Years of practice
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• Retirement
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Direct - for example, shortening of career or more lengthy absences from practice
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• Leaves of absence
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Hours of work
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• Full- versus part-time work
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Direct - for example, less time spent working overall, or less time spent on direct patient care in favour of other responsibilities
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• Time spent on patient care
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• Time spent on administrative responsibilities, professional development
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Intensity of work
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• Number of services/time
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Direct - (lower service or patient volumes)
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• Number of patients/time
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Scope of work
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• Patient characteristics
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Indirect - (restrictions in scope of practice, or basket of services delivered; restricted patient population; reduced availability of out-of-office or off-hours care)
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• Service provision
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Practice characteristics
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• Location
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Indirect - (imbalance between urban- versus rural-based practices leading to shortages in some areas, oversupply in others)
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• Group practice versus solo practice
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