(Black Press Media file photo)

(Black Press Media file photo)

B.C. medical students call for more residency spots to curb doctor shortage

Group plans day of action to fight stigma of not landing a spot and to urge government to change

After upwards of five years pursuing an undergraduate degree and four years of medical school, about a dozen UBC graduates will get the crushing news this year they didn’t land a residency.

Being trained under a residency program is the next step in becoming a practicing doctor in Canada.

After passing medical school, graduates are interviewed at various hospitals in Canada – their academic and personal lives dissected – in hopes of getting placed in a program to train in a specialty ranging from family medicine to neurology.

An average of 14 graduates in B.C. do not get a placement, even despite a second round of matching for remaining spaces that includes grads from out of the country. They are forced to wait a year and apply again, against new graduates.

The number of hopeful doctors being left behind have been steadily growing over the last decade in B.C.

Now, a group of students and alumni are calling on the B.C. government to fund more residencies to increase the number of practicing doctors, especially as the province deals with a doctor shortage.

No Docs Left Behind, organized by members of the Medical Undergraduate Society, estimates that for every unmatched graduate, 1,875 patients in the province lose out on stable health care. That’s 26,250 patients each year.

John, who asked that his real name not be used to protect his chances for a future residency, found out on Monday at 9:27 a.m. he had not been matched.

READ MORE: B.C. launches plan to tackle doctor shortage, emergency room congestion

READ MORE: ‘Critical’ nursing shortage at B.C. hospital has pregnant women travelling hours to give birth

“I remember feeling like everything was over, like I had just been abandoned and discarded by my country,” he told Black Press Media. “Like I had no future. I felt like I was in a black box, basically.”

The 26-year-old said he’s put nine years of his life into building a career in medicine. He declined to say which specialty he had applied for, but explained it was niche and highly competitive.

“When I leave my home, it takes me every bit of effort not to cry. Because every time I go back to school or an extra curricular activity with friends from school, all I see are their smiling faces, and I don’t have that.”

There is a sliver of hope: John could be selected for a residency in a second and final round of matching, but he’s up against higher competition and fewer spots. Those results won’t be known until April.

If he doesn’t get in anywhere, John said he has two options: Leave his family and apply for international training, running the risk of never practicing in Canada, or find a job that allows him to start paying off his mounting debt and apply again next year.

“What makes it difficult is that I don’t just lose a year where I have no income, am not really a student either, and somehow expected to start paying my debt,” he said. “But this also means that when I apply next year…, I’m basically damaged goods because I didn’t match the first time and people will wonder why.”

Privia Randhawa, senior chair of the society behind No Docs Left Behind, said the residency matching process is a key step in a career as a physician, but it’s often misrepresented as vetting grads based on their capabilities.

“Each graduate, especially here in Canada because the standards are so high, are competent students,” Randhawa said. “They have passed their medical exam, they passed clinical exams which are both structured and standardized. If a student wasn’t competent to make the cut, they wouldn’t be at the position to apply to be looking for a spot.”

READ MORE: Stop blaming patients, say emergency doctors

READ MORE: B.C. to spend $181M to create 200 general practitioner jobs

Randhawa, who’s in her second year of medical school, said this is one of many reasons why the province needs to fund additional spots.

Across Canada, 68 graduates weren’t matched with programs last year, compared to just 11 in 2008.

“Because we’ve been seeing physician shortages across the country, both in urban or rural areas, this has been getting worse,” Randhawa said. “So medical schools have been pushing to increase their enrollment in order to alleviate the position shortage, but residency spots haven’t increased in an equal way.”

UBC medical students calculate that each doctor in B.C. can provide stable health care to 1,875 patients. (No Docs Left Behind graphic)

Residency positions in other provinces have also been cut, including 50 in Ontario. Some programs in Quebec are solely French-language. Both put further pressure on the system.

The government invests $250,000 to train a medical graduate in a residency, and the funds are not transferable between specialties. That means the money can go unused if a spot is left unfilled.

As it stands, there are 285 medical graduates each year from UBC, and an average of 12 prior-year medical students, who apply for 288 residency positions at the university.

Physician shortages have led to long wait times at hospitals and clinics shutting down across B.C.

Health Minister Adrian Dix has introduced legislation to increase access to timely treatment, including urgent primary care centres. In 2018, he announced $181 million over three years to recruit 200 medical resident graduates into B.C. jobs.

His ministry was unable to return requests for comment Friday, saying Dix was travelling.

No Docs Left Behind is advocating for two solutions: For B.C. to boost the number of positions available to 317, and create any needed residency positions for all unmatched medical graduates each year.

“A lot of ministries and provincial governments are working to increase their spots, but B.C. has yet to do anything,” Randhawa said.

She and a group of graduates and students plans to demonstrate at the B.C. Legislature on Monday and meet with MLAs.

She wants to send a message about making the system better for once she and her peers graduate, and for all those who pursue the medical field after her.

“Our ultimate goal in all of this, is to better help the B.C. population with their health care. As medical students, we are not able to do that if we can’t finish our training.”


@ashwadhwani
ashley.wadhwani@bpdigital.ca

Like us on Facebook and follow us on Twitter.

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Flights are to resume to Prince Rupert and Sandspit airports under an Air Canada and federal government $5.9 billion agreement that was reached on April 12. A plane is seen through the window on the tarmac of Vancouver International Airport as the waiting room is empty Tuesday, June 9, 2020. (THE CANADIAN PRESS/Jonathan Hayward)
$5.879 billion agreement between Air Canada and Fed’s will assist YPR in re-opening

Prince Rupert Regional Airport to reopen flights by June 1st, if not earlier

BC Housing townhouses on Kootenay Ave. were demolished during March to make way for new affordable residential units by Prince Rupert Indigenous Housing Society. (Photo: K-J Millar/The Northern View)
Despite a recent reduction in units project will still be able to house many

Prince Rupert Indigenous Housing Society says 60 units is still the plan

Photo collage of loved ones lost to substance use and overdose. (Photo courtesy Moms Stop The Harm)
B.C. overdose deaths still rising 5 years after public health emergency declared

Moms Stop the Harm calls on B.C. to provide safe supply in response to deadly illicit drug use

Prince Rupert City Council approved the purchase of computer chipped recycling bins on April 12. A Penticton garbage truck lifts a new bin. (Western News photo)
Big Brother to help with the garbage – computer chipped recycling bins report your bylaw infractions

They report, but will they sort — recycle bins to cost Prince Rupert $564,850

Pembina Prince Rupert Terminal celebrated the opening of operations on April 12 in a virtual online ceremony with President and CEO Mick Dilger and Manager of Communications and Media Affair Tasha Cadotte commemorating the ribbon-cutting. (Photo: Supplied)
Pembina celebrates opening of operations in Prince Rupert

A virtual ribbon-cutting ceremony commemorates LPG export facility on Watson Island

A person receives a COVID-19 vaccine at a vaccination clinic run by Vancouver Coastal Health, in Richmond, B.C., Saturday, April 10, 2021. THE CANADIAN PRESS
B.C. sees 873 more COVID-19 cases Tuesday, decline continues

Hospitalizations up to 377, two more deaths for 1,515 total

An unidentified B.C. man said, in a human rights complaint, that he was refused a contract job after refusing to wear a mask when asked to by an on-site manager. (Unsplash)
Religious B.C. man lodges human rights complaint after fired for refusing to wear a mask

Worker’s claim that ‘to cover up our face infringes on our God-given ability to breathe’ dismissed by B.C. Human Rights Tribunal

This 2013 Dodge Ram 1500 was stolen from Black Creek Motors at approximately 2 a.m. Sunday, April 11. Photos via blackcreekmotors.com
VIDEO: B.C. car dealer posts clip of thieves towing a truck right off his lot

Video shows one white truck towing another off Vancouver Island lot

FILE – People hold signs during a memorial march to remember victims of overdose deaths in Vancouver on Saturday, August 15, 2020. THE CANADIAN PRESS/Darryl Dyck
B.C. to request federal exemption for simple drug possession

Announcement comes on 5-year anniversary of B.C.’s first public health emergency

(AP Photo/Matthias Schrader, FIle)
Rare blood clots ‘may be linked’ to AstraZeneca vaccines: Health Canada

One case of the adverse effect has been reported in Canada

Restaurant patrons enjoy the weather on a patio in Vancouver, B.C., Monday, April 5, 2021. The province has restricted indoor dining at all restaurants in B.C. due to a spike in COVID-19 numbers. THE CANADIAN PRESS/Jonathan Hayward
B.C.’s COVID-19 indoor dining, drinking ban extending into May

Restaurant association says patio rules to be clarified

Two men walk past a sign on Main Street in downtown Vancouver, B.C., Monday, April 5, 2021. THE CANADIAN PRESS/Jonathan Hayward
Calls for government transparency in COVID data continue as B.C.’s 3rd wave wears on

Social media, where both information and misinformation can spread like wildfire, has not helped

Two men were seen removing red dresses alongside the Island Highway in Oyster Bay. (Submitted photo)
Observers ‘gutted’ as pair filmed removing red dresses hung along B.C. highway

Activists hung the dresses to raise awareness for Indigenous Murdered/Missing Women & Girls

A grey whale off the coast of Vancouver Island is being monitored by Canadian and U.S. researchers, as it has developed lesions after being tagged last year. To try and prevent systemic infection from developing, the team administered antibiotics to the whale on March 31 and April 1. (Photo from the NOAA Fisheries website)
Tagged grey whale off Vancouver Island given treatment after developing lesions

Canadian and U.S. whale experts administered antibiotics to the animal on March 31, April 1

Most Read