Recruiting undergraduates to rural practice: what the students can tell us

Recruiting undergraduates to rural practice: what the students can tell us.
Rural Remote Health. 2005 Oct-Dec;5(4):412. Epub 2005 Oct 4.
PMID: 16201837




The survey was completed by 148 first year and 87 final year students, a response rate of 32.4% and 23.1% respectively.
Over one-third (38.5%) of first years and 56.3% of final years indicated a general preference for rural life and practice and almost 90% expected to spend at least some of their career in rural practice.
There was a statistically significant relationship between rural practice orientation and rural origin among first years, although this relationship was weaker among final years.
Of first years, 82.4%, and 82.7% of final years appear to have made at least some commitment to a particular career path, and two-thirds to a particular practice environment.
Rurally oriented first year students were significantly more committed to a career path than those without that orientation, although this did not hold for final years.
When asked how much of their careers they expected to spend in capital city, rural, remote and/or overseas practice, both first and final year students' responses were notable for their spread.
Few ruled rural or urban practice in or out entirely with most opting for middle range responses of 'most', 'about half' or 'part' of their career.
Over half of both years expected to spend some time in remote practice and 75.1% of first years and 66.6% of final years some time in overseas practice.
The factors rated most important in relation to career choice were those related directly to the realities of day-to-day professional practice--professional and peer support, work conditions and variety of work.
Approximately three-quarters of those entering undergraduate education felt themselves to be at least 'somewhat informed' about rural practice but, apart from medical students, were little better informed by final year.
The only perception of rural practice very widely shared (by more than 80% of respondents) was the possibility of developing better patient relations.
Many of the other factors frequently identified as major issues in the rural practice literature--locality, flexibility, opportunities for further study, and spouse/partner and children's needs - while recognised by some, do not appear to loom large with undergraduates either in terms of career choice or perceptions of rural practice.
Most final year students recalled receiving specific rural health training through rural placements and/or rural curriculum content.
Overall recall of coursework was patchy, although placements were well-remembered and there was good support for increases in both.
None of those who recalled undertaking rural coursework felt that it had influenced them towards a rural career and over two-thirds (n = 37, 69.8%) felt that this exposure had actually influenced them away from such a career.
Three students reported that undertaking a rural placement influenced them towards, and 35 away from, a rural/remote career.

The ultimate measure of the success of undergraduate interventions will be workforce changes over time. In the meantime more research is needed into undergraduate experience of rural health to provide the data needed for the careful design of coursework, detailed planning of the placement experience and long-term strategies to address those aspects of rural practice that are of most concern to these emerging health professionals.




PubMed searchの結果

("Rural Health Services"[MeSH] OR "Hospitals, Rural"[MeSH] OR "Rural Health"[MeSH]) AND ("Curriculum"[MeSH] OR "Education"[MeSH] OR "education"[Subheading]) AND "Motivation"[MeSH]


Postgraduate medical placements in rural areas: their impact on the rural medical workforce.
Rural Remote Health. 2006 Apr-Jun;6(2):481. Epub 2006 Apr 4.
PMID: 16594864

上記からのRelated Articlesでrelevantと思われるもの

Recruiting undergraduates to rural practice: what the students can tell us.
Rural Remote Health. 2005 Oct-Dec;5(4):412. Epub 2005 Oct 4.
PMID: 16201837

Rural training and the state of rural health services: effect of rural background on the perception and attitude of first-year medical students at the university of melbourne.
Aust J Rural Health. 2001 Aug;9(4):178-85.
PMID: 11488702

Impact of undergraduate and postgraduate rural training, and medical school entry criteria on rural practice among Australian general practitioners: national study of 2414 doctors.
Med Educ. 2003 Sep;37(9):809-14.
PMID: 12950945

Finding solutions to the rural doctor shortage: the roles of selection versus undergraduate medical education at Newcastle.
Aust N Z J Med. 1995 Oct;25(5):512-7.
PMID: 8588774

An exploration of when urban background medical students become interested in rural practice.
Rural Remote Health. 2006 Jan-Mar;6(1):452. Epub 2006 Mar 8.
PMID: 16544958

Development of a questionnaire measuring student attitudes to working and living in rural areas.
Rural Remote Health. 2005 Jan-Mar;5(1):327. Epub 2005 Mar 8.
PMID: 15865474

An evaluation of the Rural Medical Education Program of the State University Of New York Upstate Medical University, 1990-2003.
Acad Med. 2005 Aug;80(8):733-8.
PMID: 16043527

Doctors in vocational training: rural background and rural practice intentions.
Aust J Rural Health. 2005 Feb;13(1):14-20.
PMID: 15720310

上記からのRelated Articlesでrelevantと思われるもの;既出のものは除く

Factors associated with rural doctors' intention to continue a rural career: a survey of 3072 doctors in Japan.
Aust J Rural Health. 2005 Aug;13(4):219-25.
PMID: 16048463

Rural background and clinical rural rotations during medical training: effect on practice location.
CMAJ. 1999 Apr 20;160(8):1159-63.
PMID: 10234346

Rural doctors and rural backgrounds: how strong is the evidence? A systematic review.
Aust J Rural Health. 2003 Dec;11(6):277-84.
PMID: 14678410

The General Practice Rural Incentives Program, development and implementation: progress to date.
Aust J Rural Health. 1996 May;4(2):117-27.
PMID: 9437133

上記からのRelated Articlesでrelevantと思われるもの


Undergraduate rural incentives program. Assisting medical schools to help solve the shortage of rural doctors.
Med J Aust. 1995 Mar 6;162(5):228-9.
PMID: 7891597

上記からのRelated Articlesでrelevantと思われるもの

Aggressive recruiting of rural students may help end Newfoundland's shortage of rural MDs.
CMAJ. 1993 Apr 1;148(7):1211-5. No abstract available. Erratum in: Can Med Assoc J 1993 Jun 15;148(12):2121.
PMID: 8457966

What evidence-based undergraduate interventions promote rural health?
N Z Med J. 2004 Oct 22;117(1204):U1117. Review.
PMID: 15505664

Medical education and the retention of rural physicians.
Health Serv Res. 1994 Apr;29(1):39-58.
PMID: 8163379

Rural doctor recruitment: does medical education in rural districts recruit doctors to rural areas?
Med Educ. 1993 May;27(3):250-3.
PMID: 8336575