Postgraduate Medical Education Trends in the Context of Health Care Priorities
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1 Postgraduate Medical Education Trends in the Context of Health Care Priorities International Conference on Residency Education (ICRE) Ottawa September 2010 Steve Slade, VP Research and Analysis CAPER-ORIS Association of Faculties of Medicine of Canada
2 Main Points: 1. PGME trends link to many of Canada s health care priorities 2. There are multiple ways of looking at PGME data in relation to health priorities. For example: 1. Within specific health areas 2. Across jurisdictions 3. Over time 3. A number of avenues for looking at PGME trends in relation to health care priorities are suggested
3 Data Source: Canadian Post-MD Education Registry (CAPER) Annual data from faculty of medicine PGME offices Longitudinal records for all PGME trainees in Canada, since 1989 Training and sociodemographic data. For example: Field and faculty of training, rank level Age, sex, legal status
4 First Ministers commit to achieve meaningful reductions in wait times in priority areas such as cancer, heart, diagnostic imaging, joint replacements, and sight restoration First Minister's Meeting on the Future of Health Care A 10-year plan to strengthen health care September 16,
5 Cancer Radiation Oncology Medical Oncology (IM) Surgical Oncology (GS) Gynecological Oncology (Ob/Gyn) Diagnostic Imaging Diagnostic Radiology Neuroradiology (DR) Ped Diag. Rad. (DR) Neurology Heart Cardiology (IM & Peds) Cardiac Surgery Joint Replacement Orthopedic Surgery Sight Restoration Ophthalmology FOR EXAMPLE
6 Number of PGME Trainees Enrolled in Selected Health Priority Areas, Canada, to Diagnostic Imaging Cancer Care Heart Sight Restoration Joint Replacements Source: CAPER, Note: Includes P/T Ministry-funded trainees only.
7 Indexed Change in PGME Enrolment in Selected Health Priority Areas, Canada, to Diagnostic Imaging Cancer Care Heart Sight Restoration Joint Replacements Source: CAPER, Note: Includes P/T Ministry-funded trainees only.
8 Indexed Change in Top 5 PGME Enrolment Growth Fields (+ Orthopedic Surg.), Canada, to Community Medicine Dermatology Emergency Medicine (RCPSC) Plastic Surgery Neurology Orthopedic Surgery Source: CAPER, Note: Includes P/T Ministry-funded trainees only.
9 Indexed Change in Bottom 5 PGME Enrolment Growth Fields (+ Orthopedic Surg.), Canada, to Neurosurgery Nuclear Medicine Medical Genetics Radiation Oncology Cardiac Surgery Orthopedic Surgery Source: CAPER, Note: Includes P/T Ministry-funded trainees only.
10 Number of R1 PGME Trainees in Selected Fields, Canada, and Neurology Orthopedic Surgery Diagnostic Radiology Ophthalmology Radiation Oncology Source: CAPER, Note: Includes P/T Ministry-funded trainees only.
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13 Number of PGY1Trainees in Family Medicine, by Province, Canada, and NL NS QC ON MB SK AB BC Source: CAPER, 2010.
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15 100% 90% 80% 70% 60% Proportion of PGME Trainees that are CMGs and IMGs, by Province, Canada, % 40% 30% % 10% 0% NL NS QC ON MB SK AB BC Canada Medical Graduates International Medical Graduates Source: CAPER, Note: Excludes visa trainees.
16 Main Points: 1. PGME trends link to many of Canada s health care priorities but not all priorities link to PGME! 2. There are multiple ways of looking at PGME data in relation to health priorities be prepared for incomplete answers, equivocal results and the need to try again 3. A number of avenues for looking at PGME trends in relation to health care priorities are suggested please contact CAPER if you d like to explore these, or other, approaches sslade@caper.ca
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