Current Issues

There are always a number of current issues impacting orthopaedic surgeons and their ability to deliver the best musculoskeletal care possible to Canadians. The COA tries to keep our finger on the pulse and brief members regularly on issues impacting the field, advocacy initiatives and collaborations with other organizations.

If you have a concern that you think the COA should be following or reporting on, please feel free to contact

Current issues that the COA is addressing right now include:

Wait Times and Access to Orthopaedic Care

Many Canadians wait too long for access to musculoskeletal care. The COA strives to promote access to timely, appropriate orthopaedic care, and therefore continues to meet with government representatives to advocate for the adoption of innovative models of care. The COA also believes that national standards for appropriate wait times are important.

To learn more, click here to access COA Continues to Advocate for Access to Orthopaedic Care’, by Dr. Peter MacDonald, COA President (COA Spring Bulletin, 2017).

Position Statement on Access to Orthopaedic Care 

Intimate Partner Violence (IPV) and EDUCATE Training Program for Fracture Clinics

Did You Know?

  • 1 in 3 women presenting to fracture clinics have experienced Intimate Partner Violence (IPV) at some point in their lives
  • IPV is the most common cause of non-fatal injury to women
  • Every 6 days, a woman in Canada is killed by her intimate partner
  • 45% of women who are killed by their intimate partner have attended a hospital for treatment of injuries related to IPV within the past 2 years

The COA, the Centre for Evidence-Based Orthopaedics at McMaster University, and a team of clinician-researchers from across Canada and the United States have partnered to raise awareness about IPV victimization and provide health care professionals who see patients in the fracture clinic with education on how to identify and respond to IPV.

Click here for more info about the EDUCATE IPV Training Program and how to bring the program to your fracture clinic.

Click here for the COA Intimate Partner Violence Position Statement and Best Practice Recommendations (and IPV Resources Appendix) – 2017

EDUCATE training program in the news:
Fight against domestic violence calls on orthopedic clinics (Montreal Gazette; April 8, 2017)
Diagnosing domestic violence: N.L. surgeons learn how to spot the signs (CBC News; April 12, 2017)

Unemployed and Underemployed Orthopaedic Surgeons

Despite long wait times for patients to receive musculoskeletal care, and an aging population which will further strain the health care system, there is an unacceptably high rate of unemployment among orthopaedic graduates. This poses a serious threat to the quality of patient care and to surgeons’ personal and professional wellbeing. The ever-increasing number of graduates unable to find employment in Canada are faced with chronic locum experiences and serial fellowships, and many are turning to job opportunities abroad.

Review the June 2018 COA Bulletin article for a summary of actions the COA has taken to address the unemployment crisis.