1 / 10

Margrete Gaski National Centre of R ural Medicine

Physician retention in Norway’s northernmost county : How effective has the tailored internship strategy been ?. Margrete Gaski National Centre of R ural Medicine University of Tromsø – The Arctic University of Norway. Internship in Norway → 1. M arch 2014 .

wynona
Télécharger la présentation

Margrete Gaski National Centre of R ural Medicine

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Physicianretention in Norway’s northernmost county: How effective has thetailoredinternshipstrategybeen? Margrete Gaski National Centre of Rural Medicine University of Tromsø – The Arctic University of Norway

  2. Internship in Norway → 1. March 2014 Medical education in Norway: 6 years Internshipin Norway 1.5 years of training after completing medical education: 1 year in hospital + ½ year in primary health care → Regular internship: Allocation by raffle Tailored internship strategy: Students in 10th term can sign up for internship in Finnmark, in advance of raffle: • Category 1: geographical affiliation to Finnmark • Category 2: others Intension: to recruit and retain more doctors to Finnmark Period of tailored internship strategy: 1. August 2009 – 1. March 2014

  3. Finnmark County - Rural and Remote Area • Population of 75 000 • 19 municipalities: • 4 major municipalities • (≥ 6000) • 15 remote municipalities (<6000) • 2 hospitals Comparison area: Another vulnerable area (Sogn og Fjordane county), • Population of 109 000 • 25 municipalities: • 5 major municipalities (≥ 6000) • 20 remote municipalities (<6000) • 3 hospitals

  4. Finnmark Comparison area

  5. How effective is the tailored internship strategy? Employment today: Figure: Share of doctors still working in and outside their “internship county” (N=388)

  6. Tailored Internship Strategy:Not very effective for the 15 remote municipalities Doctors completing tailored internship ► 75 % chose the 4 major municipalities Internship in primary health care 1. August 2009-1. March 2014: • Tailored internship: All 10 of the remaining GPs work in the 4 major municipalities • Regular internship in Finnmark: 8 of the 13 remaining GPs, work in major municipalities • Comparison area: 3 of the remaining 9 GPs , work in major municipalities. VS

  7. Significance of geographical affiliation to Finnmark among doctors* working in Finnmark N=23 N=18 * internship in primary health care 1. August 2009-1. March 2014

  8. Possible Explanations The tailored internship strategy is effective - The rural background effect Other possible explanations of the results: • The labour market • Different education models • The Hawthorne effect (the observer effect) • Other recruit and retain-measures: • The Action Zone for Finnmark and Northern Troms • Doctor recruitment project in hospitals in Finnmark (2005 -)

  9. Internships in the Future What about the significance of local affiliation as a qualification?

More Related