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).

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•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

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2007 2008 2009 2010 2011 2012

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40

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CSA Electives in Saskatchewan

2013 CaRMS Match Results U of S Medical Residents by University

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45

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2013 CaRMS Match Results

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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

http://www.saskdocs.ca/