PHYSICIANS IN ONTARIO 2016

Transcription

1 PHYSICIANS IN ONTARIO 2016 OPHRDC The

2 The information in this report and additional reports are available on the OPHRDC web site at: Copyright 2016, McMaster University All Rights Reserved. Nothing in this report may be reproduced in any manner, whether in whole or in part, without the prior written consent of McMaster University. Please contact Neil Johnston at (905) , ext. 503.

3 Physicians in Ontario 2016 Table of Contents INTRODUCTION Physicians in Ontario 2016 What s New About OPHRDC About Physicians in Ontario About the Active Physician Registry About Physician Data Elements About the Dynamic Physician Interview Acknowledgements DATA TABLES Active Physicians in Local Health Integration Networks (LHINs) (Click on page number to go directly to that page) Section 1 by Specialty of Practice 1a LHINs 1 through 7 Page 2 1b LHINs 8 through 14 3 Section 2 by Specialty of Practice and Sex 2a LHINs 1 through 7 6 2b LHINs 8 through 14 7 i

4 Active Physicians in Local Health Integration Networks (LHINs) (Click on page number to go directly to that page) Section 3 by Specialty of Practice and Age 3.0 Ontario Page LHIN 1 Erie St. Clair LHIN 2 South West LHIN 3 Waterloo Wellington LHIN 4 Hamilton Niagara Haldimand Brant LHIN 5 Central West 3.6 LHIN 6 Mississauga Halton LHIN 7 Toronto Central LHIN 8 Central LHIN 9 Central East LHIN 10 South East LHIN 11 Champlain LHIN 12 North Simcoe Muskoka LHIN 13 North East LHIN 14 North West Section 4 by Specialty of Practice, Age and Sex 4.0 Ontario Page LHIN 1 Erie St. Clair LHIN 2 South West LHIN 3 Waterloo Wellington LHIN 4 Hamilton Niagara Haldimand Brant LHIN 5 Central West LHIN 6 Mississauga Halton LHIN 7 Toronto Central LHIN 8 Central LHIN 9 Central East LHIN 10 South East LHIN 11 Champlain LHIN 12 North Simcoe Muskoka LHIN 13 North East LHIN 14 North West 43 Section 5 Population per Active Physician in Local Health Integration Networks (LHINs) 5a LHINs 1 through 7 Page 46 5b LHINs 8 through 14 ii

5 Section 6 (Click on page number to go directly to that page) Additions and Attritions to the Active Physician Registry 6a Additions by Specialty and Reason in ONTARIO Page 50 6b Attritions by Specialty and Reason in ONTARIO 6.0a Additions by Specialty, Age and Sex in ONTARIO b Attritions by Specialty, Age and Sex in ONTARIO 6.1.0a Additions by Specialty in LHINs 1 through a Additions by Specialty in LHINs 8 through b Attritions by Specialty in LHINs 1 through b Attritions by Specialty in LHINs 8 through 14 Additions and Attritions by Age & Sex in Local Health Integration Networks 6.2.1a Additions in LHIN 1 Erie St. Clair b Attritions in LHIN 1 Erie St. Clair 6.2.2a Additions in LHIN 2 South West b Attritions in LHIN 2 South West 6.2.3a Additions in LHIN 3 Waterloo Wellington b Attritions in LHIN 3 Waterloo Wellington 6.2.4a Additions in LHIN 4 Hamilton Niagara Haldimand Brant b Attritions in LHIN 4 Hamilton Niagara Haldimand Brant 6.2.5a Additions in LHIN 5 Central West b Attritions in LHIN 5 Central West 6.2.6a Additions in LHIN 6 Mississauga Halton b Attritions in LHIN 6 Mississauga Halton 6.2.7a Additions in LHIN 7 Toronto Central b Attritions in LHIN 7 Toronto Central 6.2.8a Additions in LHIN 8 Central b Attritions in LHIN 8 Central 6.2.9a Additions in LHIN 9 Central East b Attritions in LHIN 9 Central East a Additions in LHIN 10 South East b Attritions in LHIN 10 South East a Additions in LHIN 11 Champlain b Attritions in LHIN 11 Champlain a Additions in LHIN 12 North Simcoe Muskoka b Attritions in LHIN 12 North Simcoe Muskoka a Additions in LHIN 13 North East b Attritions in LHIN 13 North East a Additions in LHIN 14 North West b Attritions in LHIN 14 North West iii

6 Physicians in Ontario 2016 What s New This is the twenty-fifth annual publication of Physicians in Ontario produced by the. The primary geographic entity of physician data reporting is the Local Health Integration Networks (LHINs). Governed by the Ministry of Health and Long-Term Care, the LHINs are responsible for coordination of planning and financial management of health care in Ontario. The 2016 Active Physician Registry reports the Ontario physician compliment by Local Health Integration Network. To ensure the greatest level of accuracy, a Geographical Information System (GIS) was used in conjunction with the 2016 Postal Code Conversion File, which was the latest file available, for mapping the practice location of all physicians in the Active Physician Registry in LHIN Population data is based on the REVISED population estimates ( ) and projections ( ) for the 14 Ontario Local Health Integration Networks (LHINs) produced in July 2017 by the Ontario Ministry of Finance. The projections are consistent with the Ministry of Finance 2011 Census-based Census Division projections (2016 base) published in Spring Palliative Medicine is now a RCPSC Certified Specialty and appears for the first time in the 2016 PIO A new column 85+ has been added to the age tables in the 2016 registry. We have observed a trend with physicians remaining active over the age of 85. So beginning with this year and going forward they will be included in the registry. Each year the OPHRDC verifies functional specialty for a select group of specialties by using the College of Physicians and Surgeons of Ontario s certified specialty list, conducting targeted telephone interviews and incorporating data from the Ontario Physician Hospital Appointments List. For details, refer to About the Dynamic Physician Interview on page ix. OPHRDC welcomes comments about the report and suggestions for improvements. We will also be pleased to consider requests for more detailed information or special studies. iv

7 About OPHRDC The (OPHRDC) is the definitive source for information on physicians and postgraduate medical trainees in Ontario. Located at McMaster University, OPHRDC is a collaborative project of the College of Physicians and Surgeons of Ontario (CPSO), the Ontario Ministry of Health and Long-Term Care (MOHLTC), the Ontario Medical Association (OMA), and the Council of Ontario Faculties of Medicine (COFM). Funding is provided by the Ontario Ministry of Health and Long-Term Care. The contract to develop and operate the OPHRDC was awarded to the McMaster University Faculty of Health Sciences in Since 1992, OPHRDC has maintained a registry of all licensed physicians practicing in Ontario, the Active Physician Registry. From this registry the Centre produces numerous reports and analyses, including an annual report, Physicians in Ontario (PIO) and numerous special reports based on the annual PIO dataset. OPHRDC also maintains a complementary Ontario Postgraduate Medical Trainee Registry. Each of the Ontario medical schools provides data on postgraduate trainees and transfers data to the OPHRDC central registry for analysis and reporting. An annual report, Postgraduate Medical Trainees in Ontario (PMTIO), and a variety of special reports are prepared from this Registry by the OPHRDC. OPHRDC may be contacted at the following location: (OPHRDC) Sanatorium Road Hamilton, Ontario L9C 7N ext to mailsend@ophrdc.org Website: v

8 About Physicians in Ontario Physicians in Ontario (PIO) reports are designed to be the most accurate and comprehensive source of physician information in Ontario. The best sources of data for each element of physician information have been identified and integrated into a common database, the OPHRDC Active Physician Registry. Agreements to acquire data for this registry have been negotiated with the College of Physicians and Surgeons of Ontario (CPSO), The Ministry of Health & Long-Term Care (MOHLTC), the Ontario Medical Association (OMA), the College of Family Physicians of Canada (CFPC), and the Royal College of Physicians and Surgeons of Canada (RCPSC). In all cases, data transfer to the OPHRDC is predicated upon legally stringent agreements covering the confidentiality and use of data. In addition, OPHRDC conducts its own dynamic interviews of Ontario physicians' practice locations and specialties. The telephone interviews serve to validate location, specialty and activity status data in the physician registry and to collect information about specific sub-specialties being practiced. The Registry is renewed annually at an arbitrary census date of December 31. As of that time, physicians who have ceased practice in Ontario are removed, new physicians and physicians who have returned to practice are added and new physician location and specialty information is integrated. In order to validate these additions, attritions and changes, the data are carefully screened and subjected to a number of criteria. From this final dataset, the Physicians in Ontario annual report and other reports are prepared. For more about the Registry preparation process, see About the Active Physician Registry. For a brief description of each of the data elements included in PIO reports, see About Physician Data Elements. vi

9 About the Active Physician Registry Physicians in Ontario (PIO) reports are prepared from the annual Active Physician Registry. The following describes the methodology used to select physicians for inclusion in the Active Physician Registry. The Registry is derived substantially from The College of Physicians and Surgeons of Ontario (CPSO) data, records of the Ontario Health Insurance Plan (OHIP), information collected from physicians by the OPHRDC dynamic interview, and a number of secondary data sources. First, records of licensees of the CPSO are screened for anomalies and duplicates and rules are applied to exclude physicians who are on the CPSO list but are unlikely to be active. These rules include: Removal of deceased physicians. Removal of physicians with expired licenses. Removal of physicians with educational, short term or academic visitor license class. Removal of physicians not practicing in Ontario. The remaining CPSO records are then matched against OHIP demographic data. Duplicates and suspicious matches are contacted and interviewed, explained using other data, or referenced to the owners of the source data. The next step is a record-by-record reconciliation between the Ontario Postgraduate Medical Trainee Registry (also a product of the OPHRDC) and the Active Physician Registry to eliminate postgraduate medical trainees holding a general license who had not completed training by July 31. Location and activity level data from OPHRDC dynamic physician interview is then overlaid on the Registry dataset. A number of secondary sources of data are then used to validate and in some cases to supplement the data used. The final Registry then includes only licensed physicians verified as actively in practice in Ontario. Data elements regarding geographic location, specialty of practice, age, gender and other variables are then appended so that the PIO reports can be prepared. For a brief description of how these elements are determined, see About Physician Data Elements. vii

10 About Physician Data Elements The following describes how OPHRDC creates the four data elements used to prepare Physicians in Ontario reports. Physician Specialty: Records of physicians passing the criteria for inclusion in the Active Physician Registry are appended with the specialty recorded by the CPSO for the most recent specialty or subspecialty of RCPSC certification or Functional Specialty as identified by the Dynamic Physician Interview. Certification data provided by the CFPC is used to identify Family Physicians and Family Physicians with certification in Emergency Medicine. Remaining physicians shown to be billing OHIP in "general practice" are included in the category Family Medicine/General Practice. Location of Primary Practice: Geographic location is derived from practice addresses on public record. These are obtained from the CPSO, as publicly reported on their website, the OPHRDC telephone interview. They are then verified by or supplemented with information from the OPHRDC interview. Since 2002, expansion of the OPHRDC physician interview and increased reliability of CPSO data have created the opportunity for practice location data to be based primarily on these sources. Physicians can have multiple practice locations including other provinces or countries. A physician is counted as active in Ontario if they have an Ontario practice address and make a regular contribution to health care in Ontario. Physician Age: Age data are calculated in the following way: Report Year DOB year = age OPHRDC compares birth date data from several sources. Physician Sex: Sex data is derived by comparison of a number of sources. Population Data: Prior to 2000, population estimates were based on Statistics Canada census data purchased from a commercial statistics company. In 2000 and 2001, data used were Ministry of Health and Long-Term Care estimates from Statistics Canada data based on the 1996 Canadian Census. The population figures for Physicians by Local Health Integration Network in Ontario 2016 are estimates based on the 2011 Census Data and were provided by the Ministry of Finance for the Ministry of Health and Long Term Care. viii

11 About the Dynamic Physician Interview Beginning with preparation for the first Physicians in Ontario report in 1992, OPHRDC has conducted a series of interviews. By contacting physicians or their office staff, focusing on particular geographic, specialty and age segments of Ontario s physician compliment. Each year OPHRDC verifies functional focus of practice for a select group of specialties. The Royal College of Physicians and Surgeons of Canada (RCPSC) certified specialty list is incorporated with data from the Ontario Physician Hospital Appointments List (PHAL) to target specific areas of interest for telephone interviews. These RCPSC Specialty changes and the OPHRDC Dynamic Physician Interview targets can result in significant changes within Specialties / Subspecialties and should be taken into consideration when using multi-year trending. The 2016 OPHRDC physician interviews were conducted from June 2016 through May 2017 with additional follow up interviews done in June 2017 for data validation Physicians Interviewed in 2016 Final Review Specialty Check New Physicians Review Retirement Review Post Graduate Survey Special Licence Review Ontario Practice Verification Mat leave, Sabbatical & LOA return check Address Survey FM / Emergency Review Age 85+ Activity Confirmation Activity Survey 718 Total Survey for ix

12 Acknowledgements This report was prepared by the staff of the Ontario Physician Human Resources Data Centre (OPHRDC) located at McMaster University in Hamilton, Ontario. We would like to express our thanks to the many organizations and people whose efforts enable the OPHRDC to produce these reports. These include all those who have provided us with data, especially the College of Physicians and Surgeons of Ontario, the Ontario Ministry of Health and Long-Term Care, the Ontario Medical Association, the Royal College of Physicians and Surgeons of Canada, and the College of Family Physicians of Canada. We would also like to thank the Postgraduate Office Administrators and Deans at each of the Ontario medical schools, and the staff of the Canadian Postgraduate Education Registry (CAPER), whose cooperation has helped the OPHRDC produce a valuable information resource in the Postgraduate Medical Trainee Registry. OPHRDC is: Lyn Chrysler, Research Coordinator / Database Administrator Raquel Duran, Research Coordinator / Database Administrator Sandra Johnson, Research Coordinator / Database Administrator Neil Johnston, Senior Consultant Andrea Kuchar, Data Validation Interviewer Franca Mazur, Data Management Assistant Cynthia Mech, Research Coordinator / Database Administrator Barbara Rebelo, Data Management Assistant x

13 Physicians in Ontario 2016 Reports from the Active Physician Registry SECTION 1 Active Physicians by Specialty of Practice in Local Health Integration Networks (LHINs)

14 Waterloo Hamilton Niagara Mississauga Erie St. Clair South West Wellington Haldimand Brant Central West Halton Toronto Central Family Medicine F.M./Emergency Medicine Family Medicine Total Anesthesiology Clinical Pharmacology & Toxicology Critical Care Medicine Diagnostic Radiology Emergency Medicine Medical Genetics Neuroradiology Nuclear Medicine Pain Medicine Palliative Medicine Physical Medicine & Rehab Psychiatry Psychiatry - Child & Adolescent Psychiatry - Forensic Psychiatry - Geriatric Public Health & Preventive Medicine Radiation Oncology Other Specialty Total Internal Medicine Cardiology Clinical Immunology & Allergy Dermatology Endocrinology & Metabolism Gastroenterology General Internal Medicine Geriatric Medicine Hematology Infectious Diseases Medical Oncology Nephrology Neurology Occupational Medicine Respirology Rheumatology Internal Medicine Total Pediatrics Adolescent Medicine Cardiology - Pediatric Clinical Immunology & Allergy - Pediatric Critical Care Medicine - Pediatric Developmental Pediatrics Emergency Medicine - Pediatric Endocrinology & Metabolism - Pediatric Gastroenterology - Pediatric Hematology / Oncology - Pediatric Infectious Diseases - Pediatric Neonatal - Perinatal Medicine Nephrology - Pediatric Neurology - Pediatric Radiology - Pediatric Respirology - Pediatric Rheumatology - Pediatric Pediatrics Total General Surgery Cardiac Surgery Colorectal Surgery General Surgical Oncology Gynecologic Oncology Gynecologic Reproductive Endocrinology & Infertility Maternal Fetal Medicine Neurosurgery Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology - Head & Neck Surgery Pediatric Surgery Plastic Surgery Thoracic Surgery Urology Vascular Surgery Surgery Total General Pathology Anatomical Pathology Forensic Pathology Hematological Pathology Medical Biochemistry Medical Microbiology Neuropathology Laboratory Medicine Total Specialist Total Grand Total Active Physician Registry, December 31,2016 1a Physicians in ONTARIO by Specialty of Practice and Local Health Integration Networks (LHIN) 1-7 in 2016 Report prepared July 13,

15 North Simcoe Grand Central Central East South East Champlain Muskoka North East North West Total Family Medicine F.M./Emergency Medicine Family Medicine Total Anesthesiology Clinical Pharmacology & Toxicology Critical Care Medicine Diagnostic Radiology Emergency Medicine Medical Genetics Neuroradiology Nuclear Medicine Pain Medicine Palliative Medicine Physical Medicine & Rehab Psychiatry Psychiatry - Child & Adolescent Psychiatry - Forensic Psychiatry - Geriatric Public Health & Preventive Medicine Radiation Oncology Other Specialty Total Internal Medicine Cardiology Clinical Immunology & Allergy Dermatology Endocrinology & Metabolism Gastroenterology General Internal Medicine Geriatric Medicine Hematology Infectious Diseases Medical Oncology Nephrology Neurology Occupational Medicine Respirology Rheumatology Internal Medicine Total Pediatrics Adolescent Medicine Cardiology - Pediatric Clinical Immunology & Allergy - Pediatric Critical Care Medicine - Pediatric Developmental Pediatrics Emergency Medicine - Pediatric Endocrinology & Metabolism - Pediatric Gastroenterology - Pediatric Hematology / Oncology - Pediatric Infectious Diseases - Pediatric Neonatal - Perinatal Medicine Nephrology - Pediatric Neurology - Pediatric Radiology - Pediatric Respirology - Pediatric Rheumatology - Pediatric Pediatrics Total General Surgery Cardiac Surgery Colorectal Surgery General Surgical Oncology Gynecologic Oncology Gynecologic Reproductive Endocrinology & Infertility Maternal Fetal Medicine Neurosurgery Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology - Head & Neck Surgery Pediatric Surgery Plastic Surgery Thoracic Surgery Urology Vascular Surgery Surgery Total General Pathology Anatomical Pathology Forensic Pathology Hematological Pathology Medical Biochemistry Medical Microbiology Neuropathology Laboratory Medicine Total Specialist Total Grand Total b Physicians in ONTARIO by Specialty of Practice and Local Health Integration Networks (LHIN) 8-14 in 2016 Report prepared July 13,

16 Physicians in Ontario 2016 Reports from the Active Physician Registry SECTION 2 Active Physicians by Specialty of Practice and Sex in Local Health Integration Networks (LHINs)

17 Waterloo Hamilton Niagara Mississauga Toronto Erie St. Clair South West Wellington Haldimand Brant Central West Halton Central F M F M F M F M F M F M F M Family Medicine F.M./Emergency Medicine Family Medicine Total Anesthesiology Clinical Pharmacology & Toxicology Critical Care Medicine Diagnostic Radiology Emergency Medicine Medical Genetics Neuroradiology Nuclear Medicine Pain Medicine Palliative Medicine Physical Medicine & Rehab Psychiatry Psychiatry - Child & Adolescent Psychiatry - Forensic Psychiatry - Geriatric Public Health & Preventive Medicine Radiation Oncology Other Specialty Total Internal Medicine Cardiology Clinical Immunology & Allergy Dermatology Endocrinology & Metabolism Gastroenterology General Internal Medicine Geriatric Medicine Hematology Infectious Diseases Medical Oncology Nephrology Neurology Occupational Medicine Respirology Rheumatology Internal Medicine Total Pediatrics Adolescent Medicine Cardiology - Pediatric Clinical Immunology & Allergy - Pediatric Critical Care Medicine - Pediatric Developmental Pediatrics Emergency Medicine - Pediatric Endocrinology & Metabolism - Pediatric Gastroenterology - Pediatric Hematology / Oncology - Pediatric Infectious Diseases - Pediatric Neonatal - Perinatal Medicine Nephrology - Pediatric Neurology - Pediatric Radiology - Pediatric Respirology - Pediatric Rheumatology - Pediatric Pediatrics Total General Surgery Cardiac Surgery Colorectal Surgery General Surgical Oncology Gynecologic Oncology Gynecologic Reproductive Endocrinology & Infertility Maternal Fetal Medicine Neurosurgery Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology - Head & Neck Surgery Pediatric Surgery Plastic Surgery Thoracic Surgery Urology Vascular Surgery Surgery Total General Pathology Anatomical Pathology Forensic Pathology Hematological Pathology Medical Biochemistry Medical Microbiology Neuropathology Laboratory Medicine Total Specialist Total Grand Total Active Physician Registry, December 31,2016 2a Active Physicians in ONTARIO by Specialty of Practice and Sex in Local Health Integration Networks (LHIN) in 2016 Report prepared July 13,

18 North Simcoe Grand Central Central East South East Champlain Muskoka North East North West Total F M F M F M F M F M F M F M Family Medicine F.M./Emergency Medicine Family Medicine Total Anesthesiology Clinical Pharmacology & Toxicology Critical Care Medicine Diagnostic Radiology Emergency Medicine Medical Genetics Neuroradiology Nuclear Medicine Pain Medicine Palliative Medicine Physical Medicine & Rehab Psychiatry Psychiatry - Child & Adolescent Psychiatry - Forensic Psychiatry - Geriatric Public Health & Preventive Medicine Radiation Oncology Other Specialty Total Internal Medicine Cardiology Clinical Immunology & Allergy Dermatology Endocrinology & Metabolism Gastroenterology General Internal Medicine Geriatric Medicine Hematology Infectious Diseases Medical Oncology Nephrology Neurology Occupational Medicine Respirology Rheumatology Internal Medicine Total Pediatrics Adolescent Medicine Cardiology - Pediatric Clinical Immunology & Allergy - Pediatric Critical Care Medicine - Pediatric Developmental Pediatrics Emergency Medicine - Pediatric Endocrinology & Metabolism - Pediatric Gastroenterology - Pediatric Hematology / Oncology - Pediatric Infectious Diseases - Pediatric Neonatal - Perinatal Medicine Nephrology - Pediatric Neurology - Pediatric Radiology - Pediatric Respirology - Pediatric Rheumatology - Pediatric Pediatrics Total General Surgery Cardiac Surgery Colorectal Surgery General Surgical Oncology Gynecologic Oncology Gynecologic Reproductive Endocrinology & Infertility Maternal Fetal Medicine Neurosurgery Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology - Head & Neck Surgery Pediatric Surgery Plastic Surgery Thoracic Surgery Urology Vascular Surgery Surgery Total General Pathology Anatomical Pathology Forensic Pathology Hematological Pathology Medical Biochemistry Medical Microbiology Neuropathology Laboratory Medicine Total Specialist Total Grand Total Active Physician Registry, December 31,2016 2b Active Physicians in ONTARIO by Specialty of Practice and Sex in Local Health Integration Networks (LHIN) in 2016 Report prepared July 13,

19 Physicians in Ontario 2016 Reports from the Active Physician Registry SECTION 3 Active Physicians by Specialty of Practice and Age in Ontario Active Physicians by Specialty of Practice and Age in Local Health Integration Networks (LHINs)

20 3.0 Active Physicians in ONTARIO by Specialty of Practice and Age Range in 2016 Grand Total Family Medicine F.M./Emergency Medicine Family Medicine Total Anesthesiology Clinical Pharmacology & Toxicology Critical Care Medicine Diagnostic Radiology Emergency Medicine Medical Genetics Neuroradiology Nuclear Medicine Pain Medicine Palliative Medicine Physical Medicine & Rehab Psychiatry Psychiatry - Child & Adolescent Psychiatry - Forensic Psychiatry - Geriatric Public Health & Preventive Medicine Radiation Oncology Other Specialty Total Internal Medicine Cardiology Clinical Immunology & Allergy Dermatology Endocrinology & Metabolism Gastroenterology General Internal Medicine Geriatric Medicine Hematology Infectious Diseases Medical Oncology Nephrology Neurology Occupational Medicine Respirology Rheumatology Internal Medicine Total Pediatrics Adolescent Medicine Cardiology - Pediatric Clinical Immunology & Allergy - Pediatric Critical Care Medicine - Pediatric Developmental Pediatrics Emergency Medicine - Pediatric Endocrinology & Metabolism - Pediatric Gastroenterology - Pediatric Hematology / Oncology - Pediatric Infectious Diseases - Pediatric Neonatal - Perinatal Medicine Nephrology - Pediatric Neurology - Pediatric Radiology - Pediatric Respirology - Pediatric Rheumatology - Pediatric Pediatrics Total General Surgery Cardiac Surgery Colorectal Surgery General Surgical Oncology Gynecologic Oncology Gynecologic Reproductive Endocrinology & Infertility Maternal Fetal Medicine Neurosurgery Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology - Head & Neck Surgery Pediatric Surgery Plastic Surgery Thoracic Surgery Urology Vascular Surgery Surgery Total General Pathology Anatomical Pathology Forensic Pathology Hematological Pathology Medical Biochemistry Medical Microbiology Neuropathology Laboratory Medicine Total Specialist Total Grand Total Report prepared July 18, 2017

21 3.1 Active Physicians in Erie St. Clair LHIN #1 by Specialty of Practice and Age Range in 2016 Grand Total Family Medicine F.M./Emergency Medicine Family Medicine Total Anesthesiology Clinical Pharmacology & Toxicology Critical Care Medicine Diagnostic Radiology Emergency Medicine Medical Genetics Neuroradiology Nuclear Medicine Pain Medicine Palliative Medicine Physical Medicine & Rehab Psychiatry Psychiatry - Child & Adolescent Psychiatry - Forensic Psychiatry - Geriatric Public Health & Preventive Medicine Radiation Oncology Other Specialty Total Internal Medicine Cardiology Clinical Immunology & Allergy Dermatology Endocrinology & Metabolism Gastroenterology General Internal Medicine Geriatric Medicine Hematology Infectious Diseases Medical Oncology Nephrology Neurology Occupational Medicine Respirology Rheumatology Internal Medicine Total Pediatrics Adolescent Medicine Cardiology - Pediatric Clinical Immunology & Allergy - Pediatric Critical Care Medicine - Pediatric Developmental Pediatrics Emergency Medicine - Pediatric Endocrinology & Metabolism - Pediatric Gastroenterology - Pediatric Hematology / Oncology - Pediatric Infectious Diseases - Pediatric Neonatal - Perinatal Medicine Nephrology - Pediatric Neurology - Pediatric Radiology - Pediatric Respirology - Pediatric Rheumatology - Pediatric Pediatrics Total General Surgery Cardiac Surgery Colorectal Surgery General Surgical Oncology Gynecologic Oncology Gynecologic Reproductive Endocrinology & Infertility Maternal Fetal Medicine Neurosurgery Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology - Head & Neck Surgery Pediatric Surgery Plastic Surgery Thoracic Surgery Urology Vascular Surgery Surgery Total General Pathology Anatomical Pathology Forensic Pathology Hematological Pathology Medical Biochemistry Medical Microbiology Neuropathology Laboratory Medicine Total Specialist Total Grand Total Report prepared July 18, 2017

22 3.2 Active Physicians in South West LHIN #2 by Specialty of Practice and Age Range in 2016 Grand Total Family Medicine F.M./Emergency Medicine Family Medicine Total Anesthesiology Clinical Pharmacology & Toxicology Critical Care Medicine Diagnostic Radiology Emergency Medicine Medical Genetics Neuroradiology Nuclear Medicine Pain Medicine Palliative Medicine Physical Medicine & Rehab Psychiatry Psychiatry - Child & Adolescent Psychiatry - Forensic Psychiatry - Geriatric Public Health & Preventive Medicine Radiation Oncology Other Specialty Total Internal Medicine Cardiology Clinical Immunology & Allergy Dermatology Endocrinology & Metabolism Gastroenterology General Internal Medicine Geriatric Medicine Hematology Infectious Diseases Medical Oncology Nephrology Neurology Occupational Medicine Respirology Rheumatology Internal Medicine Total Pediatrics Adolescent Medicine Cardiology - Pediatric Clinical Immunology & Allergy - Pediatric Critical Care Medicine - Pediatric Developmental Pediatrics Emergency Medicine - Pediatric Endocrinology & Metabolism - Pediatric Gastroenterology - Pediatric Hematology / Oncology - Pediatric Infectious Diseases - Pediatric Neonatal - Perinatal Medicine Nephrology - Pediatric Neurology - Pediatric Radiology - Pediatric Respirology - Pediatric Rheumatology - Pediatric Pediatrics Total General Surgery Cardiac Surgery Colorectal Surgery General Surgical Oncology Gynecologic Oncology Gynecologic Reproductive Endocrinology & Infertility Maternal Fetal Medicine Neurosurgery Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology - Head & Neck Surgery Pediatric Surgery Plastic Surgery Thoracic Surgery Urology Vascular Surgery Surgery Total General Pathology Anatomical Pathology Forensic Pathology Hematological Pathology Medical Biochemistry Medical Microbiology Neuropathology Laboratory Medicine Total Specialist Total Grand Total Report prepared July 18, 2017

23 3.3 Active Physicians in Waterloo Wellington LHIN #3 by Specialty of Practice and Age Range in 2016 Grand Total Family Medicine F.M./Emergency Medicine Family Medicine Total Anesthesiology Clinical Pharmacology & Toxicology Critical Care Medicine Diagnostic Radiology Emergency Medicine Medical Genetics Neuroradiology Nuclear Medicine Pain Medicine Palliative Medicine Physical Medicine & Rehab Psychiatry Psychiatry - Child & Adolescent Psychiatry - Forensic Psychiatry - Geriatric Public Health & Preventive Medicine Radiation Oncology Other Specialty Total Internal Medicine Cardiology Clinical Immunology & Allergy Dermatology Endocrinology & Metabolism Gastroenterology General Internal Medicine Geriatric Medicine Hematology Infectious Diseases Medical Oncology Nephrology Neurology Occupational Medicine Respirology Rheumatology Internal Medicine Total Pediatrics Adolescent Medicine Cardiology - Pediatric Clinical Immunology & Allergy - Pediatric Critical Care Medicine - Pediatric Developmental Pediatrics Emergency Medicine - Pediatric Endocrinology & Metabolism - Pediatric Gastroenterology - Pediatric Hematology / Oncology - Pediatric Infectious Diseases - Pediatric Neonatal - Perinatal Medicine Nephrology - Pediatric Neurology - Pediatric Radiology - Pediatric Respirology - Pediatric Rheumatology - Pediatric Pediatrics Total General Surgery Cardiac Surgery Colorectal Surgery General Surgical Oncology Gynecologic Oncology Gynecologic Reproductive Endocrinology & Infertility Maternal Fetal Medicine Neurosurgery Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology - Head & Neck Surgery Pediatric Surgery Plastic Surgery Thoracic Surgery Urology Vascular Surgery Surgery Total General Pathology Anatomical Pathology Forensic Pathology Hematological Pathology Medical Biochemistry Medical Microbiology Neuropathology Laboratory Medicine Total Specialist Total Grand Total Report prepared July 18, 2017