Evidence map›Paper›PMID 30819692›Full record

ArticleCMAJ open

Regional differences in where and how family medicine residents intend to practise: a cross-sectional survey analysis.

M Ruth Lavergne, Ian Scott, Goldis Mitra, David Snadden, Doug Blackie, Laurie J Goldsmith, David Rudoler, Lindsay Hedden, Agnes Grudniewicz, Megan A Ahuja and 1 more

Abstract read
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

M Ruth LavergneFaculty of Health Sciences (Lavergne, Goldsmith, Hedden), Simon Fraser University, Burnaby, BC; Department of Family Practice (Scott, Mitra), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Faculty of Medicine, University of British Columbia Northern Medical Program, Prince George, BC; School of Leadership Studies (Blackie), Royal Roads University, Victoria, BC; University of Ontario Institute of Technology (Rudoler), Oshawa, Ont.; Telfer School of Management (Grudniewicz), University of Ottawa, Ottawa, Ont.; Centre for Health Services and Policy Research (Ahuja), School of Population and Public Health, University of British Columbia, Vancouver, BC; Department of Family Medicine (Marshall), Faculty of Medicine, Dalhousie University, Halifax, NS ruth_lavergne@sfu.ca.
Ian ScottFaculty of Health Sciences (Lavergne, Goldsmith, Hedden), Simon Fraser University, Burnaby, BC; Department of Family Practice (Scott, Mitra), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Faculty of Medicine, University of British Columbia Northern Medical Program, Prince George, BC; School of Leadership Studies (Blackie), Royal Roads University, Victoria, BC; University of Ontario Institute of Technology (Rudoler), Oshawa, Ont.; Telfer School of Management (Grudniewicz), University of Ottawa, Ottawa, Ont.; Centre for Health Services and Policy Research (Ahuja), School of Population and Public Health, University of British Columbia, Vancouver, BC; Department of Family Medicine (Marshall), Faculty of Medicine, Dalhousie University, Halifax, NS.
Goldis MitraFaculty of Health Sciences (Lavergne, Goldsmith, Hedden), Simon Fraser University, Burnaby, BC; Department of Family Practice (Scott, Mitra), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Faculty of Medicine, University of British Columbia Northern Medical Program, Prince George, BC; School of Leadership Studies (Blackie), Royal Roads University, Victoria, BC; University of Ontario Institute of Technology (Rudoler), Oshawa, Ont.; Telfer School of Management (Grudniewicz), University of Ottawa, Ottawa, Ont.; Centre for Health Services and Policy Research (Ahuja), School of Population and Public Health, University of British Columbia, Vancouver, BC; Department of Family Medicine (Marshall), Faculty of Medicine, Dalhousie University, Halifax, NS.
David SnaddenFaculty of Health Sciences (Lavergne, Goldsmith, Hedden), Simon Fraser University, Burnaby, BC; Department of Family Practice (Scott, Mitra), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Faculty of Medicine, University of British Columbia Northern Medical Program, Prince George, BC; School of Leadership Studies (Blackie), Royal Roads University, Victoria, BC; University of Ontario Institute of Technology (Rudoler), Oshawa, Ont.; Telfer School of Management (Grudniewicz), University of Ottawa, Ottawa, Ont.; Centre for Health Services and Policy Research (Ahuja), School of Population and Public Health, University of British Columbia, Vancouver, BC; Department of Family Medicine (Marshall), Faculty of Medicine, Dalhousie University, Halifax, NS.
Doug BlackieFaculty of Health Sciences (Lavergne, Goldsmith, Hedden), Simon Fraser University, Burnaby, BC; Department of Family Practice (Scott, Mitra), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Faculty of Medicine, University of British Columbia Northern Medical Program, Prince George, BC; School of Leadership Studies (Blackie), Royal Roads University, Victoria, BC; University of Ontario Institute of Technology (Rudoler), Oshawa, Ont.; Telfer School of Management (Grudniewicz), University of Ottawa, Ottawa, Ont.; Centre for Health Services and Policy Research (Ahuja), School of Population and Public Health, University of British Columbia, Vancouver, BC; Department of Family Medicine (Marshall), Faculty of Medicine, Dalhousie University, Halifax, NS.
Laurie J GoldsmithFaculty of Health Sciences (Lavergne, Goldsmith, Hedden), Simon Fraser University, Burnaby, BC; Department of Family Practice (Scott, Mitra), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Faculty of Medicine, University of British Columbia Northern Medical Program, Prince George, BC; School of Leadership Studies (Blackie), Royal Roads University, Victoria, BC; University of Ontario Institute of Technology (Rudoler), Oshawa, Ont.; Telfer School of Management (Grudniewicz), University of Ottawa, Ottawa, Ont.; Centre for Health Services and Policy Research (Ahuja), School of Population and Public Health, University of British Columbia, Vancouver, BC; Department of Family Medicine (Marshall), Faculty of Medicine, Dalhousie University, Halifax, NS.
David RudolerFaculty of Health Sciences (Lavergne, Goldsmith, Hedden), Simon Fraser University, Burnaby, BC; Department of Family Practice (Scott, Mitra), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Faculty of Medicine, University of British Columbia Northern Medical Program, Prince George, BC; School of Leadership Studies (Blackie), Royal Roads University, Victoria, BC; University of Ontario Institute of Technology (Rudoler), Oshawa, Ont.; Telfer School of Management (Grudniewicz), University of Ottawa, Ottawa, Ont.; Centre for Health Services and Policy Research (Ahuja), School of Population and Public Health, University of British Columbia, Vancouver, BC; Department of Family Medicine (Marshall), Faculty of Medicine, Dalhousie University, Halifax, NS.
Lindsay HeddenFaculty of Health Sciences (Lavergne, Goldsmith, Hedden), Simon Fraser University, Burnaby, BC; Department of Family Practice (Scott, Mitra), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Faculty of Medicine, University of British Columbia Northern Medical Program, Prince George, BC; School of Leadership Studies (Blackie), Royal Roads University, Victoria, BC; University of Ontario Institute of Technology (Rudoler), Oshawa, Ont.; Telfer School of Management (Grudniewicz), University of Ottawa, Ottawa, Ont.; Centre for Health Services and Policy Research (Ahuja), School of Population and Public Health, University of British Columbia, Vancouver, BC; Department of Family Medicine (Marshall), Faculty of Medicine, Dalhousie University, Halifax, NS.
Agnes GrudniewiczFaculty of Health Sciences (Lavergne, Goldsmith, Hedden), Simon Fraser University, Burnaby, BC; Department of Family Practice (Scott, Mitra), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Faculty of Medicine, University of British Columbia Northern Medical Program, Prince George, BC; School of Leadership Studies (Blackie), Royal Roads University, Victoria, BC; University of Ontario Institute of Technology (Rudoler), Oshawa, Ont.; Telfer School of Management (Grudniewicz), University of Ottawa, Ottawa, Ont.; Centre for Health Services and Policy Research (Ahuja), School of Population and Public Health, University of British Columbia, Vancouver, BC; Department of Family Medicine (Marshall), Faculty of Medicine, Dalhousie University, Halifax, NS.
Megan A AhujaFaculty of Health Sciences (Lavergne, Goldsmith, Hedden), Simon Fraser University, Burnaby, BC; Department of Family Practice (Scott, Mitra), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Faculty of Medicine, University of British Columbia Northern Medical Program, Prince George, BC; School of Leadership Studies (Blackie), Royal Roads University, Victoria, BC; University of Ontario Institute of Technology (Rudoler), Oshawa, Ont.; Telfer School of Management (Grudniewicz), University of Ottawa, Ottawa, Ont.; Centre for Health Services and Policy Research (Ahuja), School of Population and Public Health, University of British Columbia, Vancouver, BC; Department of Family Medicine (Marshall), Faculty of Medicine, Dalhousie University, Halifax, NS.
Emily Gard MarshallFaculty of Health Sciences (Lavergne, Goldsmith, Hedden), Simon Fraser University, Burnaby, BC; Department of Family Practice (Scott, Mitra), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Faculty of Medicine, University of British Columbia Northern Medical Program, Prince George, BC; School of Leadership Studies (Blackie), Royal Roads University, Victoria, BC; University of Ontario Institute of Technology (Rudoler), Oshawa, Ont.; Telfer School of Management (Grudniewicz), University of Ottawa, Ottawa, Ont.; Centre for Health Services and Policy Research (Ahuja), School of Population and Public Health, University of British Columbia, Vancouver, BC; Department of Family Medicine (Marshall), Faculty of Medicine, Dalhousie University, Halifax, NS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamily medicine residents choose among a range of practice options as they enter the physician workforce. We describe the demographic and personal characteristics of Canadian family medicine residents and examine differences in the intentions of residents from Ontario, Quebec, Western Canada and Atlantic Canada at the completion of their training, in terms of practice comprehensiveness, organizational model, clinical domains, practice settings and populations served.

methodsWe analyzed national survey data collected by the College of Family Physicians of Canada and 16 university-based family medicine residency programs. We tabulated bivariable descriptive results and used logistic regression to estimate odds of practice intentions across regions, adjusting for family medicine resident characteristics.

resultsOf 1680 respondents (61.5% of 2731 family medicine residents invited to participate), 66.3% (

interpretationIntentions for comprehensive and focused practice varied, but over 80% of family medicine residents indicated they intended to practise in a team-based model in all regions. Policy-makers and workforce planners should consider the impact of family medicine residents' intentions on policy objectives.

Identifiers

PMID30819692
PMCPMC6397032

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.