medicine, medical, Manitoba, rural, northern, health care, career, Canada, physician recruitment, doctor

1. Welcome
Medical Students
October 3, 2011

2. Why Are We Here?
• Promote Manitoba opportunities for medical
students and future doctors
• Provide an overview of the health care system
in which you will be working once you are
licensed.
• Promote assistance (financial & non-financial)
that is available to you if you are interested.

3. Background
Manitoba’s Office of Rural and Northern Health
(ORNH) became fully operational in early 2003.
It was established as a component of the Manitoba
Rural Physician Action Plan, a commitment by
Manitoba Health with the following goal in mind:
Increase the number of graduating physicians andIncrease the number of graduating physicians and
other health care professionals who choose ruralother health care professionals who choose rural
and northern Manitoba as a place to live andand northern Manitoba as a place to live and
practise their professions.practise their professions.

4. • RHA Presentations
• Return of Service Template
• Manitoba Medical Students Rural
Interest Group (MMSRIG)
• Family Medicine Residents’ Retreat &
Job Fairs
• Path-Finding Service
ORNH Initiatives

5. OVERVIEW
Health Care System in Manitoba

6. Who is involved in the delivery of
Health Care?
1. Federal Government Funding, Canada
Health Act
2. Provincial Government Funding, standards,
administration
3. Regional Health Authorities Created in 1995 &
reorganized in 2012,
service delivery,
administration, granting
of privileges to
physicians, employing
health care workers
(support staff, allied
health, nursing and in
some cases physicians).

7. Who is involved in the delivery of
Health Care?
4. Communities/ health
foundations
Fundraising for equipment and
recruitment
5. Health care professionals Service delivery and
administration

8. • Physicians deliver medical services directly
to patients.
• Their relationship with the medical system is
often very different from that of other
health professionals in that the majority of
physicians operate as independent business
people or contractors.
What about physicians?
What is their role?

9. Remuneration
Fee For Service
Physician operates as an independent business person
and bills Manitoba Health for each patient they see
based on the provincially negotiated fee schedule.
Independent Contract
Physician receives a designated contract amount
from the RHA for a negotiated amount of work.
Salary
Physician is an employee of the RHA and provides
services within the context of an employment
contract.

10. What organizations provide
support to physicians?

11. http://www.cpsm.mb.ca/
College of Physicians & Surgeons
of Manitoba
The principal functions of the College are:
Qualifications & Licensure
defines those requirements necessary for the safe practice of medicine
and the capabilities required for the performance of various clinical
procedures.
Evaluation of Competence and Maintenance of Standards
through the educational process, standards can be established against
which performance is measured and objectives of good patient care met.
Rules of Conduct
establishment of rules and minimum standards enable the profession to
self-govern and take action where there is a failure to comply with
guidelines of ethical or clinical practice.

12. Doctors Manitoba (formerly, Manitoba
Medical Association)
Doctors Manitoba is a professional
association of physicians
representing physicians, medical
students and residents.
It advocates for the interests of
Manitoba physicians and
trainees. Varied economic, social
and political issues important to
practicing physicians of Manitoba
are represented and promoted.
Services offered:
• Health Policy Advocacy
• Negotiation Services
• Health Promotion
• Personal Insurance Services
• Liability Insurance (CMPA)
and CME Rebate Programs
• Maternity/Parental
Benefits Program
• Physician Retention Program
• Physicians at Risk Program
• Communication
www.docsmb.org

13. www.rham.mb.ca
Regional Health Authorities
• Granting privileges
• Recruitment an retention
• Maintenance of facilities
• Equipment purchase
• Employing support staff

14. http://www.parim.org
Professional Association of
Residents & Interns of Manitoba
The Professional Association of Residents and Interns of
Manitoba endeavours to:
• REPRESENT the concerns of all residents in Manitoba
• PROTECT the physical and mental well being of our members
• PROVIDE an atmosphere conducive to the study of medicine
• PORTRAY our interests at a national level through CAIR
• LIAISE with other health care organizations within Manitoba
• PROMOTE excellence in patient care.

15. http://www.gov.mb.ca/health/
Manitoba Health
Insured Benefits
– How a claim is processed
– Queries
– Rejection
– Role of the Medical Review Committee
Labour Relations (Negotiation)
Planning
Other Departments (RSS)
Reporting Structure
Manitoba Medical Student/Resident Financial Assistance Program
(MSRFAP)
– Support in Med 1,2,3 or 4 and residency
(1 year for FM or 2 years for other specialties)
– Total of up to $68,000 for FM and $88,000 for other specialties

16. What are the future practice
opportunities?
• Many opportunities in rural/northern
regions
– Family practice
– Family practice with an additional 3
months to 1 year of training (anesthesia,
obstetrics, ER, palliative care)
– General specialties (internal medicine,
general surgery, radiology, ob/gyn,
psychiatry, pediatrics,…..)

17. Why should I practice in
Manitoba?
• Remuneration levels are competitive
across the country
• Manitoba has a very competitive cost
of living
• Provincial government tuition tax
incentive
• Quality of life
• Opportunity

18. ORNH Contact Information
Wayne Heide, ORNH Administrative Director
Unit D – 101 1st
Avenue NW
Dauphin, MB R7N 1G8
Phone: 204-622-6210 Fax: 204-622-6211
Toll Free: 1-866-244-6764 (ORNH)
Email: wheide@ornh.mb.ca or info@ornh.mb.ca
Dr. Don Klassen, ORNH Medical Director
Associate Dean of Distributed Medical Education, University of Manitoba
Boundary Trails Health Centre
385 Main Street
Winkler, MB R6W 1J2
Phone: 204-331-4703 Fax: 204-325-4594
Email: drdon@cwwiebemedical.ca
Dr. Holly Hamilton, ORNH Medical Associate
• Box 190; 44 Rogers St. Notre Dame de Lourdes, MB ROB 1M0
Phone: 204-248-2252 (clinic)
Email: hhamilton@rha-central.mb.ca
Web: http://www.ornh.mb.ca