In early 2000, only about 17 communities, most on CSC or NGFP contracts, are remaining on Scott. The ER AFA 1999 has replaced Scott in 85 designated hospitals. In October 2000 a plan that pays even more for the larger ER's has been put in place and it is no longer clear that ER remains as an incentive to go rural. All contract are slated to be replaced with something yet not clear, but clearly without rural input, in late 2001. On call stipends for other hospital work exist in both rural and urban hospitals for rotas for OB, inpatients, anaesthesia and the like.
Amounts vary by size of the service covered.
For details check out the 2000 OMA-Govt agreement . The incentive is paid yearly at the end of each fiscal to full time Doctors with active staff privileges and participating in hospital on call in the North for 4 years who apply and continue to practice in the North until the end of the fiscal year. The 2000 OMA-MoH agreement was also suppposed to provide incentives for underserviced areas in the south but this hasn't happened yet. See the details of the contract in the library . The contract can be terminated on 3 months notice without cause by either party.