authors: m.g. delmege, j.c. hogenbirk, r.w. pong on behalf of the research team
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Demographic Characteristics of NOSM Medical Students Associated with Intended Medical Discipline and Practice Location
Authors: M.G. Delmege, J.C. Hogenbirk, R.W. Pong
on behalf of the Research Team
Friday, June 4th, 2010
NHRC
Presentation Outline
• Survey Methods
• Overview of Results Examine associations between demographic
characteristics, intended medical discipline and practice location.
Examine associations, if any, between rural background and rural practice intent (Stagg model).
• Questions
Survey Methods
• All survey and interview protocols approved by Research Ethics Boards at Laurentian and Lakehead Universities.
• Surveyed all NOSM students during first year• At end of 2nd year• At graduation• During Residency• And beyond
• Our sample size is 139 respondents, covering 4 cohorts.
Demographics (n=139)
ENTRY MIDWAY
Gender Female 68% Male 32%
Background Northern Ontario 85% Rural 36% Urban 64%
Married or Living with a Partner 37% 39%
First Choice, Family MedicineFirst Choice, Royal College Specialty
49%51%
50%50%
Practice Location – Northern Ontario 61% 59%
Urban Career PathwayRural Career PathwayUndecided Career Pathway
17%63%21%
24%50%27%
Career Pathway (n=139)
Entry
Midway
Urban Rural Undecided Total
Urban 13 4 6 23
Rural 9 56 22 87
Undecided 11 9 9 29
Total 33 69 37 139
Pearson chi-square p<0.01
Profile of ‘Urban’ Career Pathway
Stayed Urban Changed OUT OF Urban
Changed INTO Urban
Number of Respondents 13 10 20
Female 62% 80% 65%
Northern Ontario Background 92% 100% 80%
Urban Background 100% 80% 70%
Entry Midway
Married or Living with a Partner 15% 15% 30% 20%
First Choice – Family Medicine 17% 15% 33% 20%
Practice Location – Northern Ontario
33% 46% 60% 45%
Profile of ‘Rural’ Career Pathway
Stayed Rural Changed OUT OF Rural
Changed INTO Rural
Number of Respondents 56 31 13
Female 64% 71% 77%
Northern Ontario Background 82% 90% 92%
Rural Background 56% 19% 46%
Entry Midway
Married or Living with a Partner 54% 55% 26% 62%
First Choice – Family Medicine 65% 73% 35% 46%
Practice Location – Northern Ontario
75% 61% 71% 46%
Profile of ‘Undecided’ Career Pathway
Stayed Undecided
Changed OUT OF Undecided
Changed INTO Undecided
Number of Respondents 9 20 28
Female 78% 70% 75%
Northern Ontario Background 67% 80% 93%
Urban Background 67% 60% 86%
Entry Midway
Married or Living with a Partner
11% 22% 40% 25%
First Choice – Family Medicine 44% 55% 35% 41%
Practice Location – Northern Ontario
44% 62% 40% 75%
Take Away Messages
• Small sample size interpret results with caution
1. Respondents who are staying Urban are from Urban areas (100%), and those who are staying Rural are from Rural areas (56%) BUT the percentage was much lower.
2. More of the respondents who are staying on a Rural pathway are inclined to Practice Family Medicine (73%) than those who Change out of (35%) or Change into (46%) the Rural Career Pathway.
3. More of the respondents who changed into an Undecided Pathway are inclined to Practice in Northern Ontario (75%) than those who stayed Undecided (62%). More of them are from Northern Ontario (86% vs 67%).
Acknowledgements
Research funding for the NOSM tracking study is provided by the Ontario Ministry of Health and Long-Term Care. CRaNHR and the research team wish to acknowledge the MOHLTC’s support.
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