Local News
Past President of Doctors Manitoba reflects on Manitoba’s severe doctor shortage
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/
Local News
Richard Morantz and Sheree Walder contribute $1 million to ongoing Shaarey Zedek Synagogue Capital Campaign
By MYRON LOVE “We really welcome the decision of Richard Morantz and Sheree Walder to donate $1-million to our ongoing capital campaign,” said Rena Secter Elbaze, the Shaarey Zedek Synagogue’s executive director, on October 9. “They and their families have a long history of supporting our community organizations and the State of Israel. Their contribution to the Shaarey Zedek is inspirational.”
The husband and wife team officially presented the cheque to Elbaze at a brief ceremony at the synagogue the morning of October 9, in the newly renamed Richard Morantz and Sheree Walder Auditorium.
In their remarks, both Morantz, the president and CEO of Globe Property Management, and Walder, a lawyer who is a former partner in the law firm Myers LLP, spoke of their long family connection to the Shaarey Zedek. “My mother’s family were Jewish pioneers in Winnipeg,” Walder noted. “My great-grandfather, Samuel Cohen, for whom I am named, was an original member of Shaarey Zedek Synagogue. I started coming here with my own grandfather, Sidney Cohen, when I was about two years old. I remember exactly which pew we sat in and how my grandfather helped me to follow along in the siddur during services. Shaarey Zedek has always been a place of great comfort for me.”
Morantz added that his own bar mitzvah took place at Shaarey Zedek Synagogue on April 29, 1972. “I learned my maftir from the legendary Rabbi Berkal,” he recalled. “We continued to celebrate here with our own children’s bar and bat mitzvahs. I am very grateful that we got to watch our own children shine on the bimah.”
It was the Hamas-led assault on Israel and subsequent tsunami of antisemitism worldwide that prompted the couple to consider stepping up and contributing to the Shaaray Zedek campaign in such a magnanimous way.
“I have never been a religious person,” Morantz remarked. “While I may be more secular, I strongly believe in the traditions of Judaism. I had a charmed upbringing in the 60s and 70s in River Heights. It is not the case that I experienced no antisemitism, but those experiences were very minimal. Post-October 7th, I found myself, for the first time in my life, having to judge every situation and every person I came across before divulging the fact that I am Jewish or discussing Israel. I came to the realization, during the process of considering this donation, that a primary driver for us is that this synagogue is a safe place for Jews, where we can comfortably be ourselves.”
Walder pointed out that while her mother’s large family were Jewish pioneers, her father was a Romanian Holocaust survivor, with almost no family after the war. “Family matters a great deal to us,” she said. “In addition to strongly agreeing with Richard that the tragedy of October 7th and continuing and growing anti Semitism are big drivers for us in making this donation, we also want to see Shaarey Zedek be a safe and special part of the lives of our now adult children and the generations that will follow them. It is very fulfilling to us that we are contributing to making that happen.”
Walder further credits the encouragement of her old friend and law school classmate, Neil Duboff, for helping to clinch the decision for her and her husband to make the donation. “Neil has worked so hard for the synagogue and our community for so many years and we applaud his efforts and commitment,” she noted.
(Duboff is a past president of the Shaarey Zedek and chaired the capital campaign.)
Walder also mentioned the support of Gail Asper in making the decision. “I met Gail on our first day of law school in 1981,” she recalled, “and we have been very close ever since. While we can all agree that Gail certainly knows how to talk, she also really knows how to listen. Through all of our discussions with her about making this donation, she listened hard, she came up with solid answers, and she was instrumental in leading us to the decision to donate. Shaarey Zedek is extremely lucky to have such a talented fundraiser.”
“We have to make special mention of Rena Secter Elbaze,” Morantz noted. “Rena literally blew me away when I met her for a tour of the synagogue. Her passion and knowledge are remarkable. We believe that our synagogue is in great hands and we feel much comfort and confidence making this donation.
“We are very proud of the recent renovations and upgrades to the synagogue,” he added. “This place is absolutely beautiful. We also feel privileged to have met with Rabbi Carnie Rose. We know he will be a great asset to the synagogue and all of its members for a long time to come.
“We are so honoured to be here with you today and to feel that we are making a difference to this special place”.
He concluded his remarks with an observation by Elie Wiesel that “a synagogue is a house of memory as well as a house of prayer. It reminds us of who we are and where we come from.”
Local News
Winnipegger Charlotte Kittner traces ancestry back to the Jewish expulsion from Spain
By MYRON LOVE Ladino was long the spoken language of the Jews from the Iberian peninsula and North Africa just as Yiddish was the day to day language of the Jews of Eastern Europe. Charlotte Kittner is most likely the only Winnipegger – and one of the few left in the world – who still speaks Ladino.
But Ladino is just one of eight languages that Kittner, who turned 100 in August, can speak – the others being Bulgarian, Romanian, Czech, Spanish, French, Hebrew, Turkish and English.
Charlette (Sarlota) Kittner was born in Bulgaria – in a Jewish community whose members were largely descended from the Jews who were forced out of Spain in 1492 (and Portugal a few years later) by the Spanish expulsion.
A few days after her birth, that part of Bulgaria became part of Romania. She was so small at birth, she recounts, that the doctor had little hope she would survive more than a few years. She slept in a drawer of a chiffonier lined with many layers of cotton for the first year.
The youngest of three sisters, she recalls growing up comfortably in a warm and observant community. Her father, Avram, who operated a textile factor, attended synagogue on Shabbat and all the Yom Tovim.
The family – along with all the other Jewish families in Romania, fell on hard times with the advent of World War II. Although Romania was an ally of Nazi Germany and was never occupied, members of the Romanian Iron Guard – the local equivalent of the Nazis – could be just as sadistic and murderous as their German counterparts. Although most Romanian Jews outside of Bucharest were murdered, those living in the capital city, while facing much discrimination and many restrictions – were spared internment and deportation.
Kittner notes that mother, Minduch, died in 1945 and she lost her father in 1946.
During the war Charlotte and her sister, Lisa, were assigned to a factory making linens and garments for the Nazis.
She recalls that life was tough after liberation and continued to be difficult after the coming of Communism in immediate post-war Romania.
After the war, Kittner trained as an accountant and found work with a large manufacturer. That is where she met her husband, Mike (Misu) Kittner. They were married in Bucharest in November,1952.
Kittner’s sisters, Suzanna and Lisa, both made aliyah after the war. Charlotte and Mike followed in 1964. They lived in Israel for three years. Charlotte quickly learned Hebrew and found work as an accountant.
But life in Israel was difficult economically in those days. Mike’s brothers, Fred and Serge, had previously settled in Winnipeg and encouraged Mike and Charlotte to join them. They did – in May 1967.
The next year, Chralotte’s sister Lisa and husband, Nick, also moved to Winnipeg.
Their other sister, Suzanna, and her husband, Selu, a well known painter, remained in Israel.
Over the years, Kittner has visited Israel – where she has numerous nephews, nieces and cousins – as well as having taken trips back to Romania and to other European countries.
Once in Winnipeg, she and Mike quickly found work in the garment industry. She was first hired as a bookkeeper by Stall and Son. After a short time she moved over to Silpit Industries, where she served as chief accountant for many years. Kittner has favourable memories of her boss, the late community leader Harry Silverberg. She later worked for another Silverberg firm, Brown and Rutherford, a lumber processing operation.
Mike only worked in the garment industry for a short time. He found his niche in insurance sales – where he excelled. He also founded Broadway Agencies and became a booking agent for budding new performing artists in Europe whom he brought to Winnipeg to appear in popular local night clubs.
Mike and Charlotte’s nephew, Brad Kittner, recalls as a youngster going with his
parents, aunts and uncles to those clubs and watching what he describes as “these fabulous singers.” He says that they inspired him to pursue his own successful career as a karaoke singer and performer for hire.
Charlotte and Mike first lived in East Kildonan for a year, then moved to Partridge Avenue in West Kildonan. A few years later, they bought a new house on Drimes Place, north of Templeton, in northwest Winnipeg.
While Mike Kittner passed away in 1991, Charlotte continued to work into her 70s.
Through the years, she has led a busy social life with family and friends. As Brad Kittner notes, even at 100, “Aunt Charlotte continues hosting friends and family for full course meals and gatherings at her place.”
Charlotte celebrated her hundredth birthday with more than 20 relatives and friends at the Ichiban Restaurant.
Although hard of hearing and somewhat frail of body, her mind remains relatively clear. She still enjoys reading fiction, doing crosswords and looking forward to her weekly card games with her sister-in-law, Sylvia, who also lives at Chateau West on Jefferson, and other friends.
May she live to 120!
Local News
Over 2000 supporters turned out for walk for Israel despite overcast skies, rain
By MYRON LOVE October 5 started out overcast and rainy. The rain – which fortunately stopped just before the Walk for Israel began – didn’t prevent over 2,000 supporters of Israel – both members of our Jewish community and those from outside of our community from turning out for the second annual Walk for Israel commemorating the horrific events of October 7 – two years ago – the darkest day in post-Holocaust Jewish history
As with last year, the 45-minute walk began and ended at the Asper Campus. While last year the walk was followed by speeches from community leaders and various politicians, this year the only speaker was Paula Parks, President of the Jewish Federation of Winnipeg, who pointed out that the ongoing anti-Israel and antisemitic demonstrations- post October 7- have strengthened the bonds within our community and spurred more people to affiliate with our communal organizations. She further noted that more of us are speaking out and we need to continue to do that.
“The number of people who participated was inspirational,” says Gustavo Zentner, the representative for Manitoba and Saskatchewan for the Centre for Israel and Jewish Affairs. “We had numerous allies as well as members of our Jewish community. We had people from all walks of life.”
“We had a fantastic turnout,” added Jeff Lieberman, the Jewish Federation of Winnipeg’s CEO. “Paula spoke very well. Her comments were meaningful.”
He expressed his hope that the hostages would be released very soon, the war would be ended, and Israelis can finally live in peace.
The commemoration’s focus this year was primarily on visual images rather than words. The walk featured a number of photos taken by local members of the Winnipeg Jewish community who visited the Nova site in person or attended the Nova exhibit that travelled to various parts of Canada and the United States. The photos were displayed for the day along the fence on Doncaster Avenue – the first stage of the walk. Participants were handed Israeli flags and kalaniot (red anemones) flowers, the official flower of Israel, and were encouraged to place them around the photos on the fence.
As well, as part of the October 7 commemoration, 33 paintings depicting some of those taken hostage on October 7 were put on display along Main Street of the Campus from the week of October 3-October 10. The paintings were the work of well-known Israeli illustrator, cartoonist, humourist, performance artist and political activist, Zeev Engelmayer.
The walk on October 5 concluded with Israeli shimshinim – Israeli youth representatives here in Winnipeg from Israel – and other young people from our community reciting a prayer for the hostages (who were finally freed last week), and members of the IDF, followed by the singing of “O Canada” and “Hatikvah.”