More doctors and other health professionals from the U.S. want to move to Nova Scotia, according to Nova Scotia Health. (Province of Nova Scotia)

The unstable political situation in the United States may be good news for the Nova Scotia health care system.

More doctors and other health professionals working in the U.S. are looking to move north. One of the places they’re calling is Nova Scotia. And some of them also want to move to Queens County.

Lauren Murphy, director of recruitment and volunteer services with Nova Scotia Health, says they’ve seen an increase in applications from people from the U.S.

“Honestly, we’re hearing some pretty amazing stories,” she told QCCR this week.

“We’re hearing people who maybe have family members who are trans who don’t feel safe anymore. We’re hearing about people who are Canadians but have been living in the U.S. for years and working in their health care system and not feeling safe anymore and wanting to come back to Canada. We’re hearing from people who are internationally educated but living in the U.S. and again not feeling safe. It’s a scary time in the States and I do think people are seeing Canada as that safe space.”

Murphy said that the health care professionals reaching out to Nova Scotia Health recruiters are extremely qualified and experienced. They include doctors, nurses and other professionals.

“And the beauty is that the hospital setting in the U.S. is very very similar to what we have in Canada in terms of the level of care. And so being able to hire someone from the U.S., they can pretty much hit the ground running. As horrible as it is, maybe there is some silver lining that people can find a new home here in Nova Scotia and build roots and bring family or create families, and that’s great for our economy and great for us as a province.”

Murphy did not say how many doctors or other health professionals are interested in making the move from the U.S. to Nova Scotia.

According to data obtained in January 2024 by the Nova Scotia Government and General Employees Union, more than 1,000 health-care positions were still waiting to be filled in Nova Scotia. That includes professionals other than doctors and nurses.

And in March, about 96,000 Nova Scotians were still without a primary care provider. That was down from February’s number of just over 104,000. About nine per cent of the population is still looking for a family doctor or nurse practitioner.

Murphy acknowledged that there’s a global shortage of health-care professionals. Jurisdictions like Nova Scotia have been looking in other countries to fill those spots.

The process can take some time, especially as candidates navigate immigration and licensing requirements. Nova Scotia Health has its own immigration team to help make it easier for clinicians or other professionals to move here.

Nova Scotia recently opened a new centre to help speed up the licensing process for internationally trained physicians. It takes about 12 weeks to complete and doctors agree to practise in the province for at least three years.

Murphy says American-based doctors also ask her recruitment team about the differences in culture and taxation.

“It’s a huge step to move to a different country,” she said. “A lot of the conversations start off very exploratory. If you’re thinking about the U.S., you’re also potentially talking to a candidate who is coming from a state that doesn’t pay tax.

“But … we really are seeing people who are like, ‘No, we have to do this, we’re taking the plunge.’ And we’re really seeing those numbers now.”

Some of those doctors and other professionals are interested in moving to Queens County. 

Dr. Al Doucet is the chair of the Queens General Hospital Foundation, which works with Nova Scotia Health to bring doctors to the area.

He was out of the country and unavailable for an interview Friday. But he said in a text message that the foundation is getting inquiries from physicians and physician assistants about moving here.

Nova Scotia Health recently named Liverpool-based Dr. Alison Freeman the MD recruitment and retention lead for the South Shore.

To help with those recruitment efforts, Nova Scotia Health is holding a provincial career fair on March 27 at 11 locations around the province. Officials will be at the Michelin Social Club in Bridgewater from 10 a.m. to 7 p.m.

Murphy says the job fair targets Nova Scotians who are interested in a first-time position with Nova Scotia Health or transferring to a different part of the province. More than 220 people were hired through last year’s job fair.

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Queens General Hospital. Photo Ed Halverson

The provincial government is following through on a promise to make up-to-date healthcare data available to Nova Scotians.

Residents can now see the daily or most current information for hospitals across the province for a wide range of stats like hospital occupancy, emergency department visits and number of surgeries performed.

Information is presented on an interactive dashboard and gathered from several sources including hospital inpatient, surgical and emergency data bases, continuing care home support and long-term care reports and EHS.

The data contains no information which could identify individual patients.

Government announced the website would be coming as part of their Action for Health plan back in April.

In a release, Health and Wellness Minister Michelle Thompson said, “Change won’t happen overnight. But by sharing this information now, we are holding ourselves accountable to make sure change happens and the system improves in the areas most important to Nova Scotians.”

The website also tracks continuing care services such as the number of people waitlisted for home support and how many have been admitted to long-term care facilities.

EHS is providing weekly numbers of calls, response times and average time it takes to offload patients at each hospital.

The Action for Health website also shows the most current numbers on doctor and nurse recruitment and retention and the number of Nova Scotians without a primary care provider.

The website can be found at novascotia.ca/actionforhealth.

Reported by Ed Halverson 
E-mail: edhalversonnews@gmail.com
Twitter: @edwardhalverson

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Queens General Hospital. Photo Ed Halverson

Difficulty attracting new doctors is one of the factors that contributed to the closures experienced by the Queens General Hospital Emergency department over the past couple of weeks.

This was the first time since the hospital opened a doctor couldn’t be found to work the shift.

But chair of the Queens General Hospital Foundation Al Doucet says the issue extends beyond the emergency room.

“The problem is that there’s not enough supply of health professionals and that’s just not physicians. It’s nurses, it’s CNAs, it’s LPNs, it’s lab technologists, it’s across the board,” said Doucet. “To look after our population that is aging, we have not been able to keep up the supply of health professions that are needed.”

Doucet has been recruiting doctors to Queens for the better part of 40 years and says the pandemic has thrown a wet blanket on their efforts.

“One of the things you do with recruiting, you want to bring people into the communities so they get a feel of where they would want to move and work, and with COVID, we couldn’t do that,” said Doucet. “We couldn’t bring people in, so for almost two years, it’s really stymied our recruitment abilities.”

Doucet says overall, the provincial healthcare system is struggling to keep up with demand, and because so many Nova Scotians don’t have access to primary care, they are now turning to the emergency room for treatment. But many general practitioners who take shifts in the ER find it difficult to then spend the day seeing patients in the office.

“In the past the emergency departments used to be seen more for just emergencies, so the people manning it could at least get a rest while they were doing it then have an office the next day. That can’t happen anymore,” said Doucet. “Our emergency departments are pretty steady because people don’t have family doctors so they have no other option but to go to the emergency department.”

Doucet has also seen a shift in the way medical schools train doctors.

He would like to see those schools return to the methods he was taught, where doctors were trained as generalists before deciding to move into a specialty.

“One of the good things about that was, that the specialists that came from that kind of a training environment understood what it was like to work in family practice, understood what it was like to have people referred to them. They had a much broader understanding so they didn’t become very narrow in their scope of practice. They looked at the patient more as a whole,” said Doucet.

He says the problems with the healthcare system are complex and likens the situation to a pyramid, with primary care as the base and other specialized care piled on top.

“In the last eight years I don’t think the emphasis has been on the bottom of that pyramid. There’s been a lot of emphasis on other things and those other things are important, I don’t minimize that,” said Doucet. “But fixing the bottom of that pyramid in the last eight years has not been the primary focus and I think that’s why we’re in the situation we’re in now.”

Reported by Ed Halverson 
E-mail: edhalversonnews@gmail.com
Twitter: @edwardhalverson

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