Manitoba records net gain of doctors, but still losing them

WINNIPEG — Manitoba is adding doctors at a record clip — but it’s also losing them at a rate not seen since the depths of the COVID-19 pandemic, a physicians advocacy organization cautioned Wednesday.

The number of registered family physicians, specialists and medical residents with a full certificate of practice reached 3,694 as of April 30, for a net gain of 196 doctors during the previous 12 months, the highest net gain since 2008 (the earliest records available online) and the third consecutive year of net increases.

The figures are outlined in the 2025-2026 annual report of the College of Physicians and Surgeons of Manitoba, which was released Wednesday. The figures show a snapshot of registration on April 30, the final day of the fiscal year.

“ Recruitment gets a lot of attention, but retention is just as important.– Dr. Alon Altman, president of Doctors Manitoba.

There were 1,792 family physicians, 1,823 specialists and 79 residents with a full scope of practice. Manitoba added 164 net new doctors in the previous fiscal year and 133 doctors in fiscal 2023-24.

“Another record-breaking increase in physicians is good news for patients,” said Dr. Alon Altman, president of Doctors Manitoba.

“Manitoba is still climbing out of one of the most serious doctor shortages in the country, but sustained growth like this is helping us close the gap.”

But Altman pointed to another critical number in the report: retention rates. While record growth in the net number of new hires is encouraging, the number of physicians leaving practice in the province is returning to pandemic-era levels. A total of 158 doctors left the province during the latest fiscal year, an increase of 20 from the previous reporting period.

The province lost 161 doctors in 2020-21, 159 in 2021-22 and a record high 165 in 2022-23. At the same time, Manitoba is increasingly relying on physicians trained internationally to fuel growth, while the number of new physicians who graduated in Manitoba remains below previous levels.

“Recruitment gets a lot of attention, but retention is just as important,” Altman said. “If we can recruit more doctors while losing fewer of the ones already here, we can close Manitoba’s doctor shortage much faster.”

Altman also pointed to uneven growth in some areas of the province. Most regions gained doctors over the last year, but western Manitoba’s physician complement declined from 248 to 240 — a three per cent dip. There are also significant differences by specialty.

The number of family physicians has grown by 15 per cent over the last two years, while growth among other specialists is about half that rate (seven per cent).

The increase in family doctors helps Manitobans connect with a primary-care physician but also generates more referrals for care from a pool of specialists that isn’t growing as fast.

“We are moving in the right direction, but recruitment needs to be increasingly targeted to the specialties and communities where shortages remain most serious,” Altman said.

“A provincewide increase doesn’t necessarily mean patients are finding it easier to get care in some communities or from some specialties.”

The college did not provide a requested comment on Wednesday.

In a statement, Manitoba Health Minister Uzoma Asagwara hailed the report as “great news” for the province.

“Having 196 more physicians practising in our province than a year ago means more doctors caring for Manitobans in hospitals, clinics and communities,” the minister said. “Since then, Manitoba has reached a record of more than 3,700 physicians practising in our province.

Asagwara credited the Health Care Retention and Recruitment Office for focusing on training more doctors here at home and creating ways to recruit doctors from abroad.

In terms of regional breakdown, there were 2,770 doctors in Winnipeg, 350 in the North, 314 in the eastern region and 240 in the western part of the province.

Eight family physicians and 12 specialists had no primary practice, the college reported.

Doctors who obtained their degrees in the province made up 47 per cent of physicians with full certificates of practice. Another 16 per cent were educated in other parts of Canada and 37 per cent were trained internationally.

The latter group includes 75 doctors from Asia (compared to 60 in the previous fiscal year) and 75 who were trained in Africa (47 in the previous fiscal year).

The demographic breakdown shows two physicians older than 90, 36 in the 80-89 age bracket, 221 from 70 to 79 years of age and 549 between the ages of 60 and 69.

There were 841 from 50 to 59 years of age, 1,133 from 40 to 49 and 896 between the ages of 30 and 39, with just 16 still in their 20s.

» Winnipeg Free Press