Winnipeg Free Press - PRINT EDITION

Medical students sticking around

More graduates to practise here

HOPES are high Manitoba will eventually retain more physicians after a record number of medical graduates decided to stay in the province.The University of Manitoba's faculty of medicine confirmed 62 of 100 medical students set to graduate this year plan to finish their postgraduate training here -- up from just 38 graduates in 2008 and 52 last year.

Fourth-year medical students rank their choices and can apply for a postgraduate training spot anywhere in Canada, competing with students from 17 Canadian medical schools for positions. The Canadian Resident Matching Service then links grad students with a position through two rounds of matching.

Dr. Ira Ripstein, associate dean of the U of M's postgraduate medical program, said the match is great news, since where students complete their residency training is the best predictor of where they will eventually practise medicine.

He said local graduates filled all 15 of the training positions in northern and remote Manitoba, while another nine students will train in family medicine in rural areas. Twenty-five graduates matched to family medicine training programs will stay in Manitoba.

"It's the best we've ever done," Ripstein said. "Where you do your residency is the strongest indicator of where you end up practising."

Ripstein said some students choose to train elsewhere in Canada, and the U of M doesn't track how many eventually come back to practise in Manitoba.

He said it's important that there is a mix of residents from universities across Canada and abroad to get a "cross breeding" of ideas in medicine.

Medical graduates spend at least two years completing their residency training in hospital settings in order to get a licence to practise family medicine.

Others pursue specialty fields, such as emergency medicine or dermatology, for four to six years before they can apply for a licence.

In 2007, the majority of the province's medical graduates left Manitoba, including 13 students who wanted to stay to train but didn't get residency positions.

The situation sparked ire from critics who said the university was handing training spots over to international medical graduates who are more likely to leave Manitoba.

In 2010, 98 per cent of students were matched to positions in the first round. Two Manitoba graduates didn't get a residency position in the first round of matching.

A total of 62 per cent of graduates will stay and train in the province.

jen.skerritt@freepress.mb.ca

Republished from the Winnipeg Free Press print edition March 10, 2010 A4

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