Hospital Medicine and Fellowship Program in Rural North Dakota – A Multifaceted Success Story.

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Hospital Medicine and Fellowship Program in Rural North Dakota - A Multifaceted Success Story.

WMJ. 2017 Nov;116(4):218-220

Authors: Hyder SS, Amundson M

Abstract
INTRODUCTION: Recruitment of hospitalists and primary care physicians for Critical Access Hospitals and tertiary care hospitals in North Dakota is difficult. To address this challenge, 2 programs were implemented in Bismarck, North Dakota.
METHODS: St. Alexius Medical Center created a hospitalist fellowship training program in collaboration with the University of North Dakota School of Medicine and Health Sciences and physicians willing to work in Critical Access Hospitals were offered a joint appointment to teach hospitalist fellows and obtain a clinical academic appointment at the university.
RESULTS: Since it was created in 2012, 84 physicians have applied for 13 fellowships. Of the 11 fellows who have completed the program, 64% (7/11) remained in North Dakota to practice.
CONCLUSIONS: Physicians are more likely to work in a rural Critical Access Hospital if they spend time working at a tertiary care center and have clinical academic appointments. Where recruitment is challenging, hospitalist fellowship programs are helpful in meeting the health care workforce demand.

PMID: 29323810 [PubMed - in process]

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