Toguri Clare, Jong Michael, Roger Judith
Faculty of Medicine, University of Toronto, Toronto, Ont. clare.toguri @mail.utoronto.ca
Can J Rural Med. 2012 Spring;17(2):56-62.
Very little literature exists on rural specialists as a unique group and how best to meet their needs. We sought to provide some baseline information on specialists practising in rural and remote Canada to better understand their reasons for working rurally, their workload and how supported they felt, as well as their sources of advice and satisfaction with continuing medical education (CME).
The Society of Rural Physicians of Canada mailed a survey to specialists working in rural and remote Canada. Specialists were identified based on databases of the Canadian Medical Association (CMA) and the provincial colleges. The survey focused on reason(s) for working in a rural or remote setting, level of support and CME.
The survey was sent to 1500 physicians and yielded a 19% response rate. Although 85% of respondents felt supported overall, less than 20% felt supported by the CMA or by the Royal College of Physicians and Surgeons of Canada (RCPSC). Conversely, most felt supported by immediate colleagues (85%) and their community (78%). Most wished they had access to more training, with close to 90% agreeing that additional training should be available if they had worked for several years in a rural or remote area and a need was demonstrated.
The CMA and the RCPSC may wish to work with rural specialists to foster a more supportive relationship and better meet their needs. Additionally, efforts should be made to provide rural specialists with better access to relevant CME.
关于乡村专科医生这一独特群体以及如何最好地满足他们需求的文献非常少。我们试图提供一些关于在加拿大农村和偏远地区执业的专科医生的基线信息，以便更好地了解他们在农村工作的原因、工作量、他们所感受到的支持程度，以及他们的建议来源和对继续医学教育（CME）的满意度。
加拿大乡村医生协会向在加拿大农村和偏远地区工作的专科医生邮寄了一份调查问卷。根据加拿大医学协会（CMA）和省级医学院的数据库确定专科医生。该调查重点关注在农村或偏远地区工作的原因、支持水平和继续医学教育。
该调查问卷被发送给1500名医生，回复率为19%。虽然85%的受访者总体上感到得到了支持，但不到20%的人感到得到了CMA或加拿大皇家内科医师和外科医师学院（RCPSC）的支持。相反，大多数人感到得到了直属同事（85%）和所在社区（78%）的支持。大多数人希望能获得更多培训，近90%的人同意，如果他们在农村或偏远地区工作了数年且证明有需求，就应提供额外培训。
CMA和RCPSC不妨与乡村专科医生合作，建立更具支持性的关系并更好地满足他们的需求。此外，应努力为乡村专科医生提供更好的相关继续医学教育机会。
