Trajectories of physicians in Manitoba, Canada: the influence of contact points of rural-focused professional learning

Background: The Manitoba Office of Rural and Northern Health (ORNH) provided a multi-year series of elective opportunities for undergraduate medical students to support rural/remote medical practice. The purpose of this study was to examine the career trajectories of Manitoba physicians in eight mat...

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Autores principales:	John Murray, Charles Penner, Wayne Heide, Dawn Piasta, Don Klassen
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2018
Materias:	distributed medical education rural medicine DME Canada Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/cbe56b0c218c493c97b71a1703ec053f
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spelling	oai:doaj.org-article:cbe56b0c218c493c97b71a1703ec053f2021-12-01T22:44:10ZTrajectories of physicians in Manitoba, Canada: the influence of contact points of rural-focused professional learning10.36834/cmej.433011923-1202https://doaj.org/article/cbe56b0c218c493c97b71a1703ec053f2018-11-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/43301https://doaj.org/toc/1923-1202Background: The Manitoba Office of Rural and Northern Health (ORNH) provided a multi-year series of elective opportunities for undergraduate medical students to support rural/remote medical practice. The purpose of this study was to examine the career trajectories of Manitoba physicians in eight matched cohorts over the period 2004-2007 between: 1) those who experienced a required rural clinical block rotation only during their undergraduate medicine training in Manitoba (Med 1 and Med 3), and; 2) those who engaged in and completed additional elective programs referred to here as “contact points”. Methods: The study utilized a retrospective/longitudinal matched cohort design which included the common factor of a mandated rural clinical one-week rotation and the differentiating factors of experiences in elective programming offered by the ORNH (contact points). Results: Of the 344 Manitoba-trained physicians whose location of current practice could be determined, 74 are presently in rural/remote communities and 270 in urban settings. Those physicians who are now in rural/remote practice were significantly more likely (p ≤ 0.05) to have continued contact with ORNH in addition to the mandatory rural rotation alone. For practitioners now located in rural/remote settings, a mean of 0.903 contact points per learner with ORNH programs is observed. For those now in urban practice the mean number of contact points per learner was 0.233. Conclusion: We conclude that there is an association between rural-focused contact points and rural and remote practice in Manitoba. Targeted professional learning where physician recruitment and retention remains a continuing challenge is discussed. John MurrayCharles PennerWayne HeideDawn PiastaDon KlassenCanadian Medical Education Journalarticledistributed medical educationrural medicineDME CanadaEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 9, Iss 4 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	distributed medical education rural medicine DME Canada Education (General) L7-991 Medicine (General) R5-920
spellingShingle	distributed medical education rural medicine DME Canada Education (General) L7-991 Medicine (General) R5-920 John Murray Charles Penner Wayne Heide Dawn Piasta Don Klassen Trajectories of physicians in Manitoba, Canada: the influence of contact points of rural-focused professional learning
description	Background: The Manitoba Office of Rural and Northern Health (ORNH) provided a multi-year series of elective opportunities for undergraduate medical students to support rural/remote medical practice. The purpose of this study was to examine the career trajectories of Manitoba physicians in eight matched cohorts over the period 2004-2007 between: 1) those who experienced a required rural clinical block rotation only during their undergraduate medicine training in Manitoba (Med 1 and Med 3), and; 2) those who engaged in and completed additional elective programs referred to here as “contact points”. Methods: The study utilized a retrospective/longitudinal matched cohort design which included the common factor of a mandated rural clinical one-week rotation and the differentiating factors of experiences in elective programming offered by the ORNH (contact points). Results: Of the 344 Manitoba-trained physicians whose location of current practice could be determined, 74 are presently in rural/remote communities and 270 in urban settings. Those physicians who are now in rural/remote practice were significantly more likely (p ≤ 0.05) to have continued contact with ORNH in addition to the mandatory rural rotation alone. For practitioners now located in rural/remote settings, a mean of 0.903 contact points per learner with ORNH programs is observed. For those now in urban practice the mean number of contact points per learner was 0.233. Conclusion: We conclude that there is an association between rural-focused contact points and rural and remote practice in Manitoba. Targeted professional learning where physician recruitment and retention remains a continuing challenge is discussed.
format	article
author	John Murray Charles Penner Wayne Heide Dawn Piasta Don Klassen
author_facet	John Murray Charles Penner Wayne Heide Dawn Piasta Don Klassen
author_sort	John Murray
title	Trajectories of physicians in Manitoba, Canada: the influence of contact points of rural-focused professional learning
title_short	Trajectories of physicians in Manitoba, Canada: the influence of contact points of rural-focused professional learning
title_full	Trajectories of physicians in Manitoba, Canada: the influence of contact points of rural-focused professional learning
title_fullStr	Trajectories of physicians in Manitoba, Canada: the influence of contact points of rural-focused professional learning
title_full_unstemmed	Trajectories of physicians in Manitoba, Canada: the influence of contact points of rural-focused professional learning
title_sort	trajectories of physicians in manitoba, canada: the influence of contact points of rural-focused professional learning
publisher	Canadian Medical Education Journal
publishDate	2018
url	https://doaj.org/article/cbe56b0c218c493c97b71a1703ec053f
work_keys_str_mv	AT johnmurray trajectoriesofphysiciansinmanitobacanadatheinfluenceofcontactpointsofruralfocusedprofessionallearning AT charlespenner trajectoriesofphysiciansinmanitobacanadatheinfluenceofcontactpointsofruralfocusedprofessionallearning AT wayneheide trajectoriesofphysiciansinmanitobacanadatheinfluenceofcontactpointsofruralfocusedprofessionallearning AT dawnpiasta trajectoriesofphysiciansinmanitobacanadatheinfluenceofcontactpointsofruralfocusedprofessionallearning AT donklassen trajectoriesofphysiciansinmanitobacanadatheinfluenceofcontactpointsofruralfocusedprofessionallearning
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Trajectories of physicians in Manitoba, Canada: the influence of contact points of rural-focused professional learning

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