Morken Colleen, Bruksch-Meck Kimberly, Crouse Byron, Traxler Kara
School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin,
Wisconsin Rural Physician Residency Assistance Program, Department of Family Medicine and Community Health, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin.
WMJ. 2018 Dec;117(5):208-210.
Rural training track residency programs were created to aid in addressing the shortage of rural physicians. While these programs have been shown to increase rural recruitment and retention, the reasons for improved retention are unclear.
We analyzed survey results of 16 graduates of the UW-Baraboo Rural Training Track Family Medicine Residency Program on which factors influenced rural retention.
Participants cited the wishes of significant others, meaningful work, and integration into the local community as the most important factors in rural retention. Loan repayment and teaching opportunities were least important.
The factors identified in this study as important to rural retention were supported by previous literature and have remained consistent over time for rural physicians, including rural training track graduates.
Rural Training Track alumni physicians in our study found similar factors important to rural retention when compared to other rural physicians in the United States reported in the literature, regardless of residency background. These factors continue to be important to shape retention strategies employed by rural health care systems; future studies should evaluate rural retention strategies that utilize these factors.
农村培训轨道住院医师项目旨在帮助解决农村地区医生短缺的问题。虽然这些项目已被证明能增加农村地区医生的招聘和留用,但留用率提高的原因尚不清楚。
我们分析了威斯康星大学巴拉布市农村培训轨道家庭医学住院医师项目16名毕业生的调查结果,以了解哪些因素影响农村地区的医生留用。
参与者认为,重要他人的意愿、有意义的工作以及融入当地社区是农村地区医生留用的最重要因素。贷款偿还和教学机会则最不重要。
本研究确定的对农村地区医生留用重要的因素得到了以往文献的支持,并且对于农村医生(包括农村培训轨道的毕业生)来说,这些因素长期以来保持一致。
与文献中报道的美国其他农村医生相比,我们研究中的农村培训轨道校友医生发现,对农村地区医生留用重要的因素相似,无论其住院医师背景如何。这些因素对于制定农村医疗保健系统采用的留用策略仍然很重要;未来的研究应评估利用这些因素的农村地区医生留用策略。