Who Stays? Young Physicians´ Choice of Specialization and Workplace

DOI: 10.3238/zfa.2016.0346-0351

Who Stays? Young Physicians´ Choice of Specialization and Workplace

german translation / full article

Andreas Klement, Stephan Fuchs, Andreas Wienke

Keywords: postgraduate education health care physicians shortage physicians migration choice of workplace

Background: Compared to other European countries, Germany has a sufficient number of physicians. In contrast to this general fact, in some regions a shortage in family practitioners is developing or already present. Reacting to this development, several political interventions were started to steer postgraduate education, although there is no valid information about motivations leading newly qualified physicians to a choice of workplace especially in a rural region. The aim of this study was to report details about newly settled physicians` choice for specialization, origin of living, professional and private motives leading to the decision of remaining in Saxony-Anhalt or to leave.

Methods: A number of 1966 physicians newly settled between the years 2007 and 2011 were asked about these items using a questionnaire.

Results: „Origin“, „income“, „family“ and „the last place of studies“ were the dominating motivations to stay in the region. If „recreation“ was a relevant motivation, leaving Saxony-Anhalt was often the chosen option. „science“, „postgraduate education“, „choice of specialization“ were not relevant for a decision. A still unchanged trend to sub-specialization could be observed. Changes of opinions concerning priorisations of motives during the first years of working could be observed.

Conclusions: In order to find helpful predicting factors for settling and remaining in a certain region, long-time studies are needed to support students starting their postgraduate education. This task of individual guidance is necessary to correct and steer the development of health care.

(State: 15.09.2016)

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