Characteristics of Canadian physicians and their associations with practice patterns: a scoping review
DOI:
https://doi.org/10.36834/cmej.74205Abstract
Background: Physician characteristics such as education and sociodemographic attributes are associated with particular practice patterns, such as practice in rural settings. Understanding the Canadian context of such associations can inform medical school recruitment and health workforce decision-making.
Objective: The objective of this scoping review was to report the nature and extent of the literature on associations between characteristics of physicians in Canada and physicians’ practice patterns. Eligibility criteria: We included studies reporting associations between 1) the education or sociodemographic attributes of practicing physicians or residents in Canada and 2) practice patterns, including career choice, practice setting, and populations served.
Methods: We searched five electronic databases (MEDLINE (R) ALL, Embase, ERIC, Education Source and Scopus) for quantitative primary studies and reviewed reference lists of included studies for additional studies. Data were extracted using a standardized data charting form.
Results: Our search yielded 80 studies. Sixty-two examined education, evenly divided between undergraduate and postgraduate. Fifty-eight examined physicians’ attributes, most focusing on sex/gender. The majority of studies focused on the outcome of practice setting. We found no studies examining race/ethnicity or socioeconomic status.
Conclusion: Many studies in our review found positive associations between (i) rural training or rural background and rural practice setting and (ii) location of training or physicians’ origin and practice in that location, consistent with previous literature. Associations for sex/gender were mixed, suggesting it may be a less useful target for workforce planning or recruitment aiming to address gaps in health care provision. More research is needed on the association of characteristics, particularly race/ethnicity and socioeconomic status, with career choice and populations served.
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References
The Association of Faculties of Medicine of Canada. FMEC 2020 One vision forward: reigniting our common vision for the future of medical education in Canada. 2020. Available from: https://afmc.ca/sites/default/files/pdf/2020-FMEC_en.pdf [Accessed on Apr 26, 2021].
Boelen C, Pearson D, Kaufman A, et al. Producing a socially accountable medical school: AMEE Guide No. 109. Med Teach. 2016;38(11):1078–91.
Walling E, Lachance E, Yeo L, Koepke K, Wasik A, Woollard R. Key drivers of social accountability in nine Canadian medical schools*. Med Teach. 2020;0(0):1–7.: https://doi.org/10.1080/0142159X.2020.1832205
Goodfellow A, Ulloa JG, Dowling PT, et al. Predictors of primary care physician practice location in underserved urban or rural areas in the United States: a systematic literature review. Acad Med. 2016 Sep 1;91(9):1313–21.
Fleming P, Sinnot M-L. Rural physician supply and retention: factors in the Canadian context. Can J Rural Med. 2018;23(1):15–20.
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. 2005;8(1):19–32. http://dx.doi.org/10.1080/1364557032000119616
Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implement Sci. 2010;5:69. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2954944&tool=pmcentrez&rendertype=abstract
Peters MDJ, Marnie C, Tricco AC, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18(10):2119–26.
Peters M, Godfrey C, McInerney P, Munn Z, Tricco A, Khalil H. JBI manual for evidence synthesis. JBI Manual for Evidence Synthesis. 2020. Available from: https://doi.org/10.46658/JBIMES-20-01
McGowan J, Sampson M, Salzwedel DM, Cogo E, Foerster V, Lefebvre C. PRESS peer review of electronic search strategies: 2015 guideline statement. J Clin Epidemiol. 2016;75:40–6. Available from: http://dx.doi.org/10.1016/j.jclinepi.2016.01.021
Colquhoun HL, Levac D, O’Brien KK, et al. Scoping reviews: time for clarity in definition, methods, and reporting. J Clin Epidemiol. 2014;67(12):1291–4. Available from: http://dx.doi.org/10.1016/j.jclinepi.2014.03.013
Tricco AC, Lillie E, Zarin W, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Vol. 169, Annals Intern Med. American College of Physicians; 2018. p. 467–73.
Canadian Medical Association. Physician data centre. Available from: https://www.cma.ca/physician-data-centre [Accessed on Nov 24, 2021].
Canadian Institute for Health Information. Health workforce in Canada, 2020 — quick stats. Ottawa, ON; 2021.
Strasser R, Hogenbirk J, Jacklin K, et al. Community engagement: a central feature of NOSM’s socially accountable distributed medical education. Can Med Educ J. 2018;9(1):e33-43. https://doi.org/10.36834/cmej.42151
Lovato CY, Hsu HCH, Bates J, Casiro O, Towle A, Snadden D. The regional medical campus model and rural family medicine practice in British Columbia: a retrospective longitudinal cohort study. C open. 2019;7(2):E415–20. https://dx.doi.org/10.9778/cmajo.20180205
Parlier AB, Galvin SL, Thach S, Kruidenier D, Fagan EB. The road to rural primary care: a narrative review of factors that help develop, recruit, and retain rural primary care physicians. Acad Med. 2018 Jan;93(1):130–40.
Asghari S, Kirkland MC, Blackmore J, et al. A systematic review of reviews: recruitment and retention of rural family physicians. Can J Rural Med. 2020;25(1):20–30.
Advancing Rural Family Medicine: Canadian Collaborative Taskforce. The rural road map for action - directions. Mississauga, ON; 2017. Available from: www.cfpc.ca/arfm.%0Ahttp://www.cfpc.ca/uploadedFiles/Directories/Committees_List/Rural Road Map Directions ENG.pdf
Malko A, Huckfeldt V. Physician shortage in canada: a review of contributing factors. Glob J Health Sci. 2017;9(9):68.
Sambunjak D, Straus SE, Marušić A. Mentoring in academic medicine: a systematic review. J Am Med Assoc. 2006;296(9):1103–15.
Bosco C, Oandasan I. Review of family medicine within rural and remote canada: education, practice, and policy. College of Family Physicians of Canada. Mississauga, ON; 2016 Available from: https://www.cfpc.ca/CFPC/media/Resources/Rural-Practice/ARFM_BackgroundPaper_Eng_WEB_FINAL.pdf. [Accessed on Aug 9, 2021].
Hwang SW, Ueng JJM, Chiu S, et al. Universal Health Insurance and health care access for homeless persons. Am J Public Health. 2010 Aug 1;100(8):1454–61. https://doi.org/10.2105/AJPH.2009.182022
Zygmunt A, Kendall CE, James P, Lima I, Tuna M, Tanuseputro P. Avoidable mortality rates decrease but inequity gaps widen for marginalized neighborhoods: a population-based analysis in Ontario, Canada from 1993 to 2014. J Community Health. 2020;45(3):579–97.
Zygmunt A, Tanuseputro P, James P, Lima I, Tuna M, Kendall CE. Neighbourhood-level marginalization and avoidable mortality in Ontario, Canada: a population-based study. Can J Public Heal. 2020;111(2).
Walker KO, Moreno G, Grumbach K. The association among specialty, race, ethnicity, and practice location among California physicians in diverse specialties. J Natl Med Assoc. 2012;104(1–2):46–52.
Puddey IB, Playford DE, Mercer A. Impact of medical student origins on the likelihood of ultimately practicing in areas of low vs high socio-economic status. BMC Med Educ. 2017 Jan 5;17(1).
Association of Faculties of Medicine of Canada. Strategic plan 2021–2023. 2021.
Rourke J, Asghari S, Hurley O, et al. Does rural generalist focused medical school and family medicine training make a difference? Memorial University of Newfoundland outcomes. Rural Remote Health. 2018;18(1):4426. https://doi.org/10.22605/RRH4426
Rourke J, O’Keefe D, Ravalia M, et al. Pathways to rural family practice at Memorial University of Newfoundland. Can Fam Physician. 2018;64(3):e115–25.
Snadden D, Lovato C, Hsu H, Towle A, Casiro O, Bates J. Encouraging careers in family medicine: regionally distributed medical education in British Columbia. Can Fam Physician. 2017;63(2 Supplement 1 PG-S71):S71. Available from: http://www.cfp.ca/content/cfp/63/2/S1.full.pdf NS
Wenghofer EF, Hogenbirk JC, Timony PE. Impact of the rural pipeline in medical education: practice locations of recently graduated family physicians in Ontario. Hum Resour Health. 2017;15(1):16. https://dx.doi.org/10.1186/s12960-017-0191-6
Hogenbirk JC, Timony PE, French MG, et al. Milestones on the social accountability journey: family medicine practice locations of Northern Ontario School of Medicine graduates. Can Fam Physician. 2016;62(3):e138–45. Available from: https://www.cfp.ca/content/62/3/e138.long
Hutten-Czapski P, Thurber D. Who makes Canada’s rural doctors? Can J Rural Med. 2002;7(2):95–100.
Shepherd LG, Burden JK. A survey of CCFP-EM program’s graduates: their background, intended type of practice and actual practice. Can J Emerg Med. 2005;7(5):315–20. https://doi.org/10.1017/s1481803500014500
Thind A, Freeman T, Cohen I, Thorpe C, Burt A, Stewart M. Characteristics and practice patterns of international medical graduates: how different are they from those of Canadian-trained physicians? Can Fam Physician. 2007;53(8):1330–1.
Buske L. First practice: family physicians initially locating in rural areas. Can J Rural Med. 2013;18(3):80–5.
Schroeder T, Sheppard C, Wilson D, et al. General surgery in Canada: current scope of practice and future needs. Can J Surg. 2020;63(5):E396–408. https://doi.org/10.1503/cjs.004419
Rourke JTB, Incitti F, Rourke LL, Kennard M. Relationship between practice location of Ontario family physicians and their rural background or amount of rural medical education experience. Can J Rural Med. 2005;10(4):231–40.
Szafran O, Crutcher RA, Chaytors RG. Location of family medicine graduates’ practices. What factors influence Albertans’ choices? Can Fam Physician. 2001;47:2279–85.
Orzanco MG, Lovato C, Bates J, Slade S, Grand’Maison P, Vanasse A. Nature and nurture in the family physician’s choice of practice location. Rural Remote Health. 2011;11(3):1849.
Tate RB, Aoki FY. Rural practice and the personal and educational characteristics of medical students: survey of 1269 graduates of the University of Manitoba. Can Fam Physician. 2012;58(11):e641-8.
Sempowski IP, Marshall G, Seguin R. Physicians who stay versus physicians who go: results of a cross-sectional survey of Ontario rural physicians. Can J Rural Med. 2002;7(3):173–8.
Mathews M, Ryan D, Samarasena A. Early-career work location of Memorial University medical graduates: why the decline in rural practice? Can J Rural Med. 2017;22(2):54–61.
Mathews M, Rourke JTB, Park A. The contribution of Memorial University’s medical school to rural physician supply. Can J Rural Med. 2008;13(1):15–21.
Mathews M, Ryan D, Samarasena A. Work locations in 2014 of medical graduates of Memorial University of Newfoundland: a cross-sectional study. C open. 2015 Apr 2;3(2):E217–22. Available from: https://pubmed.ncbi.nlm.nih.gov/26389100
Heng D, Pong RW, Chan BTB, et al. Graduates of northern Ontario family medicine residency programs practise where they train. Can J Rural Med. 2007;12(3):146–52.
Jamieson JL, Kernahan J, Calam B, Sivertz KS. One program, multiple training sites: does site of family medicine training influence professional practice location? Rural Remote Health. 2013;13(4):2496.
Hogenbirk JC, Mian O, Pong RW. Postgraduate specialty training in northeastern Ontario and subsequent practice location. Rural Remote Health. 2011;11(2):1603.
Godwin M, Hodgetts G, MacDonald S, Seguin R. Short report: Ontario family medicine residents. Practice choices in 1998 and 1999. Can Fam Physician. 2004;50:1407–9.
Myhre D, Szafran O, Schipper S, Dickinson J, Janke F. Scope of practice of family medicine graduates who completed a rural versus urban program. Rural Remote Health. 2018;18(3):4514. https://dx.doi.org/10.22605/RRH4514
Woloschuk W, Crutcher R, Szafran O. Preparedness for rural community leadership and its impact on practice location of family medicine graduates. Aust J Rural Health. 2005;13(1):3–7. https://doi.org/10.1111/j.1440-1854.2004.00637.x
Green M, Birtwhistle R, Macdonald K, Kane J, Schmelzle J. Practice patterns of graduates of 2- and 3-year family medicine programs: in Ontario, 1996 to 2004. Can Fam Physician. 2009;55(9):906–12.
Casson I, Godwin M, Brown G, Birenbaum A, Dhalla M. Does a third year of emergency medicine training make a difference? Historical cohort study of Queen’s University graduates. Can Fam Physician. 2001;47:1227–32.
Gorsche RG, Woloschuk W. Rural physicians’ skills enrichment program: a cohort control study of retention in Alberta. Aust J Rural Health. 2012;20(5):254–8. https://dx.doi.org/10.1111/j.1440-1584.2012.01298.x
Mitra G, Gowans M, Wright B, Brenneis F, Scott I. Predictors of rural family medicine practice in Canada. Can Fam Physician. 2018;64(8):588–96.
Suess AM, Backman SB. Anesthesia manpower: practice locations of residency alumni. Can J Anesth Can d’anesthésie. 2009 Jun 1;56(S1):S136. https://doi.org/10.1007/s12630-009-9235-2
Suess AM, Lavoie A, Drolet P, Correa JA, Backman SB. Montreal’s contribution to the Quebec anesthesia workforce: a comparison between anesthesia residents trained at McGill University and those trained at Universite de Montreal. Can J Anaesth. 2012;59(4):408–15. https://doi.org/10.1007/s12630-012-9669-9
Fleming P, Mathews M. Retention of specialist physicians in Newfoundland and Labrador. Open Med. 2012;6(1):e1-9.
Mathews M, Edwards AC, Rourke JT. Retention of provisionally licensed international medical graduates: a historical cohort study of general and family physicians in Newfoundland and Labrador. Open Med. 2008/07/21. 2008;2(2):e62–9. Available from: https://pubmed.ncbi.nlm.nih.gov/21602945
Mathews M, Park A, Rourke JTB. Retention of international medical graduates following postgraduate medical training in newfoundland and labrador. Healthc Policy. 2007 Nov;3(2):50–7. Available from: https://pubmed.ncbi.nlm.nih.gov/19305779
Cottrell J, You P, Fung K. Factors influencing the choice of practice location among Canadian otolaryngologists. J Laryngol Otol. 2019;133(4):339–43. Available from: https://doi.org/10.1017/S0022215119000409
Woolley T, Hogenbirk JC, Strasser R. Retaining graduates of non-metropolitan medical schools for practice in the local area: the importance of locally based postgraduate training pathways in Australia and Canada. Rural Remote Health. 2020;20(3):5835. https://dx.doi.org/10.22605/RRH5835
McCready W, Jamieson J, Tran M, Berry S. The first 25 years of the Northwestern Ontario Medical Programme. Can J Rural Med. 2004;9(2):94–100.
Bustinza R, Gagnon S, Burigusa G. [The decentralized training program and the retention of general practitioners in Quebec’s Lower St. Lawrence Region]. Le Program d’enseignement Decent la Retent des Med omnipraticiens dans la Reg du Bas-Saint-Laurent au Quebec. 2009;55(9):e29-34.
Landry M, Schofield A, Bordage R, Belanger M. Improving the recruitment and retention of doctors by training medical students locally. Med Educ. 2011;45(11):1121–9. https://dx.doi.org/10.1111/j.1365-2923.2011.04055.x
Schofield A, Landry M, Bordage R, Belanger M. Local opportunities for medical education improve recruitment and retention of physicians. Med Educ Suppl. 2010;44(SUPPL. 2):39. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed11&NEWS=N&AN=71975090 NS -
Raghavan M, Fleisher W, Downs A, Martin B, Sandham JD. Determinants of first practice location: among Manitoba medical graduates. Can Fam Physician. 2012;58(11):e667-76.
Mathews M, Rourke JTB, Park A. National and provincial retention of medical graduates of Memorial University of Newfoundland. CMAJ. 2006;175(4):357–60. https://doi.org/10.1503/CMAJ.060329
Ryan BL, Stewart M. Where do family physicians practise after residency training? Flow of physicians from region to region across Canada. Can Fam Physician. 2007;53(3):478–9.
Mowat S, Reslerova M, Sisler J. Retention in a 10-year cohort of internationally trained family physicians licensed in Manitoba. Can J Rural Med. 2017;22(1):13–9.
Mathews M, Heath SL, Neufeld SM, Samarasena A. Evaluation of physician return-for-service agreements in Newfoundland and Labrador. Healthc Policy. 2013;8(3):42–56. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med10&NEWS=N&AN=23968626 NS
Phillips Jr. RL, Petterson S, Fryer Jr. GE, Rosser W. The Canadian contribution to the US physician workforce. Can Med Assoc J. 2007;176(8):1083–7. https://doi.org/10.1503/CMAJ.060525
Hodges B, Rubin A, Cooke RG, Parker S, Adlaf E. Factors predicting practice location and outreach consultation among University of Toronto psychiatry graduates. Can J Psychiatry. 2006;51(4):218–25. https://doi.org/10.1177/070674370605100403
Gagne R, Leger PT. Determinants of physicians’ decisions to specialize. Health Econ. 2005;14(7):721–35. https://doi.org/10.1002/hec.970
Manassis K, Katz M, Lofchy J, Wiesenthal S. Choosing a career in psychiatry: influential factors within a medical school program. Acad Psychiatry. 2006;30(4):325–9. https://doi.org/10.1176/appi.ap.30.4.325
Horn L, Tzanetos K, Thorpe K, Straus SE. Factors associated with the subspecialty choices of internal medicine residents in Canada. BMC Med Educ. 2008;8:37. https://dx.doi.org/10.1186/1472-6920-8-37
Kurowecki D, Lee SY, Monteiro S, Finlay K. Resident physicians’ perceptions of diagnostic radiology and the declining interest in the specialty. Acad Radiol. 2021;28(2):261–70. https://doi.org/10.1016/j.acra.2020.01.016
Hameed T, Lawrence S, Bridger T, Drover A, Wood E, Dugas MA, et al. The training paths and practice patterns of Canadian paediatric residency graduates, 2004-2010. Paediatr Child Heal. 2016;21(3 PG-123–126):123–6. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4933068/
Sivachandran N, Noble J, Dollin M, O’Connor MD, Gupta RR. Trends in subspecialty training by Canadian ophthalmology graduates. Can J Ophthalmol. 2016;51(3):201–6. https://dx.doi.org/10.1016/j.jcjo.2015.10.011
Katz SJ, Yacyshyn EA. Attracting internal medicine trainees to rheumatology: where and when programs should focus efforts. J Rheumatol. 2009;36(12):2802–5. https://dx.doi.org/10.3899/jrheum.081200
Noble J. Factors influencing career choice in ophthalmology. Can J Ophthalmol. 2006;41(5):596–9. https://doi.org/10.1016/j.ophtha.2005.01.038
Fernando SM, Cheung WJ, Choi SB, Thurgur L, Frank JR. Faculty mentorship during residency and professional development among practising emergency physicians. CJEM. 2018;20(6):944–51. https://doi.org/10.1017/cem.2018.42
Strasser R, Hogenbirk JC, Minore B, et al. Transforming health professional education through social accountability: Canada’s Northern Ontario School of Medicine. Med Teach. 2013;35(6):490–6. https://doi.org/10.3109/0142159X.2013.774334
Mok PS, Baerlocher MO, Abrahams C, Tan EY, Slade S, Verma S. Comparison of Canadian medical graduates and international medical graduates in Canada: 1989-2007. Acad Med. 2011;86(8):962–7. https://dx.doi.org/10.1097/ACM.0b013e318222e314
Lam JM, Anderson GM, Austin PC, Bronskill SE. Family physicians providing regular care to residents in Ontario long-term care homes: characteristics and practice patterns. Can Fam Physician. 2012;58(11):1241–8.
Chan BTB. The declining comprehensiveness of primary care. CMAJ. 2002 Feb 19;166(4):429–34. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11876170 [Accessed Jun 11, 2020].
Penner M, Anagnostou E, Ungar WJ. Practice patterns and determinants of wait time for autism spectrum disorder diagnosis in Canada. Mol Autism. 2018;9:16. https://dx.doi.org/10.1186/s13229-018-0201-0
Jaakkimainen RL, Schultz SE, Glazier RH, Abrahams C, Verma S. Tracking family medicine graduates. Where do they go, what services do they provide and whom do they see? BMC Fam Pract. 2012;13:26. https://dx.doi.org/10.1186/1471-2296-13-26
Mathews M, Kandar R, Slade S, Yi Y, Beardall S, Bourgeault IL. Retention patterns of Canadians who studied medicine abroad and other international medical graduates. Healthc Policy. 2017;12(4 PG-33–45):33–45. Available from: http://www.longwoods.com/product/download/code/25100 NS -
Kurdyak P, Zaheer J, Cheng J, Rudoler D, Mulsant BH. Changes in characteristics and practice patterns of Ontario psychiatrists. Can J Psychiatry. 2017;62(1):40–7. https://doi.org/10.1177/0706743716661325
Freeman TR, Boisvert L, Wong E, Wetmore S, Maddocks H. Comprehensive practice: normative definition across 3 generations of alumni from a single family practice program, 1985 to 2012. Can Fam Physician. 2018;64(10):750–9.
Woloschuk W, Tarrant M. Do students from rural backgrounds engage in rural family practice more than their urban-raised peers? Med Educ. 2004;38(3):259–61. https://doi.org/10.1046/j.1365-2923.2004.01764.x
Chan BTB, Degani N, Crichton T, Pong RW, Rourke JT, Goertzen J, et al. Factors influencing family physicians to enter rural practice: does rural or urban background make a difference? Can Fam Physician. 2005;51:1246–7. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med6&NEWS=N&AN=16926939 NS -
Beauchamp J, Belanger M, Schofield A, Bordage R, Donovan D, Landry M. Recruiting doctors from and for underserved groups: Does New Brunswick’s initiative to recruit doctors for its linguistic minority help rural communities? Can J Public Health. 2013;104(6 Suppl 1):S44-8. https://doi.org/10.17269/cjph.104.3478
Noble J, Schendel S, Daniel S, Baerlocher MO. Motivations and future trends: a survey of Canadian ophthalmology residents. Can J Ophthalmol. 2007;42(6):821–5. https://doi.org/10.3129/i07-156
Garfinkel PE, Bagby RM, Schuller DR, Dickens SE, Schulte FS, Fitzgerald L. Gender differences in the practice characteristics and career satisfaction of psychiatrists in Ontario. Acad Psychiatry. 2004;28(4):310–20. https://doi.org/10.1176/appi.ap.28.4.310
Chan BTB. Do family physicians with emergency medicine certification actually practise family medicine? CMAJ. 2002;167(8 PG-869–870):869–70. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed7&NEWS=N&AN=35333669 NS -
Compeau C, Tyrwhitt J, Shargall Y, Rotstein L. A retrospective review of general surgery training outcomes at the University of Toronto. Can J Surg. 2009;52(5):E131-6.
Cox J, Graves L, Marks E, et al. Knowledge, attitudes and behaviours associated with the provision of hepatitis C care by Canadian family physicians. J Viral Hepat. 2011;18(7):e332-40. https://doi.org/10.1111/j.1365-2893.2010.01426.x
Hansen L, Barnett J, Wong T, Spencer D, Rekart M. STD and HIV counseling practices of British Columbia primary care physicians. AIDS Patient Care STDS. 2005;19(1):40–8. https://doi.org/10.1089/apc.2005.19.40
Guenter D, Scott S. Short report: Canadian family doctors caring for people with HIV and AIDS. Canada’s national family physician workforce survey. Can Fam Physician. 2004;50:1011–3.
Fleury M-J, Bamvita J-M, Farand L, Aube D, Fournier L, Lesage A. GP group profiles and involvement in mental health care. J Eval Clin Pract. 2012;18(2):396–403. https://doi.org/10.1111/j.1365-2753.2010.01597.x
Fleury MJ, Bamvita JM, Farand L, Tremblay J. Variables associated with general practitioners taking on patients with common mental disorders. Ment Health Fam Med. 2008;5(3 PG-149–160):149–60. Available from: http://docserver.ingentaconnect.com/deliver/connect/rmp/1756834x/v5n3/s5.pdf?expires=1254786974&id=52363957&titleid=75003813&accname=Elsevier+Science&checksum=62EE65A2FBDFCB2F393A7F986478007B NS -
Kamrul R. Providing care for recent immigrants. Can Fam Physician. 2012;58(6):e322.
Pottie K, Swinkels H. Family physicians caring for recent immigrants. Can Fam Physician. 2009;55(5):497.
Breton M, Smithman MA, Touati N, et al. Family physicians attaching new patients from centralized waiting lists: a cross-sectional study. J Prim Care Community Health. 2018;9:2150132718795943. https://doi.org/10.1177/2150132718795943
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