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Past President of Doctors Manitoba reflects on Manitoba’s severe doctor shortage

Past President of Doctors Manitoba Dr. Michael Boroditsky

By BERNIE BELLAN As president of Doctors Manitoba for the past year, Dr. Michael Boroditsky maintained a high profile within the media, often being called upon to react to various issues, especially the pronounced shortage of doctors within Manitoba.
Doctors Manitoba is an advocacy group for the more than 4,000 physicians in Manitoba – both active and non-active, engaging in policy development. As Dr. Boroditsky, now the Past President of Doctors Manitoba, said, “We’re more of an advocacy group than a union.
“Our main mission is to strengthen and support doctors in Manitoba,” although not just in the area of “renumeration,”, he explained.
According to its website, Doctors Manitoba “advocates for our physicians, so that they can stay focused on providing exceptional care to Manitobans.
“We strive to work collaboratively with partners to help develop a better health care system for Manitobans. We work to improve health policy so patients have better access to physicians across Manitoba, and so physicians have the supports they need to meet their patients’ needs.
“We regularly connect with the provincial government, Shared Health, regional health authorities and other organizations to ensure the physicians’ voices are heard and have an impact on decision-making.”
On Thursday, May 23, Dr. Boroditsky, who started in practice 25 years ago as an obstetrician gynaecologist, spoke to over 40 attendees at the weekly Remis speakers luncheon group at the Gwen Secter Centre. The focus of his talk was the “physician shortage” in Manitoba.
Using a series of slides that showed graphs detailing just how much Manitoba has slid almost to the bottom of all Canadian provinces when it comes to the number of physicians per capita (only Prince Edward Island has a worse ratio), Dr. Boroditsky was candid in describing the challenges that Manitobans face when it comes to finding doctors.
While the total number of physicians in Manitoba has grown by 21% in Manitoba over the past 20 years, this is actually the lowest growth of any province. Dr. Boroditsky explained that growth hasn’t kept pace with the growth in Manitoba’s population, nor has the number of physicians here per 100,000 (215) kept pace with the national average, which is 247/100,000.
To give an idea how far Manitoba has fallen in terms of physicians per capita, in 2002, we had the fourth highest ratio of physicians/100,000 population, while in 2023 we had fallen to ninth. Manitoba needs 445 more doctors just to get to the Canadian average.
To add even more gloom to the picture, Dr. Boroditsky said that, in a 2023 poll of physicians here, to which one third of active physicians responded, 12% of physicians said they were likely to retire within the next three years; 14% said they were likely to leave Manitoba; and 26% said they were likely to reduce their hours.
He did offer a glimmer of hope though, when he said that preliminary results from the 2024 Annual Physician Survey showed a slight improvement with physicians intending to stay in practice here in Manitoba.
Dr. Boroditsky cited six different reasons that doctors gave in explaining why they were either thinking of retiring or leaving the province. They included: frustrated by the “system”; feeling “burned out” or “distressed:”; don’t feel “valued”; “personal reasons”; “red tape”; or too heavy a “workload”.
While “burnout and distress are still high,” Dr. Boroditsky observed, the situation is “improving.”
“We’re seeing a different tone in government.”
Yet, in another moment of candour, Dr. Boroditsky said, “News flash: It’s hard to recruit (physicians) here in Manitoba.”
When it comes to physician retention, he described the number of years a physician needs to put in before they can begin practising as a doctor (beginning with three years of pre-med studies): For a family physician – nine years; for a specialist – 12 years; and for someone who undertakes a fellowship – 15 years.
Dr. Boroditsky touched upon the area of immigrant doctors – and why doesn’t Manitoba allow more of them?
There are two types of International Medical Graduates (IMGs), he explained: Canadians who have gone overseas for their medical education, to such jurisdictions as Ireland or Australia; and physicians from abroad looking to relocate to Canada.
Until now, the Manitoba government has only offered 20 training spaces for IMGs each year, Dr. Boroditsky explained, but that figure will double to 40 this year. Unfortunately, we need to add 445 doctors here altogether even if we were just to meet the national average, so adding 20 more IMGs to the total isn’t enough on its own to fix the shortage.
Still, there was some good news in the area of physician retention. The average net gain in doctors in Manitoba over the past five years has been 60 a year, Dr. Boroditsky noted. Putting some more flesh on that figure, he said that, on average, 213 new doctors have begun practice here each of the past five years, but 153 have either retired or left the province. This year, however, of the UM medical school graduating class, 79 have committed to doing their residencies in Manitoba, he said. (Manitoba does not have mandatory residency requirements for graduating medical students, he added.)
Turning to other areas where there has been much-needed change to the system, Dr. Boroditsky noted that “cloud storage” now allows doctors anywhere in the province to access the results of blood tests and imaging sessions e.g., CAT scans, MRIs. The one crucial area that still remains to be accessible by doctors, however, remain “clinical notes,” but that’s coming, he predicted.
In the question and answer session that followed, I asked Dr. Boroditsky about a recent Maclean’s Magazine article which analyzed in some detail the dire state of the Canadian medical system. That article noted the increasing privatization of medical services, the proliferation of nurse practitioners in many areas where there are severe doctor shortages, and the advent of what is known as “virtual medicine,” especially in areas where patients find it difficult to see a doctor in person. (I had written an article about a service that began in Manitoba in 2022 known as QDoc, which describes how successful a foray into “virtual medicine” by two Winnipeggers, Dr. Norm Silver, and Dave Berkowits, had been. You can read that article at https://jewishpostandnews.ca/faqs/rokmicronews-fp-1/qdoc-a-new-venture-that-promises-to-change-the-way-patients-interact-with-doctors/)
I asked Dr. Boroditsky whether Doctors Manitoba had a problem with the expanded use of nurse practitioners and what he thought of virtual medicine?
He said there’s been a “significant increase” in nurse practitioners (who are allowed to see patients, diagnose and prescribe in certain limited areas) and fully agreed “that team-based care with providers working with physicians is the way to move forward.” As for “virtual medicine,” Dr. Boroditsky said, “its’ a game changer.”
It was toward the end of his talk that Dr. Boroditsky talked about the heightened antisemitism of which many Jewish doctors have expressed deep concern. His comments can be read in another article on our home page at https://jewishpostandnews.ca/faqs/rokmicronews-fp-1/jewish-physicians-in-manitoba-form-association-in-response-to-antisemitism/

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Newly announced  Vivian Silver Centre for Shared Society to further former Winnipegger’s lifelong efforts to foster  Jewish-Arab co-operation in Israel

The late Vivian Silver

By MYRON LOVE Vivian Silver (oleh Hashalom) devoted her life to working toward dialogue and collaboration between Arabs and Jews in Israel.  The culmination of her efforts was the Arab-Jewish Center for Empowerment, Equality, and Cooperation – Negev Institute for Strategies of Peace and Economic Development (AJEEC-NISPED), which she co-founded 25 year ago with her sister peace activist, Dr. Amal Elsana Ahl’jooj.
Tragically, Vivian was of the 1,200 Israeli Jews, Bedouin and foreign farm workers who were slaughtered  during the Hamas-led pogrom of October 7, 2023.
Last month, AJEEC-NISPED announced plans to create the Vivian Silver Center for Shared Society in her memory –  a new national hub for Jewish-Israeli Arab collaboration and social innovation in Be’er Sheva – backed by an initial  $1 million donation from UJA-Federation of New York, along with support from the Meyerhoff Foundation, the Gilbert Foundation, and other philanthropic partners committed to strengthening shared society in Israel.
“It’s a great honor and a beautiful gesture,” comments Vivian’s son, Yonatan Zeigen,  “and  I hope it will be a central building for civil society, both in the physical sense, that it will become a substantial home for the organization and for other initiatives that will use the spaced and also symbolically, as a beacon for this kind of work in the specific location in the Negev.”
As this writer noted n an article earlier this year in relation to the announcement of  the launch of the Vivian Silver Impact Award by the  New Israel Fund (NIF) – of which she was a long time board member, and which was developed in conjunction with her sons, Yonatan and Chen),  Vivian made aliyah in 1974. She first went to Israel in 1968  – to spend her second year at university abroad at the Hebrew University of Jerusalem, studying psychology and English literature.
In an article she wrote in 2018 in a publication called ”Women Wage Peace,”  she related  that during her final year at the University of Manitoba, she was among the founders of the Student Zionist Alliance on campus and was invited to its national conference in Montreal. There she met activists in the Habonim youth movement who planned on making aliyah and re-establishing Kibbutz Gezer. The day she wrote her last university exam, she boarded a flight to New York to join the group.
She spent three years in New York, where she became involved in Jewish and Zionist causes, including the launch of the Jewish feminist movement in America.
“It was a life-changing period,” she recalled.  “I came to understood that in addition to being a kibbutz member, I was destined to be a social change and peace activist.”
Vivian and her group made aliyah in 1974 and settled on Kibbutz Gezer. In 1981, she established the Department Promoting Gender Equality in the Kibbutz Movement.  She moved to Kibbutz Be’eri near the Gaza border in 1990, along with her late husband, Lewis, and their two sons
In 1998, Vivian became the executive director of the Negev Institute for Strategies of Peace and Development in Beer Sheva, an NGO promoting human sustainable development, shared society between Jews and Arabs, and peace in the Middle East. Soon after, she  was joined by Amal Elsana Alh’jooj as co-directors of  AJEEC-NISPED, winning the 2011 Victor J. Goldberg Peace Prize of the Institute for International Education.  
 In the article she wrote for “Women Waging Peace,” she noted that “while we later focused on empowerment projects in the Bedouin community in the Negev, initially we worked with Palestinian organizations on joint people-to-people projects.  I spent much time in Gaza until the outbreak of the second intifada. We continued working with organizations in the West Bank. I personally know so many Palestinians who yearn for peace no less than we do.”
According to a report in the Israeli newspaper Arutz Sheva, in the November 24th edition, the Vivian Silver Centre – which is expected to open in the spring – will be located within AJEEC-NISPED’s  soon-to-open AJEEC House, and will provide a permanent home for programs that promote equality, leadership, and cooperation among Israel’s diverse communities.
“The Vivian Silver Center for Shared Society, within AJEEC’s headquarters, “the Arutz Sheva report noted, “will serve as a regional platform for dozens of Israeli Arab and Jewish social organizations. Through AJEEC’s educational, vocational, and leadership programs, the center will support thousands of young adults each year – offering mentorship, professional training, and opportunities for cross-cultural collaboration.
“These programs,” the report continued, “already reach more than 15,000 participants nationwide, helping young people integrate into higher education and meaningful employment while narrowing social and economic gaps.”
AJEEC House is located in Be’er Sheva’s Science Park, near Ben-Gurion University.  The three-storey AJEEC House has been designed to foster cooperation and dialogue. It will host community partnerships, provide shared workspaces for social entrepreneurs, and serve as a hub for initiatives addressing social and economic development across the Negev and beyond.
 Readers who may be interested considering a donation can dial into NISPED’s website –  – for further information.

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Stanley Schwartz- it’s a long way from Waterloo

By GERRY POSNER For Stanley Schwartz, it all began on Waterloo Street. For those who remember the 1950s and 60s – take yourself back to the south end of Winnipeg. Waterloo between Corydon and Fleet had enough Jewish families to form its own High Holiday congregation. That is to say, there were a whole bunch of Jewish families there. Not quite McAdam Avenue in the north end – but close enough. One such family was that of Harold and Faye Schwartz, along with their children: Anita, Ruth, and Stanley.

Stanley graduated from Kelvin High School. In fact, he played football for the Kelvin Clipper. In addition, he was a participant in typical Jewish teen activities at the time, particularly AZA. He had a wide network of friends, some of whom remain vital connections to this day. Remember, in those days, there were no cell phones, no internet, and barely the beginnings of TV. So, as a teenage boy, Stanley spent a lot of time with his buddies.

Stanley went on to the University of Manitoba from where he graduated law in 1967. That was Stanley’s first step into a career that lasted close to 50 years. His second big step was his decision to forgo an offer to become a partner in a well known and established law firm in Winnipeg, and instead, go out on his own in a shared space arrangement. The shared space arrangement lasted several years and, during that time, he also opened up an office in Morris, Manitoba. Morris was once home to several Jewish families, but not when Stanley moved there to live.

Along his way to practicing law, Stanley got married – to the former Shirley Hooper, a woman originally from England who had moved to Vancouver and whom Stanley met by chance in Hawaii. They were blessed with two children and now have five grandkids. But the family did not end up in Winnipeg. In what was a huge life changing decision at that time, Stanley and Shirley boldly packed up their belongings and moved to Vancouver. Now, some of the thinking that entered into this move might well have been Shirley’s lack of fondness for the Manitoba winters (even though she had formed close relationships with many people in Winnipeg at that time – relationships she still maintainsto this day). But Stanley was also open to a fresh start in a new place. That decision, looking back on it now in 2025, was a wise one for both Stanley and Shirley Schwartz. For starters, who knew that Vancouver would explode with an immigrant population and with it, a dramatic increase in the value of property, caused in part by non-residents buying up land and buildings in Vancouver? Aside from that, Stanley had a specialty in his practice of law that was a perfect fit for Vancouver’s growing population- family law.

For the entirety of his legal career, Stanley focused on matrimonial law in every aspect, not the least of which was litigation. As a former lawyer myself, let me say that if there is an area of law filled with tension, aggravation, and sadness, it surely must be the field of marriage, children and custody battles, access, division of assets and all that goes with those issues. You often are not just a lawyer, but also a psychologist, father confessor and a lot more. You really have to be able to be able to watch some of the worst in humanity. And you have to be ready to, as they say, “ go for the jugular.”
You may never have to do it, but you have to be ready. Stanley Schwartz was ( nd remains so this day, in my view) on the face of it, not a likely candidate to be thought of as aggressive.That is because he was then and still is now, a friendly guy who does not seem to be one cut out for courtroom battles. But clearly, he was able to be “ rough and tough” when he had to be. When I asked Stanley what advice he would give to somebody wanting to employ him in a family law situation, he was quite frank. His immediate response to these kinds of clients was: “If you want a war, the winners will be two people -the two lawyers. The losers will be your children ( f there are kids in the picture.”)

Stanley might still have been at it, but he had medical issues relating to his back over a period of many years. He has had three spinal surgeries, and none of them has really worked satisfactorily. Standing for periods of time was hard for Stanley. He says he knew it was time to give up his practice of law when one day in court six or seven years ago, while he was in argument, he leaned against the dais and the judge told him that it was ok for him to sit down and argue. That episode confirmed what he had thought for a while: time to call it a day and a career. So with two metal rods in his back and pain in his legs, Stanley retired.

Though no longer involved in the legal world, Stanley has managed, very easily he would add, to settle into his non working life with as much travel as he and Shirley are able to do. That travel includes trips back to Winnipeg, also Winnipeg Beach – where he spent much of his youth. His visits also include time with his sister, Anita Ruth Neville, a name not exactly unknown to Manitobans given her role as the 26th Lieutenant Governor for the Province of Manitoba. And, with one daughter in Toronto, Shirley and Stanley also make regular stops in that city to see his family there.

Not that long ago, Stanley stepped into the world of octogenarians. He is quick to say that getting old is not for sissies, but at the same time, he is one to embrace what each phase of his life has brought.

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Farah Perelmuter – a former Winnipegger in the spotlight

By GERRY POSNER From the north end of Winnipeg, Garden City to be exact, comes yet another Winnipeg woman who has almost singlehandedly built a prosperous business in Toronto – almost out of the blue. And who is this Winnipeg woman? None other than Farah Perelmuter, bornFarah Vinsky, the oldest of Toby and Irv Vinsky’s three daughters.

Farah attended Talmud Torah and Joseph Wolinsky Collegiate, also spent a year at the University of Winnipeg Collegiate. Upon graduation from high school, Farah took a gap year in Toronto working in the modelling industry. During that year, she had a chance to visit Western University in London, Ontario. That visit inspired her to apply there and, after one year at the University of Winnipeg, she was off to Western. Interestingly, not that long ago, Farah served on the Western Alumni Board – a role she filled for six years.

As a teenager in Winnipeg, Farah indicated that she had an entrepreneurial gene, as evidenced by her creating what was a “ self development “ program for teenage girls. When she started that program, Farah was all of 16 and was already working in her spare time in a modelling agency. When she came to Toronto after her graduation from university, she began working at a marketing agency, but the desire to be her own boss was so strong that, in 1995, Farah, along with her husband, Martin Perelmuter, started a business known as “ Speakers Spotlight.”

The business’s purpose was to bring prominent speakers to address audiences at locations all over the world. The couple initiated the business right from the spare bedroom in their apartment – with only one phone and one computer. Worse than that, Farah and her husband had no clients, no experience, no staff and, of course – no money. What they had was a clear vision. That vision was to put the right speaker in front of the right audience and, if they could do that, the impact would be significant and lasting. They also had so little business experience that they tried out different ways of doing things in their business and were not afraid to be innovative. That willingness to create and change likely propelled them speedily into the forefront in their field. As proof of their standing in the industry, Farah and Martin were selected twice as Entrepreneurs of the Year by Ernst and Young.

From that modest beginning emerged what is today called “ Speakers Spotlight,” a business that has grown into one of the world’s largest and indeed most respected speakers’ agencies. Farah and Martin have developed a team of people working for and with them (now up to 35 people, who work both in and out of the office) and, as well, they have created an incredible roster of extraordinary speakers. Their list of speakers includes people with deep experience in their respective fields. That combination of prominent speakers and a loyal, dedicated group of people putting the speakers on to platforms has allowed “Speakers Spotlight” to raise the bar of professional service and integrity within the industry. Would you believe 40,000 speaking engagements over 50 countries are now part of the history of a business that started in Farah’s spare bedroom? Just the list of names who have participated with Speakers Spotlight is staggering. Google Speakers Spotlight and I promise you will be overwhelmed, both by the quantity and quality.

Along the way, the company has received numerous awards and accolades. Most importantly, they have, through the various people that have been involved as speakers, helped to plant the seeds for people in the audience to make changes, alter plans and to inspire them to go forward. Sometimes, it’s as little as hearing the right person tell a story that can affect one person and from there, big things often develop. For Farah, that is what keeps her excited about her business.

In 2017, the couple started another business related to the first one, called “ The Spotlight Agency.” This company connects celebrity talent with opportunities all over the world. The talent comes from every area of life including the fields of entertainment, sports, food, decor and more. What the Spotlight Agency does is to unite these personalities to a brand of partnerships, with digital and creator content,TV, streaming, podcasts and publishing.

Even with the real success of Farah’s business ventures, what pushes her are her two children, Jade and Cole, both now in their 20s, and forging their own trails. As well, Farah appreciates from whence she came and she looks forward to what lies ahead. She treasures her return trips to Winnipeg to see her parents, relatives and indeed, old friends. So much is Farah Perelmuter a true Winnipgger that she still roots for the Winnipeg Jets, especially when they play the Toronto Maple Leafs. So, let the spotlight shine on Farah Vinsky Perelmuter.

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