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This is an internal University of Oxford seminar. 

The Canadian Medicare system depends on Family Medicine as gatekeepers, but their training program is only two years post graduation. Until recently there was an excess of specialist training positions, and inadequate numbers for Family Medicine. Without patient paneling to doctors, and responsibility for patient care, the fee-for service payment system is open to abuse, and urban practice is slowly atomizing into specialoid practice that is financially more rewarding. A special feature is “hospitalist” practice, caring for substantial proportions of inpatients, and low-risk obstetrics. Since rural practice takes on more responsibility, including hospital care and obstetrics, it pays better, but recruiting is not adequate. Rural practice also includes much indigenous health care. Because all residency training occurs in University linked facilities, academic departments of Family Medicine are large. However, recruitment is a problem, especially since there are few research-trained Candidates for academic posts, and only one doctoral training program. Immigration and licensing is difficult for foreign-trained doctors, but there is a need for more diversity of ideas, and especially health services researchers. 

About the speaker

After working in Queensland, Montreal, Newcastle, Canberra, Perth and Hong Kong, James has been in Calgary for 12 years. He researches in respiratory infection and prescribing, and directs the Alberta community influenza surveillance program, that contributes to evaluating national vaccine effectiveness. He has had long-term interest in screening policies, especially for cancer, and he is a member of the Canadian Task Force on Preventive Health Care, as well as provincial and national committees for cervical screening.

If you wish to attend this seminar, please contact Jenny Hirst. 

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