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Related Experiment Videos

The Class of 1989 and post-MD training

E Ryten1, A D Thurber, L Buske

  • 1Office of Research and Information Services, Association of Canadian Medical Colleges, Ottawa, Ont.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|April 16, 1998
PubMed
Summary

The Class of 1989 study reveals that medical training pathways are complex, with many physicians altering their specialty choices and training duration. Post-1993 changes created rigidities, impacting resident well-being and training program completion.

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Area of Science:

  • Medical Education
  • Physician Workforce Planning
  • Longitudinal Studies

Background:

  • The Class of 1989 is a longitudinal study tracking 1722 Canadian medical graduates from 1989.
  • This research details their postgraduate medical training experiences up to spring 1996.

Purpose of the Study:

  • To analyze post-MD training pathways and career choices of Canadian medical graduates.
  • To identify trends in specialty selection, training duration, and practice locations.

Main Methods:

  • Data collected from Canadian and US medical associations on training, certification, and practice.
  • Information linked to the cohort of 1722 medical school graduates from 1989.

Main Results:

  • 3.3% did not enter post-MD training in Canada; 8.5% trained in the US.

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  • 12.9% took training breaks, and 17.5% changed specialties.
  • Training durations varied, with a final generalist:specialist ratio of 58:42, influenced by career changes.

    • Conclusions:

    • Training lead times are highly variable and often extended.
    • Post-1993 licensure changes created rigidities, leading to resident dissatisfaction and certification issues.
    • Planning physician specialty distribution is complex due to diverse training pathways and career adjustments.