Family doctors say their relationship with Health P.E.I. is strained and damaged | CBC News
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Doctors in Prince Edward Island are continuing to voice their concerns with recent changes to their workloads.
About 100 family physicians recently signed a letter saying they’re concerned about the number of patients they see under a new agreement between the Medical Society of P.E.I., the Department of Health and Wellness and Health P.E.I.
Dr. Trina Stewart, a family doctor in Summerside and president of the P.E.I. College of Family Physicians, said most of their concern centres on how doctors will collect the data for the work they do.
“We all spend time in our offices with our patient panels, but many of us also feel very important gaps in the system at large,” Stewart said.
“It’s also work that the system has come to expect from us and they need us for and further gaps would develop if we couldn’t do them.”
Under the agreement, the workload system contains two models. One would see 1,600 patients as “the benchmark” for a doctor’s panel, while the other allows for 1,300 patients.
Stewart said many family doctors are looking to the second option because “everybody is working at full capacity right now.”
The deadline for physicians to decide on which model they want was initially Jan. 31, but Health P.E.I. later extended it to Feb. 28.

Stewart said she’s concerned doctors won’t be able to serve the health-care system in the way needed, which could be detrimental to patients. She said doctors want to have “diversity” in their work.
“We need to be attractive and competitive from a recruitment standpoint,” Stewart said.
“We feel like the negativity … we’ve had within Health P.E.I. and the communication that we’ve historically had being lost is impacting that, unfortunately.”
‘The foundation of health care’
In a statement, the College of Family Physicians of Canada said family doctors are “the foundation of health care in Canada,” and that governments should “recognize their importance and treat family physicians’ voices and perspectives with respect as health policy is being developed.”
The national college described the concerns brought forward by its P.E.I. counterpart as “reasonable.”
“At a time when administrative burden takes time away from patient care and deteriorates the physicians’ well-being, the new agreement seems to impose excessive reporting requirements,” the statement reads.
“The current approach does not signal collaboration, but risks pushing family doctors away from choosing P.E.I. as a place to practice and sends a counter-productive message to family medicine learners.”
There’s fear. This is our livelihood. These are our patients. We really care about them– Dr. Trina Stewart
Stewart described the current level of frustration with Health P.E.I. and the provincial government as “serious.” She pointed to a January survey of doctors conducted by the P.E.I. College of Family Physicians that suggested 77 per cent of respondents believe the new agreement will drive away physicians away from the province.
“There’s fear,” Stewart said. “This is our livelihood. These are our patients. We really care about them.”
She said doctors understand the importance of performance management and that the group believes in accountability, but said family physicians are being scrutinized unfairly.
“We’ve been expecting that this would come, but we were hopeful that we would be part of the discussion. And, unfortunately, that hasn’t happened in the last year,” she said. “We just really need to be part of the conversation.”
A strained relationship
Stewart said the relationship between family doctors and Health P.E.I. has been strained as of late. To fix it, she said, family physicians need to be allowed “to come back to the table.”
“There have been a lot of sleepless nights around … what this actually is going to translate into,” she said. “We really do need to be thoughtful about this because we do not want to further harm an already strained system.”
Stewart said it’s been a difficult year, but there is still hope. She wants to stop focusing on numbers and move on to patient care and safety.
“When they trust you and you trust them, there’s magic that can happen,” she said. “What we need to rebuild the foundation of the system is to have more family doctors coming in and carrying panels, and we need it competitive.”
Health P.E.I. CEO Melanie Fraser told CBC News on Wednesday that the health authority is hopeful that relationship will improve.
“I think any time you go through one of these negotiation processes it can create tension, for sure,” Fraser said.
“We are committed to working through that tension and working through the new parts of the agreement that have raised concern, and there are changes. There’s lots to be learned.”








