title: The training paths and practice patterns of Canadian paediatric residency graduates, 2004-2010.
abstract: BACKGROUND
  The Paediatric Chairs of Canada have been proactive in workforce planning, anticipating paediatric job opportunities in academic centres. To complement this, it is important to characterize the practice profiles of paediatricians exiting training, including those working outside of tertiary care centres.
  
  
  OBJECTIVE
  To describe the training paths and the practice patterns of Canadian paediatric residency graduates.
  
  
  METHODS
  A survey was completed in 2010 to 2011 by Canadian program directors regarding residents completing core paediatrics training between 2004 and 2010. Data collection included training path after completing core paediatrics training and practice type after graduation.
  
  
  RESULTS
  Of 699 residents completing their core training in paediatrics, training path data were available for 685 (98%). Overall, 430 (63%) residents completed subspecialty training while 255 (37%) completed general paediatrics training only. There was a significant increase in subspecialty training, from 59% in earlier graduates (2004 to 2007) to 67% in later graduates (2008 to 2010) (P=0.037). Practice pattern data after completion of training were available for 245 general paediatricians and 205 subspecialists. Sixty-nine percent of general paediatricians were community based while 85% of subspecialists were hospital based in tertiary or quaternary centres. Of all residents currently in practice, only 36 (8%) were working in rural, remote or underserviced areas.
  
  
  CONCLUSIONS
  Almost two-thirds of recent Canadian paediatric graduates pursued subspecialty training. There was a significant increase in the frequency of subspecialty training among later-year graduates. Few graduates are practicing in rural or underserviced areas. Further studies are needed to determine whether these trends continue and their impact on the future paediatric workforce in Canada.
authors.affiliation: Section of General Pediatrics, Department of Pediatrics, King Abdullah Specialized Children's Hospital, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs Riyadh, Saudi Arabia;
authors.forename: Tahir
authors.initials: T
authors.lastname: Hameed
authors.affiliation: Division of Endocrinology and Metabolism, Children's Hospital of Eastern Ontario and Department of Pediatrics, University of Ottawa, Ottawa, Ontario;
authors.forename: Sarah
authors.initials: S
authors.lastname: Lawrence
keywords: Career choice; Paediatrics; Practice patterns; Residency