Fig. 3From: Distributed education enables distributed economic impact: the economic contribution of the Northern Ontario School of Medicine to communities in CanadaTotal spending (â—Š) and economic impact (bars) (millions of Canadian dollars) in the service region of the Northern Ontario School of Medicine (NOSM) for fiscal year 2018/2019. a Includes the Northern Ontario School of Medicine (NOSM) educational programs and research activities, the Paymaster program for medical resident salaries, academic Alternate Funding Plan for clinical teaching reimbursement, and spending by other learners. b CMA: Census Metropolitan Area. c CA: Census Agglomeration. d CSD: Census Subdivision. e CSD+: Census Subdivision, plus all areas that comprised the former CABack to article page