Watanabe M, Fick G H
Department of Medicine, Faculty of Medicine, University of Calgary, Alberta.
Clin Invest Med. 1995 Jun;18(3):217-28.
The composition of practising physicians in Alberta, with respect to medical school of graduation, changed between 1986 and 1991. The percentage of graduates of the 2 Alberta medical schools increased, and the percentage of graduates of foreign medical schools decreased. Graduates of the University of Calgary increased their percentage in family practice in urban and rural communities except in Edmonton, while graduates of the University of Alberta increased their percentage almost everywhere except in communities with populations of < 4,000. Although graduates of Alberta medical schools are locating their practices in rural regions, the smaller communities continue to depend on foreign medical graduates. Retention is a problem in communities of < 4,000, with greatest mobility demonstrated by non-Albertan Canadian graduates and foreign medical graduates while Alberta graduates demonstrate less mobility. Overall, 85% of new Alberta physicians have had undergraduate or postgraduate experience in Alberta or Canada. Those with no medical educational experiences in Canada are more likely to locate in small communities. Those with postgraduate training in Alberta or Canada are more likely to locate in urban centres. When both undergraduate and postgraduate influences are considered, Alberta graduates appear to locate in non-urban regions to a greater extent than other Canadian or foreign graduates. For family physicians and specialists, the city where postgraduate training was obtained has a profound influence on the choice of urban practice locations.
1986年至1991年间，艾伯塔省执业医师按毕业医学院校划分的构成情况发生了变化。艾伯塔省两所医学院校的毕业生比例有所增加，而外国医学院校的毕业生比例则有所下降。卡尔加里大学的毕业生在除埃德蒙顿以外的城乡社区从事家庭医疗的比例有所增加，而阿尔伯塔大学的毕业生除了在人口不足4000人的社区外，几乎在所有地方的比例都有所增加。尽管艾伯塔省医学院校的毕业生在农村地区执业，但较小的社区仍然依赖外国医学毕业生。在人口不足4000人的社区，留用是个问题，非艾伯塔省的加拿大毕业生和外国医学毕业生流动性最大，而艾伯塔省的毕业生流动性较小。总体而言，85%的艾伯塔省新执业医师在艾伯塔省或加拿大有本科或研究生学习经历。那些在加拿大没有医学教育经历的人更有可能在小社区执业。那些在艾伯塔省或加拿大接受过研究生培训的人更有可能在城市中心执业。综合考虑本科和研究生阶段的影响因素后，艾伯塔省的毕业生似乎比其他加拿大或外国毕业生更倾向于在非城市地区执业。对于家庭医生和专科医生来说，接受研究生培训的城市对其选择城市执业地点有深远影响。
