- Saskatchewan has experienced rapid physician growth in recent years, with the number growing over 8% from 2007 to 2011. However, recruitment needs are projected to be high over the next decade to keep up with population growth and replace retiring physicians. - Efforts are being made to recruit both internationally and from medical schools abroad where many Canadian students attend due to limited spots in Canadian schools. A pilot program has also been initiated to provide clinical rotations in Saskatchewan to students from Caribbean medical schools.

1. Saskatchewan Medical
Association
Representative Assembly
May 4, 2013

2. • 2nd fastest physician growth (8.4%) in
Canada
• 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

3. Recruitment Needs to 2020
Add: To keep up with population demand 79
Add: Equalize access 17
Add: Unmet need adjustment 45
Add: Projected retirements 74
Turnover from, less retirements 734
Total recruitment needed 949
Source: U of S medical residents 332
Out of province recruitment needed 617
Annual out of province recruitment
needed 56
Family Physicians

4. 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 United
Kingdom
• India
• Middle East

5. Janessa Grosenick, PREP 2010
Sun Country Health Region
U 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 for
recent graduates
• Retreat and event sponsorship
• Academic half-days
• Saskatchewan Career Fairs

6. Canadians Studying Abroad
(CSA)
• 3/4 of highly qualified
candidates are not accepted
to Canadian medical schools
• 3,500 Canadians study
medicine outside Canada
• 80 schools in 30 countries
have Canadian students
enrolled in medicine
• Tend to be older with higher
propensity for family medicine
• 87.8% want to return to
Canada 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?”

7. Why so few?
>80% new doctors set up their initial practice within 100 miles of
the location of residency (California)
• So residency location is important
84% of resident matches have done one or more electives in the
area (University of Saskatchewan)
• So undergrad electives are important
Saskatchewan upbringing, Saskatchewan undergrad exposure, and
Saskatchewan residency exposure incrementally increase
likelihood of practicing in Saskatchewan (Manitoba)
• So Saskatchewan roots are important

8. Canadian Resident Matching
Service (CaRMS) Top 10
Source: Presentation by Sandra Banner – CASPR, 2011

9. CSA Clinical Rotations in Canada
Source: Presentation by Sandra Banner – CASPR, 2011

10. CSA Pilot Project
• Pre-pilot cohort (4) – 100%
CaRMS match to SK
• 4 Caribbean Schools
• Up to 7 Caribbean students
per year
• Integrated into U of S JURSI
(year 3 & 4)
• Ongoing evaluation positive

11. 0
10
20
30
40
50
60
70
2007 2008 2009 2010 2011 2012
23
27
29
40
52
62
CSA Electives in Saskatchewan

12. 2013 CaRMS Match Results
U of S Medical Residents by University
0
5
10
15
20
25
30
35
40
45
50

13. 2013 CaRMS Match Results
0
2
4
6
8
10
12
14
16
18
20
U of S Medical Residents Country of
Non-Canadian Training

14. Canadians Studying Abroad
CaRMS 2013
• 73 CMGs (43 U of S)
• 47 IMGs
• 24/47 Matched to Family
Medicine
• 18/47 Completed undergrad
electives at U of S