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.
How does growth at my faculty compare with other faculties?
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
How does growth at my faculty compare with other faculties?
0
250
500
750
1000
1250
1500
1750
2000
2250
MEM DAL LAV SHER MTL McG OTT QNS TOR McM UWO NOSM MAN SASK ALTA CAL UBC
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.
How does growth at my faculty compare with other faculties?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
MEM DAL LAV SHER MTL McG OTT QNS TOR McM UWO NOSM MAN SASK ALTA CAL UBC
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.
How does growth at my faculty compare with other faculties?
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.
How does growth at my faculty compare with other faculties?
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.
How does growth at my faculty compare with other faculties?
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)
What health care needs are we meeting through our specialty allocation?
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.
What health care needs are we meeting through our specialty allocation?
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
Source: CAPER, 2010. Note: Includes P/T Ministry-funded trainees only.
What health care needs are we meeting through our specialty allocation?
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
Source: CAPER, 2010. Note: Includes P/T Ministry-funded trainees only.
What health care needs are we meeting through our specialty allocation?
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.
What health care needs are we meeting through our specialty allocation?
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!