Utzschneider Anouk, Landry Michel
Université de Sherbrooke, Quebec, Canada.
Centre de formation médicale du Nouveau-Brunswick, Moncton, New Brunswick, Canada.
Can Med Educ J. 2018 Mar 27;9(1):e44-e50. eCollection 2018 Mar.
New Brunswick, a bilingual Canadian province without a medical school, negotiated an agreement in 1967 in which places were reserved for francophone medical students in the province of Quebec. In 2006, the Centre de Formation Médicale du Nouveau-Brunswick (CFMNB), a regional medical campus (RMC) of Université de Sherbrooke for its provincial francophone medical students, was established to increase the likelihood of graduates setting up practice in the region. Practice locations of the initial 5 cohorts of CFMNB were analysed to compare data with francophone students trained in Quebec.
Practice locations were determined through Scott's Medical Database and provincial public registries. Chi-square and relative risk probability were used to examine the relationship between training location and practice location.
Doctors trained at CFMNB were 1.4 times more likely to be practicing in Atlantic Canada compared to those trained at Université de Sherbrooke (main campus) before 2006. Those trained at CFMNB were 1.3 times more likely to go on to practice in the region compared to those trained at Université Laval or Université de Montréal.
This study supports the hypothesis that individuals completing a medical program in a Francophone RMC in New Brunswick increases the likelihood of them later practicing in the province or in the wider Atlantic Canada region.
新不伦瑞克省是加拿大的一个双语省份,省内没有医学院。1967年,该省达成一项协议,为魁北克省的法语医学生预留名额。2006年,舍布鲁克大学的一个地区性医学院校区——新不伦瑞克省医学培训中心(CFMNB)成立,旨在提高毕业生在该地区执业的可能性,该中心面向省内的法语医学生。对CFMNB最初5届学生的执业地点进行了分析,以便与在魁北克接受培训的法语学生的数据进行比较。
通过斯科特医学数据库和省级公共登记处确定执业地点。使用卡方检验和相对风险概率来检验培训地点与执业地点之间的关系。
与2006年之前在舍布鲁克大学(主校区)接受培训的医生相比,在CFMNB接受培训的医生在加拿大大西洋省份执业的可能性高1.4倍。与在拉瓦尔大学或蒙特利尔大学接受培训的医生相比,在CFMNB接受培训的医生在该地区执业的可能性高1.3倍。
本研究支持以下假设,即在新不伦瑞克省的法语地区性医学院校区完成医学课程的个人,日后在该省或更广泛的加拿大大西洋地区执业的可能性会增加。