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Effect of cataract surgery volume constraints on recently graduated ophthalmologists: a population-based cohort study.
CMAJ
March 2017
Department of Ophthalmology (R. Campbell, E. Campbell, Nesdole, Warder, ten Hove), Division of Geriatric Medicine (Gill) and Department of Public Health Sciences (Whitehead), Queen's University, Kingston, Ont.; Department of Ophthalmology (R. Campbell, E. Campbell, Nesdole, Warder, ten Hove), Hotel Dieu Hospital, Kingston, Ont.; Institute for Clinical Evaluative Sciences (R. Campbell, Gill, Whitehead), Kingston, Ont.; Department of Ophthalmology (El-Defrawy), Department of Medicine (Bell) and Institute of Health Policy, Management and Evaluation (Bell), University of Toronto, Toronto, Ont.; Department of Ophthalmology (El-Defrawy), Kensington Eye Institute, Toronto, Ont.; Institute for Clinical Evaluative Sciences (Bell), Toronto, Ont.; Division of Geriatric Medicine (Gill), St. Mary's of the Lake Hospital, Kingston, Ont.; Department of Ophthalmology (Hooper), University of Western Ontario, London, Ont.; Department of Ophthalmology (Hooper), St. Joseph's Hospital, London, Ont.; Department of Ophthalmology (E. Campbell, Nesdole, Warder, ten Hove) Kingston General Hospital, Kingston, Ont.
Background: Across Canada, graduates from several medical and surgical specialties have recently had difficulty securing practice opportunities, especially in specialties dependent on limited resources such as ophthalmology. We aimed to investigate whether resource constraints in the health care system have a greater impact on the volume of cataract surgery performed by recent graduates than on established physicians.
Methods: We used population-based administrative data from Ontario for the period Jan.