Lhe general practitioner crisis that the IUSMQ is going through, which will have only three part-time doctors as of next month when it would need six full-time, has reached a new high.
In an “urgent memo” sent Friday to members of the Clinical Department of Psychiatry of the IUSMQ and whose The sun obtained a copy, Drs Yvan Gauthier and François Rousseau, co-heads of the department, and Dr Jean Lemieux, head of the family medicine department, ask to restrict admissions to psychiatry at the establishment of Chemin de la Canardière.
“Considering the significant shortage of family doctors, the absence of neurology services and the limited access to specialized medicine to serve psychiatric clients hospitalized at the IIUMSQ site”, many patients can no longer be “admitted now” in psychiatry at the IUSMQ, including those with “a clinical situation requiring close medical follow-up in general medicine” and those with “a serious or unstable pathology affecting the cardiac, pulmonary or renal system”.
Patients whose diabetes is unbalanced, who have an instability of the medical condition on a neurological level (poorly controlled epilepsy, delirium, altered state of consciousness, repeated falls) or who have a serious physical condition whose investigation n ‘is not completed are also refused, we say.
“Admission in psychiatry to the IUSMQ site may have to be interrupted in the event of the interruption of the day care service in general medicine in May 2018. According to the evolution of the medical staff of the family medicine service at the IUSMQ, measures will be reinforced at the end of May 2018, this could go as far as the complete cessation of admissions to psychiatric care units at the IUSMQ, ”we read in the memo.
Drs Gauthier, Rousseau and Lemieux ask the psychiatrists working in the psychiatric emergencies of the CIUSSS de la Capitale-Nationale and all the psychiatrists on duty to apply all of these measures “rigorously”, which will apply “Until further notice”, but which may be reconsidered “according to the standardization of the workforce in general medicine”.
A “predictable” crisis
This staffing crisis is attributable to the retirement this spring of three of the four oldest physicians from the family medicine service of the IUSMQ and by four other departures since May 2017, this time to other sectors or places of practice .
The situation was exposed last month in open letters. Since March 17, no doctor is present at the IUSMQ in the evenings and weekends. Family physicians are on call because they are too few to provide a presence for the 320 hospitalized patients (soon 340 with the transfer of 20 psychiatric beds from the Hôpital de l’Enfant-Jésus).
In a letter published in Le Soleil, psychiatrists recalled that they “need the expertise of general practitioners and certain other specialists to treat people with both physical and mental illness with the highest quality of care ” “The need for general practitioners in a hospital is indisputable, whether to treat unbalanced diabetes, a heart rhythm disorder, pneumonia, an allergy, delirium and other common situations,” they wrote.
According to Dr. Jean Lemieux, this crisis was “predictable and announced for years”. “The administrators in place are paralyzed by the rigidity of the administrative rules surrounding the recruitment of general practitioners in the Capitale-Nationale region,” said Dr. Lemieux in a letter published in The Press and March.