The pathway to more rural doctors: the role of universities

McGrail, Matthew Richard; Doyle, Zelda; Fuller, Lara; Gupta, Tarun Sen; Shires, Lizzi; Walters, Lucie

doi:10.5694/mja2.52021

Cited by 7 publications

(2 citation statements)

References 44 publications

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“…Currently, improvements in rural general surgical training are focused on increased rural selection, a Rural Coach Program for trainees, moving towards a rural facing curriculum, rural training hubs and flexible training opportunities. As yet, these programs have not been evaluated for their effectiveness 12,43 …”

Section: Training Rural General Surgeonsmentioning

confidence: 99%

“…Recruiting and retaining general surgeons rurally is multifaceted. Strategies include an increased focus on rural selection (rural origin, clinical school placement, prevocational work), increased rural general surgery training hubs and supporting the non‐professional needs of surgeons and trainees (childcare, childhood education, partner's employments, relocation support) 12,43 . There also needs to be a focus on income disparity for rurally based surgeons, who have fewer options for private practice 12,43 …”

Section: Training Rural General Surgeonsmentioning

confidence: 99%

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The provision of general surgery in rural Australia: a narrative review

Paynter,

Qin,

Brennan

et al. 2024

Medical Journal of Australia

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Summary Rural surgery is most commonly provided by general surgeons to the 29% of people (7 million) living in rural Australia. The provision of rural general surgery to enable equitable and safe surgical care for rural Australians is a multifaceted issue concerning recruitment, training, retention, surgical procedures and surgical outcomes. Sustaining the rural general surgical workforce will be dependent upon growing an increased number of resident rural general surgeons, as well as changed models of care, with a need for ongoing review to track the outcomes of these changes. To increase recruitment, rural general surgical training must improve to be less stressful for trainees and to be incorporated alongside a rural‐facing generalist curriculum. Rural general surgical outcomes (excluding some oncology conditions) achieve comparable results to metropolitan centres. Access to, and outcomes of, surgical oncology services continues to be inequitable for rural Australians and should be a major focus for improved service delivery.

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Section: Training Rural General Surgeonsmentioning

confidence: 99%

Section: Training Rural General Surgeonsmentioning

confidence: 99%

The provision of general surgery in rural Australia: a narrative review

Paynter,

Qin,

Brennan

et al. 2024

Medical Journal of Australia

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Attractions and barriers to rural practice: impact of an interprofessional rural immersion experience, in British Columbia, Canada

MacPhail,

Maurice

2024

Discov Health Systems

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Healthcare provider shortage is a widely recognized contributor to rural–urban population health disparities and inequities. Various strategies have been employed to increase healthcare provider recruitment and retention in rural areas, yet a maldistribution persists, with far fewer choosing to practice rurally. Providing opportunities for healthcare students to experience rural communities is important for building the rural health workforce. In this study, interprofessional healthcare students who participated in a week-long rural immersion experience were surveyed regarding attractions and barriers to rural practice. Thirty students participated in a week-long rural immersion experience, and of those, eleven elected to complete the survey. Students’ responses regarding their interests in and perceived barriers of living and working in rural communities were categorized into two main themes: lifestyle factors and career factors. Lifestyle factors were reported more frequently than career factors regarding attraction to rural practice, but they were reported with similar frequency regarding barriers. Participants reported that the immersion experience increased comfort with the idea of rural practice. Providing exposure to rural communities, and community engagement beyond clinical involvement, should both be considered when developing future rural health workforce recruitment focused initiatives.

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