Heilbrigðisskýrslur - 01.12.1938, Side 167

Heilbrigðisskýrslur - 01.12.1938, Side 167
163 6.000.00 to kr. 12.000.00, but only very exceptionally above that amount. Of these amounts the fixed salaries in the smallest districts are about kr. 4.500.00 but about kr. 2.500.00 to kr. 3.000.00 in the larger ones increasing gradually up to kr. 3.500.00 to kr. 4.000,00. The physi- cians of the smaller districts also enjoy several advantages beyond other doctors in that they live at a comparatively low rent in houses belonging to the districts, and besides this the cost of living is in other respects lower in the out-of-the-way districts. Doctors other than District Physicians, receiving Public Salaries. Doctors paid by public funds other than the district physicians are such servants of the State as have been mentioned above, the professors and lecturers in the medical faculty of the University, and permanently appointed doctors in the larger State and district hospitals. In addition, medical practitioners are engaged for certain extra posts in public service, viz. the specialist in charge of the State Free Clinic for Venereal Diseases in Reykjavík, assistant physicians at State hospitals, school doctors, poor relief doctors, ete. The salaries of doctors who are entirely in the service of the State range up to kr. 12.000.00 a year. Private Practitioners. In addition to the district physicians and doctors who are mainly in public service there is a fairly large number of private practitio- ners in Reykjavík (more than 40) and about 15 in other places in the country. These figures do not include hospital internes who on graduation do service in hospitals before being able to get permission to set up their own practice. Various of these doctors have been re- cognized as specialists (internal medicine, surgeons, eye-specialists, ear, nose and throat specialists, alienists and neurologists, specialists in female diseases and gynæcologists, X-ray specialists, physio-thera- peutists) but very few here in this sparsely populated country have large enough scope to be able to devote themselves solely to their speciality. Most of them, therefore, have a general practice together with their special practice. The incomes of private practitioners natural- lý vary a great deal according to the number of patients consulting them. Some of those who have the largest practices are undoubtedly among the persons enjoying the highest incomes in the country. The young doctors seem to be inclined to prepare themselves to become Private practitioners in the towns, and then first and foremost spe- cialists in Reykjavík, in preference to becoming district physicians, because of 50 graduates who have not yet settied down to any fixed Work, a large majority is studying some specialitv either in Iceland or abroad, and it is as yet rather difficult to fill vacancies in the medical districts. On the other hand one must feel some anxiety as to the immediate future of the medical profession due to the prospec- tive tremendous increase of private practitioners in the towns and espeeially in Reykjavík.
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