The Isle of Man's Nobles Hospital needs more local doctors.
34 positions are currently vacant, 14 of which are consultant roles.
Figures were revealed in yesterday's House of Keys sitting by Jason Moorhouse, who said 24 doctors are locum and six posts are junior.
The Department of Health and Social Care Minister Kate Beecroft has previously stated that the department's overspend was largely due to paying temporary doctors.
Patients across the North West have had operations and appointments cancelled today after junior doctors walked out on strike.
Today's was the first of three strikes over new contracts junior doctors say are unfair and unsafe. The Government says the strikes are unnecessary and is calling for more talks.
A 31-year-old woman from St Helens was one of hundreds of patients who've been affected. She says she was devastated when her hysterectomy was cancelled.
Daniel Hewitt reports
A survey published ahead of the 10th anniversary of the death of serial killer Dr Harold Shipman shows many doctors have no faith in checks to find poorly performing colleagues.
More than 5 thousand medics were polled and most thought 'reappraisal' wouldn't identify those unfit to practice.