Emerging Challenges of Expanding Medical Workforce Supply: the Canadian Experience Joshua Tepper, MD MPH Vice-President, Education Sunnybrook Health Sciences Centre
History and Context 1992-93 10% reduction in medical students shortages of FPs wait times for specialty services chronic health conditions changing practice patterns 6,388 (1992-93) 10,518 (2009-10)
Not just numbers…… -FMEC UGE -FMEC PGE -community needs -IPE Social Accountability Framework -FMEC UGE -FMEC PGE -community needs -IPE -generalism -competency-based
Challenges Tensions between community needs and provider practices E.g. subspecializations vs generalism Flexibility in PG system Rural vs Urban focus for training Capacity