inspire Health Care Quality Summit

April 11, 2013 Regina

• 2nd fastest physician growth (8.4%)

in Canada

• 2007 = 1,644 physicians

• 2011 = 1,928*

• Rate more than twice Canadian

average

• Rural physicians (family) 243 to

256

• “Canadian trained” increase of

14.3%

• IMG decrease of 4.7%

Current Situation Current Situation

Our Agency

• Crown Corporation – Agency of the Government of Saskatchewan

• Coordinate and enhance

• Serve as a central point of contact

• Provide expertise

• Reduce competition

• Partner with key stakeholders

Recruitment Needs to 2020

Add: To keep up with population demand 79

Add: Equalize access 17

Add: Unmet need adjustment 45

Add: Projected retirements 74

Turnover from, less retirements 734

Total recruitment needed 949

Source: U of S medical residents 332

Out of province recruitment needed 617

Annual out of province recruitment

needed 56

Family Physicians

Saskatchewan Medical Association

Rural Bus Tour

La Loche – January 2013

Engaging Medical Learners

• Student and Resident Board

representation

• Engaging Canadians Studying

Abroad (CSAs)

• Student loan reimbursement

• Presentations to academic

half-days

• Hosting provincial career fairs

• PREP rural externship

• SMA bus tours

Recruitment

• Canadian conferences

and events

• Select United States

• England

• Ireland

• SIPPA targeted

recruitment

Arab Health Expo, Dubai – January 2013

SIPPA Pre-Screening

• saskdocs pre-screening

potential candidates

• Pre-screening developed by

SIPPA working group

• Known IMGs in

Saskatchewan and Canada

• Growing international

awareness

In Progress, 318

Meets Pre-Screening

Criteria, 276

Not Eligible, 103

Regional Health Authorities

Hand Offs RHA # of Doctors Handed Off

Cypress 9

Five Hills 23

Heartland 24

Kelsey Trail 17

Prairie North 40

Prince Albert Parkland 31

Regina Qu’Appelle 55

Saskatchewan Medical Association 3

Saskatoon 60

Sun Country 28

Sunrise 37

Hand Off Statistics as of March 31, 2013

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

Medical Learner Survey

Single Most Important Factor

Source: saskdocs - SMA (Insightrix) Medical Learner Survey, April 2012.

Exit Survey

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

Family

Family

Source: saskdocs - SMA (Insightrix) Physician Exit Survey, April 2012.

Financial Incentives

Recruitment Retention

Financial Incentives

Practice Establishment/Relocation Assistance

Student / Resident Bursaries

Rural Experience

Work – Life Balance

Family Engagement

Collegial Relationships

• Work life balance is a common theme

• Family is a large driver

Saskatchewan

Rural & Remote

Practice Grant

for Recent Medical

Graduates

Description

• $120,000 for recent medical graduates

• Rural and remote communities (10,000 >)

• Over five years

• Experience prior to April 1, 2012 NOT

considered

• Family Medicine training, fully licenced

For More Information

www.saskdocs.ca/work/srrpg • Program Overview

• Program Parameters

• Application Form

Contact Jennifer Grunert jennifer.grunert@saskdocs.ca

309-4th Ave N, Saskatoon

S7K 2L8

1.888.415.3627

Summary

• Saskatchewan is not alone

• Physician shortages in every province

• Around the world

• “Quick Fix” solutions don’t work

• Multi-faceted solution required

• Each partner (communities, municipalities,

government, doctors) all play a role

http://www.saskdocs.ca/