Attracting healthcare professionals to remote and rural medicine: Learning from doctors in training in the north of Scotland

Cleland, Jennifer; Johnston, Peter; Walker, L. G.; Needham, Gillian

doi:10.3109/0142159x.2012.668635

Cited by 19 publications

(16 citation statements)

References 14 publications

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“…In UK, there have been policy drives to address the shortage of doctors in certain geographical areas [7, 14]. These policies are often supported by the emerging evidence that doctors tend to go back and work in areas where their training was undertaken [6, 7, 15–17]. Yet this is an issue for several reasons.…”

Section: Introductionmentioning

confidence: 99%

Geographical mobility of UK trainee doctors, from family home to first job: a national cohort study

et al. 2018

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BackgroundThe UK faces geographical variation in the recruitment of doctors. Understanding where medical graduates choose to go for training is important because doctors are more likely to consider practicing in areas where they completed postgraduate training. The wider literature also suggests that there is a relationship between origin and background, and where doctors wish to train/work. Thus, the purpose of this paper is to investigate the geographical mobility of UK medical graduates from different socio-economic groups in terms of where they wish to spend their first years of postgraduate training.MethodsThis was an observational study of Foundation Programme (FP) doctors who graduated from 33 UK medical schools between 2012 and 2014. Data was accessed via the UK medical education database (UKMED: https://www.ukmed.ac.uk/). Chi-square tests were used to examine the relationships between doctor’s sociodemographic characteristics and the dependent variable, average driving time from parental home to foundation school/region. Generalised Linear Mixed Models (GLMM) were used to estimate the effects of those factors in combination against the outcome measure.ResultsThe majority of doctors prefer to train at foundation schools that are reasonably close to the family home. Those who attended state-funded schools, from non-white ethnic groups and/or from lower socio-economic groups were significantly more likely to choose foundation schools nearer their parental home. Doctors from disadvantaged backgrounds (as determined by entitlement to free school meals, OR = 1.29, p = 0.003 and no parental degree, OR = 1.34, p < 0.001) were associated with higher odds of selecting a foundation schools that were closer to parental home.ConclusionThe data suggests that recruiting medical students from lower socioeconomic groups and those who originate from under-recruiting areas may be at least part of the solution to filling training posts in these areas. This has obvious implications for the widening access agenda, and equitable distribution of health services.

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Section: Introductionmentioning

confidence: 99%

Geographical mobility of UK trainee doctors, from family home to first job: a national cohort study

et al. 2018

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“…To cater for an ageing population, public sector service delivery in rural, and especially the more remote rural areas, must overcome challenging demographic and settlement characteristics (low population numbers dispersed over large geographical areas, limited public transport provision, distance from major service centres, etc.). There is also the very pertinent additional challenge of attracting and retaining suitably qualified staff (British Medical Association 2005;Wilson et al 2009;Cleland et al 2012). eHealth is potentially very attractive to those who plan and manage rural health and social care services, as it could bring care to remote and dispersed populations in a more cost-effective manner.…”

Section: Research Contextmentioning

confidence: 99%

Technology for Older Adults: Maximising Personal and Social Interaction: Exploring Opportunities for eHealth to Support the Older Rural Population with Chronic Pain

Philip

Roberts

Currie

et al. 2015

Scottish Geographical Journal

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eHealth technologies are being promoted by government as an integral part of the future delivery of health and social care services. Demographic ageing is most pronounced in rural areas and eHealth technologies could support care models designed to help the growing number of rural older people living independently in their own homes. Successful deployment of eHealth technologies will depend on a number of factors, including older adults' receptiveness to and ability to use new technologies. Using a mixed-methods approach we report findings from a survey of Pain Association Scotland members, home visit observations, qualitative interviews with rural older adults with chronic pain and their health and social care providers. We report that rural older adults with chronic pain are receptive to eHealth technologies but caution that these technologies need to be designed and deployed with the needs of specific patient groups in mind. Patients and professionals do not think that opportunities for in-person interaction should be replaced by technology. We suggest that care needs to be taken to ensure that an appropriate balance between the use of eHealth technologies and in-person care is struck.

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“…Thematic analysis suggested two possibilities: either that trainees undertake Remote and Rural medicine as a specialist interest, or a post CCT syllabus of R&R skills and competencies mapped to the needs of individuals and the skill set of the team they are joining. While we recognise that there will always be social and demographic factors such as distance from family and friends that deter some doctors from working in RGHs we believe that the creation of a medical remote and rural training pathway(s) is a pragmatic solution to the workforce challenges faced by RGHs [ 17 , 40 – 42 ]. Recruitment to this pathway could focus on doctors with remote and rural exposure, as is the case for no fewer than 13 of 14 consultants interviewed, supporting the rural pipeline model of recruitment.…”

Section: Discussionmentioning

confidence: 99%

Time to revisit the skills and competencies required to work in rural general hospitals

2020

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Attracting healthcare professionals to remote and rural medicine: Learning from doctors in training in the north of Scotland

Cited by 19 publications

References 14 publications

Geographical mobility of UK trainee doctors, from family home to first job: a national cohort study

Geographical mobility of UK trainee doctors, from family home to first job: a national cohort study

Technology for Older Adults: Maximising Personal and Social Interaction: Exploring Opportunities for eHealth to Support the Older Rural Population with Chronic Pain

Time to revisit the skills and competencies required to work in rural general hospitals

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