In the CaRMS process, for a number of resident positions require commitments from REsidien (RETURN of Service, ROS). All dedicated ROS positions require a signed ROS agreement. These positions are identified as both IMG and CMG-ROS positions on the CaRMS site. All persons who correspond to a ROS stream must sign a return contract before they begin to reside with the agency sponsoring the position. The success of the training depends on the agreement signed or not. Most of the time, ROS`s commitments are intended to serve rural or sub-commanding communities, i.e. communities far from major cities. Candidates who correspond to these positions must be eligible for candidates and must sign the ROS agreement as soon as they agree. Os programs in charge of physician retention, TN. The use of OS programs for positions related to scholarships rather than a residence, can increase the rate of service purchase and retention rate. Return-for-Service (RFS) programs are a frequently used strategy to attract physicians into practice in rural or underserved communities, with the long-term goal of improving the link between physicians in these communities (Burnighausen and Bloom 2009). RFS agreements require physicians to work in underserved communities in exchange for financial assistance that can take the form of scholarships (for education and other education costs), student loan forgiveness, funded training places or unlimited funds (Mason 1971; Pathman et al. 2000; Sempowski 2004).
RFS programs may apply to physicians at different stages of bachelor`s or postgraduate training (or both) and generally require a one-year service requirement for each year of financial assistance. RFS agreements generally have a „buy-back option“ in which participants can repay the funding (with minimum penalties or interest) if they do not wish or are unable to work in an underfounded community. Service obligations should be met after the completion of post-cycle training. The analysis was conducted in two parts. In Part 1, we described the proportion of RFS physicians who fully fulfilled their duty of service and identified the predictors of the RFS physicians who did so. The sample included all physicians who entered into RFS agreements between 1997 and 2009. We excluded any physician who was still in training or who was in the process of fulfilling his service commitment. A day`s work is every day when workers are normally supposed to be in the workplace. After staff have completed a development initiative or are in between semesters, each day of work completed with the Alberta government or an employer approved by the Assistant Director relies on the service commitment. Possible covariates were gender, medical school, medical school year, type of RFS funding, number of scholarship years received, specialty and community where physicians began practicing. The nature of the RFS agreement reflected whether doctors entered into bursary or special funds agreements. If the first, the type of scholarship has also been identified (z.B.
family medicine, psychiatry, other specialist or travel). Two doctors had received a combination of scholarships (other medical specialists and travel grants). They were coded as „other disciplines“ scholarships. The number of scholarship years was coded into two groups (1-3 years and 4 years or more). The three-year shutdown was used on the basis of frequencies. Four-vignt-sixteen (71.6%) of the 134 physicians in the OS programs have fulfilled their duty of service. Physicians who received funding from the Special Funding Residency Position program were 11.1 times less likely (95% CI: 4.0-33.3) to complete their duty of service than physicians who benefit from the Family Medicine Bursary program.