you have questions, we have answers - caper

You Have Questions, We Have AnswersCAPER Data and Services

AFMC Postgraduate Deans RetreatFriday 6 May, 2011 – Toronto, ON, Canada

Steve Slade, VP Research and Analysis CAPER-ORIS, AFMC

CAPER’s Beginning

• The Canadian Post-M.D. Education Registry (CAPER) was born out of discussion in the mid-1980’s around the need– to provide accurate information regarding the size, nature and

distribution of post-M.D. programs – to develop a common classification system of post-M.D. trainee

categories – to assist medical schools, participating organizations and others by

developing information tables regarding post-M.D. programs and trainees

– to assist medical schools by providing information from the overall available data relative to their own trainees

– to provide a basis for research including longitudinal studies dealing with health care issues in Canada

CAPER Today

• CAPER’s early goals & objectives are still highly relevant - PGME aligns with health needs

• Sustained partnership between FoM, medical orgs, F/P/T government

• IMG Project built on partnership• Expanded reporting – specialty & prov

reports, IMG report, custom requests, web dissemination

CAPER’s Core Data

• CAPER #ID• Age, sex, legal status• School/Year of MD graduation• PGME training faculty• Field of training (CaRMS R1 program)• Rank level (R1, R2…Fellow)• Source of funding• Clinical investigator• Ongoing practice location (2yr, 5yr, 10yr, etc.)

Access full reports (pdf)Access data tables (html)

Access most recent report (pdf)

Example Questions

• How does growth at my faculty compare with other faculties?

• Where do our MD grads go for PGME?• What health care needs are we meeting

through our specialty allocation?• Is it taking longer for trainees to complete

their programs?• How many physicians will come out of our

medical education system in the future?• Where do our grads set up practice?

How does growth at my faculty compare with other faculties?

0

25

50

75

100

125

150

175

200

225

250

275

300

325

350

375

400

MEM DAL LAV SHER MTL McG OTT QNS TOR McM UWO NOSM MAN SASK ALTA CAL UBC

First Year Post-MD Enrolment by Faculty of Medicine,Canada, 2005-06 and 2010-11

2005 2010Source: CAPER, 2011. Note: Ministry-funded trainees only.


0%

10%

20%

30%

40%

50%

60%

SASK TOR UBC McG UWO MAN CAL LAV McM OTT QNS SHER MTL ALTA DAL MEM

Percent Increase in First Year Post-MD Enrolment by Faculty of Medicine, Canada, 2005-06 to 2010-11

Source: CAPER, 2010. Note: Ministry-funded trainees only.

35% increase overall


0

250

500

750

1000

1250

1500

1750

2000

2250


Post-MD Enrolment by Faculty of Medicine and Place of MD Graduation,Canada, 2010-11

Canadian Medical Graduates International Medical GraduatesSource: CAPER, 2011. Note: Canadian citizens / Permanent residents only.


0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Post-MD Enrolment by Faculty of Medicine and Place of MD Graduation,Canada, 2010-11

Canadian Medical Graduates International Medical GraduatesSource: CAPER, 2011. Note: Canadian citizens / Permanent residents only.


2005/06 2006/07 2007/08 2008/09 2009/10Satellite Campuses 152 275 432 591 734Main Campuses 8,535 8,876 9,208 9,557 9,784

0

2,000

4,000

6,000

8,000

10,000

12,000

Num

ber

of M

D St

uden

ts

MD Program Enrolment by Site, Canada, 2005/06 - 2009/10

Main Campuses Satellite Campuses

Source: ORIS, AFMC, 2010.


Faculty of Medicine Faculty Counts, Canada, 2004-05 to 2008-099,

566

10,0

78

10,6

06

11,2

65

11,6

09

17,4

03

18,8

99

20,4

58

21,6

87

23,0

61

0

3,000

6,000

9,000

12,000

15,000

18,000

21,000

24,000

27,000

30,000

33,000

36,000

39,000

04/05 05/06 06/07 07/08 08/09

Full-Time Faculty, up 21% Part-Time Faculty, up 33%Source: AFM C ORIS, 2010.Note: Full-time faculty include professors, associate and assistant pro fessors, instructors and o ther faculty. Part-time faculty includes paid and vo lunteer faculty members.


2,553

637

336

312

258

118

1,444

0 500 1,000 1,500 2,000 2,500 3,000

Family Medicine

Internal Medicine

Psychiatry

General Surgery

Paediatrics

Obstetrics/Gynaecology

All Other Departments

Growth in the Number of Part-Time Faculty of Medicine Faculty Members, Canada, 2004/05 to 2008/09

Source: AFMC, ORIS, 2011.Note: Part-Time faculty includes paid and volunteer faculty members.

Where do our MD grads go for PGME?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

NL NS QC ON MB SK AB BC

Province of Post-MD Training by Province of MD Graduation, Canada, 2010-11

MD Grads Enrolled in PGME Within Province MD Grads Enrolled in PGME Outside Province

Source: CAPER, 2011. Note: Canadian citizens / Permanent residents only.

Where do our MD grads go for PGME?

50

100

150

200

250

300

350

400

50 75 100 125 150 175 200 225 250 275

Firs

t Yea

r Pos

t-MD

Enr

olm

ent i

n 20

10

MDs Awarded in 2010

MDs Awarded and First Year Post-MD Enrolment,17 Canadian Faculties of Medicine, 2010

Sherbrooke: 192 MD grads; 153 PGY1

Sask:57 MD grads; 94 PGY1

UofT:223 MD grads; 373 PGY1

What health care needs are we meeting through our specialty allocation?

PGME training fields relate to stated health care priority areas. For example:

– Family Doctors (Family Medicine)

– Cancer Care (Radiation Oncology, Medical Oncology, Surgical Oncology, GynecologicalOncology)

– Heart Care (Cardiology, Cardiac Surgery)

– Joint Replacement (Orthopedic Surgery)

– Sight Restoration (Ophthalmology)


0.90

1.00

1.10

1.20

1.30

1.40

1.50

1.60

2005 2006 2007 2008 2009 2010

Indexed PGME Enrolment in Health Care Priority Areas, Canada, 2005-06 to 2010-11

Family Medicine Cancer Care Heart CareJoint Replacement Sight Restoration All PGME

Source: CAPER, 2010. Note: Includes P/T Ministry-funded trainees only.


0.90

1.10

1.30

1.50

1.70

1.90

2.10

2.30

2.50

2.70

2.90

2005 2006 2007 2008 2009 2010

Indexed PGME Enrolment in Selected High Growth Disciplines, Canada, 2005-06 to 2010-11

Rheumatology (Int.Med.) Hematology (Int.Med.) Respirology (Int.Med.)Neurology (Pediatrics) Medical Microbiology All PGME



0.90

1.10

1.30

1.50

1.70

1.90

2.10

2005 2006 2007 2008 2009 2010

Indexed PGME Enrolment in Selected High Growth Disciplines, Canada, 2005-06 to 2010-11

Emerg. Med. (RCPSC) Pub. Hlth. & Prev. Med. DermatologyNeurology Anatomical Path. All PGME



0%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

Age Group

Estimated Population Distribution, Canada, 2001, 2010 and 2036

2001 2010 2036

Source: Statistics Canada.


0

100

200

300

400

500

600

700

800

900

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

PGME Enrolment in Pediatrics, Care of the Elderly and Geriatric Medicine, Canada, 2001-2010

Pediatrics Care of the Elderly Geriatric MedicineSource: CAPER, 2011. Note: Canadian citizens / Permanent residents only.

Is it taking longer for trainees to complete their programs?

0 1 2 3 4 5 6 7

FEMALE

MALE

RESIDENT

FELLOW

ALL

Number of years from PGY1 to Exit

Number of Years From PGY1 to Exit, Canada, 1996-1998 and 2006-2008 Exit Cohorts

1996-1998 Exiting Trainees 2006-2008 Exiting Trainees

+1.1 months

+4.0 months

+1.4 months

+3.4 months

+1.9 months

Source: CAPER, 2011.

Is it taking longer for trainees to complete their programs?

0 1 2 3 4 5 6 7 8 9

Family Medicine

Emergency FM

Internal Medicine

Int. Med. Subspec.

Anesthesiology

General Surgery

Gen. Surg. Subspec.

Orthopedic Surgery

Lab Medicine

Number of years from PGY1 to Exit

Number of Years From PGY1 to Exit, Selected PGME Programs, Canada, 1996-1998 and 2006-2008 Exit Cohorts

1996-98 Exit Cohort 2006-08 Exit Cohort

~ equal

~ equal

+10.5 months

~ equal

+0.8 months

~ equal

-4.3 months

-3.1 months

+4.9 months

Source: CAPER, 2011. Note: Canadian citizens / Permanent residents only.

Where do our grads set up practice?

2009 Practice Location of Post-MD Trainees Who Exited Training in 2004 (Practice Location 5 Years Later)

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

NL Maritimes* QC ON MB SK AB BC

Province/Region of Post-MD Training

Within Prov/Region of Post-MD Exit Inside Canada, Outside Prov/Region of Post-MD Exit

Outside Canada or Not Located

*Includes Dalhousie post-MD graduates practising in PEI, Nova Scotia and New Brunswick. Source: CAPER, 2010.

Where do our grads set up practice?

Distribution of 2007 Practice Entry Cohort Across Large Urban Centres, Small Cities & Towns and Rural Places in 2009, by Faculty of

Medicine Where Post-MD Training Was Completed

0%10%20%30%40%50%60%70%80%90%

100%

MUN DAL LAV SBK MTL McG OTT QNS TOR McM UWO MAN SAS UoA UoC UBC

University Where Post-MD Training was Completed

Large Urban Centres Small Cities & Towns Rural Places

Source: CAPER, AFMC, 2010.

CAPER Looking Forward

• Maintain products that are still needed• Heighten awareness, connect with new

users, market! • Listen for direction re data delivery:

– Topics and target audiences– Format (thick reports, brief bulletins, e-newsletter)– Web based tools (data dashboard, portal, tweet)

• Partner to increase outputs

Questions or Suggestions?

THANK YOU!

you have questions, we have answers - caper

Documents