1. Economic Contributions of the Northern Ontario School of Medicine to northern Ontario John C. Hogenbirk Centre for Rural and Northern Health Research David R. Robinson Department of Economics

2. Context “The Northern Ontario School of Medicine (NOSM) is a … medical school for the whole of Northern Ontario, “the School is a joint initiative of Lakehead University and Laurentian University with main campuses in Thunder Bay and Sudbury, and multiple teaching and research sites distributed across Northern Ontario.” www.nosm.cawww.nosm.ca (about us, community profiles)

3. Research Objectives & Approach Overall Objective: Short-term and demonstrable social and economic impacts that have occurred since the inception of NOSM  Lakehead and Laurentian Universities  Health care facilities (e.g., Hospitals)  Northern Ontario communities  Examine economic contribution of NOSM using a Local Economic Impact Model 57 key informant interviews 2 focus groups (9 participants)

4. NOSM Programs Program Before NOSM 2005- 06 2006- 07 2007- 08 2008- 09 Undergraduate Undergraduate Electives CFPC Specialties RCPSC Specialties Postgraduate Electives Rehabilitation Studies Northern Ontario Dietetic Internship

5. Expenditure pathways in a Local Economic Model Obtained for Sudbury, Thunder Bay and other major communities 

6. Expenditures in northern Ontario (thousands of dollars) Spending Actual expenditures for 2007-2008 + Estimated Student expenditures (4 cohorts) Sudbury$16,981 Thunder Bay$15,528 Sault Ste Marie$724 North Bay$608 Timmins$541 Kenora$337 Sioux Lookout$255 All Other Communities$2,294 Total$37,368

7. Economic (base) multiplier

8. Economic Contribution (thousands of dollars) Spending Economic Contribution LowHigh Sudbury$16,981$30,395$34,810 Thunder Bay$15,528$26,710$30,902 Sault Ste Marie$724$1,157$1,367 North Bay$608$935$1,123 Timmins$541$784$957 Kenora$337$424$535 Sioux Lookout$255$279$368 All Other Communities$2,294$2,341$3,120 Total$37,368$63,025$73,183 ($67 - $82 M)

9. 0 50 100 150 200 250 300 20022003200420052006200720082009 Number of NOSM Employees by Year (As of December 1 st of Each Year) (Source: NOSM) Total Employees Total FTE Sudbury Employees Thunder Bay Employees- Employees in Other Locations NOSM Employees

10. Employment Contribution 233 full time equivalent positions total contribution estimated at 420- 510 FTE positions NOSM also pays stipends or honoraria to committee members, Aboriginal elders and to more than 670 preceptors in over 70 Northern Ontario communities.

11. Conclusion: Total Economic Contributions In 2007-2008 $67-82M 420-510 FTE jobs

12. Acknowledgements Funding and support from MOHLTC  Dr. Joshua Tepper, Assistant Deputy Minister, Health Human Resources Strategy Division  Mr. Jeff Goodyear, Director, Health Human Resources Policy Branch Support from NOSM  Dr. Roger Strasser, Founding Dean  Mr. Ken Adams, Associate Dean, Administration  Mr. Joe Lipinski, Director of Finance  Ms. Tina Vrbanac, Human Resources Director  Ms. Grace Vita, Planning and Risk Manager Steering Committee & Research Team Participation of key informants

13. Thank you www.cranhr.ca jhogenbirk@laurentian.ca