Document Detail


Internship at the ends of the earth - a way to recruit physicians?
MedLine Citation:
PMID:  20572749     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: The recruitment of sufficient health workers in rural and remote areas has been a constant challenge in many countries for decades. This article describes how medical internship (18 months of mandatory practical training, including 6 months in primary care, after graduation but before granted full license as a doctor) is used in Norway as one method of recruiting young doctors. Finnmark, the most northern and remote county, offers the most challenging medical practice and is also the area most dependent on interns as medical workforce, and later as licensed doctors. ISSUE: Providing adequate professional and social support for the interns during this challenging service is regarded as a prerequisite to retaining them for further service after internship. To accomplish this, a special tutorial program has been implemented since 1997. The scope of this study is to examine whether internship in Finnmark, accompanied by the group tutelage, enhances recruitment and, if so, what are the main predictors for taking their first voluntary job in the north. LESSONS LEARNED: Twice as many interns as were expected from their background chose their first job in the north. Those brought up in the region and the graduates from the (northern) University of Tromsø, were most likely to make this choice. However, graduates from Oslo were also much more likely to choose a job in the north after internship in Finnmark than had been predicted in their last term in medical school. Internship in Finnmark also increased the probability of choosing primary care, which is a political priority in Norway. This indicates that internship in remote areas, given the appropriate professional and social support, contributes to improved recruitment of doctors to underserved areas.
Authors:
Karin Straume; Daniel M P Shaw
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-06-18
Journal Detail:
Title:  Rural and remote health     Volume:  10     ISSN:  1445-6354     ISO Abbreviation:  Rural Remote Health     Publication Date:    2010 Apr-Jun
Date Detail:
Created Date:  2010-06-24     Completed Date:  2010-10-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101174860     Medline TA:  Rural Remote Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  1366     Citation Subset:  IM    
Affiliation:
County Governeor's Office, County Medical Office of Finnmark, Finnmark, Norway. karinstraume@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Career Choice
Female
Humans
Internship and Residency / organization & administration*
Male
Mandatory Programs
Medically Underserved Area
Norway
Personnel Selection*
Physicians, Family*
Rural Population*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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