Evidence map›Paper›PMID 38527745›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2024

Long-term trends in the work hours of physicians in Canada.

Boris Kralj, Rabiul Islam, Arthur Sweetman

Open access · goldAbstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
14.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Physician Age and Patient Outcomes: A Systematic Review.Journal of general internal medicine · 2026
    Pooled it
  2. Article
  3. Toward a family medicine capability framework for Canada: From competence to capability.Canadian family physician Medecin de famille canadien · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  11. Article
  12. Strategies to increase access to physician-led anesthesia care in Canada.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024
    Article
  13. Reality check-an urgent call for innovation in Canadian anesthesia care delivery.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024
    Article
  14. Supporting future and current rural physicians.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  15. Comparison of resident salary and living wage in Canada: a cross-sectional study.Canadian journal of surgery. Journal canadien de chirurgie
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Boris KraljDepartment of Economics, Centre for Health Economics & Policy Analysis (CHEPA), and Health Policy PhD program (Kralj, Sweetman); Department of Health Research Methods, Evidence, and Impact (Islam), McMaster University, Hamilton, Ont. kraljb@mcmaster.ca.
Rabiul IslamDepartment of Economics, Centre for Health Economics & Policy Analysis (CHEPA), and Health Policy PhD program (Kralj, Sweetman); Department of Health Research Methods, Evidence, and Impact (Islam), McMaster University, Hamilton, Ont.
Arthur SweetmanDepartment of Economics, Centre for Health Economics & Policy Analysis (CHEPA), and Health Policy PhD program (Kralj, Sweetman); Department of Health Research Methods, Evidence, and Impact (Islam), McMaster University, Hamilton, Ont.
Policy Analysis (United States) · USThe Centre for Health (New Zealand) · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysician work hours directly influence patient access to health care services and play a vital role in physician human resource planning. We sought to evaluate long-term trends in hours worked by physicians in Canada, overall and by subgroup.

methodsWe used Statistics Canada's Labour Force Survey to identify physicians via occupation and industry coding information. We estimated descriptive statistics and performed graphical analysis of the average weekly hours worked by physicians over the 1987-2021 period.

resultsOverall, weekly physician work hours remained stable from 1987 until 1997, after which they declined. Average weekly hours decreased by 6.9 hours (

interpretationThese findings may indicate a long-term shift in work preferences among Canadian physicians; male physicians may be seeking a better work-life balance, which, in turn, has narrowed the gap in hours worked by sex, with potential implications for pay equity. Policymakers and planners should carefully consider changes in hours worked, rather than just the total number of physicians, to ensure an accurate evaluation of the physician workforce.

Indexed as

PhysiciansPhysicians, WomenCanadaEmploymentFemaleHumansMalePandemics

Identifiers

PMID38527745
PMCPMC10962784
OpenAlexW4393153030

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.