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Return Service Agreements

By markelton, April 11, 2021

RFS programs are widely used in Canada; All provinces and territories except the Yukon offer them (Neufeld and Mathews 2012). Few studies in Canada have evaluated such programs, particularly in terms of their impact on physician retention after mandatory service (Sempowski 2004). Simoens (2004) suggests that a large number of SRF physicians in Canada have chosen to repay funding rather than work in an underserved sector and that few physicians remain in these communities after fulfilling their duty of service. However, his study was based on interviews with two unidentified health ministry officials. Regular internal evaluations of the RFS component of the Ontario Underserviced Area Program indicated that between 50% and 60% of program participants met their duty of service and that two-thirds of these physicians continued to practice in an underserved community after fulfilling their obligation (Bass and Copeman in 1975); Copeman 1979, 1987). These studies, the most recent in the 1980s, showed that students who received less than three years of scholarships and women were less likely to fulfill their service obligations (compared to three-year scholarship students and men). The following options are available for services to determine the return requirement. A day`s work is every day when workers are normally supposed to be in the workplace. Once employees have completed a development initiative or are in between semesters, each day of work with the Alberta government or an employer approved by the Assistant Director relies on the duty of service. Some resident training places require you to enter into a Return of Service (ROS) agreement with the provincial/regional government. A ROS requires that you practice medicine in a particular field once you have completed your resident training. Using administrative data on physicians participating in OS-Newfoundland and Labrador (NT) programs, graduate training data, and the Physician and Medical Practice database, we calculated the number of physicians from OS programs (1997-2009) who met their duty of service, and identified the predictors.

We then followed a group of doctors until 2010 who started the practice in 2000 and 2005 to compare the retention rate of OS doctors compared to non-OS physicians.