Ep. 78 The Business of Gynecology in Canada with Dr. Jonathon Solnik
BackTable OBGYN25 Helmi 2025

Ep. 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. --- SYNPOSIS 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

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Ep. 38 Painful Bladder Syndrome with Dr. Jocelyn Fitzgerald

Ep. 38 Painful Bladder Syndrome with Dr. Jocelyn Fitzgerald

In this episode, hosts Dr. Mark Hoffman and Dr. Amy Park invite Dr. Jocelyn Fitzgerald to discuss the relationships among chronic inflammatory pelvic diseases, focusing on painful bladder syndrome / i...

9 Marras 202358min

Ep. 37 In-Depth: Endometrial Ablation with Dr. Barbara Levy

Ep. 37 In-Depth: Endometrial Ablation with Dr. Barbara Levy

This week on BackTable OBGYN, Drs. Mark Hoffman and Amy Park are joined by Dr. Barbara Levy to discuss the latest advancements in endometrial ablation using cryotherapy. Dr. Levy, a professor at Georg...

26 Loka 202358min

Ep. 36 Laparoscopic Hysterectomy Tips and Tricks with Dr. Mark Hoffman

Ep. 36 Laparoscopic Hysterectomy Tips and Tricks with Dr. Mark Hoffman

In this episode, host Dr. Amy Park interviews co-host Dr. Mark Hoffman about laparoscopic hysterectomies. --- SHOW NOTES The episode begins with Mark describing his journey to becoming a minimally ...

12 Loka 20231h 8min

Ep. 35 The Natural Orifice Surgery: Vaginal Hysterectomy with Dr. Amy Park

Ep. 35 The Natural Orifice Surgery: Vaginal Hysterectomy with Dr. Amy Park

In this episode, hosts Dr. Mark Hoffman and Dr. Amy Park have an in-depth discussion on the topic of vaginal hysterectomy. Amy, who handles a substantial caseload of vaginal hysterectomies, takes the ...

28 Syys 202352min

Ep. 34 Advanced Hysteroscopy with Dr. Linda Bradley

Ep. 34 Advanced Hysteroscopy with Dr. Linda Bradley

In this episode, hosts Dr. Mark Hoffman and Dr. Amy Park invite Dr. Linda Bradley to discuss advanced hysteroscopy. Linda is a professor of OB/GYN and Reproductive Biology at Cleveland Clinic as well ...

21 Syys 20231h 4min

Ep. 33 Genitourinary Syndrome of Menopause (GSM): Improving a DRY Topic! With Dr. Rachel Rubin

Ep. 33 Genitourinary Syndrome of Menopause (GSM): Improving a DRY Topic! With Dr. Rachel Rubin

This week on BackTable OBGYN, Dr. Suzette Sutherland and Dr. Rachel Rubin discuss the diagnosis and treatment of genitourinary syndrome of menopause (GSM) with vaginal estrogen. --- EARN CME Reflec...

18 Syys 202345min

Ep. 32 Hysteropexy vs Hysterectomy for Pelvic Organ Prolapse with Dr. Olivia Chang

Ep. 32 Hysteropexy vs Hysterectomy for Pelvic Organ Prolapse with Dr. Olivia Chang

This week on BackTable Urology, Dr. Suzette Sutherland (University of Washington) and Dr. Olivia Chang (UC Irvine) discuss reasons for uterine preservation and hysteropexy techniques for prolapse repa...

13 Syys 202349min

Ep. 31 The vNOTES Procedure with Dr. Jan Baekelandt

Ep. 31 The vNOTES Procedure with Dr. Jan Baekelandt

In this episode, Dr. Mark Hoffman hosts Dr. Jan Baekelandt, a gynecologic surgeon from Mechelen, Belgium, to discuss a novel gynecologic surgery approach known as vaginal natural orifice transluminal ...

31 Elo 202357min

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