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Lethbridge Herald, The (Newspaper) - July 13, 1973, Lethbridge, Alberta 14 THS IETHBRIDCB H6RAID Friday, July 13, 1973 Alberta doctors watch Ontario surgery controls By GEORGE STEPHENSON Herald Staff Writer Alberta, doctors "will be watching with interest" a re- cently implemented Ontario plan to control the number of operations a surgeon can perform, the president of the Alberta Medical Association said Thursday. Dr. James Osfairo, of Coal- dale, said the controls, an- nounced'by the Ontario Col- lege of Physicians and Sur- geons, are very different than those in effect in Al- berta. Hie Ontario plan calls for guidelines limiting surgeons to 12 "medium complexity" operations in a week which would limit a surgeon to about in net annual income. Rationale behind the deci- sion was that the value of services a doctor performs declines as Ms volume rises. Dr. Oshiro points out that this need not be the case. He said that under the Al- berta system of "professional review" it has been seen that many doctors who work long hours and see a num- ber of patients can handle the load without a Decrease in efficiency or quality of ser- vices. The Alberta Medical Association, under its sy- stem of professional review and cost-quality control, does make sure doctors are not undertaking more than they can handle. Alberta doctors compared The Alberta review is more individualized, taking into ac- count, the type of physician, his situation and location, Dr. Oshiro said. Whereas the Ontario sys tern has placed a ceiling on the number of operations a surgeon can perform and recommended limits on the number of patients a gener- al'practitioner and specialist can treat, the Alberta sys- tem checks a doctor's prac- tices against his peer group in similar situations. Dr. Oshiro explained that biffing practices of a physi- cian in a rural area would be compared against other physicians in rural areas. The medical association has layed out numerous cri- teria including biffing practices, services generated and work load, for all doc- tors in various fields and lo- cations. These criteria set out the normal practices physicians in various fields and situa- tions should follow. "If the billing profile of a physician exceeds the norm on two standard deviations the computer sends out the profile to be Dr. Oshiro explained. Fees could be prorated This means that if a gen- eral practitioner was taking five x-rays for every 10 pa- tients and the average in bis peer group was one for every eight, then the AMA review committee would have to find out the reason the practition- er was above the norm, Dr. Oshiro added. The eight member com- mittee scrutinizes several hundred profiles every three months to determine why some doctors' practices are out of the ordinary. Many doctors do not rea- lize they are out of line with the norm in their peer group and told to investi- gate their own practices, Mr. Oshiro said. If a profile is consistently out of line the medical asso- ciation can recommend to the Afterta Health Care In- surance Commission that the physician's fees be controll- ed, Dr. Oshiro pointed out. The review committee con- sists of practicing physicians drawn from various fields in the medical spectrum and operates as a watchdog over the profession. The commit- tee, unlike the Alberta Col- lege of Physicians and Sur- geons, makes recommenda- tions but is not a disciplin- ary body. Service quality unaffected If any case the committee is investigating is found to be fraudulent, it is turned over to the coflege. Unlike Ontario, cost-quality control in Alberta is the res- ponsibility of the medical as- sociation. "It is a professional res- ponsibility carried out by the voluntary AMA as delegat- ed by the Alberta Health Care Insurance Dr. Oshiro explained. Dr. Oshiro agreed with On- tario doctors that there is at times a relationship between quality and quantity but add- ed there is no reason to be- lieve qualify suffers under the Alberta system. He said Saskatchewan phy- sicians have operated under the same system as Alberta since 1962 and it has not af- fected the quality of services. Dr. Oshiro added that the ceiling on earnings laid down by the Ontario college seemed to matter little as few doctors earned mat much. U of L, LCC to co-operate A policy of greater ation between the University of Lethbridge and the Leth- bridge Community College was announced Thursday by spokesmen for 'both institu- tions. Terms of agreement were outlined, on behalf of both groups, by LCC board chair- man Bob Babki and U of L board chairman Neil Holmes. Their announcement was made following a two-hour tioaed meeting between col- lege and university officials. A major item of discussion Thursday was the provincial government bursary program, through which students enter- ing the U of L for the first time are eligible for a 5300 giant. The fund applies only to those students who do not live in centre now offering college or uuiverUty facilities. "We have agreed the pro- gram is an interesting experi- ment. We win aD be watching for future developments. "The community college wishes the university weH. Educators of berth institutions look forward to working suc- cessfully with this bursary and having it applied more Trjdety to higher education in Mr. Babki and Dr. Holmes said. The government project is now open only to first-time U of L students. Other Afixarta colleges and universities are not included in the program. "We have agreed we are not in competition with one another, but we do comple- ment each other. We are both concerned, primarily, with the Dr. Holmes and Mr. Babki said. They said another meeting between U of L and LCC offi- cials will be held sometime in November. Before that fane, a joint university coDege committee be working on possible transfer and credit programs between the two institutions. Dr. Holmes and Mr. Babki said that committee will be holding its first meeting "in the near future." University and college offi- cials win also schedule com- bined visits to city high schools "so the best possibde informa- tion on a future in higher edu- cation 'can be passed on to the students." Mr. Babki and Dr. Holmes said both the college and the university befieve discussions, such as those held Thursday, "have exhibited an overwhelm- ing degree of co-operation be- ts-oca oar two institutions." Shopping spree With wheelchairs packed into the back of o city bus, courtesy of the downtown businessmen's association, 18 patients from Auxiliary Hospital were taken on a shopping trip downtown Thursday. The trip was organiz- ed by the recreation department of the hospital. women's auxiliary, some students and workers from an Opportunities for Youth project helped push the patients around. At bottom, Marie Pittman helps Ron Honchuk in his choice cf music HARRY NEUFELD photos Youth hostel over-staffed, under-used By JOANNA MORGAN Herald Staff Writer They converge on Leth- bridge from three directions, from Vancouver, East e r n Canada and the States. Cars, motorcycles, bicycles, and hitch-hiked rides bring them here. Phoenix House, the city's youth hostel, is ready. But stiH" waiting over- staffed and under-used in its third month of operation. Danny McCaw, hostel dir- ector, says he is "not dis- tressed, a little disappoint- ed" about his underpopula- tion problem. The hostel has be-ds enough to accommodate 39 'travellers a night. So far it has never bad more than 13. The average nightly regis- tration has been 6 people since July 1. The director feels a lack cf publicity has hurt the hos- tel. There's also a decreas- ing trend across Canada in the number of mobile young people. "Bed nights (hostel head counts) are down all over- he said. Mr. McCaw plans to rec- ommend in his summer-end report that next year's hos? tel have three staff members and a budget for 30-bed cap- a city. This year five people run a 39-bed hostel. The provincial department of social development paid for meal tickets worth -each at the Golden Gate restaurant. The hostel em- powered to give these to needy travellers, has used only 60 of them to date. Money not used by the hos- tel will be .returned to the government, the director said. Travellers at the hostel have recounted difficulties crossing from the States into Canada and back again. "Border crossings are tigh- ter each year." said Mr. McCaw. Since Lethbridge is a logical stop on the between the U.S. and popu- lar Alberta locations like Banff and Jasper, strict re- gulations might be showing in the decreased registra- tion. "Two or three people (turn- ed away) a day over a month is a lot of bed Mr. McCaw said. Mike Diduck, the officer in charge of the Canada Immi- gration Centre in Lethbridge, said that there was no dis- crimination against youth at the Canadian border. "It doesn't he said, Young people must satisfy the same criteria as older people, he told The Herald. Immigration officers tost be satisfied that any person is of good health and charac- ter, with sufficient funds to maintain himself in Canada, enough to "effect a depart- Mr. Diduck said. A hitch-hiker has to have enough money in case he has to buy transportation home- in the event of an injury tibat might prevent him from thumbing home. American authorities are less lenient. Hitch-hiking is against the law in Montana. Creed Davis, the supervisor of immigration officers at the border inspection station in Sweetgrass, Mont, said in a telephone interview: "We have to be satisfied that they have sufficient funds and transportation." Neither the Canadian nor American officials contacted could indicate how much money a young person would need in his possession to in- dicate financial self-sufficien- cy. Judgments on this matter are the responsibility of indi- vidual immigration officers at border crossings. Games committee to raise funds Cast named for Mame production Xora Rose, noted Western Canadian singer, wiH head the Lethbridge Musical Theatre's fall production o f "Mame''. officials for the theatre have announced. The local mezzo-soprano has extensive experience with CBC and is a member of Actors Equity. She will play the tills role of Mame, originally created bv An- gela Lansbury on Broadway in 1966. The musical comedy will run from Nov 36 lo Dec. 1 the first rehearsal being scheduled for Sept. 2. Dick Mells has been named to handle direction and production. With preliminary casting completed the following cast bas been selected: Nora Rose as Mame. Jean War- burton as V e r a Charles. Shirley Wilson as Agnes Gooch. Michael MeUing as Patrick (age Albert Azarra as Ito, Ray Mercer as Beauregarde, Jack War- burton as Babcock, Barry Marquardson as Patrick (age Charles Schott as Mr. ITpson, Denise Black Mrs. UDSOO, Ftye Ddefr zic 3? Gloria Vpson. Sberl McFadden as Pegcen Ryan, Joan WaterfieM as Mother Bumiide. Mardi Rcnyk as Sally Cato and Al Greeirway as Lindsay Woolsey. There are still some minor principal and chorus parts be cast Further win be announced in late By RICHARD BURKE f Herald Staff Writer The chairman of the Friends of the Games Com- mittee is confident fund rais- ing efforts to support the 1975 Canada Winter Games can come up with more than the in cash and services raised for UK last event hi Saskatoon. Tom McNab, of the Young, Parkyn, McNab accounting firm, -says his committee is about a year ahead of the Saskatoon group and should start campaigning in Septem- ber. Games torch in district next week The cross Canada torch parade preceding the Canada Summer Games at New West- minster-Bumaby, B.C. in Au- gust wul pass through South- ern Alberta next weekend. Ceremonies including the fiag-raising for the 1973 Can- ada Winter Games wifl be held in 11 district towns and Lethbridge. Friday the parade will tra- vel through Bow Island at p.m. and will stop in Tafoer for the night at 7 p.m. The morning of July 2! the torch wOl be lighted at Coal- dale and Picture Butte be- fore coming to Lethbridge at 11 a.m. when ceremonies will take place before the grand- stand at the Exhibition Grounds. Starting at p.m. at Raymond, the parade wil} visit Magrati, Card s t o n. Standoff, Fort Macleod, Pp- cher Creek and Brocket with one-hour intervals between each oereinouy. Abont Indians in full regalia Are expected to wit- ness the parade at Standoff. The parade wffl consist cf three vehicles which will stop about one mite outside each town where torches and flags will be given to two runners. The runners win carry the and torches into town where they win be presented to local officials by Winter Games Society chairman Dean Cooper and vice-pres- deet Vem Mr. McNab and vice chair- man Harry Cox plan to in- volve about 100 persons from the region in approaching individuals and companies to contribute to the Games ef- fort. The committee has begun by contacting soap manufac- turers and sugar refiners to sell Games logo rights for reproduction on their product wrappers. Although the province has decided not to participate in the proposed western lottery, a separate lottery for Games is still a possibility, Mr. McNab said, as another means of raising funds. No specific goal or budget has been set, he said. The various committees will re- quisition funds and the com- mittee wiU solicit those funds as they are needed. The Winter Games Society has also appointed Doug Dun- lop as chairman of the pub- lic relations committee and Bob Parkyn vice-chairman. The society directors are looking for a chairman of the ceremonies and protocol committee, which wiU be res- ponsible for organizing the opening and closing cere- monies for the Games. Persons who feel they are qualified or know of someone who is qualified are asked to contact the Games office, 323-1975. Rare books at U of L A collection of rare books, featuring the works of Brit- ish poet Robert Soutbey, are now on display at the Uni- versity of Lethbridge li- brary. Among the 36 books are a 1796 first edition of Joan of Arc. An Epic Poem, a 1798 version of Mathias' The Pur- suits of Literature and an 1856 set of volumes Selec- tions From The Letters of Robert Soutbey. The U of L display can be viewed at the library from a.m. to 10 p.m. Mon- day to Thursday, from a.m. to p.m Friday and Saturday, from 1 to p.m. Soodavs. ;