Ryten E, Thurber A D, Buske L
Office of Research and Information Services, Association of Canadian Medical Colleges, Ottawa, Ont.
CMAJ. 1998 Mar 24;158(6):723-8.
"The Class of 1989" is a study of 1722 people who were awarded an MD degree by a Canadian university in 1989. This paper reports on migration, specialty choices and patterns of post-MD training in order to assess the contribution of the graduating cohort to the physician workforce of Canada.
A longitudinal study was conducted over 7 years after graduation to trace the current location, the post-MD training history and the professional activity of the graduating cohort. Several medical professional and educational associations in Canada and the United States provided year-by-year information on field and location of post-MD training, certification achieved, whether in practice and location of practice through to spring 1996. Information from all sources was linked to a list of 1989 medical school graduates.
From entry to medical school through to 7 years after graduation the cohort was diminished by about 16%. The main reason for loss was migration to other countries: 193 graduates (11.2%) were outside Canada in 1995-96. Internal migration was extensive also; for example, by 1995-96 relatively few of the graduates were located in Newfoundland or Saskatchewan. Of the 1516 graduates active in Canada in 1995-96, 878 (57.9%) were in general practice/family medicine, and only 638 (42.1%) were practising or training in a specialty.
The "yield" of the Class of 1989 for Canada's physician workforce is insufficient to meet annual physician inflows from Canadian sources to serve population growth and to replace retiring or emigrating physicians. As output from Canada's medical schools drops even further, the gap between requirements and supply will grow even wider.
“1989届毕业生”研究对象为1989年由加拿大大学授予医学博士学位的1722人。本文报告了他们的迁移情况、专业选择以及医学博士毕业后的培训模式，以评估这一届毕业生对加拿大医生队伍的贡献。
毕业后进行了为期7年的纵向研究，追踪这一届毕业生的当前所在地、医学博士毕业后的培训经历以及职业活动。加拿大和美国的几个医学专业和教育协会提供了关于医学博士毕业后培训领域和地点、获得的认证、是否从业及从业地点等逐年信息，直至1996年春季。所有来源的信息都与1989年医学院毕业生名单相关联。
从进入医学院到毕业后7年，这一届毕业生人数减少了约16%。减少的主要原因是移民到其他国家：1995 - 1996年有193名毕业生（11.2%）不在加拿大。国内迁移也很广泛；例如，到1995 - 1996年，相对较少的毕业生位于纽芬兰或萨斯喀彻温省。1995 - 1996年在加拿大活跃的1516名毕业生中，878人（57.9%）从事全科/家庭医学，只有638人（42.1%）在专科领域执业或培训。
1989届毕业生为加拿大医生队伍的“产出”不足以满足来自加拿大本土每年因人口增长以及替代退休或移民医生所需的医生流入量。随着加拿大医学院的产出进一步下降，需求与供应之间的差距将进一步扩大。
