Evidence map›Paper›PMID 33995721›Full record

ArticleCanadian medical education journal2021

Factors influencing rheumatology residents' decision on future practice location.

Justin Shamis, Jessica Widdifield, Michelle Batthish, Dharini Mahendira, Shahin Jamal, Alfred Cividino, B Cord Lethebe, Claire E Barber

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In one paragraph

Article in Canadian medical education journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Justin ShamisDivision of Rheumatology, Department of Medicine, University of Toronto, Ontario, Canada.
Jessica WiddifieldSunnybrook Research Institute, ICES, and Institute of Health Policy, Management & Evaluation, University of Toronto, Ontario, Canada.
Michelle BatthishDivision of Rheumatology, Department of Pediatrics, McMaster University, Ontario, Canada.
Dharini MahendiraDivision of Rheumatology, Department of Medicine, University of Toronto, Ontario, Canada.
Shahin JamalDivision of Rheumatology, Department of Medicine, University of British Columbia, British Columbia, Canada.
Alfred CividinoDivision of Rheumatology, Department of Medicine, McMaster University, Ontario, Canada.
B Cord LethebeClinical Research Unit, University of Calgary, Alberta, Canada.
Claire E BarberDivision of Rheumatology, Department of Medicine and Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are regional disparities in the distribution of Canadian rheumatologists. The objective of this study was to identify factors impacting rheumatology residents' postgraduate practice decisions to inform Canadian Rheumatology Association workforce recommendations.

methodsAn online survey was developed, and invitations were sent to all current Canadian rheumatology residents in 2019 (

resultsA total of 34 of 67 residents completed the survey. Seventy-three percent of residents planned to practice in the same province as their rheumatology training. The majority of residents (80%) ranked proximity to friends and family as the most important factor in planning. Half of participants had exposure to alternative modes of care delivery (e.g. telehealth) during their rheumatology training with fifteen completing a community rheumatology elective (44%).

conclusionsThe majority of rheumatology residents report plans to practice in the same province as they trained, and close to home. Gaps in training include limited exposure to community electives in smaller centers, and training in telehealth and travelling clinics for underserviced populations. Our findings highlight the need for strategies to increase exposure of rheumatology trainees to underserved areas to help address the maldistribution of rheumatologists.

Identifiers

PMID33995721
PMCPMC8105565

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.