• 2nd fastest physician growth (8.4%) inCanada• 2007 = 1,644 physicians• 2011 = 1,928*• 2012 (March) = 2053• More than twice Canadian average• Rural physicians (family) 243 to 256• Canadian trained increase of 14.3%• High turnover 9.7%• Poor Resident retention at 49%Source: CIHI Report Released November 16, 2012*Current SituationCurrent Situation
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
Recruitment•Working In Career Fairs – London and Manchester, UK (48 contacts).•Rural and Remote Medicine Conference – Whistler, BC (one contact).)•Working In Career Fairs – London and Manchester, UK (48 contacts).•Rural and Remote Medicine Conference – Whistler, BC (one contact).• Saskatchewan• Canada• Select United States• Ireland and UnitedKingdom• India• Middle East
Janessa Grosenick, PREP 2010Sun Country Health RegionU of S Students and Residents• Board representation• SMSS and PAIRS Executive• CORRP and SR&R Committees• PREP – PRAS Rural Externship Program• Student loan interest relief• Rural Physician Incentive Program forrecent graduates• Retreat and event sponsorship• Academic half-days• Saskatchewan Career Fairs
Canadians Studying Abroad(CSA)• 3/4 of highly qualifiedcandidates are not acceptedto Canadian medical schools• 3,500 Canadians studymedicine outside Canada• 80 schools in 30 countrieshave Canadian studentsenrolled in medicine• Tend to be older with higherpropensity for family medicine• 87.8% want to return toCanada to practice (CaRMS)… very few do!!CSAs at Ross University, Dominica– “by show of hands,how many of you hope to practice medicine in Canada?”
Why so few?>80% new doctors set up their initial practice within 100 miles ofthe location of residency (California)• So residency location is important84% of resident matches have done one or more electives in thearea (University of Saskatchewan)• So undergrad electives are importantSaskatchewan upbringing, Saskatchewan undergrad exposure, andSaskatchewan residency exposure incrementally increaselikelihood of practicing in Saskatchewan (Manitoba)• So Saskatchewan roots are important
Canadian Resident MatchingService (CaRMS) Top 10Source: Presentation by Sandra Banner – CASPR, 2011
CSA Clinical Rotations in CanadaSource: Presentation by Sandra Banner – CASPR, 2011
CSA Pilot Project• Pre-pilot cohort (4) – 100%CaRMS match to SK• 4 Caribbean Schools• Up to 7 Caribbean studentsper year• Integrated into U of S JURSI(year 3 & 4)• Ongoing evaluation positive
0102030405060702007 2008 2009 2010 2011 2012232729405262CSA Electives in Saskatchewan
2013 CaRMS Match ResultsU of S Medical Residents by University05101520253035404550
2013 CaRMS Match Results02468101214161820U of S Medical Residents Country ofNon-Canadian Training
Canadians Studying AbroadCaRMS 2013• 73 CMGs (43 U of S)• 47 IMGs• 24/47 Matched to FamilyMedicine• 18/47 Completed undergradelectives at U of S
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