caa a22 4500 606241418 CHVBK 20210128101313.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00508-015-0786-7 doi (NATIONALLICENCE)springer-10.1007/s00508-015-0786-7 Physicians' exodus: why medical graduates leave Austria or do not work in clinical practice [Elektronische Daten] [Sebastian Scharer, Andreas Freitag] Summary: Background: Austria has the highest number of medical graduates of all Organisation for Economic Co-operation and Development (OECD) countries in relation to its population size, but over 30 % choose not to pursue a career as physicians in the country. Objective and research design: This article describes under- and postgraduate medical education in Austria and analyses reasons for the exodus of physicians. Medical education: In Austria, medicine is a 5- or 6-year degree offered at four public and two private medical schools. Medical graduates have to complete training in general medicine or a speciality to attain a licence to practice. While not compulsory for speciality training, board certification in general medicine has often been regarded as a prerequisite for access to speciality training posts. Analysis: Unstructured postgraduate training curricula, large amounts of administrative tasks, low basic salaries and long working hours present for incentives for medical graduates to move abroad or to work in a non-clinical setting. The scope of current reforms, such as the establishment of a new medical faculty and the implementation of a common trunk, is possibly insufficient in addressing the issue. Conclusion: Extensive reforms regarding occupational conditions and the structure of postgraduate medical education are necessary to avoid a further exodus of junior doctors. Springer-Verlag Wien, 2015 Medical education nationallicence Undergraduate nationallicence Graduate nationallicence Primary care nationallicence Physicians nationallicence Scharer Sebastian Institute of General Practice, Family Medicine and Preventive Medicine, Paracelsus Medical University, Strubergasse 21, 5020, Salzburg, Austria aut Freitag Andreas Centre for Primary Care and Public Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, E1 4NS, London, UK aut Wiener klinische Wochenschrift Springer Vienna 127/9-10(2015-05-01), 323-329 0043-5325 127:9-10<323 2015 127 508 https://doi.org/10.1007/s00508-015-0786-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00508-015-0786-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Scharer Sebastian Institute of General Practice, Family Medicine and Preventive Medicine, Paracelsus Medical University, Strubergasse 21, 5020, Salzburg, Austria aut NATIONALLICENCE 700 1- Freitag Andreas Centre for Primary Care and Public Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, E1 4NS, London, UK aut NATIONALLICENCE 773 0- Wiener klinische Wochenschrift Springer Vienna 127/9-10(2015-05-01), 323-329 0043-5325 127:9-10<323 2015 127 508