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   2020| April-June  | Volume 25 | Issue 2  
    Online since March 28, 2020

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Recruitment and retention of healthcare professionals in rural Canada: A systematic review
Savanna Heidi Koebisch, Jacqueline Rix, Michelle M Holmes
April-June 2020, 25(2):67-78
DOI:10.4103/CJRM.CJRM_43_19  PMID:32235108
Introduction: This review explores a pertinent issue for healthcare professionals and recruiters alike: which factors are most important in the recruitment and retention of these professionals in rural practice in Canada. Existing research concentrates on specific factors or focused populations. This review was created to explore multiple factors and a wider population of healthcare professionals, including chiropractors, osteopaths, dentists and physiotherapists. Methods: A literature search was carried out on four databases. Data from included studies were extracted, and thematic analysis was conducted on relevant findings. The quality of individual studies was assessed, and then themes were evaluated for overall confidence based on four components, using the Confidence in the Evidence for Reviews of Qualitative Research. Results: One quantitative and four qualitative articles were identified, all of which targeted physicians. Five themes – Personal/family matters, Community factors, Professional practice factors, Professional education factors and Economic factors – were generated in two domains, recruitment and retention. Forty major codes were generated through axial coding of open codes. Codes included attraction to rural lifestyle, recreational activities, Scope of practice, rural training and incentives. Scope of practice was deemed very important as a factor of recruitment, as was attraction to rural lifestyle. Incentives were found to be of little importance in influencing the recruitment of healthcare professionals, and even less important for retention. Conclusion: Wide scope of practice and attraction to the rural lifestyle were considered the most important for recruitment and to a lesser extent, retention, among the five papers studied. A lack of research was determined in the realm of factors influencing the recruitment and retention in healthcare professionals other than medical doctors in Canada. Therefore, it is recommended that further such studies investigate specific healthcare professionals.
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Screening for gestational diabetes in pregnancy in Northwestern Ontario
Jenna Poirier, Ribal Kattini, Len Kelly, Sharen Madden, Brenda Voth, Joe Dooley, Brent Marazan, Ruben Hummelen
April-June 2020, 25(2):61-66
DOI:10.4103/CJRM.CJRM_51_19  PMID:32235107
Introduction: We estimate the screening and prevalence of gestational diabetes mellitus (GDM) in a primarily first nations obstetrical population in Northwestern Ontario. Methods: The study is an 8-year retrospective analysis of all gestational glucose challenge and tolerance tests performed at the Sioux Lookout Meno Ya Win Health Centre (SLMHC) laboratory from 1 January, 2010 to 31 December, 2017. Test, gestational timing and completion rate of screening were recorded, and GDM prevalence was calculated on the tested population. Screening completion rates were recorded for the subset of women who delivered at SLMHC from 2014 to 2017. Results: The average annual GDM prevalence was 12%, double the Ontario rate. Over the 8-year period, 513 patients were diagnosed with GDM among the 4298 patients screened. Patients were screened with the 2-step (90%) or the 1-step (10%) protocol. Screening occurred <20 weeks in 3%; 54% occurred in <28 weeks and 40% >28 weeks. Seventy percent of the tests were from remote nursing stations. The screening completion rate for women delivering at SLMHC in 2017 was 80.8%. Conclusion: The prevalence of GDM in Northwestern Ontario is twice the provincial rate. Most screening used the 2-step protocol; early screening was underused. Improvements in screening programming are underway and future research may match surveillance rates and results to GDM outcomes.
  1,936 276 -
The occasional nail bed laceration
Yue Sun, Sanjay Azad
April-June 2020, 25(2):79-81
DOI:10.4103/CJRM.CJRM_83_19  PMID:32235109
  1,102 164 -
President's Message. Rural residents need specialist services too
Margaret Tromp
April-June 2020, 25(2):57-58
DOI:10.4103/CJRM.CJRM_6_20  PMID:32235105
  1,033 230 -
25 years of ruralmedruralmed a 25 ans
Peter Hutten-Czapski
April-June 2020, 25(2):55-55
DOI:10.4103/CJRM.CJRM_2_20  PMID:32235103
  1,024 194 -
Hypoxia in the rural emergency department: Discussion and case report
Braden D Teitge, Tatiana Vukadinovic, Julia S Pritchard
April-June 2020, 25(2):82-86
DOI:10.4103/CJRM.CJRM_63_19  PMID:32235110
  1,020 167 -
Message du Président. Les résidents en milieu rural ont aussi besoin des services des spécialistes
Margaret Tromp
April-June 2020, 25(2):59-60
DOI:10.4103/1203-7796.281520  PMID:32235106
  965 152 -
RuralMed a 25 ans
Peter Hutten-Czapski
April-June 2020, 25(2):56-56
DOI:10.4103/1203-7796.281522  PMID:32235104
  966 148 -
The plight of being a rural applicant for medical school
Shaughnelene Smith
April-June 2020, 25(2):87-88
DOI:10.4103/CJRM.CJRM_101_19  PMID:32235111
  856 156 -
Erratum: Rural Recommendations

April-June 2020, 25(2):89-89
DOI:10.4103/1203-7796.281521  PMID:32235112
  743 127 -