Residents' choice of a placement in periphery hospitals in Israel: The significance of personal/family and professional considerations

Feder‐Bubis, Paula; Nun, Gabi Bin; Zarhin, Dana; Sherf, Michael; Heiman-Neuman, Nitza

doi:10.1016/j.healthpol.2023.104795

Cited by 2 publications

(2 citation statements)

References 41 publications

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“…Importantly, wanting to do their residency in the country's center was associated with the selection criteria " a high paying specialty " and " control over lifestyle ". This reflects Israel's intrinsic and major dilemma, namely that the population, employment opportunities and healthcare infrastructure and personnel are increasingly concentrated in the small central geographic area, while the peripheral areas, although not especially distant geographically, are lacking personnel and infrastructure [ 52 , 53 ]. Monetary incentives, one-time grants and higher salaries, incorporated into the 2011 physician's union contract to attract residents to peripheral hospitals were only partially successful [ 54 ].…”

Section: Implications For Policy Health Planning and Medical Educationmentioning

confidence: 99%

“…As the present study shows, these non-monetary incentives could include improving control over lifestyle, more flexible work hours and possibly enabling the opening of private practices. A qualitative study reports that residents are inclined to stay in the periphery if they are promised a specialist position with good conditions [ 53 ].…”

Section: Implications For Policy Health Planning and Medical Educationmentioning

confidence: 99%

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Comparison of medical students' considerations in choosing a specialty: 2020 vs. 2009/10

Schroeder,

Shacham,

Amar

et al. 2024

Hum Resour Health

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Background Workforce shortage in healthcare and particularly in physicians poses a threat to healthcare delivery and its quality. In comparison to other OECD countries, Israel currently has a small number of medical graduates relative to its number of physicians, naturally emphasizing the importance of ensuring that this population chooses to remain in medicine. Understanding what is most important to medical students can help improve working conditions in residency. Such information is particularly needed to facilitate policy planning that will encourage the next generation of physicians to specialize in medical fields that are experiencing shortages. We hypothesized that between 2009/2010 and 2020, there were significant changes in medical students' preferences regarding their considerations for choosing a medical specialty. Methods We compared cross-sectional data from questionnaire-based surveys of 5th year medical students performed in 2009–2010 and 2020 at two Israeli universities. Results Of the 335 medical students who responded (237 and 98 in 2009/2010 and 2020, respectively) those in 2020 were 2.26 less likely vs. those in 2009/2010, to choose a residency for its high-paying potential (P < 0.05), and had significantly more interest in residencies with greater teaching opportunity (98.8% vs 82.9%, P < 0.05), increased responsibility and chances to make clinical decisions on their own (67.9% vs 51.6%, P < 0.05). Criteria important to both the 2009/2010 and 2020 students were choosing a bedside specialty (70.2%vs 67.9%, NS), and an interesting and challenging specialty (95.2%v s 91.3%, NS). Conclusions These results partially supported our hypothesis that medical students' preferences have changed over the years, though there are fundamental factors that apparently reflect medical students’ nature that do not change over time.

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Section: Implications For Policy Health Planning and Medical Educationmentioning

confidence: 99%

Section: Implications For Policy Health Planning and Medical Educationmentioning

confidence: 99%

Comparison of medical students' considerations in choosing a specialty: 2020 vs. 2009/10

Schroeder,

Shacham,

Amar

et al. 2024

Hum Resour Health

View full text Add to dashboard Cite

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Attracting medical school graduates to residency programs in remotely located hospitals: the challenge lies beyond financial incentives

Fried,

Zloto,

Doron

et al. 2024

Isr J Health Policy Res

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Background Recruitment to residency programs in hospitals located in other than major hubs (“remotely located”) is a challenge in many countries. In 2011, the Israeli Ministry of Health launched a 10-year financial incentive to encourage physicians to enroll in residency programs in such hospitals. Nearly 1 billion New Israeli Shekels (260 million US$) were invested in that program which had only limited success. As a new physician association’s collective agreement is impending, we aimed to measure the effectiveness of selected incentives in attracting medical school graduates to residencies in remotely located hospitals. Methods This study included Israeli medical students in their final year of medical school. We used an online questionnaire with multiple-choice demographic questions and a 5-point Likert scale to gauge the effect of various incentives on their preference for residency location. Results Between July and November 2022, 522 students responded (405 studied in Israeli medical schools [out of 705 students] and 117 in foreign medical schools [out of 1936 students]). Forty-two percent had at least one clerkship in a remotely located hospital, and 24% had included at least one remotely located hospital among their top five choices for internship. Only 13% reported that they prefer a residency program in those institutions. The incentive selected by students as most persuasive was government assistance in acceptance to and financial support for a fellowship abroad, followed by a financial grant and fewer on-call hours. Only 7% of the students indicated that no incentive would influence them to choose a remotely located hospital for their residency training. Medical education in a remotely located university and the choice of at least one remotely located hospital among the top five choices for internship were significantly associated with positive incentive receptivity, whereas male sex and older age were associated with negative receptivity. Conclusion This study on the attitudes of Israeli medical school graduates toward incentives aimed at attracting them to residencies in remotely located institutions revealed that career development opportunities and assistance in obtaining fellowships might influence their choice.

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Residents' choice of a placement in periphery hospitals in Israel: The significance of personal/family and professional considerations

Cited by 2 publications

References 41 publications

Comparison of medical students' considerations in choosing a specialty: 2020 vs. 2009/10

Comparison of medical students' considerations in choosing a specialty: 2020 vs. 2009/10

Attracting medical school graduates to residency programs in remotely located hospitals: the challenge lies beyond financial incentives

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