A compulsory experiential and inter-professional rural health subject for undergraduate students

Liaw, Siaw‐Teng; McGrath, Barry P; Jones, Graeme I.; Russell, Ursula; Bourke, Lisa; Hsu-Hage, B H

doi:10.22605/rrh460

Cited by 7 publications

(2 citation statements)

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“…Compulsory service programmes are useful for staffing and strengthening workforce and have been used to improve healthcare coverage in underserved regions [13][14][15]. They have been described as an instrument of social justice and an exercise in health equity, in that they enable governments to direct or augment health services to geographical areas that are not well served and in communities that are not favoured by market forces and health worker preferences [13].…”

Section: Discussionmentioning

confidence: 99%

Choice of Future Location of Surgical Practice: A Survey of Surgical Trainees in Nigeria and Implications for Timely Access to Surgical Care

et al. 2019

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Background There is inequity and maldistribution of the surgical workforce in Nigeria. Most specialists practice in second-and third-level hospitals often located in urban or semi-urban areas. A knowledge of the proposed choice of practice location of surgical trainees and the factors that influence the choice could provide insight into future surgical coverage and help in planning and policy-making. Methods This is a cross-sectional survey of surgical trainees attending the mandatory integrated revision and update course of the West African College of Surgeons. Anonymous structured questionnaires were self-administered to 200 trainees, of which 143 completed the questionnaires. Results The response rate was 71.5%. One hundred and six (74.1%) trainees preferred to work in a tertiary hospital on completion of training, 13 (9.1%) were in a Private Hospital, and 16 (11.2%) were undecided. Nearly all tertiary hospitals are in urban or semi-urban towns. The commonest factors influencing choice of practice location were proximity to family 19 (13.3%), proximity to hometown 11 (7.6%), availability of working facilities 10 (6.9%), income 7 (4.9%) and underserved areas 7 (4.9%). Of 122 (85.3%) trainees who agreed to work for some period each year (ranging from 1 week to 6 months) in a rural setting, 42 (29.3%) would do it without additional financial incentive. ConclusionThe choice of most surgical trainees not to work in a rural setting as specialists would exacerbate the ongoing surgical workforce maldistribution and inequity in Nigeria. However, the willingness of 85.3% to provide periodic rural surgical coverage could be leveraged in planning of initiatives to address the maldistribution.

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Section: Discussionmentioning

confidence: 99%

Choice of Future Location of Surgical Practice: A Survey of Surgical Trainees in Nigeria and Implications for Timely Access to Surgical Care

et al. 2019

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“…This is particularly problematic for students preparing for rural health practice given that rural practitioners rarely work in isolation. A number of programs have emerged, and are continuing to emerge, in the quest for the development of successful models of rural IPE both internationally and within Australia [6,[18][19][20][21][22][23][24]. However, it has been noted that within Australia, although there have been some pilot projects with a rural focus, "there are few examples that have translated into ongoing programs, where IPE is valued as core business alongside discipline specific education and training" [23].…”

Section: Introductionmentioning

confidence: 99%

The RIPPER Experience: A 3 Year Evaluation of an Australian Interprofessional Rural Health Education Pilot

Woodroffe¹,

Spencer²,

Rooney³

et al. 2012

JRIPE

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Background: The Rural Interprofessional Program Educational Retreat (RIPPER) uses interprofessional learning and educational strategies to prepare final year Tasmanian nursing, medical, and pharmacy students for effective healthcare delivery. RIPPER provided students (n = 90) with the opportunity to learn about working in an interdisciplinary team using authentic and relevant situational learning. RIPPER allowed students to work and learn interprofessionally in small teams and to apply their different professional skills and knowledge to a variety of rural healthcare situations.Methods and Findings: This article reports on three years of results from the program’s evaluation which used a pre-post test mixed method design. The findings show a significant and positive shift in students’ attitudes and understanding of interprofessional learning and practice following their participation in RIPPER. The evaluation findings suggest the need for sustainable interprofessional rural health education that is embedded in undergraduate curricula.Conclusion: The evaluation of RIPPER suggests that exposure of healthcare students to interprofessional education can positively affect their perceptions of collaboration, patient care, and teamwork. The evaluation also points to the rural context as an ideal place to showcase elements of effective interprofessional practice.

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Higher Education as an Alternative Point of Access to Holistic Health

Ellis-Sankari

2009

The Journal of Alternative and Complementary Medicine

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Because the United States has not implemented a national health program with universal entitlement, lack of access to health care frequently prevails. Creative efforts at the undergraduate level attempt to meet the health care needs of students and local communities through education in complementary and alternative medicine. At the University of New Mexico-Taos, an innovative curriculum in Holistic Health and Healing Arts offers entry-level students, most of whom come from low-income and minority backgrounds, an opportunity to explore alternative therapies in a nurturing, low-cost environment. The university provides support services and supplements students' income through grants and financial aid. Students learn new health care behaviors and preventive approaches that reduce their dependence on allopathic medicine. Courses respect values and practices in native belief systems. From the perspective of social justice, the college corridor offers a safety net and a springboard for the underserved, as well as an opportunity to redress health disparities while promoting integrative approaches to health care.

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A compulsory experiential and inter-professional rural health subject for undergraduate students

Cited by 7 publications

References 0 publications

Choice of Future Location of Surgical Practice: A Survey of Surgical Trainees in Nigeria and Implications for Timely Access to Surgical Care

Choice of Future Location of Surgical Practice: A Survey of Surgical Trainees in Nigeria and Implications for Timely Access to Surgical Care

The RIPPER Experience: A 3 Year Evaluation of an Australian Interprofessional Rural Health Education Pilot

Higher Education as an Alternative Point of Access to Holistic Health

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