Beach D A, Jong M K
NorFam Program, Melville Hospital, Goose Bay, Labrador, Canada.
Int J Circumpolar Health. 1998;57 Suppl 1:75-8.
It remains difficult to find appropriately trained physicians to work in isolated northern areas. Urban-based family medicine programs have not been able to provide appropriate training. The Northern Family Medicine Education (NorFam) Program of Memorial University of Newfoundland was created to fill this need. This paper reviews the NorFam Program and discusses current practice locations and the relevance of the program as reported by its graduates. From 1993 to 1995, the NorFam Program trained 14 residents. The residents participate in a variety of educational and training activities--all chosen to be as relevant to northern practice as possible. When the graduates were surveyed, nine had remained in northern/remote or rural practice and three were doing further medical training. All respondents reported that the NorFam Program gave them more relevant training for northern practice than they would have received in an urban-based family medicine program.
很难找到经过适当培训的医生在偏远的北部地区工作。以城市为基础的家庭医学项目未能提供适当的培训。纽芬兰纪念大学的北方家庭医学教育（NorFam）项目就是为满足这一需求而设立的。本文回顾了NorFam项目，并讨论了当前的实习地点以及该项目毕业生所报告的项目相关性。1993年至1995年，NorFam项目培训了14名住院医师。这些住院医师参与各种教育和培训活动——所有活动都尽可能选择与北方地区的医疗实践相关。对毕业生进行调查时，有9人仍在北方/偏远或农村地区行医，3人正在接受进一步的医学培训。所有受访者都表示，与以城市为基础的家庭医学项目相比，NorFam项目为他们提供了更与北方地区医疗实践相关的培训。
