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Factors influencing the choice of practice location among Canadian otolaryngologists

Published online by Cambridge University Press:  29 March 2019

J Cottrell ,
P You  and
K Fung
J Cottrell*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University of Toronto, Toronto, Canada
P You
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, London Health Sciences Centre, Western University, London, Ontario, Canada
K Fung
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, London Health Sciences Centre, Western University, London, Ontario, Canada
*
Author for correspondence: Dr Justin Cottrell, Department of Otolaryngology – Head and Neck Surgery, University of Toronto, Toronto, Canada E-mail: Justin.cottrell@mail.utoronto.ca
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Abstract

Objectives

Little is known about what shapes the choice of employment location in a competitive surgical specialty like otolaryngology – head and neck surgery. This study aimed to identify factors important in determining practice location among Canadian otolaryngologists

Methods

An online survey was distributed nationally to active members of the Canadian Society of Otolaryngology – Head and Neck Surgery. The survey collected data on general demographics, current practice description, training location, factors deemed important in practice location decisions, and job satisfaction.

Results

A total of 122 survey responses were collected, with a similar proportion of participants in academic versus community practice. The majority of respondents (73 per cent) practised in the same province as their residency training. Participants identified job vacancy, colleague interaction, spouse opinion and hospital services as important in the decision of practice location.

Conclusion

Key determinants of practice location among Canadian otolaryngologists include job vacancies, spouse opinion, and colleague interactions. Overall, Canadian otolaryngologists report high satisfaction with current employment.

Keywords

EmploymentSatisfactionFellowshipsOtolaryngologistsWorkforceCanada
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 4 , April 2019 , pp. 339 - 343
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr J Cottrell takes responsibility for the integrity of the content of the paper

Presented orally at the 71st Canadian Society of Otolaryngology – Head and Neck Surgery annual meeting, 10 June 2017, Saskatoon, Canada.

References

1Gooden, E, Brown, D, Carr, M. Otolaryngology manpower in Canada: a crisis in the making? J Otolaryngol 2004;33:93–7Google Scholar
2Hughes, CA, McMenamin, P, Mehta, V, Pillsbury, H, Kennedy, D. Otolaryngology workforce analysis. Laryngoscope 2016;126(suppl 9):S5–11Google Scholar
3Kim, JSC, Cooper, RA, Kennedy, DW. Otolaryngology–head and neck surgery physician work force issues: an analysis for future specialty planning. Otolaryngol Head Neck Surg 2012;146:196–202Google Scholar
4Pillsbury, HC, Cannon, CR, Sedory Holzer, SE, Jacoby, I, Nielsen, DR, Benninger, MS et al. The workforce in otolaryngology-head and neck surgery: moving into the next millennium. Otolaryngol Head Neck Surg 2000;123:341–56Google Scholar
5Crowson, MG, Lin, V. The Canadian otolaryngology–head and neck surgery workforce in the urban-rural continuum: longitudinal data from 2002 to 2013. Otolaryngol Head Neck Surg 2017;158:127–34Google Scholar
6Steele, MT, Schwab, RA, McNamara, RM, Watson, WA. Emergency medicine resident choice of practice location. Ann Emerg Med 1998;31:351–7Google Scholar
7Ahmed, AA, Holliday, EB, Ileto, J, Yoo, S, Green, M, Orman, A et al. Close to home: employment outcomes for recent radiation oncology graduates. Int J Radiat Oncol 2016;95:1017–21Google Scholar
8Khan, J, Gilbert, J, Sharma, A, LeManach, Y, Yee, D. Perspectives of anesthesia residents training in Canada on fellowship training, research, and future practice location. Can J Anaesth 2015;62:956–63Google Scholar
9Raghavan, M, Fleisher, W, Downs, A, Martin, B, Sandham, JD. Determinants of first practice location: among Manitoba medical graduates. Can Fam Physician 2012;58:667–76Google Scholar
10Holmes, JE, Miller, DA. Factors affecting decisions on practice locations. J Med Educ 1986;61:721–6Google Scholar
11Rogers, ME, Searle, J, Creed, PA. Why do junior doctors not want to work in a rural location, and what would induce them to do so? Aust J Rural Health 2010;18:181–6Google Scholar
12Jarman, BT, Cogbill, TH, Mathiason, MA, O'Heron, CT, Foley, EF, Martin, RF et al. Factors correlated with surgery resident choice to practice general surgery in a rural area. J Surg Educ 2009;66:319–24Google Scholar
13Fréchette, D, Hollenberg, D, Shrichand, A, Jacob, C, Datta, I. What's Really Behind Canada's Unemployed Specialists? Too Many, Too Few Doctors? Findings From The Royal College's Employment Study. Ottawa: Royal College of Physicians and Surgeons of Canada, 2013Google Scholar
14Brandt, MG, Scott, GM, Doyle, PC, Ballagh, RH. Otolaryngology - head and neck surgeon unemployment in Canada: a cross-sectional survey of graduating otolaryngology - head and neck surgery residents. J Otolaryngol Head Neck Surg 2014;43:37Google Scholar
15LeFevre, ML, Colwill, JM. Practice location as a function of medical school and residency location: implications for resident selection. J Fam Pract 1983;16:1157–60Google Scholar
16Smith, KA, Sommer, DD, Grondin, S, Rotenberg, B, Tewfik, MA, Kilty, S et al. Assessment of the current Canadian rhinology workforce. J Otolaryngol Head Neck Surg 2015;44:15Google Scholar
17Deshpande, SP, Deshpande, SS. Career satisfaction of surgical specialties. Ann Surg 2011;253:1011–16Google Scholar
18Landon, BE, Reschovsky, JD, Pham, HH, Blumenthal, D. Leaving medicine: the consequences of physician dissatisfaction. Med Care 2006;44:234–42Google Scholar
19Nulty, DD. The adequacy of response rates to online and paper surveys: what can be done? Assess Eval High Educ 2008;33:301–14Google Scholar
20Troppmann, KM, Palis, BE, Goodnight, JE, Ho, HS, Troppmann, C. Career and lifestyle satisfaction among surgeons: what really matters? The National Lifestyles in Surgery Today Survey. J Am Coll Surg 2009;209:160–9Google Scholar
21Wilson, MN, Vila, PM, Cohen, DS, Carter, JM, Lawlor, CM, Davis, KS et al. The pursuit of otolaryngology subspecialty fellowships. Otolaryngol Head Neck Surg 2016;154:1027–33Google Scholar