Growth of the James Cook University Medical Program: Maintaining quality, continuing the vision, developing postgraduate pathways

Gupta, Tarun Sen; Johnson, Peter; Rasalam, Roy; Hays, Richard

doi:10.1080/0142159x.2018.1435859

Cited by 19 publications

(21 citation statements)

References 8 publications

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“…Having a critical mass of doctors was a key issue enabling balanced and flexible work schedules to be modelled by supervisors resulting in attracting and retaining registrars and a sustainable remote supervision model. Critical mass could be developed encouraging groups of medical students and registrars to train together, including early and repeated training opportunities in remote communities as multiple placements throughout medical school, in the early postgraduate years, and during vocational training [22]. Retaining remote supervisors through their careers requires upskilling provisions and innovative work and supervision models to promote career diversification whilst sustaining work in the same remote community [28].…”

Section: Discussionmentioning

confidence: 99%

“…Rural-based GP training has been shown to increase the likelihood of GPs practising in these areas for at least five years [17]. Other research has shown that both rural background [18–20] and extended rural placements during medical school [21, 22] positively influence rural practice in early career. However, there is very little contextual information about the rich range of background factors related to working and undertaking supervised postgraduate medical training in such communities, making it hard to implement solutions.…”

Section: Introductionmentioning

confidence: 99%

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Building general practice training capacity in rural and remote Australia with underserved primary care services: a qualitative investigation

Young

Peel

O’Sullivan

et al. 2019

BMC Health Serv Res

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Background Australians living in rural and remote areas have access to considerably fewer doctors compared with populations in major cities. Despite plentiful, descriptive data about what attracts and retains doctors to rural practice, more evidence is needed which informs actions to address these issues, particularly in remote areas. This study aimed to explore the factors influencing General Practitioners (GPs), primary care doctors, and those training to become GPs (registrars) to work and train in remote underserved towns to inform the building of primary care training capacity in areas needing more primary care services (and GP training opportunities) to support their population’s health needs. Methods A qualitative approach was adopted involving a series of 39 semi-structured interviews of a purposeful sample of 14 registrars, 12 supervisors, and 13 practice managers. Fifteen Australian Medical Graduates (AMG) and eleven International Medical Graduates (IMG), who did their basic medical training in another country, were among the interviewees. Data underwent thematic analysis. Results Four main themes were identified including 1) supervised learning in underserved communities, 2) impact of working in small, remote contexts, 3) work-life balance, and 4) fostering sustainable remote practice. Overall, the findings suggested that remote GP training provides extensive and safe registrar learning opportunities and supervision is generally of high quality. Supervisors also expressed a desire for more upskilling and professional development to support their retention in the community as they reach mid-career. Registrars enjoyed the challenge of remote medical practice with opportunities to work at the top of their scope of practice with excellent clinical role models, and in a setting where they can make a difference. Remote underserved communities contribute to attracting and retaining their GP workforce by integrating registrars and supervisors into the local community and ensuring sustainable work-life practice models for their doctors. Conclusions This study provides important new evidence to support development of high-quality GP training and supervision in remote contexts where there is a need for more GPs to provide primary care services for the population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Building general practice training capacity in rural and remote Australia with underserved primary care services: a qualitative investigation

Young

Peel

O’Sullivan

et al. 2019

BMC Health Serv Res

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“…Students who participate in undergraduate rural initiatives may achieve preference for postgraduate rural training places [ 2 ]. A well-known rural pathway is the Queensland Rural Generalist Program (QRGP), which attracts, trains and supports a medical workforce for smaller rural hospitals [ 17 , 37 ].…”

Section: Introductionmentioning

confidence: 99%

“…These specific relationships included personal-professional, clinician-patient, university-health service and government-community. For communities in particular, contributing to the selection of doctors, health governance, teaching, and welcoming and supporting doctors and students during community placements are essential for symbiotic medical education to occur [ 17 ]. Symbiotic relationships may increase patient centred care [ 40 ] and workforce recruitment [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…Since 2016, JCU GPT, as one of nine GP training providers in Australia, has provided GP training for over 90% of the geographically large state of Queensland, including many regional, rural, and remote areas, as shown in Fig. 1 [ 17 , 41 ]. While definitions and uses of the term ‘community’ vary in the literature [ 42 ], we have adopted a geographic definition relevant to rural and remote Queensland, where relatively small populations face a degree of physical isolation and residents share the same services, local government and a sense of belonging [ 43 ].…”

Section: Introductionmentioning

confidence: 99%

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How does GP training impact rural and remote underserved communities? Exploring community and professional perceptions

Kanakis

Young

Reeve

et al. 2020

BMC Health Serv Res

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Background Substantial government funding has been invested to support the training of General Practitioners (GPs) in Australia to serve rural communities. However, there is little data on the impact of this expanded training on smaller communities, particularly for smaller rural and more remote communities. Improved understanding of the impact of training on underserved communities will assist in addressing this gap and inform ongoing investment by governments and communities. Method A purposive sample of GP supervisors, GP registrars, practice managers and health services staff, and community members ( n = 40) from previously identified areas of workforce need in rural and remote North-West Queensland were recruited for this qualitative study. Participants had lived in their communities for periods ranging from a few months to 63 years (Median = 12 years). Semi-structured interviews and a focus group were conducted to explore how establishing GP training placements impacts underserved communities from a health workforce, health outcomes, economic and social perspective. The data were then analysed using thematic analysis. Results Participants reported they perceived GP training to improve communities’ health services and health status (accessibility, continuity of care, GP workforce, health status, quality of health care and sustainable health care), some social factors (community connectedness and relationships), cultural factors (values and identity), financial factors (economy and employment) and education (rural pathway). Further, benefits to the registrars (breadth of training, community-specific knowledge, quality of training, and relationships with the community) were reported that also contributed to community development. Conclusion GP training and supervision is possible in smaller and more remote underserved communities and is perceived positively. Training GP registrars in smaller, more remote communities, matches their training more closely with the comprehensive primary care services needed by these communities.

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La responsabilité sociale en santé : référents conceptuels, valeurs et suggestions pour l’apprentissage. Une revue méthodique et systématique de la littérature

et al. 2022

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Contexte et problématique : Certains auteurs datent les références historiques de la responsabilité sociale en santé (RSS) d’aussi loin que le serment hippocratique. De la multitude de termes et définitions, la prédominance de certaines références a mis en exergue ce qu’est cette notion en termes de concepts, valeurs et compétences. Objectif : Le but du présent article était de contribuer à l’élaboration, à partir des différentes sources recensées, d’une définition et d’un contenu de la RSS, à utiliser pour la formation du personnel de santé en partant de la question : qu’est-ce qu’un clinicien, un chercheur, un gestionnaire socialement responsable en santé ? Méthodes : Une revue méthodique et systématique de la littérature a été effectuée. Les sources de données bibliographiques en ligne explorées couvrent : Medline, Embase, EBM Reviews et Cochrane Library et Cochrane Database of Systematic Reviews, ACP Journal Club, Database of Abstracts of Reviews of Effects, Cochrane Clinical Answers, Cochrane Central Register of Controlled Trials, Cochrane Methodology Register, Health Technology Assessment, NHS Economic Evaluation Database, Ovid Medline ®. Résultats : Parmi 1154 documents identifiés, 127 ont été retenus. La RSS se réfère prioritairement à la prise en compte des besoins des communautés. La documentation de l’OMS a servi de référence à 45 % des définitions et 40 % des valeurs. Seuls deux écrits évoquaient la durabilité environnementale. Discussion et conclusion : Une notion de RSS à promouvoir intègrerait les engagements et concepts développés dans le domaine de la santé, les valeurs humaines, les compétences professionnelles, les questions de comptes à rendre en matière économique et la durabilité.

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Growth of the James Cook University Medical Program: Maintaining quality, continuing the vision, developing postgraduate pathways

Cited by 19 publications

References 8 publications

Building general practice training capacity in rural and remote Australia with underserved primary care services: a qualitative investigation

Building general practice training capacity in rural and remote Australia with underserved primary care services: a qualitative investigation

How does GP training impact rural and remote underserved communities? Exploring community and professional perceptions

La responsabilité sociale en santé : référents conceptuels, valeurs et suggestions pour l’apprentissage. Une revue méthodique et systématique de la littérature

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