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Starting a Career in a Remote Rural Area

Starting a Career in a Remote Rural Area. Eyjolfur Thorkelsson, GP Registrar Egilsstaðir - Iceland. Who are you?. I was born and raised in Seyðisfjörður small town of 800 inhabitants My mother grew up there. My father was raised in a nearby village

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Starting a Career in a Remote Rural Area

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  1. Starting a Career in a Remote Rural Area Eyjolfur Thorkelsson, GP Registrar Egilsstaðir - Iceland

  2. Who are you? • I was born and raised in Seyðisfjörður • small town of 800 inhabitants • My mother grew up there. • My father was raised in a nearby village • My mother is a midwife and delivered many babies • the epitome of a rural practitioner

  3. When I decided to be a rural GP • My mother’s book “A Child is Born” • Swedish photographer Lennart Nilsson • Growing up in a declining rural town I felt socially accountable • A new doctor moved to Seyðisfjörður, to whom I could very well relate

  4. When I gave up on becoming a rural GP • The Medical Faculty’s lack of enthusiasm for GP • let alone rural GP • 5 days in 6 years • I felt support and good-will at the ENT department where I worked while still in school. • I felt overwhelmed in my first job after graduation • a semi-rural health care centre near Reykjavik

  5. When my rural interest was reignited • I felt supported and believed in by a rural GP • Clinical work interesting and manageable • My current mentor asked me to come and work in Egilsstaðir and offered my wife a job as well • support, challenge and acceptance • Akureyri district hospital gave me opportunity to hone my generalist skills • Rural Health action group

  6. Why this lengthy prologue? • Research has shown these factors to be very important when recruiting doctors to rural areas • rural background • feeling connected to the rural population • role models • clinical work interesting • Factors antagonising recruitment or retention • lack of collegial support • feeling overwhelmed in A&E situations • lack of rural experience in medical school

  7. “Therefore go and make disciples of all nations” • YES, I want to be a rural doctor • …but I want others as well • What can I do? • reach out for bright students in rural communities • help them into medical school • invite medical students to come and visit • offer newbies flexibility and time to adjust • make allowance in your schedule • allow them to observe you after-hours • MAKE THEM FEEL YOUR SUPPORT!

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