Australia's Rural Health Multidisciplinary Training program: Preparing for the rural health workforce that Australia needs

Stewart, Ruth; McMillan, Faye

doi:10.1111/ajr.12808

Cited by 6 publications

(19 citation statements)

References 7 publications

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“…The ENPP also has the potential to address broader concerns associated with the development of a rural and remote Australian health workforce. Stewart and McMillan stated that ‘Australian health training models are primarily delivered in metropolitan centres, geared towards enrolling metropolitan students, producing health professionals who are most likely to practice in high‐density metropolitan centres within familiar health systems’ 18 . Through the adoption of collaborative approaches, the ENPP has been co‐designed to: integrate student education and training within a region; expose final‐year nursing students from two metropolitan universities to authentic rural and remote practice; influence student consideration of rural practice uptake post‐registration; and expose students to alternative primary health care models.…”

Section: Discussionmentioning

confidence: 99%

Strength of cross‐sector collaborations in co‐designing an extended rural and remote nursing placement innovation: Focusing on student learning in preference to student churning

Jones

Randall

Williams

et al. 2022

Australian J Rural Health

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Aim: To describe the strength of a cross-sector and multi-university collaboration in co-designing an extended nursing placement innovation in rural and remote Australia.Context: Registered nurses are Australia's largest health workforce. Shortduration placements can limit nursing student exposure to rural and remote practice, impacting student capacity to tailor and contextualise their practice, navigate complex inequities, establish a sense of belonging and consider rural practice post-registration. Extended nursing placements have been recommended to address these challenges, but there are no guidelines governing their development and limited resources to support implementation.Approach: Methods adopted in program development included the following: (1) collaboration establishment; (2) co-defining challenges confronting nurse education in these contexts; (3) co-developing guiding principles; (4) co-designing a new approach to nurse education, the Extended Nursing Placement Program (ENPP); and (5) the co-contribution of stakeholders to program design, implementation and evaluation. Regional stakeholders include a NSW and Victorian Local Health District/Service, three Aboriginal health services and the Royal Flying Doctor Service of Australia. University participants include two metropolitan universities, a University Department of Rural Health and final-year Bachelor of Nursing students. Program implementation in Semester 1 of 2022 with seven final-year nursing students. Conclusion: The authors propose that the adoption of collaborative approaches can contribute to re-framing student nurse education and the development of a rural-ready nursing workforce. These approaches can provide regions and universities with the opportunity to avoid student churn whilst promoting the attainment of skills required to work, live and thrive in these locations. How to cite this article: Jones D, Randall S, Williams A, et al. Strength of cross-sector collaborations in co-designing an extended rural and remote nursing placement innovation: Focusing on student learning in preference to student churning.

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Section: Discussionmentioning

confidence: 99%

Strength of cross‐sector collaborations in co‐designing an extended rural and remote nursing placement innovation: Focusing on student learning in preference to student churning

Jones

Randall

Williams

et al. 2022

Australian J Rural Health

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“… 18 19 In 2016, the programme became the Rural Health Multidisciplinary Training (RHMT), through which 21 universities operate 19 RCSs to support rural training for medical students. 20 One key change with RHMT was a reduction of the minimum 4 weeks rural training from 100% to 50% of the medical student cohort. 18 …”

Section: Introductionmentioning

confidence: 99%

“…Beginning with the Rural Undergraduate Support and Coordination (RUSC) programme and expanding through Rural Clinical Schools (RCSs) from 2000, university commitments have included all students completing at least 4 weeks training in a rural community, 25% completing at least 12 months clinical training rurally in a locally coordinated site and around 25% of selected students being of rural origin 18 19. In 2016, the programme became the Rural Health Multidisciplinary Training (RHMT), through which 21 universities operate 19 RCSs to support rural training for medical students 20. One key change with RHMT was a reduction of the minimum 4 weeks rural training from 100% to 50% of the medical student cohort 18…”

Section: Introductionmentioning

confidence: 99%

The value of extended short-term medical training placements in smaller rural and remote locations on future work location: a cohort study

et al. 2023

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ObjectivesTo investigate the effects of extended short-term medical training placements in small rural and remote communities on postgraduate work location.Design and settingCohort study of medical graduates of The University of Queensland, Australia.ParticipantsGraduating medical students from 2012 to 2021 who undertook a minimum of 6 weeks training in a small rural or remote location. Some participants additionally undertook either or both an extended short-term (12-week) placement in a small rural or remote location and a long-term (1 or 2 years) placement in a large regional centre.Primary outcome measureWork location was collected from the Australian Health Practitioner Regulation Agency in 2022, classified as either rural, regional or metropolitan and measured in association with rural placement type(s).ResultsFrom 2806 eligible graduates, those participating in extended small rural placements (n=106, 3.8%) were associated with practising rurally or regionally postgraduation (42.5% vs 19.9%; OR: 2.2, 95% CI: 1.1 to 4.6), for both those of rural origin (50% vs 30%; OR: 4.9, 95% CI: 2.6 to 9.2) or metropolitan origin (36% vs 17%; OR: 2.8, 95% CI: 1.7 to 4.8). Those undertaking both an extended small rural placement and 2 years regional training were most likely to be practising in a rural or regional location (61% vs 16%; OR: 8.6, 95% CI: 4.5 to 16.3). Extended small rural placements were associated with practising in smaller rural or remote locations in later years (15% vs 6%, OR: 2.7, 95% CI: 1.3 to 5.3).ConclusionThis work location outcome evidence supports investment in rural medical training that is both located in smaller rural and remote settings and enables extended exposure with rural generalists. The evaluated 12-week programme positively related to rural workforce outcomes when applied alone. Outcomes greatly strengthened when the 12-week programme was combined with a 2-year regional centre training programme, compared with either alone. These effects were independent of rural origin.

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“…9,10 Improving access for these communities by the establishment of oral health outplacement programs is an approach that enhances Indigenous oral health. 13,14 Rural clinical outplacement programs for training dental students are an internationally recognised and adopted approach in dental education, which also supports the health care needs of rural and remote communities. [15][16][17][18] Clinical outplacement programs for training dental students in rural and remote settings can improve access to dental care 13,14 and create an opportunity for students to engage with Indigenous peoples.…”

Section: Introductionmentioning

confidence: 99%

“…13,14 Rural clinical outplacement programs for training dental students are an internationally recognised and adopted approach in dental education, which also supports the health care needs of rural and remote communities. [15][16][17][18] Clinical outplacement programs for training dental students in rural and remote settings can improve access to dental care 13,14 and create an opportunity for students to engage with Indigenous peoples. Rural workplace experience also enables future dentists to operate confidently in the public health care system.…”

Section: Introductionmentioning

confidence: 99%

Positive oral health outcomes: A partnership model improves care in a rural Indigenous community

Mangoyana

March

Lalloo

et al. 2022

Australian J Rural Health

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Objective The purpose of this study was to explore the benefits of a partnership between a university dental school and a Community Controlled Health Service, specifically in relation to improving the oral health of an underserved rural Indigenous community. We sought community opinions on health and social outcomes arising from the service provided by the dental student clinical outplacement. Setting In Dalby, Queensland. Participants In total, 38 participants in five focus groups were representative of local Indigenous community Elders, community health support group members and management and staff. Design A descriptive qualitative study employing semi‐structured audio‐recorded focus group discussions conducted with purposefully selected Indigenous community groups to explore participant views and experience of the partnership model. Qualitative data were analysed using thematic content analysis. Results The Indigenous community representatives expressed positive benefit in both their general and oral health awareness, in improved access to dental care provided in their own safe space, while they were pleased to assist with students' learning. They viewed the partnership as mutually beneficial. Suggestions for enhancement of the oral health service were also offered. Conclusion This partnership between a university and a Community Controlled Health Service provides sustainable positive social and health benefits for the targeted Indigenous community and for the wider local population, while simultaneously providing enhanced educational benefits for students on clinical outplacement. Translation and uptake of this successful model of care would benefit both underserved communities and dental and other health care professional educators worldwide.

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Australia's Rural Health Multidisciplinary Training program: Preparing for the rural health workforce that Australia needs

Cited by 6 publications

References 7 publications

Strength of cross‐sector collaborations in co‐designing an extended rural and remote nursing placement innovation: Focusing on student learning in preference to student churning

Strength of cross‐sector collaborations in co‐designing an extended rural and remote nursing placement innovation: Focusing on student learning in preference to student churning

The value of extended short-term medical training placements in smaller rural and remote locations on future work location: a cohort study

Positive oral health outcomes: A partnership model improves care in a rural Indigenous community

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