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Published on presentation at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit Follow @QualitySummit on Twitter. presentation at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit Follow @QualitySummit on Twitter.

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  • 1. inspireHealth Care Quality SummitApril 11, 2013Regina
  • 2. • 2nd fastest physician growth (8.4%)in Canada• 2007 = 1,644 physicians• 2011 = 1,928*• Rate more than twice Canadianaverage• Rural physicians (family) 243 to256• “Canadian trained” increase of14.3%• IMG decrease of 4.7%Current SituationCurrent Situation
  • 3. Our Agency• Crown Corporation – Agency of the Governmentof Saskatchewan• Coordinate and enhance• Serve as a central point of contact• Provide expertise• Reduce competition• Partner with key stakeholders
  • 4. Recruitment Needs to 2020Add: To keep up with population demand 79Add: Equalize access 17Add: Unmet need adjustment 45Add: Projected retirements 74Turnover from, less retirements 734Total recruitment needed 949Source: U of S medical residents 332Out of province recruitment needed 617Annual out of province recruitmentneeded 56Family Physicians
  • 5. Saskatchewan Medical AssociationRural Bus TourLa Loche – January 2013Engaging Medical Learners• Student and Resident Boardrepresentation• Engaging Canadians StudyingAbroad (CSAs)• Student loan reimbursement• Presentations to academichalf-days• Hosting provincial career fairs• PREP rural externship• SMA bus tours
  • 6. Recruitment• Canadian conferencesand events• Select United States• England• Ireland• SIPPA targetedrecruitmentArab Health Expo, Dubai – January 2013
  • 7. SIPPA Pre-Screening• saskdocs pre-screeningpotential candidates• Pre-screening developed bySIPPA working group• Known IMGs inSaskatchewan and Canada• Growing internationalawarenessIn Progress,318Meets Pre-ScreeningCriteria, 276Not Eligible,103
  • 8. Regional Health AuthoritiesHand OffsRHA # of Doctors Handed OffCypress 9Five Hills 23Heartland 24Kelsey Trail 17Prairie North 40Prince Albert Parkland 31Regina Qu’Appelle 55Saskatchewan Medical Association 3Saskatoon 60Sun Country 28Sunrise 37Hand Off Statistics as of March 31, 2013
  • 9. 45 %13 %10 %8 %6 %4 %4 %3 %2 %2 %1 %1 %1 %1 %0 % 10 % 20 % 30 % 40 % 50 %Work-life balanceCareer opportunities for spouse/partnerThe community as a wholeAdequate support to do your jobProximity to family and friendsIncome (including benefits)Professional development opportunitiesCommute timeFinancial incentivesAvailability of trainingAbility to access appropriate care facilities for patientsElectronic Medical RecordsFlexible work hoursProximity to an international airportMedical Learner SurveySingle Most Important FactorSource: saskdocs - SMA (Insightrix) Medical Learner Survey, April 2012.
  • 10. Exit SurveyPrimary Reasons for Leaving14 %16 %24 %28 %32 %32 %48 %0 % 10 % 20 % 30 % 40 % 50 % 60 %OtherCompensation not competitiveNot enough supportWeatherWorkload too muchLocation/lack of amenitiesBe closer to familyFamilyFamilySource: saskdocs - SMA (Insightrix) Physician Exit Survey, April 2012.
  • 11. Financial IncentivesRecruitment RetentionFinancial IncentivesPractice Establishment/Relocation AssistanceStudent / Resident BursariesRural ExperienceWork – Life BalanceFamily EngagementCollegial Relationships• Work life balance is a common theme• Family is a large driver
  • 12. SaskatchewanRural & RemotePractice Grantfor Recent MedicalGraduates
  • 13. Description• $120,000 for recent medical graduates• Rural and remote communities (10,000 >)• Over five years• Experience prior to April 1, 2012 NOTconsidered• Family Medicine training, fully licenced
  • 14. For More• Program Overview• Program Parameters• Application FormContact Jennifer Grunertjennifer.grunert@saskdocs.ca309-4th Ave N, SaskatoonS7K 2L81.888.415.3627
  • 15. Summary• Saskatchewan is not alone• Physician shortages in every province• Around the world• “Quick Fix” solutions don’t work• Multi-faceted solution required• Each partner (communities, municipalities,government, doctors) all play a role