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BACKGROUND: Although specialist physicians comprise nearly half of the physician workforce in Newfoundland and Labrador (NL), relatively little is known about their retention patterns. We compared 2 cohorts of physicians who were initially licensed to practise in NL between 1993 and 1997 and between 2000 and 2004, to examine whether retention had changed over time. Additionally, we examined the retention of 4 groups of physicians in each cohort: (1) fully licensed medical graduates of Memorial University, (2) fully licensed medical graduates of other Canadian universities, (3) provisionally licensed international medical graduates (IMGs) and (4) fully licensed IMGs...

BACKGROUND: To alleviate the shortage of primary care physicians in rural communities, the Canadian province of Newfoundland and Labrador (NL) introduced provisional licensure for international medical graduates (IMGs), allowing them to practise in under-served communities while completing licensing requirements. Although provisional licensing has been seen as a needed recruitment strategy, little is known about its impact on physician retention. To assess the relationship between provincial retention time and type of initial practice licence, we compared the retention of: (1) IMGs who began practice with a provisional licence; (2) fully licensed Memorial University medical graduates (MMGs); and (3) fully licensed medical graduates from other Canadian medical schools (CMGs)...

We linked the Memorial University of Newfoundland (MUN) postgraduate database with Scott's Medical Database to determine 2004 work locations of physicians who started residency training at MUN by 1998 to assess whether international medical graduates (IMGs) are as likely as MUN and other Canadian medical graduates (CMGs) to work in Canada and Newfoundland and Labrador (NL). In 2004, 66.8% of the residents were in Canada (87.8% MUN graduates, 47.3% IMGs, 67.3% CMGs) and 18.8% were in NL (43.2% MUN graduates, 7...

INTRODUCTION: International medical graduates (IMGs) play an important role in physician resource planning in many countries and are heavily relied on to fill vacancies in underserved communities. New IMGs may experience difficulty with understanding how medicine is organized in new countries. Effective orientation processes can assist new IMGs in making successful transitions to medical practice in their new countries, reducing professional isolation and enhancing the integration of IMGs and their families within their new communities...