title: Distributed education enables distributed economic impact: the economic contribution of the Northern Ontario School of Medicine to communities in Canada

authors: Hogenbirk, John C.

abstract: Background
Medical schools with distributed or regional programs encourage people to live, work, and learn in communities that may be economically challenged. Local spending by the program, staff, teachers, and students has a local economic impact. Although the economic impact of DME has been estimated for nations and sub-national regions, the community-specific impact is often unknown. Communities that contribute to the success of DME have an interest in knowing the local economic impact of this participation. To provide this information, we estimated the economic impact of the Northern Ontario School of Medicine (NOSM) on selected communities in the historically medically underserviced and economically disadvantaged Northern Ontario region.
Methods
Economic impact was estimated by a cash-flow local economic model. Detailed data on program and learner spending were obtained for Northern Ontario communities. We included spending on NOSM’s distributed education and research programs, medical residents’ salary program, the clinical teachers’ reimbursement program, and spending by learners. Economic impact was estimated from total spending in the community adjusted by an economic multiplier based on community population size, industry diversity, and propensity to spend locally. Community employment impact was also estimated.
Results
In 2019, direct program and learner spending in Northern Ontario totalled $64.6 M (million) Canadian Dollars. Approximately 76% ($49.1 M) was spent in the two largest population centres of 122,000 and 165,000 people, with 1–5% ($0.7 M – $3.1 M) spent in communities of 5000–78,000 people. In 2019, total economic impact in Northern Ontario was estimated to be $107 M, with an impact of $38 M and $36 M in the two largest population centres. The remaining $34 M (32%) of the economic impact occurred in smaller communities or within the region. Expressed alternatively as employment impact, the 404 full time equivalent (FTE) positions supported an additional 298 FTE positions in Northern Ontario. NOSM-trained physicians practising in the region added an economic impact of $88 M.
Conclusions
By establishing programs and bringing people to Northern Ontario communities, NOSM added local spending and knowledge-based economic activity to a predominantly resource-based economy. In an economically deprived region, distributed medical education enabled distributed economic impact.

text: Distributed education enables distributed economic impact: the economic contribution of the Northern Ontario School of Medicine to communities in Canada Background
Medical schools with distributed or regional programs encourage people to live, work, and learn in communities that may be economically challenged. Local spending by the program, staff, teachers, and students has a local economic impact. Although the economic impact of DME has been estimated for nations and sub-national regions, the community-specific impact is often unknown. Communities that contribute to the success of DME have an interest in knowing the local economic impact of this participation. To provide this information, we estimated the economic impact of the Northern Ontario School of Medicine (NOSM) on selected communities in the historically medically underserviced and economically disadvantaged Northern Ontario region.
Methods
Economic impact was estimated by a cash-flow local economic model. Detailed data on program and learner spending were obtained for Northern Ontario communities. We included spending on NOSM’s distributed education and research programs, medical residents’ salary program, the clinical teachers’ reimbursement program, and spending by learners. Economic impact was estimated from total spending in the community adjusted by an economic multiplier based on community population size, industry diversity, and propensity to spend locally. Community employment impact was also estimated.
Results
In 2019, direct program and learner spending in Northern Ontario totalled $64.6 M (million) Canadian Dollars. Approximately 76% ($49.1 M) was spent in the two largest population centres of 122,000 and 165,000 people, with 1–5% ($0.7 M – $3.1 M) spent in communities of 5000–78,000 people. In 2019, total economic impact in Northern Ontario was estimated to be $107 M, with an impact of $38 M and $36 M in the two largest population centres. The remaining $34 M (32%) of the economic impact occurred in smaller communities or within the region. Expressed alternatively as employment impact, the 404 full time equivalent (FTE) positions supported an additional 298 FTE positions in Northern Ontario. NOSM-trained physicians practising in the region added an economic impact of $88 M.
Conclusions
By establishing programs and bringing people to Northern Ontario communities, NOSM added local spending and knowledge-based economic activity to a predominantly resource-based economy. In an economically deprived region, distributed medical education enabled distributed economic impact.

year: 2021

title: A systems approach to the description and interpretation of the landsurface of the northern half of the North Island, New Zealand

authors: Conacher, A.J.

abstract: The paper examines a framework of approach within which landsurface analysis may be undertaken in the humid-temperate northern half of the North Island, New Zealand; an area exhibiting a wide range of lithologies and surface cover, with evidence of recent and current tectonic and volcanic activity, and undergoing active geomorphic processes'. The largely theoretical formulations of W. M. Davis, W. Penck and L. C. King are considered briefly and are rejected on both theoretical and practical grounds. General systems theory encompasses certain concepts and systems properties which have been applied by a number of geomorphologists. The open system property of dynamic equilibrium is examined, and is found to be inapplicable to the total landsurface of this region. The concepts of environment and sub-system are introduced and their relevance to the region illustrated by a physical hillslope model. Dynamic equilibrium is considered to be a possible state of certain hillslope sub-systems. Construction of a mathematical model to describe the total landsurface or the entire hillslope system is not feasible until hillslope sub-systems have been analysed. The form of a linear regression model applicable to hillslope sub-systems is introduced, and it is suggested that the pattern of the residuals from regression may be used as a statistical technique to assist in identifying .significant system boundary conditions, and to provide a quantitative indication of the influence of historical factors.

text: A systems approach to the description and interpretation of the landsurface of the northern half of the North Island, New Zealand The paper examines a framework of approach within which landsurface analysis may be undertaken in the humid-temperate northern half of the North Island, New Zealand; an area exhibiting a wide range of lithologies and surface cover, with evidence of recent and current tectonic and volcanic activity, and undergoing active geomorphic processes'. The largely theoretical formulations of W. M. Davis, W. Penck and L. C. King are considered briefly and are rejected on both theoretical and practical grounds. General systems theory encompasses certain concepts and systems properties which have been applied by a number of geomorphologists. The open system property of dynamic equilibrium is examined, and is found to be inapplicable to the total landsurface of this region. The concepts of environment and sub-system are introduced and their relevance to the region illustrated by a physical hillslope model. Dynamic equilibrium is considered to be a possible state of certain hillslope sub-systems. Construction of a mathematical model to describe the total landsurface or the entire hillslope system is not feasible until hillslope sub-systems have been analysed. The form of a linear regression model applicable to hillslope sub-systems is introduced, and it is suggested that the pattern of the residuals from regression may be used as a statistical technique to assist in identifying .significant system boundary conditions, and to provide a quantitative indication of the influence of historical factors.

year: 1967

title: How Well Does Psychological Research in Aotearoa New Zealand Reflect Diversity?

authors: Tan, Kyle K. H.

subjects: biculturalism

abstract: This paper presents our reflections as psychological researchers based on a content analysis of studies published in Journal of the New Zealand College of Clinical Psychologists and New Zealand Journal of Psychology over the last decade. We found the frequency of articles that had considered biculturalism, multiculturalism and diversity was related to the scope of the journal and the release of special issues on specific themes (e.g. Indigenous psychologies in 2017). Five issues were identified around the inclusion of cultural diversity in psychological research: inadequate data collection, controlling for diversity, no contextualisation of diversity, pathologisation of diversity and passing responsibility to others. Each issue was succinctly discussed with examples provided. Through this paper, we hope to open up a conversation on how psychological researchers can meet their ethical responsibility to Te Tiriti o Waitangi.

text: How Well Does Psychological Research in Aotearoa New Zealand Reflect Diversity? This paper presents our reflections as psychological researchers based on a content analysis of studies published in Journal of the New Zealand College of Clinical Psychologists and New Zealand Journal of Psychology over the last decade. We found the frequency of articles that had considered biculturalism, multiculturalism and diversity was related to the scope of the journal and the release of special issues on specific themes (e.g. Indigenous psychologies in 2017). Five issues were identified around the inclusion of cultural diversity in psychological research: inadequate data collection, controlling for diversity, no contextualisation of diversity, pathologisation of diversity and passing responsibility to others. Each issue was succinctly discussed with examples provided. Through this paper, we hope to open up a conversation on how psychological researchers can meet their ethical responsibility to Te Tiriti o Waitangi.

year: 2023-07-24