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Impact of the rural pipeline in medical education: practice locations of recently graduated family physicians in Ontario

BACKGROUND: The “rural pipeline” suggests that students educated in rural, or other underserviced areas, are more likely to establish practices in such locations. It is upon this concept that the Northern Ontario School of Medicine (NOSM) was founded. Our analysis answers the following question: Are...

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Autores principales: Wenghofer, Elizabeth F., Hogenbirk, John C., Timony, Patrick E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5319039/
https://www.ncbi.nlm.nih.gov/pubmed/28219401
http://dx.doi.org/10.1186/s12960-017-0191-6
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author Wenghofer, Elizabeth F.
Hogenbirk, John C.
Timony, Patrick E.
author_facet Wenghofer, Elizabeth F.
Hogenbirk, John C.
Timony, Patrick E.
author_sort Wenghofer, Elizabeth F.
collection PubMed
description BACKGROUND: The “rural pipeline” suggests that students educated in rural, or other underserviced areas, are more likely to establish practices in such locations. It is upon this concept that the Northern Ontario School of Medicine (NOSM) was founded. Our analysis answers the following question: Are physicians who were educated at NOSM more likely to practice in rural and northern Ontario compared with physicians who were educated at other Canadian medical schools? METHODS: We used data from the College of Physicians and Surgeons of Ontario. We compared practice locations of certified Ontario family physicians who had graduated from NOSM vs. other Canadian medical schools in 2009 or later. We categorized the physicians according to where they completed their undergraduate (UG) and postgraduate (PG) training, either at NOSM or elsewhere. We used logistic regression models to determine if the location of UG and PG training was associated with rural or northern Ontario practice location. RESULTS: Of the 535 physicians examined, 67 had completed UG and/or PG medical education at NOSM. Over two thirds of physicians with any NOSM education were practicing in northern areas and 25.4% were practicing in rural areas of Ontario compared with those having no NOSM education, with 4.3 and 10.3% in northern and rural areas, respectively. Physicians who graduated from NOSM-UG were more likely to have practices located in rural Ontario (OR = 2.57; p = 0.014) whereas NOSM-PG physicians were more likely to have practices in northern Ontario (OR = 57.88; p < 0.001). CONCLUSIONS: NOSM education was associated with an increased likelihood of practicing in rural (NOSM-UG) and northern (NOSM-PG) Ontario.
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spelling pubmed-53190392017-02-24 Impact of the rural pipeline in medical education: practice locations of recently graduated family physicians in Ontario Wenghofer, Elizabeth F. Hogenbirk, John C. Timony, Patrick E. Hum Resour Health Research BACKGROUND: The “rural pipeline” suggests that students educated in rural, or other underserviced areas, are more likely to establish practices in such locations. It is upon this concept that the Northern Ontario School of Medicine (NOSM) was founded. Our analysis answers the following question: Are physicians who were educated at NOSM more likely to practice in rural and northern Ontario compared with physicians who were educated at other Canadian medical schools? METHODS: We used data from the College of Physicians and Surgeons of Ontario. We compared practice locations of certified Ontario family physicians who had graduated from NOSM vs. other Canadian medical schools in 2009 or later. We categorized the physicians according to where they completed their undergraduate (UG) and postgraduate (PG) training, either at NOSM or elsewhere. We used logistic regression models to determine if the location of UG and PG training was associated with rural or northern Ontario practice location. RESULTS: Of the 535 physicians examined, 67 had completed UG and/or PG medical education at NOSM. Over two thirds of physicians with any NOSM education were practicing in northern areas and 25.4% were practicing in rural areas of Ontario compared with those having no NOSM education, with 4.3 and 10.3% in northern and rural areas, respectively. Physicians who graduated from NOSM-UG were more likely to have practices located in rural Ontario (OR = 2.57; p = 0.014) whereas NOSM-PG physicians were more likely to have practices in northern Ontario (OR = 57.88; p < 0.001). CONCLUSIONS: NOSM education was associated with an increased likelihood of practicing in rural (NOSM-UG) and northern (NOSM-PG) Ontario. BioMed Central 2017-02-20 /pmc/articles/PMC5319039/ /pubmed/28219401 http://dx.doi.org/10.1186/s12960-017-0191-6 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Wenghofer, Elizabeth F.
Hogenbirk, John C.
Timony, Patrick E.
Impact of the rural pipeline in medical education: practice locations of recently graduated family physicians in Ontario
title Impact of the rural pipeline in medical education: practice locations of recently graduated family physicians in Ontario
title_full Impact of the rural pipeline in medical education: practice locations of recently graduated family physicians in Ontario
title_fullStr Impact of the rural pipeline in medical education: practice locations of recently graduated family physicians in Ontario
title_full_unstemmed Impact of the rural pipeline in medical education: practice locations of recently graduated family physicians in Ontario
title_short Impact of the rural pipeline in medical education: practice locations of recently graduated family physicians in Ontario
title_sort impact of the rural pipeline in medical education: practice locations of recently graduated family physicians in ontario
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5319039/
https://www.ncbi.nlm.nih.gov/pubmed/28219401
http://dx.doi.org/10.1186/s12960-017-0191-6
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