This Ontario town is home to 8,000 residents and 18 family doctors

The first time Dr. Katayun Treasurywala and her husband, Dr. Paul Gill, drove to Goderich, Ont., they talked about how they would tell the area's physician recruiter that they had no intention of moving to the community.

It was their ninthcommunity visit and though the family physicians knew they wanted to live in a rural area, Goderichwasn't even on their short list.

They soon changed their minds.

They found themselves at the centre of a carefully orchestrated weekend aimed to woo doctors that could have been straight out of the movie The Grand Seduction.

"You're looking for people who are going to be just as excited about you launching your career as you are,"saidTreasurywala.

"You're looking for a place you can call home."

Now the doctors are two in a new crop of physicians who have rejuvenated health-care coverage in Goderich and the surrounding region. In all, the town of 8,000 is home to 18 family doctors.

The town's ability to recruit family doctors is one of the success storiesCBCNova Scotia is examining as part of an in-depth look this month at Nova Scotia's doctor shortage. The tacticsGoderichhas used may hold valuable lessons for other jurisdictions in Canadastruggling with the problem.

Desperate for doctors

Eighteen family physiciansmay seem like an impossible accomplishment. But those in the southwestern Ontario town say it is the result of a tremendous community effort.

Flashback to the early 2000s, when Goderich was down to just fivedoctorsafter a number of retirements.

"It was a tragedy," said Deb Shewfelt, the mayor at the time."We had 5,000 orphan patients, I hate the term, but 5,000 people in the area without a doctor. Nobody seemed to be doing anything about it. It had become a great issue."

The town's deputy mayor was John Grace, who assumed that small towns had no business getting into health care. Up until that point, he said he was convinced it was the responsibility of the province.

But when fears grew that the lack of doctorswould lead to the closure of Goderich's small hospital, the town council decided it had to do something.

"Your family doctor is your key to the health-care system. If you don't have a family doc, you're at the back of the line," Grace said.

A $6M plan that the town rallied behind

Goderich and its neighbouring communities had one asset: Gwen Devereaux, a former nurse, had been hired as a physician recruiter.

This was long before most regions considered it ajob.

Everywhere she went the grocery store, out for a mealpeople would askher for help.

Devereaux pushed the town council to take action.

The first hurdle Goderichhad to address was the limited services in the small town.

They set a seemingly impossible goal: raising $6 million to build a YMCA, complete with indoor pool and ice rink, and to renovate the library.

"Young doctors are not going to come to rural Ontarionot unless they're going to be able to have the same amenities as they would in the city for their young families. That was a real turning point," said Grace, who led the campaign.

Local schools, unions andbusinesses all started smallgrassroots fundraisersto help out. There were also private donations from residents, many bigger than the town council expected.

"I think there's money in a community; you have to sell the fact that we have to do this together," said Shewfelt of the town's success.

When they hit their goal, the communityleveraged money from the provincial and federal governments, and both projects were completed in just a few years.

Now that Goderichhad services, the council took aim at a clinic. They raised a couple million more, and builta collaborative care centre.

The mayor's tour

It was then up to Devereaux to find the doctors.

She hosted annual weekend retreats for medical residents, taking them to the clinic andthenout on the lake. Some even went on tours from the sky, as one of the physicians in town was also a pilot.

Devereauxplanned gala evenings, carefully choosing the seating plans.

"So the psychiatrists are with the psychiatrists and the family docs are with the family docs as residents," she said. "This was our time to showcase our community."

The mayor often spentthe better part of a day with candidates as part of a "mayor's tour," introducing them to people in the community, and in one case granting a foreign doctor's request to see the local Walmart and liquor store.

"One doctor had looked at 16 communitieshe could have went anywhere," said Shewfelt. "He said, 'When I came, everything that was promised was delivered. There was nothing missed.' That tells me that the team, the community, everyone was pulling to make this happen."

Real estate agent, babysitter, matchmaker

Devereauxhad her eye on more than just recruitment it was also about retention.

She sought out jobs for the doctors' spouses, making sure they had individual tours connected to their employment. She got written guarantees that their children would have a space in daycare.

One doctor who was single agreed to work in the area for two months. Devereaux took on the role of matchmaker, introducing him to the woman he would eventually marry.

Her role was so significant, the pair said they would have named the baby Gwen if their first child hadn't been a boy.

The weekend that Treasurywala and Gill arrived with plans to turn Devereaux down, she insisted on babysitting their son. It was the first time they had a babysitter, and their first night out after his birth.

They were charmed by her efforts.

When the couplewere graduating, 21 communities were interested in hiring them. They moved to Goderich five years ago and bought a house. Gill now coaches hockey in the community.

"I don't think I would have known where Goderich is on a map had it not been for Gwen pulling us in here," said Gill.

Doctors able to teach, research

With itswave of new doctors, Goderichnow has a healthy staff level, which isallowingthe community's family doctors to diversify.

They can work in the hospital,teach ordo research at Gateway, a rural health research facility created to make the area even more appealing to physicians.

"It feels wonderful," said Devereaux. "I sometimes have to be careful with other people who are recruiting when I say we have a population of 8,000 and we have 18 family docs. But trust me, I have been at the other side of that as well."

Grace said he feels pride when he drives by the YMCA and library, knowing how the town's effort changed everything.

He advises other communities to take control andnot wait for the province to fill the void.

"Nothing would have happened," he said."It would have been a disaster. I can't imagine where we would be today."