78 Supporting rural paediatricians in British Columbia: Could a rural paediatrics clinical network make a difference?
Notice bibliographique
Résumé
Abstract Background British Columbia (BC) is a geographically expansive province with an uneven distribution of population and resources. The number of paediatricians in rural communities is small and they face a unique reality compared to their urban counterparts. In 2020, a clinical network (Sustaining Pediatrics in Rural and Underserved Communities – SPRUCe) was introduced to provide support and connection for rural paediatricians in BC. Objectives The rural paediatricians were surveyed shortly after the launch of the network, in June 2021, and again in July 2023 in order to evaluate the impact of the network. Design/Methods In British Columbia, communities are designated as rural through the Rural Practice Subsidiary Agreement (RSA). In 2021, there were 12 RSA communities served by 32 paediatricians, while in 2023 there were 14 RSA communities served by 38 paediatricians. Surveys were sent to paediatricians in RSA communities for whom the study coordinators had email contacts in the spring of 2021 and in the summer of 2023. Anonymized survey results were collected, tabulated and compared. Results In 2021, surveys were sent to 28 paediatricians with a 96% response rate, while in 2023 surveys were sent to 36 paediatricians with a 69% response rate. Comparing the responses, in 2023 a lower proportion of respondents endorsed being concerned about recruitment (81% in 2021 and 68% in 2023). Similarly, a lower proportion disagreed that effective strategies were in place for paediatrician recruitment to their communities (62% in 2021 and 40% in 2023). In 2023, a higher proportion of respondents agreed that they had methods to engage and interact with other rural paediatricians across the province (30% in 2021 and 52% in 2023). Unfortunately, no improvements were noted in the proportion of respondents who endorsed workload challenges, feelings of burnout or limitations in their ability to secure locum coverage. Rural paediatrician involvement medical learner education of medical learners remained static at 80%. Conclusion Strategies to support rural paediatricians in BC are needed to address concerns about workload, burnout, and lack of locum coverage. SPRUCe, a clinical network to support rural paediatrics, provides an example of a potential strategy which may be having a positive impact. The short timeframe between administered surveys and small group of respondents makes demonstrating change challenging, but it is encouraging that decreased recruitment concerns and increased feelings of connectedness among rural paediatricians were noted.
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 | 0,005 | 0,011 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,004 | 0,002 |
| Communication savante | 0,003 | 0,001 |
| Science ouverte | 0,001 | 0,003 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,009 | 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 ».