The purpose of the Saskatchewan Physician Engagement and Leadership (SPEL) longitudinal action research project, conducted between 2019 and 2021 is three-fold:

1. To investigate, explain, and document dynamics within the Saskatchewan health system that either enhance or mitigate the goal of achieving optimum levels of physician engagement and leadership in the stewardship of the province’s future healthcare system.
2. To document the progress toward that goal over the period of the project.
3. To offer suggestions for further improvement where such suggestions might be warranted.

The goal of this report, written after three rounds of interviews, is to summarize final results, and to suggest some actions to move the province towards its strategic goal of optimizing levels of physician engagement and leadership in the stewardship of the healthcare system. It is recognized that the strategic goal is a long-term goal, not to be achieved during the timeframe of this study, but more likely over a 10-year period.