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Future Medical Workforce in Canada Insight provided by the 2007 National Physician Survey

Future Medical Workforce in Canada Insight provided by the 2007 National Physician Survey. Alain Vanasse MD PhD 1,2 Maria Gabriela Orzanco PhD 1,2 Josiane Courteau PhD 1 Sarah Scott MHSc 3 1 Groupe Primus, Faculté de Médecine et de Sciences de la Santé, Université de Sherbrooke

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Future Medical Workforce in Canada Insight provided by the 2007 National Physician Survey

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  1. Future Medical Workforce in Canada Insight provided by the 2007 National Physician Survey Alain Vanasse MD PhD1,2 Maria Gabriela Orzanco PhD1,2 Josiane Courteau PhD1 Sarah Scott MHSc3 1 Groupe Primus, Faculté de Médecine et de Sciences de la Santé, Université de Sherbrooke 2 Collaborative for Research on Regional Medical Education (CRRME) 3 College of Family Physicians of Canada

  2. Background • Health care access is a problem for 4.6 millions of Canadians without family doctor1 • The College of Family Physicians of Canada recommends that the proportion of students choosing a residency program in Family Medicine be increased to 45%1 • 2009 CaRMS match showed 31% of Canadian medical graduates choosing Family Medicine as 1st choice in the first iteration2

  3. Purpose of study To explore the association between students’ personal characteristics, background and their attraction toward a family medicine practice. To draw the profile of medical students interested in family medicine and those who are not.

  4. Study design • Populations studied: • Students training in the 17 Canadian medical schools in 2007 in preclinical programs (1st year or preparatory) • Students training in the 17 Canadian medical schools in 2007 in clinical programs (3rd or 4th year) • Secondary data analysis using NPS 2007 • Descriptive • Regression • Regression tree

  5. Study design • Outcome • Probability of the student to be attracted by a residency in family medicine QC19: At this time, which area of specialty do you hope to enter? • Family medicine • Other specialty

  6. Study design National Physician Survey (NPS)3: • Collaborative initiative among: CFPC, CMA, RCPSC • Financial support by: CFPC, CMA, RCPSC, CIHI, Health Canada. • Surveys (electronic & paper) conducted every 3 years

  7. Study design • Student background • Exposure to rural environment (A5) • Parent educational status (F33) • Last academic degree at admission (A10) • Parent in health professions (F35) • Medical school • University (A11) • Exposure to medical specialties (B17) • Medical training to select a residency program (B18) Personal students’ characteristics • Demographic: • age (A1) • gender (A2) • marital status (A3) • Motivation: • for medical training (A12) • when (A13) • marital status (A3) • Interest: • interest in patient care (C20); • interest in research (C20); • interest in teaching (C20); • interest in health administration (C20); • interest in public health (C20); • Financial: • expected debt (D29c) • short residency program to pay off the debt (D29d) • specialty with high earning potential to pay off the debt (D29d) • financial situation (D31) • Satisfaction: • factors for having a satisfying practice (C23a)

  8. Results

  9. Results Preclinical

  10. Results Clinical

  11. Preclinical n=761

  12. Preclinical n=761

  13. Preclinical n=761

  14. Preclinical n=761

  15. Preclinical n=761

  16. Clinical n=1055

  17. Clinical n=1055

  18. Clinical n=1055

  19. Clinical n=1055 ,

  20. Conclusion • Less than 30% of medical students are attracted by family medicine • Short residency to pay debt • Interest in public health • Students from non urban areas

  21. Conclusion • 65% of medical students are attracted by a specialty practice • Specialty with high earning potential to pay debt • Interest in research & administration

  22. Conclusion • Profiles of students attracted by family medicine at the preclinical level of the program are similar than those at the clinical level of the program • Pay off debts • Research

  23. ?

  24. ANNEXES

  25. Descriptive

  26. Preclinical n=761

  27. Clinical n=1055

  28. NPS Response rate for preclinical and clinical programs Studied populations

  29. Univariate logistic regressions

  30. Univariate logistic regressions

  31. Univariate logistic regressions

  32. Multivariate logistic regression – Preclinical

  33. Multivariate logistic regression – Preclinical

  34. Multivariate logistic regression – Clinical population

  35. Multivariate logistic regression – Clinical population

  36. Multivariate logistic regression – Clinical population

  37. References • CMFC. 2008. Soutenir les effectifs futurs en médecine familiale au Canada. En fait-on assez aujourd'hui pour se préparer pour demain? Bulletin, novembre 2008. http://www.cfpc.ca/local/files/Communications/Report%20Card%20FINAL%20French.pdf • CaRMS. 2008. http://www.carms.ca/eng/operations_R1reports_08_e.shtml • National Physician Survey. http://www.nationalphysiciansurvey.ca/nps/home-e.asp

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