The attractiveness of return-for-service bursary programs to medical students in Newfoundland and Labrador

Abstract

Objectives and Methods: This study compared Return-for-service (RFS) programs available from provincial/territorial governments, determined terms of interest and predictors of acceptance in Newfoundland and Labrador (NL), and described experiences of RFS-holders. Research methods included document analysis, an online survey, and telephone interviews. -- Results: RFS programs were a poplar means of improving physician distribution. -- Students rated monetary value (37.3%) and location of service return (34.9%) as the most important features in their decision to accept an RFS. Trainees with financial concerns and those who planned to remain in NL were 4.8 and 27.7 times more likely to accept a bursary. -- Experiences of RFS-holders were positive; communication difficulties and a lack of active recruitment were identified as problems. -- Conclusions: The RFS shows some promise for increasing physician recruitment, however it does not appear to be the most effective means; more bursaries fund trainees who plan to remain in NL already (80%) than attracts novel trainees (20%).