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
Bright future for Israeli-born University of Manitoba Science student Erele Tzidon
By MYRON LOVE Erele Tzidon, a second year Science student at the University of Manitoba, seems to have a bright future ahead of her.
Rabinovich-Nikitin
The year before last, the Israeli-born graduate of Gray Academy received a University of Manitoba undergraduate research award, which allowed her to pursue research as a member of Dr. Inna Rabinovich-Nikitin’s research team at the Institute of Cardiovascular Sciences, (ICS) researching the link between pregnancy complications and the risk for heart disease.
The world-renowned institute, directed by Dr. Lorrie Kirshenbaum, studies heart disease and heart function with the goal of researching means to repair damaged heart cells and prevent heart failure.
This past November, Tzidon was presented with a second award – the Dr. James S. McGoey Student Award – based on the quality of her cardiovascular research at the ICS, which operates out of the St. Boniface Hospital’s Albrechchtsen Research Centre.
“We are very proud of Erele and her achievements,” says Dr. Inna Rabinovich-Nikitin. “We believe she has a promising future in medical research.”
Originally from Moshav Ginaton in central Israel, Tzidon came to Winnipeg in 2018 with her parents Ofer, formerly regional manager for a car rental agency in Israel and now an RBC branch Manager, and Sharon, an emotional therapist in Israel who is currently working as an educational assistant at Gray Academy. Tzidon also has three younger brothers.
The 19-year-od reports that it was through a connection she forged with Rabinovich-Nikitin at G ray Academy (where the latter has three children enrolled in the elementary program) that opened the door to a summer position at the ICS in 2023. She notes that she is at the ICS two days a week and at the U of M three days a week.
“I have always wanted to do research,” she says, “because I have an unlimited number of questions. And I love working with the great team at the ICS.”
One of the primary focuses at the ICS in recent years has been on women’s heart health. Three years ago Kirshenbaum created a new research program within St. Boniface Hospital specifically for the study of heart disease in women. Dr. Rabinovich-Nikitin was the first faculty member seconded to the new research program
In an earlier article I wrote about her in the Post (in 2021), I noted that she, like Erele Tzidon, is originally from Israel, having arrived in Winnipeg in 2016 with her husband Sergey, and their two children (a third child was born here) to further her scientific knowledge through working in Kirshenbaum’s lab.
Rabinovich-Nikitin is graduate of Tel Aviv University with a Ph.D. in biotechnology.
“I was always interested in science, how things work,” she notes. “I have a particular interest in women’s cardiac health.”
Four years ago she herself was presented with the Winnipeg Foundation’s Martha Donavan Leadership Development Award. The award is intended to provide leadership development opportunities for women in the Rady Faculty of Health Sciences at the University of Manitoba. Eligible applicants include women who are full-time or part-time academic faculty members, students of the Rady Faculty of Health Sciences, and students as well as post-doctoral trainees (including residents), presently enrolled in a program of study within the Rady Faculty of Health Sciences.
In 2022 Rabinovich-Nikitin, was the winner of the Louis N. and Arnold M. Katz Basic Science Research Prize for Early Career Investigators awarded by the American heart Association (AHA). This award is the highest international recognition of research excellence for an early career investigator to receive, and Rabinovich-Nikitin is the first ever Canadian scientist to receive this award.
That same year she joined the University of Manitoba Department of Physiology and Pathophysiology as an assistant professor, studying heart disease in women. Rabinovich-Nikitin observes that heart disease in women presents itself in a different way than in men. She notes that one of the new lab’s initial findings was that there is one specific gene that leads to cardiovascular issues in some pregnant women that can point to heart disease later in life, and also have negative implications for the development of their children. Those children are smaller at birth and, as adults, are prone to hypertension, diabetes and obesity,
“We are looking into how that particular gene increases the risk of heart disease.” she says.
Rabinovich-Nikitin would like to invites readers who may be interested in learning more about women’s heart health to a free program the ICS is offering on Sunday, February 23 at the Wellness Institute at 1075 Leila Avenue from 1:00-4:00. The afternoon will feature speakers, children’s activities and Zumba sessions.
“I would encourage everyone who has questions and wants to learn about women’s heart health to attend,” she says.
You can find more about the event at https://megaheartevent.com/
Local News
Videographer/photographer Jeff Gordon looking forward to sharing his expertise through series of in-person classes
By MYRON LOVE Jeff Gordon is the epitome of a visionary and the trajectory of the local videographer/photographer has just gone into overdrive.
At the beginning of the year, the founder of JAG Videos and Photography inaugurated his brand new state-of-the-art studio in a new facility he built behind his north River Heights home. And, shortly after, he launched the first session of his new school for budding photographers and videographers.
“Up until now, the only options for anyone interested in learning the art of photography or making videos has been either Red River College or the University of Winnipeg,” Gordon points out. “I recognized a niche here and my goal is to fill this gap.”
The first of the 16-week sessions in his new studio began in mid-January. He reports that he is running three classes a week- one strictly for teenagers.
“The course exceeded my expectations. We sold out quickly and I have a waiting list,” he notes. “I have 16 students divided among the three classes. I am teaching the students everything I know about photographer and videography. The curriculum is easy to follow.
Increasingly, we are in a digital world,” he adds. “Businesses need staff who are adept at making videos and taking photographs. Companies need staff who are able to create videos for them to promote the business online.”
He envisages offering the program three times a year – with future sessions beginning in May and September.
Gordon’s curriculum is his own creation, based on his experience and a previous training manual he wrote years ago for an entirely different group of students – drummers.
Before Jeff Gordon discovered his passion for photography and videography, he was a musician – a drummer to be specific. The graduate of the Hebrew Bilingual program at Brock Corydon Elementary School and later, Shaftesbury High School, began playing drums in high school and started teaching others to play shortly after.
“I used to have as many as 40 students at a time,” he recalls.
Following graduation from Shaftesbury, he enrolled at the Los Angeles Music Academy. In 2006 he graduated from the jazz program at Grant MacEwan University in Edmonton. His professional credits include 16 years as a drummer with the Sarah Sommer Chai Folk Ensemble and five years as a member of a touring band called “Driver.”
It was while performing with “Driver” that he began doing videography. “I have always been fascinated by technology,” he says. “While on tour, I began making videos of our live concerts. I would set up four or five cameras to record the shows.”
In 2014 Gordon took the plunge and dove into photography and videography full time with the founding of JAG Videos and Photography. “I started with weddings and gradually started to develop a commercial and corporate clientele,” he says. “I do a lot of head shots for businesses. I have also done a number of TV spots for Global and Corus.”
In his new studio he has also been recording a weekly podcast for a client, he reports. “I have a chesterfield for the podcaster and her guests and provide a coffee table and coffee.”
And while the Covid lockdown proved to be disastrous for many, for Gordon it turned out to be very good for his business. “I was really busy,” he says. “Because of the lockdown, there was an increased demand from corporations and companies for videos.”
Previous to building his own studio, Gordon notes, he was renting space in the Exchange District. “I got the idea for building my own home studio while having renovations done in our kitchen,” he recounts. “It took about a year to build. It’s great having the studio. It feels like an extension of my home.”
(He adds that he is still going out on location when required.)
“I really enjoy teaching,” he says. “I love expounding on subjects I am passionate about.”
Jeff Gordon has bold plans for his school and curriculum. “I hope to be able to expand the number of students to the point where I need a larger space,” he says. “I envisage hiring other teachers and running multiple classes at the same time. I hope to create a digital version of the course and sell it widely online. I would also like to be able to license my program and sell it to schools and universities.”
Gordon feels that he is truly blessed to have been able to turn a hobby into a full time business.
As the same time, he hasn’t entirely given up the drums. “I still have my drum set in my basement,” he notes.”I am enjoying teaching my two daughters (both Brock Corydon students incidentally) to play the drums.”
Jeff Gordon’s website address is www.jagvideos.com.
Local News
Winnipegger featured in Apple commercial highlighting new adaptive technology
By MYRON LOVE The year just past has been a memorable one for Melissa Shapiro. In recent weeks she and her boyfriend moved into their new home in East Kildonan and – in September, the daughter of Cory and Goldelyn Shapiro – was one of the featured guests at Apple Headquarters in Las Vegas for the premiere of an advertisement – produced by the tech company – highlighting Apple’s newly developed adaptive technology.
“I was flown out to California by Apple’s PR team,” recalls the 26-year-old policy analyst with the Education and Early Childhood Learning Department. “The event was held at Apple Park. It was really exciting seeing all the newest products and features.”
Shapiro, who was born missing her left arm, came to the attention of Apple as a result of Instagram videos she made demonstrating her ability to work out as an adaptive athlete. Last May, Shapiro reviewed the Apple watch’s accessibility features in a video, and it caught Apple’s attention.
“I was contacted by a casting agency in July,” she reports. “Next thing I know, we are filming in Toronto in August. I was the only Canadian involved in filming the commercial.”
Shapiro has never let her disability define her life- thanks in part both to her parents and the War Amps of Canada Child Amputee program, which reached out to her family three weeks after she was born.
“We received a lot of support – financial, recreational and emotional – from the War Amps,” she says. “Through the program, my family was able to connect with other families with similar challenges.
As well, the War Amps helped me to integrate in school and participate in sports while I was growing up by providing me with different prosthetics paid for by donations to the program.
Over the years, Shapiro ha been able to give back to the non-profit organization by appearing in War Amps public service spots highlighting such tips as playing safe in order to avoid accidents that could result in amputations. She has also been featured n War Amps-organized seminars and media appearances promoting the work of the War Amps in helping to improve the quality of life for children like Shapiro who were born missing a limb or those who lost limbs due to an accident.
“I still enjoy doing ‘playsafe’ presentations and public events for the war Amps,” she says.
Readers who may be interested in supporting this worthwhile program can donate by phone (1800 250-3030) or go online (waramps.ca).
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