Counties across the Shannonside region have some of the lowest ratio of GPs per population in the country.
Roscommon, Longford and Leitrim all feature in the lower half of a new survey showing how many doctors are now working in general practice.
The Medical Workforce Intelligence Report for 2016 and 2017 also reveals that 2,830 doctors left the Medical Council’s entire register, many to work abroad over those years.
Of the 1,846 who responded to the survey, one in four said they were leaving consultant positions in hospitals.
In relation to GPs, Roscommon has a ratio of 0.65 per 1,000 of population, Longford 0.73 and Leitrim 0.75.
The report comes at a time when hospitals are struggling to fill 500 vacant consultant posts nationally and the number of rural GPs has been dropping sharply.