Improving the recruitment and retention of doctors by training medical students locally
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
CONTEXT: The global shortage of doctors is of concern. This is particularly true in French-speaking regions of New Brunswick, Canada, where there is no medical school. Since 1981, francophone medical students from New Brunswick have been able to undertake part of their training in their province through an agreement with medical schools in another province. We studied the effects of frequency and length of exposure to the province of origin during medical training on the likelihood that a doctor will ever or currently practise medicine in that province. METHODS: A questionnaire was sent to 390 francophone doctors from New Brunswick to collect information on history of medical training and practice. Multivariate logistic regressions were used to identify whether exposure to New Brunswick during medical training at the undergraduate and postgraduate levels affects the likelihood of ever or currently practising in the province. RESULTS: A total of 263 doctors participated. Among family doctors, those with exposure to their province of origin in 1, 2, 3 or 4 years of undergraduate training were 2.5 (95% confidence interval [CI] 0.8-7.4), 2.5 (95% CI 0.7-8.6), 9.3 (95% CI 1.5-56.9) and 9.3 (95% CI 1.4-60.1) times more likely, respectively, to currently practise in New Brunswick than doctors who had experienced no exposure to the province during undergraduate training. Among specialty doctors, exposure to New Brunswick during undergraduate training had no effect on location of practice. Family and specialty doctors who had been exposed to New Brunswick during postgraduate residency were 5.9 (95% CI 2.3-14.9) and 3.2 (95% CI 0.9-11.6) times more likely, respectively, to practise in the province than doctors without postgraduate exposure. CONCLUSIONS: Greater exposure to New Brunswick during medical training is associated with significantly better odds that doctors will be recruited to and retained in the province. Some effects are perceived for exposure during both undergraduate (most importantly in the final years) and postgraduate programmes.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it