87 Big shoes to fill: Realities of Rural Pediatricians in British Columbia
Notice bibliographique
Résumé
Abstract Background Recruitment and retention of paediatricians remains a challenge in rural settings across Canada. In British Columbia, paediatricians are specialty physicians who provide consultation for children and neonates who are acutely unwell or with complex medical conditions. Little is known about the state of rural paediatrics in British Columbia (BC) and the reality of the province's rural paediatricians. Objectives Using a survey, this study aimed to understand rural paediatrics in BC, in terms of physician workload and burnout, recruitment, and participation in medical education. Design/Methods For the purposes of this survey, those communities with a rural practice subsidiary agreement (RSA) were considered rural. There are 12 RSA communities with paediatricians in BC, served by 32 paediatricians. Surveys were sent to the 28 paediatricians with available contact information and responses were received from 96% (27/28) of those paediatricians. Results Only one community has more than 5 paediatricians, and 11/12 communities are supported by a single or pair of paediatricians. Sixty-three percent of respondents have been in practice for 10 or more years, and all of the solo paediatricians have been in practice for more than 10 years. This data supports previous studies, which have identified aging of paediatricians, fewer new graduates choosing to practice in rural settings, and difficulty retaining those currently practicing as key factors contributing to the challenges in providing rural paediatric care. Over 75% of respondents reported some degree of burnout, and no respondents were looking to increase their workload. The workload challenges did not seem to be affected by the number of paediatricians in a community. Recruitment was a significant concern for over 80% of respondents, and only 7% felt their community had effective recruitment strategies. When asked what recruitment strategies have previously been effective, mentoring by local paediatricians was a frequent response, indicating that physicians are taking it upon themselves to actively recruit others. Approximately 80% of respondents reported participating in the education of medical students or residents, which has been shown to increase job satisfaction when balanced with workload. Conclusion This survey will contribute to the understanding of the current state of rural paediatrics in BC, a will form the basis for the development of new initiatives, and allow for their evaluation as they are implemented.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,005 | 0,002 |
| Communication savante | 0,002 | 0,000 |
| Science ouverte | 0,001 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».