The Origins of the SRPC

1
The Origins of the SRPC

• The struggle for working conditions in Mount
  Forest resulted in the political awareness that
  there was no voice for rural medicine
• SRPC incorporated in 1992

2
http//www.srpc.ca

• In 1995 we established the SRPC WebPages
  www.srpc.ca
• In collaboration with McGill University
• Email discussion group Rural Med
• Subscribe with jwootton_at_fox.nstn.ca

3
The CJRM

• Collaborative agreement between the SRPC and the
  CMA
• First Issue June 1996
• Publishing quarterly

In this issueVolume 3 Advanced SkillMockup by
Peter Hutten-Czapskis
4
Advanced Skills Curriculums
CFPC
CAS
SRPC
SOGC
CAGS
Through strategic partnerships
5
Percent Change in GP numbers in Canada from 1994
Source CMA physician datafile
6
Existing Incentives

• 7 provinces offer relocation incentives
• 6 provide salaried positions
• 7 provide on call payments for low volume
  emergency rooms
• few offer any other retention incentives

7
Urban Disincentives

• A stick is cheaper than a carrot
• Does preventing someone from going to the city
  force them to go to the country?
• If they go to the country will they stay?
• 6 jurisdictions restrict physicians from setting
  up in overserviced urban centers

8
Incentives - Natural limits

• Established city docs are not likely to move and
  may have difficulty coping if they do
• Pool of candidates for any rural position tend to
  be either existing rural doctors or recently
  trained physicians
• Restrictive training policy limits local pool
• Restrictive immigration policy results in net
  exodus of doctors from Canada

9
A Rx For More Rural Doctors

• Train enough doctors
• Recruit country students
• Teach rural in rural settings
• Support the doctors that do go there
• professional
• financial
• personal