First year rural visits in 2006 Practice Locations in New Brunswick of over 100 Dalhousie “A practical rural and Dr. Scott Moffatt is the co-ordinator of the New Brunswick Medical Medical Education Program Memorial MD Graduates Education Program at Memorial University. Born in he did his Bathurst Memorial University regional focus is the first two degrees at Acadia University (Biology) and the University of New of Newfoundland corner stone of Brunswick (History). He started his medical degree at Memorial University New Brunswick Holistic Approach to Admissions • Founded in 1925 Memorial University in 1983 and did a family medicine residency through Dalhousie University, of Newfoundland for Grand Falls • Pre-requisite: university degree Miramichi medical education, completing many of his rotations in New Brunswick. For several years he • Admissions committee includes rural, community and student members Faculty of Medicine Blackville with New Brunswick had a rural practice in Florenceville, NB. Perth-Andover • Established in 1967 • Admissions process balances academics and other attributes such as as a big component.” Doaktown • First graduating MD Florenceville communication and achievements and includes interview As a faculty member at Memorial, Dr. Moffatt began to work in 2002 to class in 1973 –Dean James Rourke, Hartland Stanley www.med.mun.ca, increase the New Brunswick presence in MUN’s undergraduate medical Chipman • 60 students each year (40+ Newfoundland and Labrador, 10 New Newcastle [email protected] Woodstock Minto Sackville education, especially at the clerkship level. In discussion with New Fredericton Petitcodiac Brunswick, 2 Prince Edward Island, up to 8 from other places. Riverside Albert Brunswick medical educators, specifically in Saint John and Moncton, New Maryland Oromocto Cambridge Narrows clerkship rotations started in 2002 in Saint John covering all Harvey Gagetown Station Hampton Rural and Regional Medical School Curriculum “Since Memorial University started these clerkships in New Brunswick it’s specialty-based core rotations: internal medicine, obstetrics and Westfield Rothesay Grand Bay been a matter of connecting the medical educators in New Brunswick to gynecology, surgery, pediatrics, psychiatry and family medicine. In 2004, • Hybrid curriculum with rural context and content interwoven with clinical St. Stephen their colleagues at Memorial, as well as going up to New Brunswick to clerkship positions were developed through Moncton in internal medicine, Saint John skills training from the beginning. St. Andrews touch base with individual educators and students and following up on obstetrics and gynecology and surgery. • Rural and regional community placements in first and second year as how they are doing.” well as third/fourth year clerkship rotations including New Brunswick. –Dr. Scott Moffatt

MUN Family Medicine resident Dr. John Context Based Postgraduate Vocational Training Kielty (L) with Dr. Michael Perley at the Sites for New Brunswick second year Educating Family Medicine and Specialty Residency Programs Community Origin of 40 OUTCOMES Carleton Memorial Hospital in Woodstock, Family Medicine placements 2006 2006 Memorial Medical Students Tomorrow’s Doctors N.B. Dr. Perley is the 2006 winner of the Dr. • St. John’s provides primary, secondary and tertiary services in a small A well-established rural Dalhousie from New Brunswick Yong Kee Jeon Award, given by Memorial’s Campbellton city setting regional clinical education Discipline of Family Medicine in recognition • All programs offer opportunities for rural/regional training Medical Council of Canada network integrated into the Bathurst Qualifying Exam of excellence in teaching Family Medicine • NorFam started in 1992, provides family medicine residents with at entire spectrum of clinical care residents; contritutions to the Discipline of MCCQE Part II from remote outports in New Brunswick Family Medicine either administratively or in least 8 months of training in Labrador. Results of 16 Canadian Labrador to New Brunswick • Potential to develop more rural family medicine rotations in New Medical Schools time to residents; and participation in Miramichi communities to the Health teaching activities such as the Rural Family Brunswick and specialty rotations, especially in Saint John. Sciences Centre in St. John’s. Medicine Teachers Meeting, the rural Fair, “Your medical graduates” Florenceville #2 – Fall 2004 Our Faculty of Medicine is educational teleconferences, rounds or Accessible Professional Development/Continuing Medical Education resident interviews. #2 – Fall 2003 particularly good at training Moncton • A leader in telemedicine and electronically accessible CME #1 – Fall 2002 general specialists and rural Woodstock Fredericton #3 – Fall 2001 physicians. Oromocto "I believe that Memorial's medical program, which emphasizes training family Rothesay physicians to work in rural areas, is an excellent fit for the type of physicians Grand Bay- Westfield St. Martins New Brunswick desires." “The New Brunswick sites offer a unique experience where the students – mostly New “The medical education experience in New Brunswick for MUN students Saint John Brunswick students – can connect with communities and physicians during their has been exceptional. I’ve always known that New Brunswick is a place "We are provided with numerous opportunities to visit rural Newfoundland preclerkship. They then connect these to clerkship rotations which are rich in clinical for very strong clinical teaching and that community-based hospitals with communities to practice the skills we are learning. In doing so, we are gaining experience and teaching in both Moncton and Saint John. Students do very well in their skilled preceptors can provide exceptional bedside teaching, and that’s an appreciation of the necessity for family physicians in rural areas and we are end-of-rotation examinations and subsequent careers.” what we’re seen happen.” cognizant of the fact that this need exists not only in Newfoundland, but in –Dr. Scott Moffatt –Dr. Scott Moffatt New Brunswick as well. –Jadon Harding, MUN Med II Sites for third year clinical clerkships Physicians Exiting From Canadian Family Medicine Medical School Graduates Proportion of Canadian Graduates Choosing st Training Programs, 1997-2001 All MDs – as % in rural practice Family Medicine As 1 Choice by Medical School Some first Type of Practice Loc. New Brunswick 18 2006 Match First Iteration and second 16 Province Providing Urban Rural School % of graduates % of program quota # of family medicine # of Vacancies in Post-M.D. Training year New 14 choosing family filled positions offered family medicine Count Row % Count Row % Brunswick 12 medicine Newfoundland 60 58.8% 42 41.2% students at 10 Memorial 45.1 100% 20 - The Maritimes 138 88.5% 18 11.5% Moncton 8 Memorial (core) Woodstock Sackville Quebec 945 85.7% 158 14.3% 6 Sussex Ontario 1001 89.3% 120 10.7% Oromocto 4 Cambridge Narrows Canada Total 32.5 86.3% 794 109 Manitoba 108 81.2% 25 18.8% Hampton 2 Saskatchewan 71 77.2% 21 22.8% St. Martins 0 CARMS: Canadian Resident Matching Services, May 2006 St. Stephen Alberta 332 91.5% 31 8.5% Saint John Canadian graduates MUN graduates (core) Hutten-Czapski, Thurber. CJRM 2002;7:95-100 Of all Canadian Medical Schools in 2006, Memorial had the highest percentage of British Columbia 196 87.5% 28 12.5% Who makes Canada’s rural doctors? graduates choosing to train to become family doctors. Memorial’s family medicine residency Total 2851 86.6% 443 13.4%

training program was one of only 4 in the country to completely fill in the first match. New physicians in Rural Practice. CAPER.2004 www.caper.ca