Acknowledgements
Executive Summary

Contents

I     Introduction
II    Demographic Overview

1. Introduction
2. Rural and Northern Population and Geography
3. Rural and Northern Community Needs for Primary Hospital Care
4. Rural and Northern Needs for Specialists

III   Solutions

1. Medical Education
1. Before Medical School: High School
2. Pre-Medical Undergraduate Rural Exposure to Rural Medical Experiences
3. Medical School Admission Committees
4. Undergraduate Core Rural Curriculum Component
5. Undergraduate Medical Student Electives
6. Undergraduate Return of Service Agreements
7. Postgraduate Rural Medical Training
8. Rural Physician Faculty Appointments / Teaching Activities
9. Training of Rural Teachers
10. Advanced Skills Training for Residents and Practising Rural Physicians
11. Re-entry Training Positions
12. Continuing Medical Education
2. Rural Practice Issues
13. Referral / Support Network
14. Medical Informatics
15. Telephone Triage
16. Physician Licensing
17. Allied Health Professionals
18. Rural Physician Clinical Support Program
19. Renumeration for Family Physicians
20. Physician Payment / Specialists
21. Natural Limits, Including Retirement and Burnout
22. Physician "Turf" issues
23. Spousal and Family Concerns
24. Locum Programs
3. Infrastructure
25. Community Development Officers
26. Rural and Remote Areas Program (RRAP)
27. Rurality Index

IV    Future Directions

1. The Need for Other Health Care Reforms
2. A Call to Action

V     Appendices

1. List of Participants
2. Ontario Population Breakdown by Region
3. Population per Active Physician in Ontario by Planning Region
4. Population per Non-Specialist in Central East Ontario by County
5. Population per Non-Specialist in Central West Ontario by County
6. Population per Non-Specialist in East Ontario by County
7. Population per Non-Specialist in North East Ontario by County
8. Population per Non-Specialist in North West Ontario by County
9. Population per Non-Specialist in South West Ontario by County
10. Population per GP / FP Billing $60K by Planning Region
11. Population per Active Physician in Southern Ontario by Planning Region
12. Population per Active Physician in Northern Ontario by Planning Region
13. Population per Non-Specialist in Southern Ontario
14. Population per Non-Specialist in Northern Ontario
15. Population per Non-Specialist in Southern Ontario by County
16. Population per Non-Specialist in Northern Ontario by County
17. Population per Specialist in Southern Ontario by Planning Region
18. Population per Specialist in Northern Ontario by Planning Region
19. Executive Summary: Toward a New Vision for Globally Funded Group Practice Agreements

VI   Bibliography