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Student Marie Hagelüken marks the milestone as the 1000th to graduate as a field doctor

North Rhine-Westphalia surpasses the milestone of one thousand medical degrees allocated for rural doctors, making it the first federal state to do so.

Marie Hagelüken marks as the 1000th student to pursue field doctor studies
Marie Hagelüken marks as the 1000th student to pursue field doctor studies

Student Marie Hagelüken marks the milestone as the 1000th to graduate as a field doctor

In a significant stride towards addressing rural doctor shortages, North Rhine-Westphalia (NRW) has produced over 1,000 medical graduates through the Country Doctor Quota program. This landmark achievement was reported on August 13, 2025, by Studios NRW.

The Country Doctor Quota program, deeply rooted in East Westphalia, is a strategic initiative aimed at incentivizing future general practitioners to practice in underserved rural regions. By reserving medical school places for applicants committed to rural general practice, the program offers a unique opportunity for those who may not have top academic grades to pursue a career in medicine.

The program, which began in 2019, has grown significantly since its inception, with over 1,000 students now enrolled under the rural doctor quota as of the 2025/2026 winter semester. This milestone indicates a rising interest and impact in tackling rural doctor shortages through targeted educational pathways.

One such student is Marie Hagelüken, a physiotherapist from the Paderborn district, who applied for the Country Doctor program despite having a lower than average Abitur grade. Hagelüken chose Bielefeld as her preferred university for the program. After completing her studies, she will undergo further training as a specialist.

The funding program supports municipalities with fewer than 25,000 inhabitants, with NRW making 2.5 million euros available for its implementation. The goal of the funding program is to maintain a sufficient number of general practitioner practices in rural areas through the Country Doctor Quota.

The first graduates of the Country Doctor program are expected to finish this year. After finishing their studies, these future general practitioners will commit to practicing in an underserved region for at least 10 years.

The Country Doctor program has been the subject of various articles and videos, including "Country Doctor Far from Any Idyll", "Project 'LocalHero' Against Doctor Shortage in South Westphalia", "Country Doctor Quota: The Rescue Against Doctor Shortage?", and "Bait Money for General Practitioners and Pediatricians in the Hochsauerland".

The article, titled "Country Doctor Quota: The Rescue Against Doctor Shortage?", is available online until August 13, 2027. While the article does not provide direct information about additional incentives or long-term follow-up measures, the quota's existence alone is a significant strategic move to fill rural healthcare gaps in NRW.

[1] This paragraph summarises the key mechanisms of the Country Doctor Quota program:

  • Reserved medical study slots for applicants committed to rural general practice
  • Relaxed academic entry requirements compared to traditional routes
  • A political and educational strategy to directly channel medical graduates to rural areas with doctor shortages.
  1. The Country Doctor Quota program, a strategic initiative in East Westphalia, not only reserves medical school places for applicants keen on rural general practice but also offers an opportunity to those with lower academic scores, like physiotherapist Marie Hagelüken from Paderborn.
  2. This educational program, aimed at tackling rural doctor shortages, extends its influence beyond healthcare, delving into the realms of science and medical-conditions, health-and-wellness, and education-and-self-development, as it prepares medical graduates to serve in underserved regions.

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