Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

An interview with an American doctor working in Canada

Suneel Dhand, MD
Physician
October 24, 2017
Share
Tweet
Share

A couple of weeks ago I visited Canada. It was my first visit in a very long time. We were in Ontario, spending most of the time in the Toronto area, and also getting to visit the majestic Niagara Falls for the day. I’ve heard so much over the years about the differences between neighbors USA and Canada, and in even just a few days there, agreed that there are many significant ways in which the two countries differ (some ways in which Canada is better, worse, and just plain different).

Of course, with regards to their health care system, it could not be more different than her southern neighbor. Good timing with my visit, because the week before I left, a physician reader of my blog, who I had previously been corresponding with, emailed me to share his experiences after doing a stint working in Canada’s health care system. His name is Steve, and he’s a very experienced physician. He answered my questions about working over there. His answers are very interesting and insightful.

1. Tell us a little bit about yourself and your background?

I have five years in the Indian Health Service, 23 years in private practice in Sioux City, one year of locum tenens while my non-compete ticked off, three years community health, and locum tenens since 2014. Married since 1980, three grown children, one grandchild. I like writing, hunting, target archery, and learning new languages.

2. What made you want to try out working in Canada?

I got tired of hearing American doctors blasting the Canadian system, and American liberals championing it, while neither had any idea of what they were talking about. And I wanted to check out a place where I could hunt moose and my hunting buddy could hunt elk at the same time.

3. What’s the first thing that struck you about Canada’s health care system?

How happy the doctors are; they are far from burnout and have a great work-life balance.

4. How do bureaucratic requirements for doctors vary, especially with regards to electronic medical records and data entry, which is a huge cause for physician burnout in America?

Canada has one level of service; the U.S. has 5; so American doctors spend a lot of energy documenting a higher level of service, while Canadian doctors just document what’s medically important. Meaningful use documentation is absent in Canada, and there are no incentives for excess documentation. The doctor faces no prior authorizations.

5. How was the collegiality among your physician colleagues?

This was the best physician group morale I’ve ever seen. Everyone valued everyone’s input. I found no backstabbing or backbiting. And the group did well incorporating other locum tenens, residents, and students.

6. Was there any difference you perceived with Canadian versus American patients?

ADVERTISEMENT

Canadians, in general, are more polite than Americans.

Because there’s only one level of service, a lot of practices have a one problem per visit policy, so very few patients were surprised when I put a limit on the number of complaints.

Canadian patients are used to an under-resourced medical system; no one demanded an MRI because they knew the wait list stretched into 2018.

7. What are three things the USA could learn from Canada’s health care system?

1. Go to a single level of service. 2. Patient flow would go much better if the person who rooms the patient would just room the patient. 3. An EMR system should be for medical documentation; using it for billing and data mining ruin it for patient care.

8. What are three things we do better in the USA compared to Canada?

We don’t have wait lists for joint replacements, MRIs, or tubal ligations. Strangely, we immunize adults better. We provide our Natives Americans with much more accessible health care.

9. Would you work in Canada full-time if you could?

This answer is far from simple. I’m in the last third of my career, and I know the time will come when the social network I’ve been working on for the last 30 years will be more important than my work. Still, the quality of life and the quality of work is better in Canada. But medicine is full of moving targets, and you can’t know if Canadian medicine will undergo the same deterioration that American medicine has since 2010. Nor can you know if the American system will improve.

Having said all that, it would be very easy for me to move to Canada to work full time if the children moved. Which they might, depending on the next election.

10. Do you have any other message or advice for physicians practicing in the USA who want to try practicing abroad?

Go, by all means. You will make the memories of a lifetime. But correspond with physicians who have been there or who work there before you go.

11. How hard was it to get a license?

It was insane. It took 22 months, $7,000, hundreds of hours and thousands of emails. I would have given up long before except I didn’t want to ever say I’d withdrawn an application for licensure. In the end, though, it was well worth it.

12. How well are Canadian doctors paid?

On average, a Canadian general practitioner makes about 10 percent more than an American family physician; I don’t know about specialists. Office overhead runs between 15 percent and 30 percent. The cost of living, though, is very high.

Suneel Dhand is an internal medicine physician and author. He is the founder, DocSpeak Communications and co-founder, DocsDox. He blogs at his self-titled site, Suneel Dhand.

Image credit: Shutterstock.com

Prev

Beware of online retailers selling designer benzodiazepines

October 24, 2017 Kevin 0
…
Next

Fixing the American health care system is simple. Here's how to do it.

October 25, 2017 Kevin 59
…

Tagged as: Primary Care, Public Health & Policy

Post navigation

< Previous Post
Beware of online retailers selling designer benzodiazepines
Next Post >
Fixing the American health care system is simple. Here's how to do it.

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Suneel Dhand, MD

  • The dream patient that makes a doctor very happy

    Suneel Dhand, MD
  • When the family wants to speak to the doctor

    Suneel Dhand, MD
  • 3 reasons why patients are unhappy

    Suneel Dhand, MD

Related Posts

  • When physicians are cyberbullied: an interview with ZDoggMD

    Monique Tello, MD
  • Asylum seekers: a snapshot from an American physician’s lens

    Madeline Cohen and Gauri G. Agarwal, MD
  • An American physician in Sweden. Here’s what he thought about its health care.

    Richard Young, MD
  • American physicians deserve timely payment

    Peter Ubel, MD
  • Osler and the doctor-patient relationship

    Leonard Wang
  • A physician’s addiction to social media

    Amanda Xi, MD

More in Physician

  • When errors of nature are treated as medical negligence

    Howard Smith, MD
  • The hidden chains holding doctors back

    Neil Baum, MD
  • 9 proven ways to gain cooperation in health care without commanding

    Patrick Hudson, MD
  • Why physicians deserve more than an oxygen mask

    Jessie Mahoney, MD
  • More than a meeting: Finding education, inspiration, and community in internal medicine [PODCAST]

    American College of Physicians & The Podcast by KevinMD
  • Why recovery after illness demands dignity, not suspicion

    Trisza Leann Ray, DO
  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why young doctors in South Korea feel broken before they even begin

      Anonymous | Education
    • Measles is back: Why vaccination is more vital than ever

      American College of Physicians | Conditions
    • When errors of nature are treated as medical negligence

      Howard Smith, MD | Physician
    • Physician job change: Navigating your 457 plan and avoiding tax traps [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden chains holding doctors back

      Neil Baum, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why young doctors in South Korea feel broken before they even begin

      Anonymous | Education
    • Measles is back: Why vaccination is more vital than ever

      American College of Physicians | Conditions
    • When errors of nature are treated as medical negligence

      Howard Smith, MD | Physician
    • Physician job change: Navigating your 457 plan and avoiding tax traps [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden chains holding doctors back

      Neil Baum, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...