1. Emerging Challenges of Expanding Medical Workforce Supply: the Canadian Experience
Joshua Tepper, MD MPH
Vice-President, Education
Sunnybrook Health Sciences Centre

2. 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 ( ) 10,518 ( )

3. Not just numbers…… -FMEC UGE -FMEC PGE -community needs -IPE
Social Accountability Framework
-FMEC UGE
-FMEC PGE
-community needs
-IPE
-generalism
-competency-based

4. Challenges Tensions between community needs and provider practices
E.g. subspecializations vs generalism
Flexibility in PG system
Rural vs Urban focus for training
Capacity