Provinces

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• Lack of training new recruits, many redeployments and retirements have led to staff shortages on care team.
• Bed closures, cancelled complex cases are a direct result of nursing shortages.
• Virtual care has proven successful in the area.

• Anesthesia shortages causing bottlenecks for surgery and operating room time.
• Resource disparity between hospital systems. No effective allocation or shared resources.
• Job scarcity. Early career surgeons are underemployed and leaving the province in search of opportunity.

• Access to care disparity, growing patient waitlist especially for hip fractures from aging population.
• Orthopaedic departments blamed for inefficiencies on ground level. • Nursing shortages and burnout.

• Lack of primary care physicians poses logistical and ethical challenges later when addressing specific health issues related to orthopaedic care.
• Early career surgeons not able to train effectively, make connections and collaborations from being in virtual environment.
• Care team fatigue.

• Job scarcity. Surgeons are foregoing retirement, creating job shortages. • Disparity in resource allocation, both regionally and specific to specialty.
• Orthopaedics deemed a low priority.
• Nursing and anesthesia shortages.

• Allocation and prioritization of resources.
• Orthopaedic care considered low priority.

• Prioritization of orthopaedic procedures, while breaking perception that these are lifestyle surgery or elective (optional, by choice) procedures.
• Critical shortage of nurses and ancillary staff, impedes hospitals to perform outpatient orthopaedics.
• Surgeons have successful models that improve efficiencies, but many are not implemented by administration.

• Strained healthcare practitioners during COVID-19.
• General discouragement and confusion how to advocate for better access to care in orthopaedics.
• Nursing shortages, both on the floor and operating rooms.