Call to expand teaching opportunities in rural family medicine

Walters, Lucie; Worley, Paul

doi:10.1111/medu.14042

Cited by 2 publications

(3 citation statements)

References 12 publications

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“…Therefore, countering negative opinions about this career preference may be particularly important in promoting and building the workforce in smaller rural locations. Recognising that professional practice involves social learning, the authors recommend ensuring that students interested in small town primary care careers are supported by a community of practice of like‐minded peers and clinicians, so they learn to be the very doctors most sought after in rural Australia 22 …”

Section: Discussionmentioning

confidence: 99%

Are Australian rural clinical school students' career choices influenced by perceived opinions of primary care? Evidence from the national Federation of Rural Australian Medical Educators survey

Forgia

Williams

et al. 2021

Australian J Rural Health

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Objective To investigate whether perceived opinions of primary care are associated with student career preferences after graduation among a rural clinical school cohort and whether the preferred location of practice moderates these relationships. Design Cross‐sectional study using data from the national Federation of Rural Australian Medical Educators survey. Participants/Setting Medical students across 18 Australian universities who completed a clinical year in a rural setting in 2019. Main outcome measure(s) Career preference in primary care after graduation. Results The survey was completed by 624 students (response rate = 69.9%). A preference for primary care was reported by 35.5% (95% CI: 29.4‐42.0) of students and was more likely among those age 30+ years, with a rural background, or preferring to practise rurally after graduation. Students reported that primary care was more commonly respected by medical academics (66.8%) than peers (24.0%) or junior/hospital doctors (24.0%). In adjusted analysis, none of the perceived opinions were associated with student career preferences. However, among students aiming to work in small rural locations, a career in primary care was associated with more frequent reports that peers had poor opinions of primary care (P = .004). Conclusion Rural clinical school students perceive negative opinions of primary care, particularly among peers and junior/hospital doctors. Students aiming to work in small towns after graduation are more likely to report negative opinions among their peers, suggesting they may be more attuned to negative attitudes. This points to the need for a community of practice of like‐minded peers and clinicians to preserve the career interest of these students.

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Section: Discussionmentioning

confidence: 99%

Are Australian rural clinical school students' career choices influenced by perceived opinions of primary care? Evidence from the national Federation of Rural Australian Medical Educators survey

Forgia

Williams

et al. 2021

Australian J Rural Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…This is also supported by work in New Zealand, which illustrates the shift needed to not only prepare students to be ‘collaboration‐ready’ but also purposefully design clinical practice environments to support the education of students, patients, populations and providers 19 . Such calls for action, to situate learning in context and align the expanded student training opportunities with the needs of rural communities, are also recognised in medical education, where context‐relevant learning occurs within longitudinal placements positively impacting on rural identity formation and workforce retention 20 …”

Section: Interprofessional Collaborative Practicementioning

confidence: 99%

“…19 Such calls for action, to situate learning in context and align the expanded student training opportunities with the needs of rural communities, are also recognised in medical education, where context-relevant learning occurs within longitudinal placements positively impacting on rural identity formation and workforce retention. 20…”

Section: Interprofessional Collaborative Practicementioning

confidence: 99%

Co‐designing community‐focused rural placements for collaborative practice

Hyde

Smith

Lawrence

et al. 2021

Australian J Rural Health

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Aims and Context As a University Department of Rural Health, we have identified recurrent areas of service need among vulnerable rural populations, specifically the need for allied health. Concurrently, we have also identified missed opportunities for deliberate collaborative practice in rural clinical placements. This paper provides a commentary on our work in progress as we work to leverage available opportunities to provide both service from and education for health profession students on rural clinical placements. Approach We developed a transdisciplinary placement model, informed by practice theory, which encompasses pre‐placement preparation, student support, host sites and clinicians, and a structured evaluation strategy. This model aims to facilitate service provision alongside of student learning about community and collaborative practice. In particular, the co‐design of the model is expected to facilitate student’s sense of social accountability and reduce stigma in working with vulnerable population groups. Conclusion This paper highlights the need for greater alignment between rural health education and practice, describes a placement model that is working towards this and showcases how this has been enacted in a remote community in New South Wales. More cross‐sector discussion and evaluation is needed to determine the implications of adopting this model more widely if service and learning opportunities are to be equally achieved, and to determine the ways in which training and service provision can be aligned with community need, as recommended in the recent Rural Health Commissioner Report.

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Call to expand teaching opportunities in rural family medicine

Cited by 2 publications

References 12 publications

Are Australian rural clinical school students' career choices influenced by perceived opinions of primary care? Evidence from the national Federation of Rural Australian Medical Educators survey

Are Australian rural clinical school students' career choices influenced by perceived opinions of primary care? Evidence from the national Federation of Rural Australian Medical Educators survey

Co‐designing community‐focused rural placements for collaborative practice

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