Physician remuneration

Issue: BCMJ, vol. 55, No. 3, April 2013, Page 138 Letters

After 30 years in practice and 4 years working at a high level of health administration, I realize that our system of physician remuneration is out of touch with the realities of modern hospital-based practice. There is wide­spread frustration among specialist physicians as the increasing shortage of resources prevents them from working to their full potential and earning capacity. Future investments in health care will be in treating chronic disease, elder care, and health promotion—not acute care. This changing pattern of investment will particularly affect my surgical and anesthesia colleagues.

Furthermore, inequitable distribution of income resulting from a procedure-based fee schedule has resulted in serious shortages of manpower in some specialties. Tenfold differences in incomes cannot be justified by hours worked per week.

Canadian physicians urgently need to start a conversation around remuneration and, as a group, ap­proach governments for reasonable and predictable compensation.
—Peter Blair, MD
New Westminster

Peter Blair, MD,. Physician remuneration. BCMJ, Vol. 55, No. 3, April, 2013, Page(s) 138 - Letters.

Above is the information needed to cite this article in your paper or presentation. The International Committee of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

About the ICMJE and citation styles

The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.

An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.

BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:

  • Only the first three authors are listed, followed by "et al."
  • There is no period after the journal name.
  • Page numbers are not abbreviated.

For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit

BCMJ Guidelines for Authors

Leave a Reply