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Abstract

Marathon works. How to thrive in rural practice.

Canadian Family Physician September 2005, 51 (9) 1217-1221;
Eliseo Orrantia
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  1. Eliseo Orrantia

    Abstract

    PROBLEM BEING ADDRESSED Medical care in rural Canada has long been hampered by insufficient numbers of physicians. How can a rural community's physicians change the local medical culture and create a new approach to sustaining their practice?

    OBJECTIVE OF PROGRAM To create a sustainable, collegial family practice group and address one rural community's chronically underserviced health care needs.

    PROGRAM DESCRIPTION Elements important to physicians'well-being were incorporated into the health care group's functioning to enhance retention and recruitment. The intentional development of a consensus-based approach to decision making has created a supportive team of physicians. Ongoing communication is kept up through regular meetings, retreats, and a Web-based discussion board. Individual physicians retain control of their hours worked each year and their schedules. A novel obstetric call system was introduced to help make schedules more predictable. An internal governance agreement on an alternative payment plan supports varied work schedules, recognizes and funds non-clinical medical work, and pays group members for undertaking health-related projects.

    CONCLUSION This approach has helped maintain a stable number of physicians in Marathon, Ont, and has increased the number of health care services delivered to the community.

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    Canadian Family Physician
    Vol. 51, Issue 9
    1 Sep 2005
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    Marathon works. How to thrive in rural practice.
    Eliseo Orrantia
    Canadian Family Physician Sep 2005, 51 (9) 1217-1221;

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    Eliseo Orrantia
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