One program, multiple training sites: Does site of family medicine training influence professional practice location?

Rural and Remote Health

Volumn 13, Issue 4, 2013, Pages

  Jamieson, J L ^a   Kernahan, J ^a   Calam, B ^a   Sivertz, K S ^a  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

Author keywords

Canada; Distributed training; Family medicine; Postgraduate medical education; Professional practice location

Indexed keywords

ADULT; CANADA; COHORT ANALYSIS; DECISION MAKING; EDUCATION; FEMALE; GENERAL PRACTICE; HEALTH PERSONNEL ATTITUDE; HEALTH SERVICE; HUMAN; LIFESTYLE; MALE; MANPOWER; MEDICAL EDUCATION; PROFESSIONAL PRACTICE; PROGRAM EVALUATION; QUESTIONNAIRE; RURAL HEALTH CARE; STATISTICS AND NUMERICAL DATA; YOUNG ADULT;

ADULT; ATTITUDE OF HEALTH PERSONNEL; BRITISH COLUMBIA; COHORT STUDIES; DECISION MAKING; EDUCATION, MEDICAL; FAMILY PRACTICE; FEMALE; HUMANS; INTERNSHIP AND RESIDENCY; LIFE STYLE; MALE; PROFESSIONAL PRACTICE LOCATION; PROGRAM EVALUATION; QUESTIONNAIRES; RURAL HEALTH SERVICES; URBAN HEALTH SERVICES; YOUNG ADULT;

EID: 84893451053     PISSN: 14456354     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (39)

1. Statistics Canada. (Online). Table 105-3067, 'Difficulties accessing routine or on-going care, among those who required care at any time of day, household population aged 15 and over, Canada, provinces and territories'. CANSIM (database). Using E-STAT (distributor). http://www5.statcan.gc.ca/cansim/a26?lang=eng& retrLang=eng&id=1053067&tabMode=dataTable&srchLan=-1&p1=-1&p2=9 (Accessed 26 May 2013).
2. Goldsand G, Thurber AD. The overlapping roles of primary care physicians, general specialists and subspecialists-the Canadian perspective. Paper presented at 7th International Medical Workforce Conference, Oxford, United Kingdom, September 2003. Available: http://rcpsc.medical.org/publicpolicy/imwc/Can_overlapping_roles_George_Goldsand.pdf (Accessed 6 November 2013).
3. Pong RW, Pitblado JR. Geographic distribution of physicians in Canada: beyond how many and where. Ottowa: Canadian Institute for Health Information, 2005.
4. Task Force Two. Canada's physician workforce: occupational human resources data assessment and trends analysis. Final report. 2005 (Online). Available: http://www.effectifsmedicaux.ca/reports/OccHRReport-e.pdf (Accessed 6 November 2013).
5. Task Force Two. A physician human resource strategy for Canada. Final report, 2006 (Online). Available: http://www.effectifs medicaux.ca/reports/TF2FinalStrategicReport-e.pdf (Accessed 6 November 2013).
6. Rural Health Workforce Australia. Will more medical places result in more rural GPs? Melbourne, VIC: Rural Health Workforce Australia, 2008.
7. United States General Accounting Office. Physician workforce: physician supply increased in metropolitan and nonmetropolitan areas but geographic disparities persisted. Report no. GAO-04-124. Washington: United States General Accounting Office, 2003.
8. Kassebaum DG, Szenas PL. Rural sources of medical students, and graduates' choice of rural practice. Academic Medicine 1993; 68(3): 232-236.
9. Laven G, Wilkinson D. Rural doctors and rural backgrounds: how strong is the evidence? A systematic review. Australian Journal of Rural Health 2003; 11(6): 277-284.
10. Easterbrook M, Godwin M, Wilson R, Hodgetts G, Brown G, Pong R et al. Rural background and clinical rural rotations during medical training: effect on practice location. Canadian Medical Association Journal 1999; 160(8): 1159-1163.
11. Hogenbirk JC, Mian O, Pong RW. Postgraduate specialty training in northeastern Ontario and subsequent practice location. Rural and Remote Health 11: 1603 (Online) 2011. Available: www.rrh.org.au (Accessed 6 November 2013).
12. Chan BTB, Degani N, Crichton T, Pong RW, Rourke J, Goertzen J et al. Factors influencing family physicians to enter rural practice: does rural or urban background make a difference? Canadian Family Physician 2005; 51: 1247.
13. Zink T, Center B, Finstad D, Boulger JG, Repesh LA, Westra RDO et al. Efforts to graduate more primary care physicians and physicians who will practice in rural areas: examining outcomes from the University of Minnesota-Duluth and the Rural Physician Associate Program. Academic Medicine 2010; 85(4): 599-604.
14. Woloschuk W, Tarrant M. Does a rural educational experience influence students' likelihood of rural practice? Impact of student background and gender. Medical Education 2002; 36(3): 241-247.
15. Chen F, Fordyce M, Andes S, Hart LG. Which medical schools produce rural physicians? A 15-year update. Academic Medicine 2010; 85(4): 594-598.
16. Gray JD, Steeves LC, Blackburn JW. The Dalhousie University experience of training residents in many small communities. Academic Medicine 1994; 69(10): 847-851.
17. Norris TE, Norris SB. The effect of a rural preceptorship during residency on practice site selection and interest in rural practice. Journal of Family Practice 1988; 27(5): 541-544.
18. Rosenthal TC. Outcomes of rural training tracks: a review. Journal of Rural Health 2000; 16(3): 213-216.
19. Tolhurst HM, Adams J, Stewart SM. An exploration of when urban background medical students become interested in rural practice. Rural and Remote Health 6: 2 (Online) 2006. Available: www.rrh.org.au (Accessed 6 November 2013).
20. Rourke J, Incitti F, Rourke LL, Kennard M. Relationship between practice location of Ontario family physicians and their rural background or amount of rural medical education experience. Canadian Journal of Rural Medicine 2005; 10(4): 231-239.
21. Grobler L, Marais BJ, Mabunda SA, Marindi PN, Reuter H, Volmink J. Interventions for increasing the proportion of health professionals practising in rural and other underserved areas. Cochrane Database of Systematic Reviews 2009, 21 Jan; (1): CD005314.
22. Brooks RG, Walsh M, Mardon RE, Lewis M, Clawson A. The roles of nature and nurture in the recruitment and retention of primary care physicians in rural areas: a review of the literature. Academic Medicine 2002; 7(8): 790-798.
23. Ranmuthugala G, Humphreys J, Solarsh B, Walters L, Worley P, Wakerman J et al. Where is the evidence that rural exposure increases uptake of rural medical practice? Australian Journal of Rural Health 2007; 15(5): 285-288.
24. Statistics Canada. Health profile. (Online) 2013. Statistics Canada catalogue no. 82-228-XWE. Available: http://www12. statcan.gc.ca/health-sante/82-228/details/page. cfm?Lang=E& Tab=1&Geo1=PR&Code1=59&Geo2=PR&Code2=01&Data=Ra te&SearchText=British%20Columbia&SearchType=Contains&Sear chPR=01&B1=All&Custom=&GeoLevel=PR&GeoCode=59 (Accessed 6 November 2013).
25. Whiteside C, Longhurst MF. Establishment of a communitybased residency training program. Canadian Family Physician 1987; 33(12): 2751-2754.
26. Whiteside C, Mathias R. Training for rural practice: are graduates of a UBC program well prepared? Canadian Family Physician 1996; 42(7): 1113-1121.
27. Whiteside C, Pope A, Mathias R. Identifying the need for curriculum change: when a rural training program needs reform. Canadian Family Physician 1997; 43(8): 1390-1394.
28. Bates J, Andrew R. What do they contribute? Family medicine residents who practise in cities. Canadian Family Physician 2003; 49(3): 337-341.
29. College of Family Physicians of Canada. The Janus project: National Family Physician Survey. (Online). Available: http://www.cfpc.ca/Janus (Accessed 5 February 2012).
30. Canadian Post-M.D. Education Registry. 2010-2011 Annual Census of Post-M.D. Trainees. Ottawa: Association of Faculties of Medicine of Canada, 2011.
31. Slade S. On the move: a retrospective, longitudinal view of physician migration patterns in Canada. Paper presented at the Sixth Annual Physician Workforce Research Conference, 6-7 May 2010, Alexandria, VA, USA.
32. Henry JA, Edwards BJ, Crotty B. Why do medical graduates choose rural careers? Rural and Remote Health 9(1): 1083. (Online) 2009. Available: www.rrh.org.au (Accessed 6 November 2013).
33. Norris TE. Education for rural practice: a saga of pipelines and plumbers. Journal of Rural Health 2000; 16(3): 208-212.
34. Rabinowitz HK, Paynter NP. The role of the medical school in rural graduate medical education: pipeline or control valve? Journal of Rural Health 2000; 16(3): 249-253.
35. Strasser R, Hogenbirk JC, Lewenberg M, Story M, Kevat A. Starting rural, staying rural: how can we strengthen the pathway from rural upbringing to rural practice? Australian Journal of Rural Health 2010; 18(6): 242-248.
36. Mann KV. Theoretical perspectives in medical education: past experience and future possibilities. Medical Education 2011; 45(1): 60-68.
37. Durning SJ, Artino AR. Situativity theory: a perspective on how participants and the environment can interact: AMEE Guide no. 52. Medical Teacher 2011; 33(3): 188-199.
38. College of Family Physicians of Canada. Standards for accreditation of residency training programs: family medicine; emergency medicine; enhanced skills; palliative medicine. Mississauga, Ontario: College of Family Physicians of Canada, 2006; 60.
39. Bates J, Frost H, Jamieson JL, Schrewe B, Ellaway R. Distributed education and distance learning in postgraduate medical education. Environmental Scan, Future of Medical Education in Canada Postgraduate Project (series). (Online) 2011. Available: http://www.afmc.ca/pdf/fmec/12_Bates_Distributed%20Education.pdf (Accessed 6 November 2013).