A required rural health module increases students' interest in rural health careers

Critchley, Jennifer; DeWitt, Dawn E.; Khan, Mumtaz Ahmad; Liaw, Siaw‐Teng

doi:10.22605/rrh688

Cited by 36 publications

(51 citation statements)

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“…In South Africa, students developed a holistic approach to primary care, could see inefficiencies in the health system and increased capability to deal with undifferentiated patients . Students perceived improvements to their confidence and self‐esteem and expressed satisfaction with rural exposure . Confidence, enjoyment and self‐belief are important factors in behavioural change and motivation …”

Section: Themesmentioning

confidence: 99%

“…Approximately 15–25% of students perceived various aspects of their placement to be mediocre or poor . Students reported disliking the possibility of ‘bumping into’ patients in the community, the lack of placement structure, learning objectives not being met, the limited opportunity to consult with patients alone, logistical accommodation issues and anxiety arising from social isolation . Initially students were concerned about teaching quality, but by the second cohort students found GPs to be excellent teachers …”

Section: Themesmentioning

confidence: 99%

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A systematic literature review of undergraduate clinical placements in underserved areas

2013

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CONTEXT The delivery of undergraduate clinical education in underserved areas is increasing in various contexts across the world in response to local workforce needs. A collective understanding of the impact of these placements is lacking. Previous reviews have often taken a positivist approach by only looking at outcome measures. This review addresses the question: What are the strengths and weaknesses for medical students and supervisors of community placements in underserved areas?METHODS A systematic literature review was carried out by database searching, citation searching, pearl growing, reference list checking and use of own literature. The databases included MEDLINE, EMBASE, PsycINFO, Web of Science and ERIC. The search terms used were combinations and variations of four key concepts exploring general practitioner (GP) primary care, medical students, placements and location characteristics.The papers were analysed using a textual narrative synthesis.FINDINGS The initial search identified 4923 results. After the removal of duplicates and the screening of titles and abstracts, 185 met the inclusion criteria. These full articles were obtained and assessed for their relevance to the research question; 54 were then included in the final review. Four main categories were identified: student performance, student perceptions, career pathways and supervisor experiences.CONCLUSIONS This review reflects the emergent qualitative data as well as the quantitative data used to assess initiatives. Underserved area placements have produced many beneficial implications for students, supervisors and the community. There is a growing amount of evidence regarding rural, underserved areas, but little in relation to inner city, deprived areas, and none in the UK.

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Section: Themesmentioning

confidence: 99%

Section: Themesmentioning

confidence: 99%

A systematic literature review of undergraduate clinical placements in underserved areas

2013

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“…Evidence is mounting of the positive impact of UDRH and rural clinical schools on the health workforce. For example, academic performance among students studying in rural and urban settings is comparable, 7 ‐ 9 and increased interest in rural health careers as a consequence of the rural clinical schools program 10 and UDRH rural health modules 11 are reported. Likewise, increasing numbers of graduates are choosing non‐metropolitan teaching hospitals for their intern year 10 , 12 , 13…”

Section: Success Of Recent Initiativesmentioning

confidence: 99%

“…Studies indicate that a quality rural clinical experience and exposure to rural lifestyle is conducive to increased interest in pursuing a rural career 12 , 19 . Furthermore, the importance of non‐clinical aspects of rural practice (ie, rural community, culture and lifestyle) are also vital in preparing students for their role in rural medicine 11 . The looming “crisis” of more students who are already in the system, and are heading towards clinical training poses a critical question: “How do we respond to their rural clinical learning needs and experiences in the context of static numbers of clinical teachers and placement sites?”…”

Section: The Need To Provide Good Rural Medicine Experiencementioning

confidence: 99%

Coping with increasing numbers of medical students in rural clinical schools: options and opportunities

Eley

Young

Wilkinson

et al. 2008

Medical Journal of Australia

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The critical shortage of the rural medical workforce in Australia continues. There is pressure on medical schools to produce not only more doctors, but to supply them in geographical areas of need. The latest policy to tackle these problems will increase medical student numbers while the supply of clinical teachers and patients for teaching remains static. This challenges the traditional apprenticeship model for learning medicine. Coupled with this is the requirement of medical schools to provide compulsory rural clinical placements for all students. The success of rural clinical schools and University Departments of Rural Health (UDRH) is increasingly apparent, but they must find new strategies to maintain a quality clinical experience and exposure to rural lifestyle for all medical students. The dilemma is providing this quality rural experience to all medical students in the immediate future. We suggest approaches to meet this challenge at a policy, organisational, student and teaching level.

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“…While “most” international students are interested in metropolitan practice, 1 our RCS, at the Melbourne Medical School's Rural Health Academic Centre, has had repeated, passionate requests from international students to attend the RCS. And quality rural placements increase (international) student and trainee interest in rural practice 2 , 3 …”

mentioning

confidence: 99%

International medical students and migration: the missing dimension in Australian workforce planning?

DeWitt

Adam

2011

Medical Journal of Australia

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A required rural health module increases students' interest in rural health careers

Cited by 36 publications

References 0 publications

A systematic literature review of undergraduate clinical placements in underserved areas

A systematic literature review of undergraduate clinical placements in underserved areas

Coping with increasing numbers of medical students in rural clinical schools: options and opportunities

International medical students and migration: the missing dimension in Australian workforce planning?

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