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Record W4408849309 · doi:10.1136/bmjopen-2024-087771

Facilitators and barriers for the recruitment and retention of family physician anaesthesiologists in Canada: a scoping review protocol

2025· review· en· W4408849309 on OpenAlexafffundabout
Juan Pimentel, Mohamed Ali, Nikesh Chander, Pablo García-Ramírez

Bibliographic record

VenueBMJ Open · 2025
Typereview
Languageen
FieldHealth Professions
TopicGlobal Health Workforce Issues
Canadian institutionsMcMaster UniversityHamilton Health Sciences
FundersMcMaster University
KeywordsMedicineScopusBurnoutNarrative reviewNursingGrey literatureProtocol (science)MEDLINEMedical educationAlternative medicine

Abstract

fetched live from OpenAlex

INTRODUCTION: Family physician anaesthesiologists (FPAs) are essential to providing surgical, critical and obstetrical care in rural communities of Canada. They experience pressing challenges like burnout, isolation and limited opportunities for professional growth. There is a lack of studies synthesising the available evidence on the factors associated with recruitment and retention of FPAs in Canada. We aim to systematically review and describe the nature of the scientific evidence on the facilitators and barriers to the recruitment and retention of FPAs in Canada, and to identify areas to inform potential solutions. METHODS AND ANALYSIS: Our scoping review will search Pubmed, Embase (Ovid), Scopus and grey literature for empirical or theoretical publications in English or French on facilitators and barriers to the recruitment and retention of FPAs in Canada. We will conduct a narrative synthesis of the included publications. ETHICS AND DISSEMINATION: Our results will guide future research and initiatives to enhance the availability of FPAs in Canadian rural and remote settings. The results will be shared through professional networks, presentations at conferences, and publication in a scientific journal. Ethics approval is not required.

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.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.095
metaresearch head score (Gemma)0.077
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: Incentives · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Protocol · Consensus signal: Protocol
Teacher disagreement score0.957
Threshold uncertainty score0.501

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0950.077
Meta-epidemiology (narrow)0.0040.005
Meta-epidemiology (broad)0.0090.010
Bibliometrics0.0200.017
Science and technology studies0.0080.005
Scholarly communication0.0080.005
Open science0.0060.006
Research integrity0.0060.004
Insufficient payload (model declined to judge)0.0390.006

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.

Opus teacher head0.377
GPT teacher head0.599
Teacher spread0.222 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

Study designSystematic review
DomainIncentives
GenreProtocol

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes3
Has abstractyes

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