1. Future Trends: Health Professions and Careers Presented to Labour Market Conference July 2014 Pamela Cawley Dean of Health Sciences Douglas College

2. Health Care O Total spending on health care in Canada was projected to reach $200 billion in 2011 and in 2013 health care spending reached 211 billion.

3. Overview of System Drivers O Population Age O Well elderly/knowledgeable O Chronic conditions O Population Knowledge O Quantified Self O Population Culture: Transformational

4. Overview of System Drivers O Models of Care O Curative, Preventative, Restorative, Integrative O Less time in institutions (hospital care) O Increase in community and interprofessional care

5. Overview of System Drivers O Health Conditions O Mental Health and substance challenges O Chronicity O Technology O Changing Health Care Provider Workforce O Regulation/credentialing

6. Future Health Care Providers Knowledge, Skills, Abilities O Education O Across the spectrum – certificates, diplomas, degrees, post graduate O Science base plus a broader knowledge O Emotional Intelligence O Communication, interpersonal, interprofessional O Life long learning O Intellectual/innovative curiosity O Adaptability O Technology

7. CIHI Health Professions Twenty Seven Health Care Professions studied on an ongoing basis http://www.cihi.ca/

8. CIHI Classified Health Care Providers O Audiologists O Chiropractors O Dental – dentists, dental hygienists, assistants O Dietitians O Environmental and Public Health O Health Information Management O Pharmacist O Physician O Psychologists O Nursing: RN, RPN, Nurse Practitioner, LPN, Health Care Support Worker O Medical Laboratory Technologists O Medical Physicists O Medical Imaging O Midwives O Occupational Therapists O Physiotherapists O Optometry: Optometrists, Opticians O Respiratory Therapists

9. Future Health Care Provider Trends….2025 O Physicians/Physicians Assistants O Anticipate a change in ration from 1.8/1000 to 1.4 per 1000 O Greatest shift in family practice O Geographical disparity

10. Future Health Care Provider Trends….2025 O Nursing O Range of the term “nurse” difficult for public and consumer – wide range of knowledge, skills and abilities O 2010 data 269,000 Registered Nurses (degree as entry to practice or 7.7 nurses per 1,000 population). Males in nursing has remained steady over the years – approximately 6%

11. Future Health Care Provider Trends….2025 O Shift to increased range – LPN’s HCSW (various titles)-regulation changing. O Salaries increased significantly over 10 year period for nurses in practice – 55 – 90K – producing an issue with nurses going into education and research O RPN O Nurse Practitioner

12. Future Health Care Provider Trends….2025 O Supply and Demand O Vast majority of health care professions are demonstrating an adequate rate of supply and demand O Professions increasing by 50% or more: physiotherapists (53%), pharmacists (54%), dietitians (56%), optometrists (58%), chiropractors (75%), respiratory therapists (81%), medical physicists (83%), occupational therapists (88%), dental hygienists (102%), social workers (163%)

13. Future Health Care Provider Trends….2025 O Supply and Demand O Average age in vast majority of health care provider roles is 35 – 45 yrs. of age. Physicians, RPNs, RNs and Med Lab Tech at the top end of age in workforce (55 yrs. Plus) O Percentage of workforce that is part time remains steady – may be choice or availability (22% of workforce) with an increase in GP’s, dentists, psychologists, and dental hygienists.

14. Future Health Care Provider Trends….2025 O Emerging Trends O Health Technology/analytics/big data – emerging market: electronic health records, privacy, data security O Biomedical Engineering and Innovation O Simulation O Health Business/Policy/Insurance

15. Future Health Care Provider Trends….2025 O Emerging Trends O Community Based Care – Pharmacy O Chronicity/Disability specialists O Health and Wellness Markets- Kinesiology/Physiotherapy O Fitness Specialist O Public Health and Safety O Rural and Cultural/Global Health