Physician recruitment and retention in New Brunswick: a medical student perspective

Giberson, Mariah; Murray, Joshua; Percy, Edward

doi:10.36834/cmej.36772

Cited by 4 publications

(4 citation statements)

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“…Another inconsistency may also be due to the sample size of doctors in our study considering marriage. Spousal influence is considered to play a significant role in the recruitment and retention of physicians, as shown in previous studies (Cameron et al, 2012;Giberson et al, 2016;Russell et al, 2018;Levesque et al, 2018). We observed that significant differences in the anticipated retention rate were introduced because of marriage in univariate analysis, but they failed to affect the binary logistic regression model.…”

Section: Discussionsupporting

confidence: 64%

Income, workload, and any other factors associated with anticipated retention of rural doctors?

Yan

Sun

2022

Prim Health Care Res Dev

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Objective: The turnover of rural doctors, including doctors who leave clinical practice in rural areas, may disrupt the continuity of care. Though strategies had been formulated to address the problems associated with low retention rates, they proved to be unrewarding. This study aimed to investigate how we could anticipate the loss of rural doctors to facilitate their retention in advance. Design: We conducted a cross-sectional survey and collected data from rural doctors in Jiangsu Province. Setting: Research on the employment status of target admission graduates in Jiangsu. Participants: Multi-stage stratified sampling methods were employed to select the respondents in this study. We selected 722 rural physicians, who represented all the rural physicians from Northern, Central, and Southern Jiangsu. Measures: Factors affecting anticipated rural retention (odds ratios (OR)). Results: The anticipated rural retention rate was 72.8% for the 722 respondents from Jiangsu province. Economically developed work areas (ORCentral JS = 0.501, ORSouthern JS = 0.475), a higher monthly income (OR 3000∼ = 0.584, OR6000∼ = 0.255), and an advanced rank among counterparts (OR = 0.507) were protective factors for anticipated rural retention. Risk factors involved the monthly expenditure, mainly for socialization with others (OR = 1.856), working hours of more than 50 hours/week (OR = 2.076), assignment of outpatient work (OR = 1.991), and filing work (OR = 1.544) as the main tasks on a daily basis. Conclusion: A combination of strategies, including the strengthening of economic incentive as well as the ability to deal with a heavy workload, could increase the recruitment and retention rate in Jiangsu Province.

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Section: Discussionsupporting

confidence: 64%

Income, workload, and any other factors associated with anticipated retention of rural doctors?

Yan

Sun

2022

Prim Health Care Res Dev

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“…8 The direct effect included operating expenditures (salaries and benefits, travel, supplies and services, stipends paid to preceptors, student spending, and research expenditure) and excluded capital expenditures. These numbers were considerably lower than the 2.5 used by Tripp and Umbach 5 in their Canada-wide study of medical programs but are similar to Sudmant’s multiplier of 1.5. 36 The impact of the Saguenay DME program was estimated in terms of its impact on local income revenue and total employment following the NOSM method.…”

Section: Resultsmentioning

confidence: 48%

“…1 , 2 Increasing the training opportunities for medical doctors outside of large urban centres reduces the disparity in medical services between rural and urban areas. 3 - 5 Medical school graduates are more likely to remain in the region where they trained. 6 Hence, the development of training opportunities in underserved areas mitigates the shortage of physicians.…”

Section: Introductionmentioning

confidence: 99%

A review of methods to assess the economic impact of distributed medical education (DME) in Canada

et al. 2018

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Background: Canadian distributed medical education (DME) increased substantially in the last decade, resulting in positive economic impacts to local communities. A reliable and simple method to estimate economic contributions is essential to provide managers with information on the extent of these impacts. This review paper fills a gap in the literature by answering the question: What are the most applicable quantitative methods to assess the economic impact of Canadian DME programs? Methods:The literature is reviewed to identify economic assessment methods. These are evaluated and compared based on the benefits, challenges, data needs, outputs and potential for use in the DME context. Results:We identified five economic impact methods used in similar contexts. Two of these methods have the potential for Canadian DME programs: the Canadian Input-Output (I-O) model and the Simplified American Council on Education (ACE) method. Conclusion:Choice of a method is contingent on the ability to measure the salient economic impacts, and provide an output that facilitates sustainable decision making. This paper thus fills a gap by identifying methods applicable Canadian Medical Education Journal 2018, 9(1), Special Issue e88 to DME. These methods will assist stakeholders to calculate economic impacts, resulting in both the advancement and sustainability of these programs over short-and long-term time frames.

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“…This historical aspect is difficult to capture retrospectively but represents a potential confounder. Moreover, this study relied on administrative data, which did not capture a wide range of factors that may have affected decision making about work locations, such as a spouse’s ability to work in the region 16 . The identification of practice location of participants at a single point in time is another limitation of the study.…”

Section: Discussionmentioning

confidence: 99%

Impacts of studying in a regional medical campus on practice location

Utzschneider

Landry

2018

Can. Med. Ed. J

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Background: New Brunswick, a bilingual Canadian province without a medical school, negotiated an agreement in 1967 in which places were reserved for francophone medical students in the province of Quebec. In 2006, the Centre de Formation Médicale du Nouveau-Brunswick (CFMNB), a regional medical campus (RMC) of Université de Sherbrooke for its provincial francophone medical students, was established to increase the likelihood of graduates setting up practice in the region. Practice locations of the initial 5 cohorts of CFMNB were analysed to compare data with francophone students trained in Quebec.Methods: Practice locations were determined through Scott's Medical Database and provincial public registries. Chisquare and relative risk probability were used to examine the relationship between training location and practice location.Results: Doctors trained at CFMNB were 1.4 times more likely to be practicing in Atlantic Canada compared to those trained at Université de Sherbrooke (main campus) before 2006. Those trained at CFMNB were 1.3 times more likely to go on to practice in the region compared to those trained at Université Laval or Université de Montréal. Conclusion:This study supports the hypothesis that individuals completing a medical program in a Francophone RMC in New Brunswick increases the likelihood of them later practicing in the province or in the wider Atlantic Canada region. _______ Contexte: Le Nouveau-Brunswick, une province canadienne bilingue ne possédant pas de Faculté de médecine, a négocié en 1967 une entente avec le Québec afin de réserver des places pour ses étudiants francophones souhaitant étudier la médecine. En 2006, le Centre de formation médicale du Nouveau-Brunswick (CFMNB), un campus médical régional (CMR) de l'Université de Sherbrooke, a été créé afin de permettre aux Néo-Brunswickois d'étudier la Méthodes: Les lieux de pratique ont été déterminés via le répertoire des médecins Scott's et les registres publics provinciaux. Des tests de Chi carré et des analyses de risque ont été conduits afin d'étudier la relation entre le lieu de formation et le lieu de pratique. Résultats: Les médecins formés au CFMNB étaient 1.4 fois plus enclins à travailler au Canada atlantique comparativement à ceux formés au campus principal de l'Université de Sherbrooke avant 2006. Les médecins formés au CFMNB étaient également 1.3 fois plus enclins à travailler dans la région que ceux formés à l'Université Laval ou à l'Université de Montréal.Conclusion: Cette étude supporte l'hypothèse selon laquelle le fait de compléter un programme de médecine francophone dans un CMR francophone au Nouveau-Brunswick augmente les chances de pratiquer au Nouveau-Brunswick ou dans la grande région du Canada atlantique.

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Physician recruitment and retention in New Brunswick: a medical student perspective

Cited by 4 publications

References 4 publications

Income, workload, and any other factors associated with anticipated retention of rural doctors?

Income, workload, and any other factors associated with anticipated retention of rural doctors?

A review of methods to assess the economic impact of distributed medical education (DME) in Canada

Impacts of studying in a regional medical campus on practice location

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