract was awarded.  The results were presented inthe last two columns of Tables 3 to 20 where applicable.  Contracts designated as“provincial” in scope were not included in the tables for individual Health Authorities.Specialty CategoriesTable 1 describes Directory Active Non-Postgraduate physicians resident in B.C. andbelonging to the Full, Special, or Temporary Registers, according to their RCPSCspecialty certification.  Particular specialties have been grouped within other specialties:· Pathology – includes Bacteriology, Neuropathology, Pathology, and Pathology –Haematological· Internal Medicine includes Clinical Immunology, Clinical Immunology andAllergy, Infectious Diseases, and Internal Medicine T.B.· Dermatology includes Dermatology and Syphilology· Community Medicine includes Occupational Medicine and Public Health· Diagnostic/Therapeutic Radiology includes Radiology – Therapeutic andRadiology – Diagnostic and Therapeutic· Cardiology includes Paediatric Cardiology· General Surgery includes Paediatric General Surgery· Cardiovascular and Thoracic Surgery includes Cardiothoracic Surgery,Thoracic Surgery, and Cardiac Surgery· Paediatrics includes Medical Genetics.Tables 2 through 20 describe the same physicians, as they are located in the province andacross Health Authorities.  Here additional aggregation of specialties has taken place:7· Medical Subspecialties ncludes Cardiology, Dermatology, Neurology,Nephrology, Endocrinology and Metabolism, Gastroenterology, GeriatricMedicine, Medical Oncology, Rheumatology, and Respiratory Medicine· Surgical Subspecialties ncludes Cardiovascular and Thoracic Surgery,Neurosurgery, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Urology,Plastic Surgery, and Vascular Surgery· Lab/X-ray includes Haematology, Medical Biochemistry, Medical Microbiology,Nuclear Medicine, Pathology – General and Anatomical, Radiation Oncology,and Radiology – Diagnostic· Other includes Community Medicine, Emergency Medicine, and PhysicalMedicinePsychiatry, General Surgery, General Internal Medicine, andObstetrics/Gynaecology are presented without further grouping.  The data areaggregated so as to avoid over-interpretation with small numbers; if a particular regionrequires less aggregated data for planning purposes, they can be made available uponrequest.Charts 1 through 11 illustrate the distribution of physician FTEs by grouped specialties(using the categories outlined above) across health authorities.  They are based on data inTables 3 to 20 but are shown according to each grouped specialty instead of healthauthority.  The r gionally-adjusted number of FTEs is used whenever adjustments aremade for that specialist category.89III.   Physicians in British Columbiaby RCPSC Specialty10Unadjusted Specialty-Adjusted1 Regionally-Adjusted2,3RCPSC SpecialtyTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 4350 3951.57 9.77 3951.57 9.77 3915.87 9.68 4025.81 9.95Anaesthesia 336 307.59 0.76 307.59 0.76 305.40 0.75 307.59 0.76Cardiology5 68 65.73 0.16 65.73 0.16 65.73 0.16 65.73 0.16Community Medicine6 44 23.95 0.06 44.00 0.11 44.53 0.11 23.95 0.06Dermatology7 61 54.87 0.14 54.87 0.14 54.08 0.13 54.87 0.14Endocrinology & Metabolism 19 19.37 0.05 19.37 0.05 18.37 0.05 20.37 0.05Emergency Medicine 77 57.88 0.14 77.00 0.19 82.67 0.20 87.74 0.22Gastroenterology 33 31.44 0.08 31.44 0.08 30.31 0.07 31.44 0.08Geriatric Medicine 21 18.32 0.05 18.32 0.05 17.32 0.04 29.98 0.07Haematology 22 15.69 0.04 15.69 0.04 15.69 0.04 19.17 0.05Internal Medicine8 305 280.69 0.69 280.69 0.69 275.89 0.68 298.77 0.74Medical Biochemistry 12 10.76 0.03 12.00 0.03 14.34 0.04 10.76 0.03Medical Genetics 5 1.00 0.00 5.00 0.01 5.00 0.01 7.50 0.02Medical Microbiology 24 22.24 0.05 24.00 0.06 24.57 0.06 26.04 0.06Medical Oncology 23 4.43 0.01 23.00 0.06 23.84 0.06 4.43 0.01Nephrology 17 15.64 0.04 15.64 0.04 12.71 0.03 15.64 0.04Neurology 87 80.24 0.20 80.24 0.20 78.67 0.19 80.24 0.20Nuclear Medicine 19 17.74 0.04 19.00 0.05 17.74 0.04 17.74 0.04Paediatrics 218 187.88 0.46 218.00 0.54 232.99 0.58 250.94 0.62... continued1 FTEs adjusted to equal head count for Community Medicine, Emergency Medicine, Medical Biochemistry, Medical Genetics, Medical Microbiology, Medical Oncology,   Nuclear Medicine, Paediatrics, General Pathology, Anatomical Pathology, Radiation Oncology and Diagnostic Radiology.2 FTEs adjusted to equal head count in some regions for Community Medicine, Emergency Medicine, Medical Biochemistry, Medical Genetics, Medical Microbiology,   Medical Oncology, Nuclear Medicine, Paediatrics, General Pathology, Anatomical Pathology, Radiation Oncology and Diagnostic Radiology.3 Excludes physicians with unknown location of practice.5 Includes physicians with the specialty designations of Cardiology (62) and Paediatric Cardiology (6).6 Includes physicians with the specialty designations of Community Medicine (33), Occupational Medicine (5) and Public Health (6).7 Includes physicians with the specialty designations of Dermatology (60) and Dermatology and Syphilology (1).8 Includes physicians with the specialty designations of Internal Medicine (286), Clinical Immunology and Allergy (10) and Infectious Diseases (9).Table 1Non-postgraduate Physicians in British Columbia by RCPSC Specialty March 19994 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Service Agreement Adjusted411Unadjusted Specialty-Adjusted1 Regionally-Adjusted2,3RCPSC SpecialtyTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGeneral Pathology5 101 75.00 0.19 101.00 0.25 94.00 0.23 75.00 0.19Anatomical Pathology 72 43.00 0.11 72.00 0.18 72.00 0.18 43.00 0.11Physical Medicine & Rehab. 42 36.51 0.09 36.51 0.09 36.51 0.09 36.51 0.09Psychiatry 506 476.08 1.18 476.08 1.18 474.69 1.17 484.22 1.20Radiation Oncology 40 0.00 0.00 40.00 0.10 40.00 0.10 0.00 0.00Diagnostic/Therap. Radiology6 249 231.00 0.57 249.00 0.62 245.00 0.61 231.00 0.57Respiratory Medicine 50 45.46 0.11 45.46 0.11 42.75 0.11 45.46 0.11Rheumatology 31 27.32 0.07 27.32 0.07 27.32 0.07 31.42 0.08Cardiov. & Thoracic Surgery7 34 32.82 0.08 32.82 0.08 32.82 0.08 32.82 0.08General Surgery8 176 155.62 0.38 155.62 0.38 154.21 0.38 155.62 0.38Neurosurgery 32 29.85 0.07 29.85 0.07 29.85 0.07 29.85 0.07Obstetrics & Gynaecology 178 160.56 0.40 160.56 0.40 160.56 0.40 190.62 0.47Ophthalmology 175 166.63 0.41 166.63 0.41 166.63 0.41 166.63 0.41Orthopaedic Surgery 150 133.60 0.33 133.60 0.33 133.60 0.33 134.60 0.33Otolaryngology 70 64.39 0.16 64.39 0.16 61.80 0.15 64.39 0.16Plastic Surgery 59 54.28 0.13 54.28 0.13 53.28 0.13 54.28 0.13Urology 67 69.57 0.17 69.57 0.17 68.84 0.17 69.57 0.17Vascular Surgery 22 22.14 0.05 22.14 0.05 22.14 0.05 22.14 0.05Specialty Subtotal 3445 3039.29 7.51 3248.41 8.03 3235.85 8.00 3220.03 7.96Total 7795 6990.86 17.28 7199.98 17.80 7151.72 17.68 7245.83 17.911 FTEs adjusted to equal head count for Community Medicine, Emergency Medicine, Medical Biochemistry, Medical Genetics, Medical Microbiology, Medical Oncology,   Nuclear Medicine, Paediatrics, General Pathology, Anatomical Pathology, Radiation Oncology and Diagnostic Radiology.2 FTEs adjusted to equal head count in some regions for Community Medicine, Emergency Medicine, Medical Biochemistry, Medical Genetics, Medical Microbiology,   Medical Oncology, Nuclear Medicine, Paediatrics, General Pathology, Anatomical Pathology, Radiation Oncology and Diagnostic Radiology.3 Excludes physicians with unknown location of practice.5 Includes physicians with the specialty designations of General Pathology (55), Pathology (28), Neuropathology (5), Haematological Pathology (11) and Bacteriology (2).6 Includes physicians with the specialty designations of Diagnostic Radiology (243) and Therapeutic Radiology (6).7 Includes physicians with the specialty designations of Cardiovascular & Thoracic Surgery (21), Cardiothoracic Surgery (2), Thoracic Surgery (9) and Cardiac Surgery (2).8 Includes physicians with the specialty designations of General Surgery (172) and Paediatric General Surgery (4).4 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 1 (continued)Non-postgraduate Physicians in British Columbia by RCPSC Specialty March 1999Service Agreement Adjusted412Unadjusted Specialty-Adjusted1 Regionally-Adjusted2,3Specialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 4350 3951.57 9.77 3951.57 9.77 3915.87 9.68 4025.81 9.95General Internal Medicine 305 280.69 0.69 280.69 0.69 275.89 0.68 298.77 0.74Medical Subspecialties5 410 362.82 0.90 381.39 0.94 371.10 0.92 379.58 0.94General Surgery 176 155.62 0.38 155.62 0.38 154.21 0.38 155.62 0.38Surgical Subspecialties6 609 573.28 1.42 573.28 1.42 568.96 1.41 574.28 1.42Paediatrics7 223 188.88 0.47 223.00 0.55 237.99 0.59 258.44 0.64Psychiatry 506 476.08 1.18 476.08 1.18 474.69 1.17 484.22 1.20Ob/Gyn 178 160.56 0.40 160.56 0.40 160.56 0.40 190.62 0.47Lab/X-ray8 539 415.43 1.03 532.69 1.32 523.34 1.29 422.71 1.04Anaesthesiology 336 307.59 0.76 307.59 0.76 305.40 0.75 307.59 0.76Other9 163 118.34 0.29 157.51 0.39 163.71 0.40 148.20 0.37Total 7795 6990.86 17.28 7199.98 17.80 7151.72 17.68 7245.83 17.911 FTEs adjusted to equal head count for Community Medicine, Emergency Medicine, Medical Biochemistry, Medical Genetics, Medical Microbiology, Medical Oncology,   Nuclear Medicine, Paediatrics, General Pathology, Anatomical Pathology, Radiation Oncology and Diagnostic Radiology.2 FTEs adjusted to equal head count in some regions for Community Medicine, Emergency Medicine, Medical Biochemistry, Medical Genetics, Medical Microbiology,   Medical Oncology, Nuclear Medicine, Paediatrics, General Pathology, Anatomical Pathology, Radiation Oncology and Diagnostic Radiology.5 Includes physicians with the specialty designations of Cardiology (68), Neurology (87), Nephrology (17), Endocrinology & Metabolism (19), Gastroenterology (33),   Medical Oncology (23), Rheumatology (31), Respiratory Medicine (50), Geriatric Medicine (21) and Dermatology (61).6 Includes physicians with the specialty designations of Cardiovascular & Thoracic Surgery (34), Neurosurgery (32), Ophthalmology (175), Orthopaedic Surgery (150),   Otolaryngology (70), Urology (67), Plastic Surgery (59) and Vascular Surgery (22).7 Includes physicians with the specialty designations of Paediatrics (218) and Medical Genetics (5).8 Includes physicians with the specialty designations of Haematology (22), Medical Biochemistry (12), Medical Microbiology (24), Nuclear Medicine (19), General   Pathology (101), Anatomical Pathology (72), Radiation Oncology (40) and Radiology (249).9 Includes physicians with the specialty designations of Community Medicine (44), Emergency Medicine (77) and Physical Medicine & Rehabilitation (42).3 Excludes physicians with unknown location of practice.4 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 2Non-postgraduate Physicians in British Columbia by Grouped RCPSC Specialist CategoriesMarch 1999Service Agreement Adjusted413IV.   Physicians in British Columbia by Health Authorityand RCPSC Specialty14UnadjustedSpecialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 122 120.90 10.21 120.90 10.21General Internal Medicine 8 7.69 0.65 7.69 0.65Medical Subspecialties3 4 4.72 0.40 5.72 0.48General Surgery 8 7.58 0.64 7.58 0.64Surgical Subspecialties4 14 11.99 1.01 11.99 1.01Paediatrics 4 3.20 0.27 3.20 0.27Psychiatry 8 6.55 0.55 6.55 0.55Ob/Gyn 3 3.00 0.25 3.00 0.25Lab/X-ray5 8 7.63 0.64 7.63 0.64Anaesthesiology 5 4.81 0.41 4.81 0.41Other6 1 1.00 0.08 1.00 0.08Total 185 179.07 15.12 180.07 15.201 Tables 3 to 20 exclude physicians with unknown location of practice.3 Includes physicians with the specialty designations of Cardiology (1), Neurology (1), Rheumatology (1) and Dermatology (1).4 Includes physicians with the specialty designations of Ophthalmology (6), Orthopaedic Surgery (5), Otolaryngology (2) and Urology (1).5 Includes physicians with the specialty designations of Medical Microbiology (1), General Pathology (2) and Radiology (5).6 Includes physicians with the specialty designation of Community Medicine (1).2 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 3B.C. Physicians1 by Grouped RCPSC Specialist Categories for theNorth  Okanagan Regional Health BoardMarch 1999Service Agreement Adjusted215Unadjusted Regionally-Adjusted2Specialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 228 222.43 9.63 222.43 9.63General Internal Medicine 12 12.55 0.54 12.55 0.54Medical Subspecialties3 30 31.75 1.37 33.37 1.44General Surgery 7 6.42 0.28 6.42 0.28Surgical Subspecialties4 43 40.84 1.77 40.84 1.77Paediatrics 9 9.11 0.39 9.11 0.39Psychiatry 21 23.14 1.00 23.14 1.00Ob/Gyn 11 8.64 0.37 8.64 0.37Lab/X-ray5 27 19.25 0.83 24.25 1.05Anaesthesiology 17 16.98 0.73 16.98 0.73Other6 7 8.67 0.38 8.67 0.38Total 412 399.78 17.30 406.40 17.591 Tables 3 to 20 exclude physicians with unknown location of practice.2 FTEs adjusted to equal head count for Medical Oncology and Radiation Oncology.3 Includes physicians with the specialty designations of Cardiology (5), Neurology (5), Nephrology (2), Gastroenterology (3),   Medical Oncology (2), Rheumatology (3), Respiratory Medicine (7), Geriatric Medicine (1) and Dermatology (2).4 Includes physicians with the specialty designations of Cardiovascular & Thoracic Surgery (3), Neurosurgery (3),   Ophthalmology (10), Orthopaedic Surgery (11), Otolaryngology (4), Urology (5), Plastic Surgery (4) and Vascular Surgery (3).5 Includes physicians with the specialty designations of Haematology (1), Nuclear Medicine (1), General Pathology (7),   Anatomical Pathology (1), Radiation Oncology (5) and Radiology (12).6 Includes physicians with the specialty designations of Community Medicine (1), Emergency Medicine (2) and   Physical Medicine & Rehabilitation (4).Table 4B.C. Physicians1 by Grouped RCPSC Specialist Categories for the Okanagan Similkameen Regional Health BoardMarch 199916UnadjustedSpecialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 PopulationGP/FP 120 120.10 8.78General Internal Medicine 5 6.61 0.48Medical Subspecialties2 8 11.01 0.80General Surgery 8 5.51 0.40Surgical Subspecialties3 20 21.66 1.58Paediatrics 4 5.17 0.38Psychiatry 5 6.09 0.45Ob/Gyn 5 5.67 0.41Lab/X-ray4 14 15.30 1.12Anaesthesiology 12 11.71 0.86Other5 2 2.40 0.18Total 203 211.23 15.441 Tables 3 to 20 exclude physicians with unknown location of practice.2 Includes physicians with the specialty designations of Neurology (3), Nephrology (1), Gastroenterology (1),   Medical Oncology (1), Rheumatology (1) and Dermatology (1).3 Includes physicians with the specialty designations of Cardiovascular & Thoracic Surgery (1),   Neurosurgery (3), Ophthalmology (3), Orthopaedic Surgery (6), Otolaryngology (2), Urology (2),   Plastic Surgery (2) and Vascular Surgery (1).4 Includes physicians with the specialty designations of Medical Microbiology (1), Nuclear Medicine (1),   General Pathology (4), Anatomical Pathology (2) and Radiology (6).5 Includes physicians with the specialty designations of Emergency Medicine (1) and Physical   Medicine & Rehabilitation (1).B.C. Physicians1 by Grouped RCPSC Specialist Categories for the Thompson Regional Health BoardTable 5March 199917UnadjustedSpecialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 PopulationGP/FP 198 212.71 8.80General Internal Medicine 10 12.98 0.54Medical Subspecialties2 7 6.54 0.27General Surgery 7 7.91 0.33Surgical Subspecialties3 25 26.47 1.09Paediatrics 5 7.20 0.30Psychiatry 15 13.80 0.57Ob/Gyn 8 7.65 0.32Lab/X-ray4 18 16.26 0.67Anaesthesiology 12 11.94 0.49Other5 2 0.83 0.03Total 307 324.29 13.411 Tables 3 to 20 exclude physicians with unknown location of practice.2 Includes physicians with the specialty designations of Neurology (2), Endocrinology & Metabolism (1),   Gastroenterology (1), Rheumatology (1), Respiratory Medicine (1) and Dermatology (1).3 Includes physicians with the specialty designations of Ophthalmology (5), Orthopaedic Surgery (8),   Otolaryngology (5), Urology (4), Plastic Surgery (2) and Vascular Surgery (1).4 Includes physicians with the specialty designations of Medical Microbiology (1), General Pathology (6),   Anatomical Pathology (1) and Radiology (10).5 Includes physicians with the specialty designations of Community Medicine (1) and Physical Medicine   & Rehabilitation (1).B.C. Physicians1 by Grouped RCPSC Specialist Categories for the Fraser Valley Regional Health BoardTable 6March 199918Unadjusted Regionally-Adjusted2Specialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 433 469.22 8.16 469.22 8.16General Internal Medicine 24 26.36 0.46 26.36 0.46Medical Subspecialties3 24 21.01 0.37 27.01 0.47General Surgery 14 15.84 0.28 15.84 0.28Surgical Subspecialties4 45 43.21 0.75 43.21 0.75Paediatrics 18 21.66 0.38 21.66 0.38Psychiatry 34 36.01 0.63 36.01 0.63Ob/Gyn 15 17.42 0.30 17.42 0.30Lab/X-ray5 42 31.00 0.54 40.00 0.70Anaesthesiology 24 23.06 0.40 23.06 0.40Other6 12 13.52 0.24 13.52 0.24Total 685 718.31 12.49 733.31 12.751 Tables 3 to 20 exclude physicians with unknown location of practice.2 FTEs adjusted to equal head count for Medical Microbiology, Medical Oncology and Radiation Oncology.3 Includes physicians with the specialty designations of Cardiology (4), Neurology (1), Endocrinology & Metabolism (1),   Gastroenterology (3), Medical Oncology (6), Respiratory Medicine (3), Geriatric Medicine (2) and Dermatology (4).4 Includes physicians with the specialty designations of Neurosurgery (1), Ophthalmology (15), Orthopaedic Surgery (13),   Otolaryngology (6), Urology (5), Plastic Surgery (4) and Vascular Surgery (1).5 Includes physicians with the specialty designations of Medical Biochemistry (2), Medical Microbiology (1), General   Pathology (8), Anatomical Pathology (3), Radiation Oncology (8) and Radiology (20).6 Includes physicians with the specialty designations of Community Medicine (4), Emergency Medicine (6) and Physical   Medicine & Rehabilitation (2).Table 7B.C. Physicians1 by Grouped RCPSC Specialist Categories for the South Fraser Regional Health BoardMarch 199919Unadjusted Regionally-Adjusted2Specialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 444 447.60 8.71 447.60 8.71 453.40 8.82General Internal Medicine 21 24.46 0.48 24.46 0.48 24.46 0.48Medical Subspecialties4 48 50.58 0.98 50.58 0.98 50.58 0.98General Surgery 16 14.64 0.28 14.64 0.28 14.64 0.28Surgical Subspecialties5 72 71.58 1.39 71.58 1.39 71.58 1.39Paediatrics 14 19.70 0.38 19.70 0.38 19.70 0.38Psychiatry 48 43.22 0.84 43.22 0.84 43.22 0.84Ob/Gyn 12 14.73 0.29 14.73 0.29 14.73 0.29Lab/X-ray6 55 63.49 1.24 53.93 1.05 63.49 1.24Anaesthesiology 30 27.77 0.54 27.77 0.54 27.77 0.54Other7 21 23.71 0.46 23.71 0.46 23.71 0.46Total 781 801.48 15.59 791.92 15.41 807.28 15.711 Tables 3 to 20 exclude physicians with unknown location of practice.2 FTEs adjusted to equal head count for Medical Biochemistry and Medical Microbiology.4 Includes physicians with the specialty designations of Cardiology (8), Neurology (11), Nephrology (3), Endocrinology & Metabolism (3),  Gastroenterology (4), Rheumatology (5), Respiratory Medicine (7), Geriatric Medicine (1) and Dermatology (6).5 Includes physicians with the specialty designations of Cardiovascular & Thoracic Surgery (5), Neurosurgery (5), Ophthalmology (24),   Orthopaedic Surgery (18), Otolaryngology (6), Urology (7), Plastic Surgery (6) and Vascular Surgery (1).6 Includes physicians with the specialty designations of Haematology (3), Medical Biochemistry (1), Medical Microbiology (4),   Nuclear Medicine (2), General Pathology (22), Anatomical Pathology (8) and Radiology (15).7 Includes physicians with the specialty designations of Community Medicine (2), Emergency Medicine (13) and Physical Medicine & Rehabilitation (6).3 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 8B.C. Physicians1 by Grouped RCPSC Specialist Categories for the Simon Fraser Regional Health BoardMarch 1999Service Agreement Adjusted320Unadjusted Regionally-Adjusted2Specialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 238 230.89 9.47 230.89 9.47 230.89 9.47General Internal Medicine 12 13.66 0.56 13.66 0.56 13.66 0.56Medical Subspecialties4 9 5.93 0.24 6.93 0.28 5.93 0.24General Surgery 11 11.75 0.48 11.75 0.48 11.75 0.48Surgical Subspecialties5 32 32.91 1.35 32.91 1.35 32.91 1.35Paediatrics 10 9.58 0.39 9.58 0.39 9.58 0.39Psychiatry 18 14.78 0.61 14.78 0.61 16.46 0.68Ob/Gyn 12 11.23 0.46 11.23 0.46 11.23 0.46Lab/X-ray6 19 18.00 0.74 18.00 0.74 18.00 0.74Anaesthesiology 21 19.81 0.81 19.81 0.81 19.81 0.81Other7 4 2.32 0.10 2.32 0.10 2.32 0.10Total 386 370.86 15.21 371.86 15.25 372.54 15.281 Tables 3 to 20 exclude physicians with unknown location of practice.2 FTEs adjusted to equal head count for Medical Oncology.4 Includes physicians with the specialty designations of Neurology (4), Medical Oncology (1), Rheumatology (2), Respiratory Medicine (1) and Dermatology (1).5 Includes physicians with the specialty designations of Ophthalmology (12), Orthopaedic Surgery (9), Otolaryngology (4),   Urology (3), Plastic Surgery (3) and Vascular Surgery (1).6 Includes physicians with the specialty designations of General Pathology (3), Anatomical Pathology (2) and Radiology (14).7 Includes physicians with the specialty designations of Community Medicine (2), Emergency Medicine (1) and Physical Medicine & Rehabilitation (1).3 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 9B.C. Physicians1 by Grouped RCPSC Specialist Categories for the Central Vancouver Island Regional Health BoardMarch 1999Service Agreement Adjusted321Unadjusted Regionally-Adjusted2Specialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 113 110.27 8.26 110.27 8.26 110.46 8.28General Internal Medicine 7 9.10 0.68 9.10 0.68 9.10 0.68Medical Subspecialties4 4 5.09 0.38 5.09 0.38 5.09 0.38General Surgery 5 5.88 0.44 5.88 0.44 5.88 0.44Surgical Subspecialties5 14 14.09 1.06 14.09 1.06 14.09 1.06Paediatrics 3 4.60 0.34 4.60 0.34 4.60 0.34Psychiatry 5 4.35 0.33 4.35 0.33 4.85 0.36Ob/Gyn 4 4.58 0.34 4.58 0.34 4.58 0.34Lab/X-ray6 13 8.00 0.60 13.00 0.97 8.00 0.60Anaesthesiology 10 9.68 0.73 9.68 0.73 9.68 0.73Other 0 0.00 0.00 0.00 0.00 0.00 0.00Total 178 175.64 13.16 180.64 13.54 176.33 13.211 Tables 3 to 20 exclude physicians with unknown location of practice.2 FTEs adjusted to equal head count for General Pathology and Anatomical Pathology.4 Includes physicians with the specialty designations of Neurology (2), Respiratory Medicine (1) and Dermatology (1).5 Includes physicians with the specialty designations of Ophthalmology (3), Orthopaedic Surgery (5), Otolaryngology (1), Urology (3) and Plastic Surgery (2).6 Includes physicians with the specialty designations of General Pathology (3), Anatomical Pathology (3) and Radiology (7).3 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 10B.C. Physicians1 by Grouped RCPSC Specialist Categories for the Northern Interior Regional Health BoardMarch 1999Service Agreement Adjusted322Unadjusted Regionally-Adjusted2Specialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 1096 876.11 11.91 876.11 11.91 886.36 12.05General Internal Medicine 144 109.24 1.49 109.24 1.49 123.17 1.67Medical Subspecialties4 187 153.30 2.08 157.09 2.14 155.16 2.11General Surgery 49 33.02 0.45 33.02 0.45 33.02 0.45Surgical Subspecialties5 207 185.00 2.52 185.00 2.52 186.00 2.53Paediatrics6 124 74.89 1.02 124.00 1.69 141.11 1.92Psychiatry 236 225.06 3.06 225.06 3.06 225.06 3.06Ob/Gyn 75 57.50 0.78 57.50 0.78 85.70 1.17Lab/X-ray7 226 136.33 1.85 218.80 2.97 143.61 1.95Anaesthesiology 128 112.70 1.53 112.70 1.53 112.70 1.53Other8 76 32.50 0.44 71.16 0.97 62.36 0.85Total 2548 1995.65 27.13 2169.68 29.50 2154.24 29.291 Tables 3 to 20 exclude physicians with unknown location of practice.2 FTEs adjusted to equal head count for Community Medicine, Emergency Medicine, Medical Biochemistry, Medical Genetics, Medical Microbiology, Medical Oncology, Paediatrics, General Pathology, Anatomical Pathology, Radiation Oncology and Diagnostic Radiology.4 Includes physicians with the specialty designations of Cardiology (34), Neurology (44), Nephrology (7), Endocrinology & Metabolism (11),  Gastroenterology (11), Medical Oncology (5), Rheumatology (14), Respiratory Medicine (19), Geriatric Medicine (14) and Dermatology (28).5 Includes physicians with the specialty designations of Cardiovascular & Thoracic Surgery (19), Neurosurgery (13), Ophthalmology (58),  Orthopaedic Surgery (42), Otolaryngology (27), Urology (17), Plastic Surgery (21) and Vascular Surgery (10).6 Includes physicians with the specialty designations of Paediatrics (120) and Medical Genetics (4).7 Includes physicians with the specialty designations of Haematology (16), Medical Biochemistry (7), Medical Microbiology (14),   Nuclear Medicine (10), General Pathology (29), Anatomical Pathology (41), Radiation Oncology (20) and Radiology (89).8 Includes physicians with the specialty designations of Community Medicine (20), Emergency Medicine (37) and Physical Medicine & Rehabilitation (19).3 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 11B.C. Physicians1 by Grouped RCPSC Specialist Categories for the Vancouver/Richmond Regional Health BoardMarch 1999Service Agreement Adjusted323Unadjusted Regionally-Adjusted2Specialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 206 170.18 9.41 170.18 9.41General Internal Medicine 17 15.26 0.84 15.26 0.84Medical Subspecialties3 21 15.95 0.88 15.95 0.88General Surgery 4 4.26 0.24 4.26 0.24Surgical Subspecialties4 29 27.68 1.53 27.68 1.53Paediatrics 8 5.60 0.31 5.60 0.31Psychiatry 30 30.35 1.68 30.35 1.68Ob/Gyn 8 7.05 0.39 7.05 0.39Lab/X-ray5 26 22.52 1.24 24.52 1.36Anaesthesiology 22 18.95 1.05 18.95 1.05Other6 2 2.50 0.14 2.50 0.14Total 373 320.30 17.71 322.30 17.821 Tables 3 to 20 exclude physicians with unknown location of practice.2 FTEs adjusted to equal head count for General Pathology.3 Includes physicians with the specialty designations of Cardiology (3), Neurology (3), Endocrinology & Metabolism (1),   Gastroenterology (2), Rheumatology (2), Respiratory Medicine (2), Geriatric Medicine (1) and Dermatology (7).4 Includes physicians with the specialty designations of Neurosurgery (3), Ophthalmology (7), Orthopaedic Surgery (6),   Otolaryngology (4), Urology (3),  Plastic Surgery (4) and Vascular Surgery (2).5 Includes physicians with the specialty designations of Haematology (1), Medical Microbiology (1), Nuclear Medicine (1),   General Pathology (3), Anatomical Pathology (3) and Radiology (17).6 Includes physicians with the specialty designations of Emergency Medicine (1) and Physical Medicine & Rehabilitation (1).Table 12B.C. Physicians1 by Grouped RCPSC Specialist Categories for the North Shore Regional Health BoardMarch 199924Unadjusted Regionally-Adjusted2Specialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 486 379.63 11.31 379.63 11.31 394.69 11.76General Internal Medicine 21 15.40 0.46 15.40 0.46 15.40 0.46Medical Subspecialties4 46 38.63 1.15 45.63 1.36 48.43 1.44General Surgery 14 11.68 0.35 11.68 0.35 11.68 0.35Surgical Subspecialties5 73 64.99 1.94 64.99 1.94 64.99 1.94Paediatrics6 14 16.24 0.48 16.24 0.48 18.58 0.55Psychiatry 61 49.71 1.48 49.71 1.48 49.71 1.48Ob/Gyn 11 10.90 0.32 10.90 0.32 11.76 0.35Lab/X-ray7 54 41.51 1.24 55.51 1.65 41.51 1.24Anaesthesiology 39 36.16 1.08 36.16 1.08 36.16 1.08Other8 31 27.25 0.81 31.10 0.93 27.25 0.81Total 850 692.10 20.61 716.95 21.35 720.16 21.451 Tables 3 to 20 exclude physicians with unknown location of practice.2 FTEs adjusted to equal head count for Community Medicine, Medical Microbiology, Medical Oncology, General Pathology,   Anatomical Pathology and Radiation Oncology.4 Includes physicians with the specialty designations of Cardiology (11), Neurology (6), Endocrinology & Metabolism (1), Gastroenterology (6),  Medical Oncology (8), Rheumatology (2), Respiratory Medicine (5), Geriatric Medicine (1) and Dermatology (6).5 Includes physicians with the specialty designations of Cardiovascular & Thoracic Surgery (6), Neurosurgery (4), Ophthalmology (24),   Orthopaedic Surgery (14), Otolaryngology (5), Urology (10), Plastic Surgery (8) and Vascular Surgery (2).6 Includes physicians with the specialty designations of Paediatrics (13) and Medical Genetics (1).7 Includes physicians with the specialty designations of Medical Biochemistry (2), Medical Microbiology (1), Nuclear Medicine (2),   General Pathology (9), Anatomical Pathology (5), Radiation Oncology (7) and Radiology (28).8 Includes physicians with the specialty designations of Community Medicine (8), Emergency Medicine (16) and Physical Medicine & Rehabilitation (7).3 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 13B.C. Physicians1 by Grouped RCPSC Specialist Categories for the Capital Regional Health BoardMarch 1999Service Agreement Adjusted325Unadjusted Regionally-Adjusted2Specialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 88 82.43 10.18 82.43 10.18 84.83 10.47General Internal Medicine 2 2.39 0.30 2.39 0.30 2.39 0.30Medical Subspecialties4 2 0.36 0.04 0.36 0.04 0.36 0.04General Surgery 5 4.67 0.58 4.67 0.58 4.67 0.58Surgical Subspecialties5 7 6.05 0.75 6.05 0.75 6.05 0.75Paediatrics 2 2.00 0.25 2.00 0.25 2.00 0.25Psychiatry 3 1.93 0.24 1.93 0.24 1.93 0.24Ob/Gyn 2 2.18 0.27 2.18 0.27 2.18 0.27Lab/X-ray6 11 11.00 1.36 11.00 1.36 11.00 1.36Anaesthesiology 1 1.07 0.13 1.07 0.13 1.07 0.13Other7 1 0.00 0.00 1.00 0.12 0.00 0.00Total 124 114.08 14.08 115.08 14.21 116.48 14.381 Tables 3 to 20 exclude physicians with unknown location of practice.2 FTEs adjusted to equal head count for Community Medicine.4 Includes physicians with the specialty designations of Neurology (1) and Gastroenterology (1).5 Includes physicians with the specialty designations of Ophthalmology (1), Orthopaedic Surgery (4), Otolaryngology (1) and Urology (1).6 Includes physicians with the specialty designations of General Pathology (1) and Radiology(10).7 Includes physicians with the specialty designation of Community Medicine (1).3 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 14B.C. Physicians1 by Grouped RCPSC Specialist Categories for the East Kootenay Community Health Services SocietyMarch 1999Service Agreement Adjusted326UnadjustedSpecialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 100 87.55 10.67 89.55 10.91General Internal Medicine 5 5.91 0.72 5.91 0.72Medical Subspecialties3 4 3.12 0.38 3.12 0.38General Surgery 7 5.54 0.68 5.54 0.68Surgical Subspecialties4 7 6.62 0.81 6.62 0.81Paediatrics 2 2.88 0.35 2.88 0.35Psychiatry 5 3.88 0.47 7.98 0.97Ob/Gyn 1 1.13 0.14 1.13 0.14Lab/X-ray5 5 5.14 0.63 5.14 0.63Anaesthesiology 4 3.53 0.43 3.53 0.43Other 0 0.00 0.00 0.00 0.00Total 140 125.30 15.27 131.40 16.011 Tables 3 to 20 exclude physicians with unknown location of practice.3 Includes physicians with the specialty designations of Neurology (2), Nephrology (1) and Respiratory Medicine (1).4 Includes physicians with the specialty designations of Ophthalmology (2), Orthopaedic Surgery (3), Urology (1) and Plastic Surgery (1).5 Includes physicians with the specialty designations of Nuclear Medicine (1), General Pathology (2) and Radiology (2).2 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 15B.C. Physicians1 by Grouped RCPSC Specialist Categories for the Kootenay Boundary Community Health Services SocietyMarch 1999Service Agreement Adjusted227UnadjustedSpecialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 89 80.46 10.09 81.62 10.24General Internal Medicine 2 1.61 0.20 1.61 0.20Medical Subspecialties 0 0.00 0.00 0.00 0.00General Surgery 6 3.28 0.41 3.28 0.41Surgical Subspecialties3 2 1.53 0.19 1.53 0.19Paediatrics 1 1.06 0.13 1.06 0.13Psychiatry 4 4.13 0.52 4.13 0.52Ob/Gyn 3 2.07 0.26 2.07 0.26Lab/X-ray4 1 1.00 0.13 1.00 0.13Anaesthesiology 0 0.00 0.00 0.00 0.00Other5 1 0.84 0.11 0.84 0.11Total 109 95.98 12.04 97.14 12.191 Tables 3 to 20 exclude physicians with unknown location of practice.3 Includes physicians with the specialty designation of Ophthalmology (2).4 Includes physicians with the specialty designation of Radiology (1).5 Includes physicians with the specialty designation of Community Medicine (1).2 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 16B.C. Physicians1 by Grouped RCPSC Specialist Categories for the Coast Garibaldi Community Health Services SocietyMarch 1999Service Agreement Adjusted228UnadjustedSpecialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 130 117.67 9.58 120.80 9.84General Internal Medicine 5 6.23 0.51 6.23 0.51Medical Subspecialties3 2 2.18 0.18 2.18 0.18General Surgery 4 4.56 0.37 4.56 0.37Surgical Subspecialties4 10 10.91 0.89 10.91 0.89Paediatrics 2 2.31 0.19 2.31 0.19Psychiatry 8 7.11 0.58 8.97 0.73Ob/Gyn 3 2.24 0.18 2.24 0.18Lab/X-ray5 7 7.00 0.57 7.00 0.57Anaesthesiology 7 6.25 0.51 6.25 0.51Other 0 0.00 0.00 0.00 0.00Total 178 166.46 13.55 171.45 13.961 Tables 3 to 20 exclude physicians with unknown location of practice.3 Includes physicians with the specialty designations of Respiratory Medicine (1) and Dermatology (1).4 Includes physicians with the specialty designations of Ophthalmology (2), Orthopaedic Surgery (4),   Otolaryngology (1), Urology (2) and Plastic Surgery (1).5 Includes physicians with the specialty designations of General Pathology (1), Anatomical Pathology (1) and Radiology (5).2 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 17B.C. Physicians1 by Grouped RCPSC Specialist Categories for the Upper Island/Central Coast Community Health Services SocietyMarch 1999Service Agreement Adjusted229UnadjustedSpecialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 70 60.12 7.86 60.12 7.86General Internal Medicine 3 2.51 0.33 2.51 0.33Medical Subspecialties3 1 0.58 0.08 0.58 0.08General Surgery 3 3.78 0.49 3.78 0.49Surgical Subspecialties4 1 1.00 0.13 1.00 0.13Paediatrics 1 1.00 0.13 2.00 0.26Psychiatry 1 1.12 0.15 1.12 0.15Ob/Gyn 1 1.00 0.13 2.00 0.26Lab/X-ray5 2 2.00 0.26 2.00 0.26Anaesthesiology 0 0.00 0.00 0.00 0.00Other6 1 2.66 0.35 2.66 0.35Total 84 75.77 9.90 77.77 10.161 Tables 3 to 20 exclude physicians with unknown location of practice.3 Includes physicians with the specialty designation of Cardiology (1).4 Includes physicians with the specialty designation of Urology (1).5 Includes physicians with the specialty designation of Radiology (2).6 Includes physicians with the specialty designation of Community Medicine (1).2 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 18B.C. Physicians1 by Grouped RCPSC Specialist Categories for the Cariboo Community Health Services SocietyMarch 1999Service Agreement Adjusted230Unadjusted Regionally-Adjusted2Specialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 97 77.68 8.53 77.68 8.53 111.93 12.28General Internal Medicine 2 3.11 0.34 3.11 0.34 5.26 0.58Medical Subspecialties4 2 0.94 0.10 0.94 0.10 0.94 0.10General Surgery 4 4.49 0.49 4.49 0.49 4.49 0.49Surgical Subspecialties5 2 2.40 0.26 2.40 0.26 2.40 0.26Paediatrics 2 2.68 0.29 2.68 0.29 2.68 0.29Psychiatry 2 2.46 0.27 2.46 0.27 2.46 0.27Ob/Gyn 3 2.57 0.28 2.57 0.28 2.57 0.28Lab/X-ray6 5 5.00 0.55 5.00 0.55 5.00 0.55Anaesthesiology 2 0.98 0.11 0.98 0.11 0.98 0.11Other7 1 0.14 0.02 1.00 0.11 0.14 0.02Total 122 102.45 11.24 103.31 11.34 138.85 15.241 Tables 3 to 20 exclude physicians with unknown location of practice.2 FTEs adjusted to equal head count for Community Medicine.4 Includes physicians with the specialty designations of Cardiology (1) and Dermatology (1).5 Includes physicians with the specialty designations of Ophthalmology (1) and Urology (1).6 Includes physicians with the specialty designations of Nuclear Medicine (1), General Pathology (1), Anatomical Pathology (1) and Radiology (2).7 Includes physicians with the specialty designation of Community Medicine (1).3 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 19B.C. Physicians1 by Grouped RCPSC Specialist Categories for the North West Community Health Services SocietyMarch 1999Service Agreement Adjusted331Unadjusted Regionally-Adjusted2Specialist CategoriesTotal Number of Physicians Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 Population Number of FTEsFTEs per 10,000 PopulationGP/FP 48 49.92 7.59 49.92 7.59 49.92 7.59General Internal Medicine 1 0.82 0.12 0.82 0.12 2.82 0.43Medical Subspecialties 0 0.00 0.00 0.00 0.00 0.00 0.00General Surgery 3 3.40 0.52 3.40 0.52 3.40 0.52Surgical Subspecialties4 1 0.03 0.00 0.03 0.00 0.03 0.00Paediatrics 0 0.00 0.00 0.00 0.00 0.00 0.00Psychiatry 1 1.00 0.15 1.00 0.15 1.00 0.15Ob/Gyn 1 1.00 0.15 1.00 0.15 1.00 0.15Lab/X-ray5 5 5.00 0.76 5.00 0.76 5.00 0.76Anaesthesiology 0 0.00 0.00 0.00 0.00 0.00 0.00Other6 1 0.00 0.00 1.00 0.15 0.00 0.00Total 61 61.17 9.30 62.17 9.46 63.17 9.611 Tables 3 to 20 exclude physicians with unknown location of practice.2 FTEs adjusted to equal head count for Community Medicine.4 Includes physicians with the specialty designation of Orthopaedic Surgery (1).5 Includes physicians with the specialty designations of Haematology (1), Anatomical Pathology (1) and Radiology (3).6 Includes physicians with the specialty designation of Community Medicine (1).3 Total of unadjusted FTEs and FTEs from 1998-99 Service Agreement data.Table 20B.C. Physicians1 by Grouped RCPSC Specialist Categories for the Peace Liard Community Health Services SocietyMarch 1999Service Agreement Adjusted332Figure 1GP/FP FTEs in B.C. by Health Authority120.90222.43120.10212.71469.22447.60230.89110.27876.11170.18379.6382.43 87.55 80.46117.6760.12 77.68 49.92 35.700.00100.00200.00300.00400.00500.00600.00700.00800.00900.001000.00North OkanaganOkanagan SimilkameenThompsonFraser ValleySouth FraserSimon FraserCentral Vancouver IslandNorthern InteriorVancouver RichmondNorth ShoreCapitalEast KootenayKootenay BoundaryCoast GaribaldiUpper Island/ Central CoastCaribooNorth WestPeace LiardUnknown HAHealth AuthorityNumber of FTEs33Figure 2General Internal Medicine FTEs in B.C. by Health Authority7.69 12.55 6.6112.9826.36 24.4613.66 9.10109.2415.26 15.402.39 5.91 1.61 6.23 2.51 3.11 0.82 4.800.0050.00100.00150.00200.00250.00North OkanaganOkanagan SimilkameenThompsonFraser ValleySouth FraserSimon FraserCentral Vancouver IslandNorthern InteriorVancouver RichmondNorth ShoreCapitalEast KootenayKootenay BoundaryCoast GaribaldiUpper Island/ Central CoastCaribooNorth WestPeace LiardUnknown HAHealth AuthorityNumber of FTEs34Figure 3Medical Subspecialties FTEs1 (Regionally-Adjusted)2 in B.C. by Health Authority4.7233.3711.01 6.5427.0150.586.93 5.09157.0915.9545.630.36 3.12 0.00 2.18 0.58 0.94 0.0011.130.0050.00100.00150.00200.00250.00North OkanaganOkanagan SimilkameenThompsonFraser ValleySouth FraserSimon FraserCentral Vancouver IslandNorthern InteriorVancouver RichmondNorth ShoreCapitalEast KootenayKootenay BoundaryCoast GaribaldiUpper Island/ Central CoastCaribooNorth WestPeace LiardUnknown HAHealth AuthorityNumber of FTEs1  Includes Cardiology, Neurology, Nephrology, Endocrinology/Metabolism, Gastroenterology, Medical Oncology, Rheumatology, Respiratory Medicine, Geriatric     Medicine and Dermatology.2  Some FTE counts have been adjusted on a regional-basis for Medical Oncology (see tables for details).35Figure 4General Surgery FTEs in B.C. by Health Authority7.58 6.42 5.51 7.9115.84 14.64 11.755.8833.024.2611.684.67 5.54 3.28 4.56 3.78 4.49 3.40 1.410.0050.00100.00150.00200.00250.00North OkanaganOkanagan SimilkameenThompsonFraser ValleySouth FraserSimon FraserCentral Vancouver IslandNorthern InteriorVancouver RichmondNorth ShoreCapitalEast KootenayKootenay BoundaryCoast GaribaldiUpper Island/ Central CoastCaribooNorth WestPeace LiardUnknown HAHealth AuthorityNumber of FTEs36Figure 5Surgical Subspecialties FTEs1 in B.C. by Health Authority11.9940.8421.66 26.4743.2171.5832.9114.09185.0027.6864.996.05 6.62 1.5310.911.00 2.40 0.03 4.320.0050.00100.00150.00200.00250.00North OkanaganOkanagan SimilkameenThompsonFraser ValleySouth FraserSimon FraserCentral Vancouver IslandNorthern InteriorVancouver RichmondNorth ShoreCapitalEast KootenayKootenay BoundaryCoast GaribaldiUpper Island/ Central CoastCaribooNorth WestPeace LiardUnknown HAHealth AuthorityNumber of FTEs1 Includes Cardiovascular & Thoracic Surgery, Neurosurgery, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Urology, Plastic Surgery and Vascular Surgery.37Figure 6Paediatrics FTEs1 (Regionally-Adjusted)2 in B.C. by Health Authority3.209.11 5.17 7.2021.66 19.709.58 4.60124.005.6016.242.00 2.88 1.06 2.31 1.00 2.68 0.00 0.000.0050.00100.00150.00200.00250.00North OkanaganOkanagan SimilkameenThompsonFraser ValleySouth FraserSimon FraserCentral Vancouver IslandNorthern InteriorVancouver RichmondNorth ShoreCapitalEast KootenayKootenay BoundaryCoast GaribaldiUpper Island/ Central CoastCaribooNorth WestPeace LiardUnknown HAHealth AuthorityNumber of FTEs1  Includes Paediatrics and Medical Genetics.2  Some FTE counts have been adjusted on a regional-basis for Paediatrics and/or Medical Genetics (see tables for details).38Figure 7Psychiatry FTEs in B.C. by Health Authority6.5523.146.0913.8036.0143.2214.784.35225.0630.3549.711.93 3.88 4.13 7.11 1.12 2.46 1.00 1.390.0050.00100.00150.00200.00250.00North OkanaganOkanagan SimilkameenThompsonFraser ValleySouth FraserSimon FraserCentral Vancouver IslandNorthern InteriorVancouver RichmondNorth ShoreCapitalEast KootenayKootenay BoundaryCoast GaribaldiUpper Island/ Central CoastCaribooNorth WestPeace LiardUnknown HAHealth AuthorityNumber of FTEs39Figure 8Obstetrics/Gynaecology FTEs in B.C. by Health Authority3.008.64 5.67 7.6517.42 14.73 11.234.5857.507.05 10.90 2.18 1.13 2.07 2.24 1.00 2.57 1.00 0.000.0050.00100.00150.00200.00250.00North OkanaganOkanagan SimilkameenThompsonFraser ValleySouth FraserSimon FraserCentral Vancouver IslandNorthern InteriorVancouver RichmondNorth ShoreCapitalEast KootenayKootenay BoundaryCoast GaribaldiUpper Island/ Central CoastCaribooNorth WestPeace LiardUnknown HAHealth AuthorityNumber of FTEs40Figure 9Lab/X-ray FTEs1 (Regionally-Adjusted)2 in B.C. by Health Authority7.6324.2515.30 16.2640.0053.9318.00 13.00218.8024.5255.5111.005.14 1.007.00 2.00 5.00 5.00 0.000.0050.00100.00150.00200.00250.00North OkanaganOkanagan SimilkameenThompsonFraser ValleySouth FraserSimon FraserCentral Vancouver IslandNorthern InteriorVancouver RichmondNorth ShoreCapitalEast KootenayKootenay BoundaryCoast GaribaldiUpper Island/ Central CoastCaribooNorth WestPeace LiardUnknown HAHealth AuthorityNumber of FTEs1  Includes Haematology, Medical Biochemistry, Medical Microbiology, Nuclear Medicine, General Pathology, Anatomical Pathology, Radiation Oncology     and Radiology.2  Some FTE counts have been adjusted on a regional-basis for Medical Biochemistry, Medical Microbiology, General Pathology, Anatomical Pathology,     Radiation Oncology and/or Radiology (see tables for details).41Figure 10Anaesthesiology FTEs in B.C. by Health Authority4.8116.98 11.71 11.9423.06 27.77 19.819.68112.7018.9536.161.07 3.53 0.006.250.00 0.98 0.00 2.190.0050.00100.00150.00200.00250.00North OkanaganOkanagan SimilkameenThompsonFraser ValleySouth FraserSimon FraserCentral Vancouver IslandNorthern InteriorVancouver RichmondNorth ShoreCapitalEast KootenayKootenay BoundaryCoast GaribaldiUpper Island/ Central CoastCaribooNorth WestPeace LiardUnknown HAHealth AuthorityNumber of FTEs42Figure 11Other Physician FTEs1 (Regionally-Adjusted)2 in B.C. by Authority1.008.672.40 0.8313.5223.712.32 0.0071.162.5031.101.00 0.00 0.84 0.00 2.66 1.00 1.00 0.000.0050.00100.00150.00200.00250.00North OkanaganOkanagan SimilkameenThompsonFraser ValleySouth FraserSimon FraserCentral Vancouver IslandNorthern InteriorVancouver RichmondNorth ShoreCapitalEast KootenayKootenay BoundaryCoast GaribaldiUpper Island/ Central CoastCaribooNorth WestPeace LiardUnknown HAHealth AuthorityNumber of FTEs1  Includes Community Medicine, Emergency Medicine and Physical Medicine & Rehabilitation.2  Some FTE counts have been adjusted on a regional-basis for Community Medicine and/or Emergency Medicine (see tables for details).

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