I'll just make a first comment.
Roger is working in a more northern area than I am, but I have worked in Sioux Lookout in his area. Fundamentally, from a health human resources perspective, I think there's a great deal of similarity. There are a lot of physicians and nurses who move from isolated communities in the north to rural communities farther south. They don't go as far south as Toronto, but coming south for them is a big change.
However, in terms of the specifics and content of the two, it's quite different. The Society of Rural Physicians is collaborating with a first nations physician group to produce a textbook on northern health, because so many aspects of it are different in terms of specifics. So it's a subset on the clinical side.
On the training side, it's probably not. The main characteristic of physicians who work in rural Canada is the level of responsibility they take on. They're isolated, but they can be just as isolated here in Shawville in a snow storm as they can be up north if the planes can't fly.
So in terms of the infrastructure and the training level, there's a great deal of similarity. However, when you branch out into individual communities, things start to be quite different.