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BackTable / OBGYN / Podcast / Episode #78
The Business of Gynecology in Canada
with Dr. Jonathon Solnik
How does gynecology care in the United States compare to Canada? In this episode of the BackTable OBGYN podcast, Dr. Jonathon Solnik, head of gynecology and minimally invasive surgery at Mount Sinai in Toronto, speaks with hosts Dr. Mark Hoffman and Dr. Amy Park about the significant differences between the healthcare systems in the US and Canada.
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BackTable, LLC (Producer). (2025, February 25). Ep. 78 – The Business of Gynecology in Canada [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Jonathon Solnik
Dr. Jonathon Solnik is a gynecologic surgeon and the head of gynecology and miminally invasive surgery at Mount Sinai Hospital in Toronto, Canada.
Dr. Mark Hoffman
Dr. Mark Hoffman is a minimally invasive gynecologic surgeon at the University of Kentucky.
Dr. Amy Park
Dr. Amy Park is the Section Head of Female Pelvic Medicine & Reconstructive Surgery at the Cleveland Clinic, and a co-host of the BackTable OBGYN Podcast.
Synopsis
The doctors cover financial incentives and constraints faced by hospitals in the US vs. Canada, the role of insurance companies, and how resource limitations impact clinical practice. Dr. Solnik shares insights from his career journey, emphasizing the challenges and opportunities he has encountered in Canada, including longer wait times for elective surgeries and the intricacies of the Canadian global budget system. The conversation also covers the impact of robotics in surgery, standardization of care, and the differences in the handling of high-acuity medical cases. The episode provides an insightful discussion on how different healthcare models affect patient care, physician practices, and hospital administration.
Timestamps
00:00 - Introduction
01:39 - Dr. Solnik’s Career Journey
03:30 - Healthcare System Differences: US vs Canada
09:57 - Balancing Quality and Volume in Healthcare
12:18 - Private Practice in Canada
25:03 - Wait Times and Capacity Issues
34:44 - Oncology and Semi-Salaried Positions
39:03 - Negotiating CPT Codes and RVUs
42:14 - Access to Care in Remote Areas
44:42 - Robotics in Surgery
55:09 - Incentives and Productivity in Healthcare Systems
01:01:33 - Concluding Thoughts
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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