| Postgraduate training at the ends of the earth - a way to retain physicians? | |
| | |
MedLine Citation:
|
PMID: 20572748 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: The recruitment and retention of health workers, crucial to health service delivery, is a major challenge in many rural and remote areas. Finnmark, the most remote and northern county in Norway, has faced recurrent shortages during the last 5 decades, especially of primary care physicians. METHODS: This article describes a postgraduate training model for family physicians and public health/community medicine physicians, based on group tutorial and in-service training in rural areas. The effect of the training programs on physician retention in Finnmark is evaluated by a longitudinal cohort study. RESULTS: In total, 65-67% of the physicians from the programs are still working in the county 5 years after completion of the group tutorial. Rural practice provides good learning conditions when accompanied by appropriate tutelage, and in-service training allows the trainees and their families to 'grow roots' in the remote area while in training. The group tutorial develops peer support and professional networks to alleviate professional isolation. CONCLUSION: On the basis of these findings, traditional centralistic training models are challenged. Postgraduate (vocational) training (residency) for primary care physicians can be successfully carried out in-service in remote areas, in a manner that enhances retention without compromising the quality of the training. |
| | |
Authors:
|
Karin Straume; Mona S Søndenå; Peter Prydz |
Related Documents
:
|
14660418 - Role modeling in physicians' professional formation: reconsidering an essential but unt... 9068578 - Little room for error in canada's postgraduate training system. 420438 - A national self-assessment program in internal medicine. 2753258 - A student teaching module: physician errors. 7890878 - Gaming: a technique that adds spice to learning? 6748058 - Issues in the development of language intervention programmes. |
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: 1356 Citation Subset: IM |
Affiliation:
|
County Governeor's Office, County Medical Office of Finnmark, Finnmark, Norway. karinstraume@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Arctic Regions Education, Medical, Continuing* Female Humans Longitudinal Studies Male Medically Underserved Area Models, Organizational Personnel Loyalty* Physicians, Family Rural Health* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Meeting the needs of Nunavut families: a community-based midwifery education program.
Next Document: Internship at the ends of the earth - a way to recruite physicians?