A group of doctors in Cape Breton is sounding the alarm over the "hemorrhaging" of specialists and physicians as news emerged Friday of six more doctors leaving the island.
Seven doctors held a news conference in Sydney to bring attention to the ongoing loss of medical professionals in the region.
"The hemorrhaging has to stop," said Dr. Jeanne Ferguson, a geriatric psychiatrist.
"We are tired of being misled by the health authority ... They are not competent to do what they're doing and that is the bottom line."
The doctors said six of their colleagues in the areas of ophthalmology, radiology, psychiatry and family medicine are leaving Cape Breton by the end of June.
"We have got to have local leadership and it has got to be competent," Ferguson said.
More docs coming, says NSHA
The Nova Scotia Health Authority said as of May 4, there were seven family medicine vacancies and 18 specialist vacancies in the eastern zone, which covers Cape Breton, Guysborough and Antigonish counties.
The authority said three new physicians hope to start this summer and another seven have pending offers to start in 2017, all in Cape Breton. Another five are expected for 2018-19, it said.
Dr. Kevin Orrell said the latest doctors to leave are going for many reasons, including the frustration of not being able to refer their patients to specialists that they need.
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He said surgeons and other specialists do not like to come to hospitals where services are lacking.
'Others will follow'
"The snowball effect of losing some of these very significant people is that others will follow," said Orrell.
"And I think we have not seen the end of that."
Family doctor Dr. Meaghan Keating echoed Orrell's comments.
The disparity in wait times compared with other areas of the province is also unacceptable, she said.
"A patient in Cape Breton, on average, waits 247 days longer than a patient in Halifax to be seen by a mental health team," Keating said.
"As a GP, it is devastating to recommend a treatment that is inaccessible to them ... It's like writing a prescription for a medication that is vital to recovery and dating it nine months in the future."
Exit interviews voluntary, confidential
Orrell also pointed out that exit interviews are not being done with doctors so the reasons for their departures aren't being documented.
Joanne MacKinnon, the health authority's provincial physician recruitment lead, said in an emailed statement that exit interviews are voluntary and confidential so as not to identify the doctors.
Two doctors who recently completed interviews had different reasons for leaving, she said.
"One was part of their 'personal life plan,' the other was feeling overwhelmed," said MacKinnon. "Both indicated they would return and overall were quite favourable with their comments about [practising] in CB."
Dr. Craig Stone said part of the solution is to include local voices in recruitment and retention strategies.
It is clear what the problems are, he said. Now it's time to fix them.
"I'd like to see the politicians come out with a plan to fix those problems," he said.
"There's ample money in the system but it needs to be organized differently."