Comparison of rural and non-rural students undertaking a voluntary rural placement in the early years of a medical course

Peach, Hedley G.; Bath, Nicole E.

doi:10.1046/j.1365-2923.2000.00515.x

Cited by 25 publications

(3 citation statements)

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“…By analogy, the proposed system of medical students and young doctors doing their practical training partly in rural areas might also be effective [4,5] in providing insight into different professional settings. This could increase the knowledge, familiarity and consequently support the consideration of different professional surroundings over the course of postgraduate orientation, and could usefully contribute to the transformation of future ideas regarding workplace.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of a survey on young doctors' willingness to work in rural Hungary

2010

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BackgroundThe severe shortage of qualified healthcare staff in Hungary cannot be quickly or easily overcome. There is not only a lack of human resources for health, but significant inequalities are widespread, including in geographical distribution. This disparity results in severe problems regarding access to and performance of health care services. In this context, this report, based on research carried out in 2008, deals with a particularly relevant matter: the willingness of young doctors to work outside Budapest (the capital of Hungary).MethodsWe conducted a survey with voluntary questionnaires and focus group interviews at each of the four Hungarian medical schools, concerning career plans and related incentives among young medical doctors. In all, 524 residents responded to the question concerning their willingness to work in rural areas, and there were seven focus group interviews, with 3-7 participants in each group. The number of residents' places in Hungary were 832, 682, and 785 in 2006/2007, 2007/2008, and 2008/2009, respectively.ResultsThe majority of those surveyed would like to work in Budapest or a large town. Fewer than 7% were willing to work in a town with less than 50 000 inhabitants. Most young doctors would like to work in a teaching hospital (i.e. an accredited training site for medical students and postgraduate trainees) or a major regional hospital.ConclusionsThe current system of medical training in Hungary tends to produce doctors who want to live in big cities and work in central hospitals. Rural regions and non-in-patient service alternatives seem either not to be targeted or seen as unattractive work places.More doctors would be willing to work in smaller towns and villages if in-hospital training was altered and if doctors were offered adequate incentives as part of a comprehensive human resource strategy (high salaries, high professional standards, good working environment, reasonable workload). If these changes do not occur, the existing geographical and structural imbalances will not be improved.

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Section: Discussionmentioning

confidence: 99%

“…Nevertheless, some studies suggest, that education would play an important role in the recruitment and retention of medical doctors into rural and remote areas [4,5]. …”

Section: Introductionmentioning

confidence: 99%

Analysis of a survey on young doctors' willingness to work in rural Hungary

2010

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“…Considerable evidence in the literature demonstrates that meaningful exposure to rural areas during medical school has a positive impact on recruitment to the rural medical workforce 1 . Some of this literature also suggests that voluntary rural placement positively impacts health professional students' feelings towards rural practice [2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

Effect of medical student preference on rural clinical school experience and rural career intentions

Walters

Seal

McGirr

et al. 2016

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Introduction:The key parameter for rural clinical schools (RCSs) is to provide at least 1 year of clinical training in rural areas for 25% of Australian Commonwealth supported medical students with the intent to influence future rural medical workforce outcomes. The objective of this study was to describe the association between a medical student's selection preference and their RCS experience and rural career intent. Methods: Medical students completing an RCS placement in 2012 and 2013 were encouraged to complete a survey regarding their experience and future career intent. Data were analysed to compare medical students for whom the RCS was their first choice with students who described the RCS as other than their first preference. Results: Students for whom RCS was their first choice (724/1092) were significantly more likely to be female, come from a rural background and be from an undergraduate program. These students reported more positive experiences of all aspects of the RCS program (costs, access, support and networks, safety) and were 2.36 times more likely to report intentions to practice in a nonmetropolitan area (odds ratio(OR)=2.36 (95% confidence interval(CI)=1.82-3.06), p<0.001). This was true for students of rural (OR=3.11 (95%CI=1.93-5.02), p<0.001) and metropolitan backgrounds (OR=2.07 (95%CI=1.48-2.89), p<0.001). More © James Cook University 2016, http://www.jcu.edu.au 2 students in the first-choice group (68.8%) intended to practice in a regional area (not a capital or major city), significantly higher than the 48.4% of participants in the other-preference group (χ 2 (1) 42.79, p<0.001). Conclusions: The decision to choose an RCS placement is a marker of rural career intention and a positive rural training experience for students of both rural and metropolitan backgrounds. It may be important to identify other-preference students and their specific social support needs to ensure a positive perception of a future rural career.

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