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Saskatchewan Medical Association
Representative Assembly May 4, 2013
• 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 Situation Current Situation
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
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
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
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?”
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
Canadian Resident Matching Service (CaRMS) Top 10
Source: Presentation by Sandra Banner – CASPR, 2011
CSA Clinical Rotations in Canada
Source: 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 students per year
• Integrated into U of S JURSI (year 3 & 4)
• Ongoing evaluation positive
0
10
20
30
40
50
60
70
2007 2008 2009 2010 2011 2012
23
27 29
40
52
62
CSA Electives in Saskatchewan
2013 CaRMS Match Results U of S Medical Residents by University
0
5
10
15
20
25
30
35
40
45
50
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
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
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