saskdocs' presentation to u of s alumni
DESCRIPTION
TRANSCRIPT
U of S College of Medicine Alumni
June 21, 2012
saskdocs • Mission: Promote and support an environment that attracts
and retains the physicians Saskatchewan needs – Create and deliver programs and services to ENHANCE
recruitment and retention of physicians throughout the Saskatchewan health care system
– ENGAGE organizations and communities in a collaborative network that optimizes the recruitment and retention of physicians
– DEVELOP, recommend and promote policies and practices that are conducive to the recruitment and retention of physicians
– COMMUNICATE openly and effectively with the public
CIHI Report • 169 physicians/100K population –
ranked 9th among Canadian provinces (national average 203/100K)
• 2nd fastest growth in number of physicians in Canada at double the rate of population growth – however growth primarily in specialists
• Lowest graduate retention rate in Canada
• High turnover rate overall • Highest percentage of IMGs in the
country at 47% (Rural 75% IMGs, 95% from developing countries)
Source: CIHI: Supply, Distribution and Migration of Canadian Physicians, 2010
2010 National Physician Survey
0
10
20
30
40
50
60
70
80
90
Type
of p
ract
ice
envi
ronm
ent
Wor
k an
d pe
rson
al li
fe b
alan
ce
Flex
ible
wor
k ho
urs
Suff
icie
nt m
edia
l com
pete
nce
Cont
inui
ng e
duca
tion
reso
urce
s
Rese
arch
opp
ortu
nitie
s
Teac
hing
opp
ortu
nitie
s
Abi
lity
to a
chie
ve d
esir
ed in
com
e
Elec
tron
ic h
ealth
rec
ords
Med
ical
sup
port
sys
tem
s/re
sour
ces
Ava
ilabi
lity
of p
atie
nt in
form
atio
n
Acc
ess
to c
are
faci
litie
s
Oth
er
No
resp
onse
Residents' factors influencing having a satisfying and successful practice
0
5
10
15
20
25
30
35
40
45
50
Type
of p
ract
ice
envi
ronm
ent
Wor
k an
d pe
rson
al li
fe b
alan
ce
Flex
ible
wor
k ho
urs
Suff
icie
nt m
edia
l com
pete
nce
Cont
inui
ng e
duca
tion
reso
urce
s
Rese
arch
opp
ortu
nitie
s
Teac
hing
opp
ortu
nitie
s
Abi
lity
to a
chie
ve d
esir
ed in
com
e
Elec
tron
ic h
ealth
rec
ords
Med
ical
sup
port
sys
tem
s/re
sour
ces
Ava
ilabi
lity
of p
atie
nt in
form
atio
n
Acc
ess
to c
are
faci
litie
s
Oth
er
No
resp
onse
Single most important factor
2010 National Physician Survey SK Family Physician Satisfaction with Work - Personal Life Balance (%)
Solo practice, 1.5
Group practice association, 27.2
Group practice partnership, 10.5 Interprofessional
practice, 30.5
Other, 2.7
Don't know, 27
Family Medicine Residents preferred practice type
Source: National Physician Survey. www.nationalphysiciansurvey.ca.
Accessed January 2012.
2010 National Physician Survey
Very Satisfied, 16.6
Somewhat Satisfied, 37 Neutral, 9.5
Somewhat Dissatisfied,
19.7
Very Dissatisfied,
9.8
SK Family Physician Satisfaction with Work - Personal Life Balance (%)
Very Satisfied, 19.1
Somewhat Satisfied, 27.6 Neutral, 11.1
Somewhat Dissatisfied,
19.3
Very Dissatisfied,
10.1
SK Specialist Satisfaction with Work - Personal Life Balance (%)
Saskatchewan Specialist Physicians Saskatchewan Family Physicians
Source: National Physician Survey.
www.nationalphysiciansurvey.ca. Accessed January 2012.
SK Physician Surveys
Exit Survey (one time) • 150 Physicians leaving SK in
past five years • 34% response rate
Settlement Survey (x three years)
• physicians arriving last 6 and18 months
• 35% response rate
Learner Survey (x three years) • 350 current medical students
and residents • 33% response rate
In partnership with the SMA, saskdocs has contracted Insightrix to survey former, current, and future Saskatchewan physicians
Exit Surveys
Exit Survey - Demographics
159 surveys sent to doctors who left Saskatchewan 2007 - 2011
52 respondents • 50% completed residency in Canada • 56% were FP (29 physicians) • 42% were specialists (22 physicians) • 60% worked metro (defined as
Saskatoon/Regina)
Satisfaction
15 % 52 % 31 %
0% 20% 40% 60% 80% 100%
Not at all satisfied Not very satisfied Somewhat satisfied Very satisfied
39 % 59 %
0% 20% 40% 60% 80% 100%
Overall Satisfaction in the "current” role
Overall Satisfaction with Saskatchewan
Satisfaction
44 %
46 %
37 %
35 %
33 %
48 %
33 %
42 %
27 %
10 %
92 %
79 %
79 %
62 %
42 %
Specific community that you practiced in
Specific facility that you practiced in
Specific practice/clinic that you were a part of
Proximity to an international airport
Weather
Location Specific
35 %
39 %
40 %
40 %
48 %
52 %
27 %
50 %
40 %
44 %
46 %
27 %
23 %
25 %
25 %
23 %
27 %
54 %
31 %
44 %
40 %
42 %
62 %
62 %
65 %
65 %
71 %
79 %
81 %
81 %
85 %
85 %
89 %
Call rotation
Work-life balance
Mentorship available in your workplace
Opportunities for advancement
Availability of training
Adequate support to do your job
Relationship with colleagues/other healthcare providers
Access to specialists/therapists on behalf of your patient
Compensation method
Professional development opportunities
Income (including benefits)
Working Conditions Specific
Correlation to National Physicians Survey 2010
0
5
10
15
20
25
30
35
40
45
Very Satisfied Somewhat Satisfied
Neutral Somewhat Dissatisfied
Very dissatisfied Not Applicable NR
Satisfaction with Professional Life Sask 27.6 40.6 6.1 12.1 3.4 0 7.3
Canada 31.2 44.1 6.7 7.9 2.7 1 7.4
Sati
sfac
tion
Satisfaction with current professional life
Primary Reasons for Leaving
14 %
16 %
24 %
28 %
32 %
32 %
48 %
0 % 10 % 20 % 30 % 40 % 50 % 60 %
Other
Compensation not competitive
Not enough support
Weather
Workload too much
Location/lack of amenities
Be closer to family
What’s Being Done • U of S recruitment • National and international recruitment • Recruitment matching • SIPPA pre-screening • Canadians studying abroad • Engaging stakeholders provincially and inter-
provincially 35%
38%
27%
Settlement Surveys
Settlement - Demographics 118 surveys sent to doctors who began practice within the past 18 months
41 Respondents • 34% (17 physicians) are FP’s • 4 came through SIPPA • 66% (27 physicians) are specialist
• Approximately 50% were here 6 months at the time of survey • 50% were here 18 months • 70% practiced in urban settings • 63% received post graduate medical education in Canada • 12% appeared to be “new graduates”
Specialist 66%
Family physician
34%
Anticipated Length of Stay • 48% intend to stay permanent! • 61% plan to be here long term(more than 6 years)
8 %
10 %
23 %
5 %
8 %
48 %
0 % 10 % 20 % 30 % 40 % 50 %
Less than a year
One to two years
Three to five years
Six to ten years
More than ten years
I don’t anticipate moving from Saskatchewan
Satisfaction
29% 61% 10%
Overall Current Satisfaction
Very satisfied Somewhat satisfied Not very satisfied Not at all satisfied
Recruited By
44 %
20 %
20 %
10 %
7 %
10 %
0 % 10 % 20 % 30 % 40 % 50 %
Colleagues
Recruiter in a Saskatchewan Health Region
No one assisted me with my recruitment or placement
Private recruitment company
saskdocs (Physician Recruitment Agency of Saskatchewan)
Other
“Soft Landing” 39 %
29 %
24 %
22 %
20 %
12 %
12 %
10 %
10 %
7 %
2 %
54 %
0 % 10 % 20 % 30 % 40 % 50 % 60 %
Assistance to obtain documentation to begin banking/working, etc.
Practice orientation
Picked up at the airport
Orientation to the community
Orientation to facilities and services
Securing housing
Orientation to other facilities and services in the community
Securing transportation
Assistance to connect with other members of the community
Educational assistance for your family
Assistance to secure spousal employment
None of the above
What’s Being Done Recruitment Retention
Financial Incentives
Practice Establishment/Relocation Assistance
Student / Resident Bursaries
Rural Experience
Work – Life Balance
Family Engagement
Collegial Relationships
• Broad consultation
• Incentives research
• Best practices handbook
Medical Learners Survey
Medical Learner - Demographics • 333 surveys were sent out to medical learners • 110 respondents completed the survey • The majority of respondents (60%) consider
Saskatchewan to be their home province • 34% are either currently taking or intending to take
the family medicine program • A majority of respondents (79%) feel they are likely
to stay and practice medicine in Saskatchewan
Single MOST Important Factor 45 %
13 %
10 %
8 %
6 %
4 %
4 %
3 %
2 %
2 %
1 %
1 %
1 %
1 %
0 % 10 % 20 % 30 % 40 % 50 %
Work-life balance
Career opportunities for spouse/partner
The community as a whole
Adequate support to do your job
Proximity to family and friends
Income (including benefits)
Professional development opportunities
Commute time
Financial incentives
Availability of training
Ability to access appropriate care facilities for patients
Electronic Medical Records
Flexible work hours
Proximity to an international airport
Preferences for Call
zero, 1
one, 12
two, 18
three, 3 four, 2
Evenings
Preferred Community
Metro, 38%
Rural/Norhtern, 35%
Regional, 11%
Unsure, 16% Cities/Urban,
38%
Rural/remote, 14%
Small Town, 20%
Unsure, 13%
Other, 15%
Saskatchewan Residents/Medical Students
Canadian FM Residents National Physician Survey
Neil Kalra, PREP 2012
What’s Being Done
• SMSS and PAIRS Executive meetings
• Co-sponsor PREP – PRAS Rural Externship Program (U of S, SMA, RHAs)
• Medical practice in Saskatchewan research project
• Student loan reimbursement
• Retreat and event sponsorship
• Career nights and Horizons Conference
• Academic ½ days
Highlights
• Work life balance is a common theme!
• Saskatchewan does hold an appeal to many
• Family is a large driver
• Money appears to have a very “minor” role
What’s Being Done
1. Best Practices Handbook
2. Community Engagement
3. Work with you
1. Recruitment
2. Settlement/orientation
3. Community faculty