this post was submitted on 22 Oct 2023
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Canada is way, way short on primary care providers, especially in rural and remote areas, yes. Nurse-practitioners can only fill in so many of the gaps left by the insufficient number of family physicians, and they also take time to train. We have emergency departments closing because of lack of personnel, and it's literally killing people to have to drive forty or more minutes to the nearest hospital that's open when they have a heart attack.
Forcing new physicians to practice for a year somewhere other than a major city would be much more useful than sending them back to school for an extra year.
I'm not sure you understand what residency consists of. Family residents (at least in SK) already have rural rotations where they spend several months in one or more rural practices.
I'm in Ontario, and the northern areas of the province (like, anywhere north of Barrie) have been continuously short of doctors for the past forty years. Some slots here for medical residents go unfilled for years at a time, from what I understand—they do have a right to refuse a position they don't want. And very few of them want to go to, say, Kapuskasing. There is one medical school that obliges graduates to remain in the north for a time, but they simply don't graduate enough people. Rural voters have more pull in Saskatchewan than northern voters do here, so there's also little incentive for the government to change things.
It does make a difference. But I’m sure it’s not easy to access those residencies.