Ontario is facing a growing shortage of primary care physicians, leaving millions of residents without regular access to a family doctor. This crisis is particularly acute in rural and small-town communities, where aging populations and physician retirements have widened care gaps. In response, municipalities across the province are adopting innovative strategies to attract, recruit, and retain doctors. These include financial incentive programs, housing and relocation support, flexible practice models, and community integration initiatives aimed at making smaller communities more appealing.

So, the arrival of a new physician in a small Ontario town is typically a cause for celebration. Access to primary care is under increasing pressure across the province, and communities like North Grenville work diligently to recruit and retain family physicians. Thus, when Mayor Nancy Peckford announced the addition of Dr. Pawandeep Kaur to the Rideau Crossing Family Health Centre in Kemptville, it was a moment of optimism.

However, a closer examination of the circumstances surrounding Dr. Kaur’s recruitment reveals complexities that warrant further scrutiny, particularly concerning the application and effectiveness of North Grenville’s Family Physician Incentive Program.

Dr. Lavitt’s Brief Tenure
Dr. Samantha Lavitt joined the Rideau Crossing Family Health Centre in June 2024 as part of the municipality’s North Grenville Primary Care Incentive Program. Her arrival was heralded as a significant step forward in enhancing primary care access for the community. However, less than a year into her tenure, Dr. Lavitt announced her departure, effective June 1, 2025. The reasons for her short stay have not been publicly disclosed, but her brief tenure raises questions about the program’s ability to retain physicians in the community. 

A Seamless Transition – But Not an Expansion
To ensure continuity of care, Dr. Kaur will begin transitioning into Dr. Lavitt’s practice starting April 16, 2025, with a full handover by June 1. This overlap aligns with the College of Physicians and Surgeons of Ontario (CPSO) guidelines, which mandate that physicians provide appropriate arrangements for patient care continuity upon leaving a practice.

While this transition is commendable from a patient care perspective, it is important to note that Dr. Kaur is not an addition to North Grenville’s physician roster, but a replacement. The total number of family physicians in the community remains unchanged.

The Optics of Growth
Mayor Peckford’s announcement welcomed Dr. Kaur as “another new family doctor,” a phrase that suggests an increase in the local healthcare workforce. However, this characterization is misleading, as Dr. Kaur is filling the vacancy left by Dr. Lavitt. The use of the term “new” in this context may create a perception of growth where there is none.

Furthermore, Dr. Kaur’s recruitment is again tied to the township’s Family Physician Incentive Program. This raises questions about the program’s application. Designed to attract new physicians to underserved areas, the program appears, in this instance, to be used to maintain existing capacity rather than expand it. 

A Stepping Stone, or a Sustainable Solution?
The brief tenure of Dr. Lavitt and the subsequent recruitment of Dr. Kaur under the same incentive program highlight potential vulnerabilities in the program’s design. If physicians view the program as a short-term opportunity or a stepping stone to other positions, the community may face ongoing challenges in maintaining stable, long-term primary care services. Perhaps the program’s retention strategies may need reevaluation to ensure sustainable healthcare delivery in North Grenville? 

Moving Forward with Transparency
While Dr. Kaur’s arrival ensures that existing patients continue to receive care, the situation underscores the need for transparency in how recruitment programs are utilized. It is essential to assess whether these programs are achieving their intended goals of expanding healthcare access, and to consider adjustments that enhance their effectiveness in both attracting and retaining physicians.

As North Grenville continues to navigate the complexities of healthcare provision, clear communication and strategic planning will be key to ensuring that the community’s needs are met not just today, but in the years to come.

Sources
• Rideau Crossing Family Health Centre. “Practice Update.” rideaucrossingfhc.ca
• My Kemptville Now. “North Grenville welcomes newest physician.” mykemptvillenow.com
• North Grenville. “North Grenville Enhances Primary Care Access with Arrival of Dr. Lavitt.” northgrenville.ca
• College of Physicians and Surgeons of Ontario. “Physician Information.” register.cpso.on.ca