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Early-career work location of Memorial University medical graduates: Why the decline in rural practice?

https://arctichealth.org/en/permalink/ahliterature289805
Source
Can J Rural Med. 2017; 22(2):54-61
Publication Type
Journal Article
Date
2017
Author
Maria Mathews
Dana Ryan
Asoka Samarasena
Author Affiliation
Division of Community Health and Humanities, Faculty of Medicine, Memorial University, St. John's, NL.
Source
Can J Rural Med. 2017; 22(2):54-61
Date
2017
Language
English
Publication Type
Journal Article
Keywords
Attitude of Health Personnel
Career Choice
Family Practice - education
Humans
Internship and Residency - organization & administration
Newfoundland and Labrador
Professional Practice Location - statistics & numerical data
Rural health services - organization & administration
Rural Population - statistics & numerical data
Workplace
Abstract
In a previous study, we found a decline in the proportion of Memorial University of Newfoundland (MUN) medical alumni practising in rural areas, particularly in Newfoundland and Labrador. The current study focused on the work location of recent graduates and examined the predictors of working in rural Canada and in rural Newfoundland and Labrador within the first 15 years following graduation.
We linked data from graduating class lists and the alumni and postgraduate databases with Scott's Medical Database to create a record of all graduates from 1973 to 2008, including their work location. We identified differences and significant predictors for each outcome and then described and compared the characteristics of 4 cohorts of graduating classes.
In their early career, 127/1113 (11.4%) MUN medical graduates were working in rural Canada, and 57 (5.1%) were working in rural Newfoundland and Labrador. Having a rural background and being a family physician were predictors of working in rural Canada, and having a rural background, doing at least part of the residency at MUN, being from Newfoundland and Labrador and being a family physician were predictors of working in rural Newfoundland and Labrador. Seventy-four (13.6%) and 33 (6.1%) of 1989-1998 graduates worked in rural Canada and rural Newfoundland and Labrador, respectively, compared to 53 (9.3%) and 24 (4.2%), respectively, of 1999-2008 graduates.
The proportion of MUN medical graduates who worked in rural communities early in their career decreased among recent cohorts. The results show the impact of changes in the characteristics of MUN medical graduates, who increasingly opt for specialist practice and residency training outside the province, and the important role of local postgraduate training.
Une étude antérieure a révélé une baisse du nombre de diplômés en médecine de l’Université Memorial de Terre-Neuve (MUN) exerçant en région rurale, plus particulièrement à Terre-Neuve-et-Labrador. L’étude actuelle portait sur le lieu de travail de diplômés récents et sur les prédicteurs du travail en milieu rural au Canada et dans la province de Terre-Neuve-et-Labrador dans les 15 premières années suivant l’obtention du diplôme.
Nous avons établi un lien entre les listes de diplômés, les bases de données des anciens et des postdoctorants et la Base de données médicales Scott’s afin de créer un dossier de tous les diplômés de 1973 à 2008, y compris de leur lieu de travail. Nous avons établi des différences et des prédicteurs importants pour chaque résultat et avons ensuite décrit et comparé les caractéristiques de 4 cohortes de classes de diplômés.
Au début de leur carrière, 127 sur 1113 (11,4 %) diplômés en médecine de MUN travaillaient en région rurale au Canada et 57 (5,1 %) en région rurale à Terre-Neuve-et-Labrador. Le fait de venir d’un milieu rural et d’être un médecin de famille était des prédicteurs de travail en milieu rural au Canada alors que le fait de venir d’un commilieu rural, d’avoir fait au moins une partie de sa résidence à MUN, d’être originaire de Terre-Neuve-et-Labrador et d’être médecin de famille étaient des prédicteurs de travail en milieu rural à Terre-Neuve-et-Labrador. Soixante-quatorze (13,6 %) et 33 (6,1 %) diplômés de 1989 à 1998 travaillaient en milieu rural au Canada et en milieu rural à Terre-Neuve-et-Labrador, respectivement, par comparaison à 53 (9,3 %) et à 24 (4,2 %), respectivement, pour les diplômés de 1999 à 2008.
La proportion de diplômés en médecine de MUN qui ont travaillé dans des localités rurales au début de leur carrière a diminué au sein des cohortes récentes. Les résultats de notre étude montrent l’incidence du changement des caractéristiques des diplômés en médecine de MUN, lesquels choisissent de plus en plus de se spécialiser et de faire leur résidence à l’extérieur de la province, ainsi que le rôle important de la formation médicale postdoctorale à l’échelle locale.
PubMed ID
28441128 View in PubMed
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Financial recruitment incentive programs for dentists in Newfoundland and Labrador.

https://arctichealth.org/en/permalink/ahliterature264726
Source
J Can Dent Assoc. 2014;80:e2
Publication Type
Article
Date
2014

Patient Satisfaction with Wait-Times for Breast Cancer Surgery in Newfoundland and Labrador.

https://arctichealth.org/en/permalink/ahliterature287718
Source
Healthc Policy. 2016 Feb;11(3):42-53
Publication Type
Article
Date
Feb-2016
Author
Maria Mathews
Dana Ryan
Vereesh Gadag
Roy West
Source
Healthc Policy. 2016 Feb;11(3):42-53
Date
Feb-2016
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Breast Neoplasms - diagnosis - surgery
Female
Humans
Middle Aged
Newfoundland and Labrador
Patient Satisfaction - statistics & numerical data
Socioeconomic Factors
Time Factors
Waiting Lists
Abstract
Do shorter waits for breast cancer surgery lead to greater wait-related patient satisfaction? Using survey and cancer clinic chart data of 99 patients with breast cancer from Newfoundland and Labrador, we found that median wait-time from first visit to a surgeon to surgery was 22.0 days and 87% were satisfied with their wait-time. Wait-related satisfaction was not associated with the length of wait but rather with the stage, severity of treatment, wait-time for a diagnosis and satisfaction with diagnosis-related wait. These findings highlight the importance of an early and timely diagnosis in patients' perceptions of breast cancer care wait-times.
Notes
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PubMed ID
27027792 View in PubMed
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The Role of Nurse Practitioners in Long-Term Care Settings in Newfoundland and Labrador.

https://arctichealth.org/en/permalink/ahliterature296031
Source
Nurs Leadersh (Tor Ont). 2017; 30(4):26-38
Publication Type
Journal Article
Date
2017
Author
Maria Mathews
Dana Ryan
Melissa Power
Author Affiliation
Professor of Health Policy/Health Care Delivery, Department of Community Health and Humanities, Memorial University, St. John's, NL.
Source
Nurs Leadersh (Tor Ont). 2017; 30(4):26-38
Date
2017
Language
English
Publication Type
Journal Article
Keywords
Cross-Sectional Studies
Humans
Long-Term Care
Newfoundland and Labrador
Nurse practitioners
Nurse's Role
Primary Health Care - statistics & numerical data
Residential Facilities - organization & administration
Abstract
Using a cross-sectional survey of managers, we examined the role of nurse practitioners (NPs) in long-term care (LTC) facilities in Newfoundland and Labrador. We compared facilities with no regular primary care provider, with only family physicians (FPs) and with both FPs and NPs. A total of 91 of 127 (71.0%) facilities completed the survey; 19 (21.3%) facilities had no primary care provider, 42 (47.2%) had FPs only and 28 (31.5%) had both FPs and NPs. NPs and FPs provide a similar range of services in LTC. On a five-point Likert scale, facilities with no primary care provider were more likely to rate continuity of care lower (2.59; p
PubMed ID
29676988 View in PubMed
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