Sun Country Health Region Weyburn April 18, 2013

Transcription

1 Sun Country Health Region Weyburn April 18, 2013

2 2 nd fastest physician growth (8.4%) in Canada 2007 = 1,644 physicians 2011 = 1,928* Rate more than twice Canadian average Rural physicians (family) 243 to 256 Canadian trained increase of 14.3% IMG decrease of 4.7% Current Situation Current Situation Source: CIHI Report Released November 16, 2012*

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4 Recruitment Needs to 2020 Family Physicians 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

5 U of S Students and Residents Janessa Grosenick, PREP 2010 Sun Country Health Region Board representation SMSS and PAIRS Executive meetings CORRP and SR&R Committees PREP PRAS Rural Externship Program Student loan interest relief Rural and remote practice grant for recent graduates Retreat and event sponsorship Academic half-days Saskatchewan Career Fairs

6 Recruitment Canadian conferences and events Select United States England Ireland SIPPA targeted recruitment Arab Health Expo, Dubai January 2013

7 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 90% want to return to Canada to practice very few do!! CSAs at Ross University, St, Maarten by show of hands, how many of you hope to practice medicine in Canada?

8 Canadians Studying Abroad CaRMS CMGs (43 U of S) 47 IMGs 24/47 Matched to Family Medicine 18/47 Completed undergrad electives at U of S

9 SIPPA Pre-screening saskdocs pre-screening potential candidates Pre-screening developed by SIPPA working group Known IMGs in Saskatchewan and Canada Growing international awareness

10 Family Physician Referrals Year Total

11 Regional Health Authorities Hand Offs RHA # of Doctors Handed Off Cypress 17 Five Hills 27 Heartland 42 Kelsey Trail 30 Northern Medical Services 11 Prairie North 53 Prince Albert Parkland 40 Regina Qu Appelle 93 Saskatchewan Medical Association 3 Saskatoon 87 Sun Country 53 Sunrise 61 Hand Off Statistics as of April 15, 2013

12 Rural & Remote Practice Grant $120,000 for recent medical graduates Rural and remote communities (10,000 >) Year 1 Year 2 Year 3 Year 4 Year 5 Total Payment Amount $15,000 $15,000 $20,000 $30,000 $40,000 $120,000

13 Eligibility Available to physicians who: Recently trained in Family Medicine Hold full licensure FT, PT or visiting (locum) services to a rural/remote community in past 12 months Began practicing on or after April 1, 2012 Sign an annual agreement with employer

14 Physician Surveys National Physician Survey 2010 saskdocs/saskatchewan Medical Association (SMA) surveys Throughout Three surveys: Medical learners Exit (Doctors who left the province) Settlement survey (Doctors who recently arrived)

15 Medical Learner Survey Single Most Important Factor Work-life balance 45 % Career opportunities for spouse/partner 13 % The community as a whole Adequate support to do your job 8 % 10 % Proximity to family and friends 6 % Income (including benefits) Professional development opportunities Commute time Financial incentives Availability of training Ability to access appropriate care facilities for patients Electronic Medical Records Flexible work hours Proximity to an international airport 4 % 4 % 3 % 2 % 2 % 1 % 1 % 1 % 1 % Source: saskdocs -SMA (Insightrix) Medical Learner Survey, April % 10 % 20 % 30 % 40 % 50 %

16 Medical Learners Survey Preferences Group Practice 0% 34% Four-Five 47% Two-Three 19% Six and Up Source: saskdocs -SMA (Insightrix) Medical Learners Survey, April 2012.

17 Exit Survey Primary Reasons for Leaving Family Be closer to Family family 48 % Location/lack of amenities 32 % Workload too much 32 % Weather 28 % Not enough support 24 % Compensation not competitive 16 % Other 14 % 0 % 10 % 20 % 30 % 40 % 50 % 60 % Source: saskdocs -SMA (Insightrix) Physician Exit Survey, April 2012.

18 saskdocs Satisfaction Survey Working Conditions Specific Location Specific Income (including benefits) 46 % 42 % 89 % Specific community that you practiced in 44 % 48 % 92 % Professional development opportunities 44 % 40 % 85 % Compensation method 40 % 44 % 85 % Specific facility that you practiced in 46 % 33 % 79 % Access to specialists/therapists on behalf of your patient Relationship with colleagues/other healthcare providers 50 % 27 % 31 % 54 % 81 % 81 % Specific practice/clinic that you were a part of 37 % 42 % 79 % Adequate support to do your job Availability of training 52 % 48 % 27 % 79 % 23 % 71 % Proximity to an international airport 35 % 27 % 62 % Opportunities for advancement 40 % 25 % 65 % Mentorship available in your workplace 40 % 25 % 65 % Weather 33 % 10 % 42 % Work-life balance 39 % 23 % 62 % Call rotation 35 % 27 % 62 %

19 Settlement Survey Soft Landing Assistance to obtain documentation to begin 39 % Practice orientation 29 % Picked up at the airport Orientation to the community Orientation to facilities and services 20 % 22 % 24 % Securing housing Orientation to other facilities and services in the community Securing transportation Assistance to connect with other members of the community Educational assistance for your family 12 % 12 % 10 % 10 % 7 % Assistance to secure spousal employment 2 % None of the above 54 % 0 % 10 % 20 % 30 % 40 % 50 % 60 % Source: saskdocs -SMA (Insightrix) Physician Settlement Survey, April 2012.

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