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American podiatrist leaving Nova Scotia over bureaucratic frustrations

American podiatrist leaving Nova Scotia over bureaucratic frustrations

CBC
Monday, December 01, 2025 01:13:18 PM UTC

An American surgical podiatrist says he has decided to leave Nova Scotia because he's unable to fully treat his patients, which leaves them lingering on long waitlists.

Dr. Ronald Barron said he's fed up with dealing with the Nova Scotia College of Physicians and Surgeons and the provincial health department, which would not give him permission to perform some minimally invasive surgeries in his clinic.

"I have not worked anywhere, especially in the United States, where you have to wait three years to have a bunion or a hammer toe repaired," Barron said.

"I could fix [these] issues very easily and very effectively if I were allowed to. But as it is with the government and college, I'm prevented from doing it. It was very hard."

Barron moved to Dartmouth to work in a clinic in early 2024 in hopes of staying long-term. His mother was from Guysborough County, and he said he spent many summers in the province.

"It seemed like a very, very good opportunity," he said.

His arrival coincided with significant changes for podiatrists in the province. The change meant that for the first time, they could prescribe medications and order X-rays instead of asking primary care providers to do so on their behalf.

In a statement to CBC News, Dr. Gus Grant, the head of the province's college of physicians, said the move "brought accountability, structure, and appropriate recognition of the contributions that podiatry can make to N.S. health care."

But Barron said in his case, the changes didn't go far enough.

Unlike Canadian podiatrists, his U.S. training included minimally invasive surgeries such as treating bunions or hammer toes in his clinic instead of sending patients to a hospital operating room.

"I had explained to the college in quite a bit of detail my background, they were aware of that. Initially they seemed very happy to have somebody with my skill set coming to the province."

He said he reached out to the provincial government and the college several times, asking for an expansion of his services, but received no reply.

Barron said it felt like he was "passing the buck" as he saw patients with conditions he knew he could treat.

He pointed to a case where a diabetic man in his 40s had a hammer toe and a wound on his foot.

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