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

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Residents' factors influencing having a satisfying and successful practice

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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

http://www.saskdocs.ca/�