Where do Family Practitioners Work One Year After Graduation?
Analyse der Datenbank der Ärztekammer Westfalen-Lippegerman translation / full article
Analysis of the Database of the Chamber of Physicians in Westphalia-Lippe, Germany
Background: Identification of predicting factors relevant for future working place of family physicians on the background of FP shortage, particularly in rural areas.
Methods: Retrospective analysis of a database of the Westphalia-Lippe Chamber of Physicians (north-western Germany) in regard to the residence of medical specialist training graduates after twelve months from receipt of their certificate of completion.
Results: From 1992 to 2012 73 % of 3998 family practitioners (37 % female) provided outpatient care twelve months after graduation. 23 % of family practitioners work in rural areas (31 % female). The average postgraduate training lasted more than 10.7 years (Median 8.6 years). Factors associated with outpatient activity are rural work place (OR 2.5) and a short duration of postgraduate training (OR 2.1). Factors associated with rural workplace are male gender, rural offspring and the completion of the outpatient training in the countryside.
Conclusions: Working in the countryside must become more attractive, especially for female doctors. In order to retain the availability of rural physicians in the future, strategies which aim to reduce median postgraduate training periods are crucial. An expansion of high-quality composite training programs and greater support for training in rural areas could possibly face the shortage in family practitioners in rural areas. Possible conclusions for medical student selection criteria and promotion of internships rural areas during studies are close.