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Characteristics of Canadian physicians and their associations with practice patterns: a scoping review
BACKGROUND: Physician characteristics such as education and sociodemographic attributes are associated with particular practice patterns, such as practice in rural settings. Understanding the Canadian context of such associations can inform medical school recruitment and health workforce decision-ma...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Canadian Medical Education Journal
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10254117/ https://www.ncbi.nlm.nih.gov/pubmed/37304623 http://dx.doi.org/10.36834/cmej.74205 |
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author | Mihan, Ariana Kester, Nicole Fitzgerald, Michael Fournier, Karine Kendall, Claire E |
author_facet | Mihan, Ariana Kester, Nicole Fitzgerald, Michael Fournier, Karine Kendall, Claire E |
author_sort | Mihan, Ariana |
collection | PubMed |
description | BACKGROUND: Physician characteristics such as education and sociodemographic attributes are associated with particular practice patterns, such as practice in rural settings. Understanding the Canadian context of such associations can inform medical school recruitment and health workforce decision-making. OBJECTIVE: The objective of this scoping review was to report the nature and extent of the literature on associations between characteristics of physicians in Canada and physicians’ practice patterns. Eligibility criteria: We included studies reporting associations between 1) the education or sociodemographic attributes of practicing physicians or residents in Canada and 2) practice patterns, including career choice, practice setting, and populations served. METHODS: We searched five electronic databases (MEDLINE (R) ALL, Embase, ERIC, Education Source and Scopus) for quantitative primary studies and reviewed reference lists of included studies for additional studies. Data were extracted using a standardized data charting form. RESULTS: Our search yielded 80 studies. Sixty-two examined education, evenly divided between undergraduate and postgraduate. Fifty-eight examined physicians’ attributes, most focusing on sex/gender. The majority of studies focused on the outcome of practice setting. We found no studies examining race/ethnicity or socioeconomic status. CONCLUSION: Many studies in our review found positive associations between (i) rural training or rural background and rural practice setting and (ii) location of training or physicians’ origin and practice in that location, consistent with previous literature. Associations for sex/gender were mixed, suggesting it may be a less useful target for workforce planning or recruitment aiming to address gaps in health care provision. More research is needed on the association of characteristics, particularly race/ethnicity and socioeconomic status, with career choice and populations served. |
format | Online Article Text |
id | pubmed-10254117 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Canadian Medical Education Journal |
record_format | MEDLINE/PubMed |
spelling | pubmed-102541172023-06-10 Characteristics of Canadian physicians and their associations with practice patterns: a scoping review Mihan, Ariana Kester, Nicole Fitzgerald, Michael Fournier, Karine Kendall, Claire E Can Med Educ J Reviews, Theoretical Papers, and Meta-Analyses BACKGROUND: Physician characteristics such as education and sociodemographic attributes are associated with particular practice patterns, such as practice in rural settings. Understanding the Canadian context of such associations can inform medical school recruitment and health workforce decision-making. OBJECTIVE: The objective of this scoping review was to report the nature and extent of the literature on associations between characteristics of physicians in Canada and physicians’ practice patterns. Eligibility criteria: We included studies reporting associations between 1) the education or sociodemographic attributes of practicing physicians or residents in Canada and 2) practice patterns, including career choice, practice setting, and populations served. METHODS: We searched five electronic databases (MEDLINE (R) ALL, Embase, ERIC, Education Source and Scopus) for quantitative primary studies and reviewed reference lists of included studies for additional studies. Data were extracted using a standardized data charting form. RESULTS: Our search yielded 80 studies. Sixty-two examined education, evenly divided between undergraduate and postgraduate. Fifty-eight examined physicians’ attributes, most focusing on sex/gender. The majority of studies focused on the outcome of practice setting. We found no studies examining race/ethnicity or socioeconomic status. CONCLUSION: Many studies in our review found positive associations between (i) rural training or rural background and rural practice setting and (ii) location of training or physicians’ origin and practice in that location, consistent with previous literature. Associations for sex/gender were mixed, suggesting it may be a less useful target for workforce planning or recruitment aiming to address gaps in health care provision. More research is needed on the association of characteristics, particularly race/ethnicity and socioeconomic status, with career choice and populations served. Canadian Medical Education Journal 2023-04-08 /pmc/articles/PMC10254117/ /pubmed/37304623 http://dx.doi.org/10.36834/cmej.74205 Text en © 2023 Mihan, Kester, Fitzgerald, Fournier, Kendall; licensee Synergies Partners. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Journal Systems article distributed under the terms of the Creative Commons Attribution License. (https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is cited. |
spellingShingle | Reviews, Theoretical Papers, and Meta-Analyses Mihan, Ariana Kester, Nicole Fitzgerald, Michael Fournier, Karine Kendall, Claire E Characteristics of Canadian physicians and their associations with practice patterns: a scoping review |
title | Characteristics of Canadian physicians and their associations with practice patterns: a scoping review |
title_full | Characteristics of Canadian physicians and their associations with practice patterns: a scoping review |
title_fullStr | Characteristics of Canadian physicians and their associations with practice patterns: a scoping review |
title_full_unstemmed | Characteristics of Canadian physicians and their associations with practice patterns: a scoping review |
title_short | Characteristics of Canadian physicians and their associations with practice patterns: a scoping review |
title_sort | characteristics of canadian physicians and their associations with practice patterns: a scoping review |
topic | Reviews, Theoretical Papers, and Meta-Analyses |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10254117/ https://www.ncbi.nlm.nih.gov/pubmed/37304623 http://dx.doi.org/10.36834/cmej.74205 |
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