Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

52 muster2014 hill raftis wakewich

328 views

Published on

  • Be the first to comment

  • Be the first to like this

52 muster2014 hill raftis wakewich

  1. 1. Centre for Rural & Northern Health Research Northern Ontario School of Medicine 1 Distributed Community- Engaged Dietetics Learning as the Road to Rural Practice Examining the impact of the Northern Ontario Dietetic Internship Program on recruitment and retention of Registered Dietitians in rural and underserved areas Mary Ellen Hill, PhD (CRaNHR Lakehead) Denise Raftis, MEd, RD (NODIP) Pamela Wakewich, PhD (CRaNHR Lakehead)
  2. 2. Centre for Rural & Northern Health Research Northern Ontario School of Medicine 2 COI Disclosure "I have no conflict of interest to disclose"
  3. 3. The Northern Ontario Dietetic Internship Program (NODIP) • Unique dietetic internship with programming and accountability integrated into the Northern Ontario School of Medicine (NOSM) • Using a distributed and community-engaged learning model, NODIP provides practice experiences in under-serviced Centre for Rural & Northern Health Research Northern Ontario School of Medicine 3 areas of Ontario’s north • Also gives graduates skills required to meet needs of Ontario’s Francophone and Aboriginal populations
  4. 4. Centre for Rural & Northern Health Research Northern Ontario School of Medicine 4 Community-Engaged and Distributed Education
  5. 5. Centre for Rural & Northern Health Research Northern Ontario School of Medicine 5 The Tracking Survey  Developed and delivered collaboratively by Centre for Rural & Northern Health Research (Lakehead University) and NODIP program staff  Results from the first five cohorts (2008-2012) of NODIP graduates (n = 62);58 completed survey approximately 22 months after graduation (93%)  Emphasis on understanding how NODIP contributes to recruitment & retention of rural and northern dietitians
  6. 6. Centre for Rural & Northern Health Research Northern Ontario School of Medicine 6 Two Years After Graduation • Two-thirds found employment during their internship (n =40); the rest were employed shortly thereafter • Most found full-time employment (n=51); some also accepted part-time (n=10) or relief-casual (n=5) work • Significant numbers of graduates were still in the first positions accepted after graduation (n = 25) • One-third had relocated for their current position (n = 22).
  7. 7. Rural Non-Metropolitan Practice Centre for Rural & Northern Health Research Northern Ontario School of Medicine 7 NODIP – Practice in Rural & Underserved Areas Practice in Underserved Areas Underserved Other areas Out of province 0 15 30 Rural area Small town Large town Regional centre Large urban area…
  8. 8. Centre for Rural & Northern Health Research Northern Ontario School of Medicine 8 NODIP – Recent Employers 20 10 0
  9. 9. Centre for Rural & Northern Health Research Northern Ontario School of Medicine 9 Location Choice - Knowledge of Employers Completed internship placement with them Knew people who worked for them prior to internship Worked for them prior to internship Volunteered with them Other knowledge of employer No knowledge of employer
  10. 10. Centre for Rural & Northern Health Research Interprofessional Practice & Northern Ontario School of Medicine 10 Location Choice - Practice Factors 50 25 0 FT Employment & Flexible Conditions “Very or Extremely Important” 50 25 0 Continuing Education “Very or Extremely Important”
  11. 11. Community Factors “Very or Extremely Important” Centre for Rural & Northern Health Research Personal Factors “Very or Extremely Important” Northern Ontario School of Medicine 11 Location Choice - Community & Personal Factors 0 20 40 Comfortable town Lifestyle community Quality phys environ Cultural-rec opport Size and population 0 20 40 Proximity family Home town Partner employed area Proximity friends Educational opportunities self
  12. 12. Centre for Rural & Northern Health Research Plan to Remain in Current Community Northern Ontario School of Medicine 12 Retention and Relocation • Most of the graduates do not plan to stay in their current position for long • Decisions around remaining or relocating reflect a complex mixture of professional and personal considerations 0 10 20 Less than 2 years 2-5 years 6 years or more Do not know
  13. 13. Less than 2 Years 2-5 Years 0 5 10 Centre for Rural & Northern Health Research Northern Ontario School of Medicine 13 Reasons for Relocating Looking for FT position Better salary and benefits Unhappy with current position Disinterested in current type of work Not enough opportunities for prof growth No opportunities to specialize End of contract and no extension No other positions with current employer No other positions for dietitians in area Anticipated relocation of spouse or partner To be closer to family To be closer to friends To experience life in different community
  14. 14. Centre for Rural & Northern Health Research Northern Ontario School of Medicine 14 Next Steps … • CRaNHR team will produce 5-year report detailing early career experiences of first five cohorts of NODIP graduates • Additional follow-up surveys and publication planned, resources permitting; for further information: – Denise Raftis, MEd, RD; Program Manager, NODIP; Email denise.raftis@nosm.ca – Mary Ellen Hill, PhD; Senior Researcher, CRaNHR Lakehead; Email: maryellen.hill@lakeheadu.ca

×