92 muster2014 Rourke

92 muster2014 Rourke

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  LET’S START ATTHE VERY BEGINNING - MEDQUEST A pipeline program to medical school and rural family practice MAR Y DRAY , F RAN K I R B Y , MED, JAN WAR R EN, SCOT T MOF FAT , MD, JAME S ROUR K E , MD, JANE L L E HI P P E , MA, K R I S T IN HAR R I S WAL SH, PHD
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  FACULTY/PRESENTER DISCLOSURE •Faculty: Dr. James Rourke • Relationships with commercial interests: none
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  DISCLOSURE OF COMMERCIALSUPPORT • This program has received financial support from Memorial University’s Faculty of Medicine in the form of budget support. • Potential for conflict(s) of interest:  Dr. James Rourke has received salary from Memorial University’s Faculty of Medicine.
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  PRESENTATION OUTLINE •Memorial’s MedQuest Program • Target Population • Outcome Measures • Results • Conclusion • Success of Memorial’s Rural Pipeline to Practice
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  CONTEXT • Accordingto Statistics Canada: • Newfoundland and Labrador has a population of 526,977 over 370,510.76 square kilometres • St. John’s population (including its metropolitan influence zone) is 196,966 • Corner Brook’s population (including its metropolitan influence zone) is 27,202 • Metropolitan influence zone is defined as the population of the city plus the population of census divisions with a greater than 50% work flow to the city
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  CONTEXT • Memorial’smedical school was established in 1967 with a mandate to produce a local supply of physicians to Newfoundland’s largely rural population. • Training physicians to enter rural family practice is a key component of this mandate.
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  MEMORIAL’S MEDQUEST PROGRAM • Established in 1990 at Memorial University of Newfoundland • High school students from across the province participate in week-long sessions • Activities can include lectures, demonstrations, experiments, research projects and guest speakers, with a focus on interactivity and discovery • Designed to introduce students to careers in the health sciences • Part of the “pipeline to practice” for rural students in Newfoundland and Labrador
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  TARGET POPULATION •A. 375 MUN MD graduates (2011 to 2016) • B. 68 MUN MD graduates (1998 to 2007) who were MedQuest alumni who are currently practicing in Canada.
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  OUTCOME MEASURES •The percentage of MedQuest alumni who had lived the majority of their life before age 18 in rural residences (definition for rural background students) • The percentage of MedQuest alumni who are currently practicing in rural areas
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  RESULTS • A.Of 375 MD students graduating from 2011 to 2016, 20% of rural background students and 15.3% of urban background students had completed MedQuest. Of the 71 who had completed the MedQuest program, 45% had rural background.
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  RESULTS • B.Of 68 MedQuest Alumni who were MUN MD graduates from 1998-2007 and practicing in Canada, 40 (58%) are practicing in NL. Of those 40, 22 (55%) are practicing family medicine. Of those 22, 9 (41%) are practicing in rural communities or small rural cities.
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  CONCLUSION • Memorial’sMedQuest program is an integral part of a broader rural medical workforce strategy at Memorial that includes rural friendly admissions policies and rural placements in both undergraduate (MD) and postgraduate (residency training) education. • MedQuest achieves a wide reach that covers many rural communities throughout NL, and that MedQuest alumni practice in diverse geographical settings.
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  SUCCESS OF MEMORIAL’S RURAL PIPELINE TO PRACTICE • There is excellent external evidence that Memorial’s pipeline to rural practice is effective and successful • In 2008, Memorial won the Rural Education Award from the Society for Rural Physicians of Canada (SRPC) • SRPC looked for the medical school matching the most graduates to a rural family medicine program in the 2007 Canadian Resident Matching Service (CaRMS) match. • Memorial excelled by a significant margin, with 26% of total graduates matching to a rural family medicine residency. • This compares to a national average of approximately 7% and is double the percentage of the next highest medical school.
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  SUCCESS OF MEMORIAL’S RURAL PIPELINE TO PRACTICE • Between 2000 and 2013, Memorial University has received 4 Keith awards from the Society of Rural Physicians of Canada (SRPC) • Example: 2010 award for having the highest percentages of family medicine residency program graduates practicing in rural areas 10 years after graduation (52%)
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  FURTHER DEVELOPMENT •Memorial’s Faculty of Medicine has introduced a MedQuest program specifically for Aboriginal students to complement our Aboriginal pipeline to practice • This also includes a pre-med preparatory program, a parallel admissions process with reserved seats, increased student support and curricular focus on Aboriginal context and culture during medical school