Evidence map›Paper›PMID 34404430›Full record

ArticleHuman resources for health2021

Retention of visa-trainee post-graduate residents in Canada: a retrospective cohort study.

Maria Mathews, Dania Koudieh, Yanqing Yi, Lindsay Hedden, Emily Gard Marshall, Asoka Samarasena, Geoff Barnum, Ivy Bourgeault

Abstract read
In one paragraph

Article in Human resources for health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Maria MathewsDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western Centre for Public Health and Family Medicine, University of Western Ontario, 1465 Richmond Street, Second Floor, Rm 2140, London, ON, N6G 2M1, Canada. e.maria.mathews@schulich.uwo.ca.ORCID 0000-0002-5174-104X
Dania KoudiehCanadian Post-M.D. Education Registry, Association of Faculties of Medicine of Canada, 2733 Lancaster Road, Suite 100, Ottawa, ON, K1B 0A9, Canada.
Yanqing YiDivision of Community Health and Humanities, Faculty of Medicine, Memorial University, 300 Prince Philip Drive, St. John's, A1B 3V6NL, Canada.
Lindsay HeddenFaculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada.
Emily Gard MarshallDepartment of Family Medicine, Dalhousie University, 1465 Brenton Street, Suite 402, Halifax, NS, B3H 4R2, Canada.
Asoka SamarasenaDepartment of Anesthesia, Faculty of Medicine, Memorial University, 300 Prince Philip Drive, St. John's, NL, A1B 3V6, Canada.
Geoff BarnumCanadian Post-M.D. Education Registry, Association of Faculties of Medicine of Canada, 2733 Lancaster Road, Suite 100, Ottawa, ON, K1B 0A9, Canada.
Ivy BourgeaultSchool of Sociological and Anthropological Studies, Faculty of Social Sciences, University of Ottawa, 120 University Private, Ottawa, ON, K1N 6N5, Canada.

Funding

CIHR 153340
6 · The paper itself

Abstract

backgroundVisa trainees (international medical graduates [IMG] who train in Canada under a student or employment visa) are expected to return home after completing their training. We examine the retention patterns of visa trainee residents funded by Canadian (regular ministry and other), foreign, or mixed sources.

methodsWe linked data from the Canadian Post-MD Medical Education Registry with Scott's Medical Database for a retrospective cohort study. Eligible trainees were IMG visa trainees as of their first year of training, started their residency program no earlier than 2000, and exited training between 2006 and 2016. We used Cox regression to compare the retention of visa trainees by funding source.

resultsOf 1,913 visa trainees, 431(22.5%), 1353 (70.7%) and 129 (6.8%) had Canadian, foreign, or mixed funding, respectively. The proportion of trainees remaining in Canada decreased over time, with 35.5% (679/1913); 17.7% (186/1052); 10.8% (11/102) in Canada one, five, and ten years, respectively after their exit from PGME training. Trainees who remained on visas (HR: 1.91; [95% CI 1.59, 2.30]), were funded exclusively by foreign sources (HR: 1.46; [95% CI 1.25, 1.69]), and who had graduated from 'Western' countries (HR: 1.39; [95% CI 1.06, 1.84]) were more likely to leave Canada compared to trainees who became citizens/permanent residents, were funded by Canadian sources, or were visa graduates of Canadian medical schools, respectively.

conclusionsMost visa trainees leave Canada following their training. Trainees with Canadian connections (funding and/or change in legal status) were more likely to remain in Canada.

Indexed as

Foreign Medical GraduatesInternship and ResidencyCanadaEducation, Medical, GraduateHumansRetrospective StudiesSchools, MedicalCohort studyFundingInternational medical graduatesPost-graduate medical educationResidency programsRetrospectiveVisa trainees

Identifiers

PMID34404430
PMCPMC8369610

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.