Abstract：
INTRODUCTION:Time spent in remote medicine as an undergraduate is influential in career choice in Australia and Northern America. However, its influence is not known in smaller countries, where recruitment into rural medicine is also problematic. Differences across countries mean work is required to explore determinants of success of remote and rural undergraduate training locally. The objectives of this pilot study were to identify why 4th year medical students chose an extended remote and rural option within a degree program which includes a short compulsory period of remote and rural practice. Because this was a novel option the study also looks at the academic performance of the first cohort of students to ensure quality control of teaching and learning. METHODS:This was a mixed methods (questionnaire, focus group, assessment data) pilot study exploring student views and performance outcomes in 4th year medical undergraduate students (n = 14), University of Aberdeen, who completed an innovative, one-year remote and rural placement. RESULTS:Fourteen students took part in the pilot. Questionnaire data indicated they viewed remote and rural medicine positively. This interest was maintained over the placement. Most had no definite career plans, but did have a slight preference towards general practice. Focus group data indicated four main themes relating to the decision to select the remote and rural placement: (1) teaching reputation; (2) to experience remote and rural medicine; (3) a change from Aberdeen; and (4) lifestyle factors. Assessment data indicated that student performances at the end of the year placement were consistent with their 3rd year performance on all assessments: OSCEs (p = 0.79), written exams (p = 0.10; p = 0.49), special study module/ Ethics (p = 0.10) and year mark averages (p = 0.48). DISCUSSION:The results indicate that the extended remote and rural placement was a valuable and academically successful experience for the students. Important outcomes include that: the students who chose to undertake the remote and rural option did not suffer academically; and the cohort maintained their enthusiasm for long-term remote and rural practice. This pilot study represents only the short-term results of a remote and rural extended option offered by one university medical school. We plan further follow up on these students and their successors to look at both short- and long-term outcomes in terms of post selection and choosing to live and work within rural communities.
journal_name
Rural Remote Healthjournal_title
Rural and remote healthauthors
Wilson M,Cleland Jsubject
Has Abstractpub_date
2008-07-01 00:00:00pages
960issue
3issn
1445-6354pii
960journal_volume
8pub_type
杂志文章abstract：INTRODUCTION:Nurses in rural settings are often the first to assess and interpret the patient's clinical presentations. Therefore, an understanding of how nurses experience decision-making is important in terms of educational preparation, resource allocation to rural areas, institutional cultures, and patient outcomes....
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：:The poor health of Indigenous Australians is highlighted by the fact that their life expectancy is 17 years less than that of non-Indigenous Australians. The cause of this health disparity is multifactorial, and includes the under use of health services and medications. Distance, cost, and embarrassment, or fear of se...
journal_title：Rural and remote health
pub_type： 杂志文章,评审
doi：
更新日期：2007-04-01 00:00:00
abstract：CONTEXT:The World Health Organization's World report on disability calls upon all nations to 'remove the barriers which prevent [people with disabilities] from participating in their communities; getting a quality education, finding decent work, and having their voices heard' (p. 5). People with communication disabilit...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2015-07-01 00:00:00
abstract：INTRODUCTION:Early postgraduate, or junior doctors, are still required to practise in rural and remote communities, and they continue to face numerous issues and difficulties. Within the hospital setting, exposure to rural practice appears to be very limited during internship, and also to some extent, during the second...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2005-10-01 00:00:00
abstract：CONTEXT:Hypothyroidism is a significant cause of pericardial effusion. However, large pericardial effusions due to hypothyroidism are extremely rare. Hormone replacement therapy is the cornerstone of treatment for hypothyroidism and regular follow-up of patients after initiation of the therapy is indicated. Herein, the...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH4384
更新日期：2018-05-01 00:00:00
abstract：INTRODUCTION:Hokianga Hospital is a small rural hospital in the far north of New Zealand serving a predominantly Maori population of 6500. The hospital, an integral part of a comprehensive primary healthcare service, provides continuous acute in-hospital and emergency care. Point-of-care (POC) biochemistry has been ava...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH4934
更新日期：2019-04-01 00:00:00
abstract：INTRODUCTION:Indigenous children in Australia have higher dental caries levels than their non-Indigenous counterparts. Indigenous communities in South Australia's mid-north region have identified dental health as one of their top health priorities. In response to this, an oral health program based at the Pika Wiya Heal...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2007-04-01 00:00:00
abstract：INTRODUCTION:Child farm safety has been identified as a key public health concern in Australia. To date, communication strategies for child farm safety have primarily targeted rural based adults as custodians of children, and because the greatest proportion of deaths occur in pre-school children. However, emerging inte...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2007-10-01 00:00:00
abstract：INTRODUCTION:Atrial fibrillation (AF) is a major risk factor for ischaemic stroke and a common presentation in general practice. Scoring systems to guide antithrombotic treatment have been available since 1996, with the CHA2DS2-VASC in current use; however, little is known about adherence to guidelines in rural general...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH4342
更新日期：2019-03-01 00:00:00
abstract：INTRODUCTION:Thailand has recognised and sought to remedy rural medical workforce shortages. The Collaborative Project to Increase Production of Rural Doctors (CPIRD) has improved rural workforce recruitment through publicly funding medical school places for students with rural backgrounds. However, challenges in rural...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH4709
更新日期：2018-11-01 00:00:00
abstract：INTRODUCTION:Access to health care as near to where people live as possible is desirable. However, not enough medical graduates choose to work in rural and regional areas, especially in general practice. The career decisions of recent medical graduates are known to be affected by a variety of professional, societal and...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH4247
更新日期：2017-12-01 00:00:00
abstract：INTRODUCTION:Retirement from paid work is a major life change for men and women. It has been suggested that, for men, self-identity is more strongly associated with paid work than is generally the case for women. If this is so, then the retirement transition for men, in which not only the behaviours of a lifetime but a...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2006-07-01 00:00:00
abstract：INTRODUCTION:Diabetes is a growing worldwide problem, characterized by considerable ethnic variation and being particularly common in modernizing populations. Modernization is accompanied by a variety of stressful sociocultural changes that are believed to increase the risk of diabetes. Unfortunately, there is little a...
journal_title：Rural and remote health
pub_type： 杂志文章,评审
doi：
更新日期：2011-01-01 00:00:00
abstract：INTRODUCTION:A person's capability to access services and achieve good eye health is influenced by their behaviours, perceptions, beliefs and experiences. As evidence from Papua New Guinea (PNG) about people's lived experience with vision impairment is limited, the purpose of the present study was to better understand ...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2016-10-01 00:00:00
abstract：INTRODUCTION:Reacting to demand and supply pressures, European healthcare systems are undergoing significant structural changes to the organisation and delivery of out of hours care. Such pressures are of particular concern to rural practice. Although patient satisfaction with out of hours care has been extensively stu...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2004-07-01 00:00:00
abstract：INTRODUCTION:Prescription opioid (PO) misuse and related harms are high in Canada, and a major public health challenge. In Canada, 1.4 million individuals (4.3% of the total population) self-identify as Aboriginal, among whom substance use and related harms are elevated. While there are reports of PO use and associated...
journal_title：Rural and remote health
pub_type： 杂志文章,评审
doi：
更新日期：2016-10-01 00:00:00
abstract：INTRODUCTION:Health sciences programs are being designed to attract students who are likely to stay and practice in rural and northern Canada. Consequently, student recruitment and screening are increasingly including assessment of suitability for rural practice. Although retention factors among rural physicians and nu...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2009-10-01 00:00:00
abstract：CONTEXT:Exposure of undergraduate medical students to general practice and community healthcare services is common practice in the international medical curricula. Nevertheless, proponents of the hospital and biotechnology based paradigm, which is still dominant within the medical academic environment, question both th...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2013-01-01 00:00:00
abstract：INTRODUCTION:The need for family physicians in rural areas across the USA and Canada is a longstanding issue that has been well documented. Since family physicians constitute the largest population of rural practitioners, the problem has been exacerbated by a sharp decline in medical students' interest in the field of ...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH5341
更新日期：2020-01-01 00:00:00
abstract：INTRODUCTION:The prevalence of obesity is greater among adults living in rural compared to urban areas of the USA. Greater obesity risk among rural adults persists after adjusting for obesity-related behaviors and sociodemographic factors. With the rural-urban obesity disparity greatest among younger adults, it is impo...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/rrh3984
更新日期：2017-01-01 00:00:00
abstract：:Traditionally dental plaque, calculus and stains have been removed by scaling and polishing manually with hand instruments such as curettes, chisels, hoes and scalers. However, ultrasonic scaling is becoming the preferred method of initial periodontal treatment and maintenance, due to improved patient and operator com...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2012-10-01 00:00:00
abstract：INTRODUCTION:Behavioral determinants can enable or hinder motivation towards registration and donorship and, subsequently, action or inertia towards organ donation. Nevertheless, there is limited information about the role of self-efficacy in relation to organ donation awareness and presumed consent among individuals a...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH5241
更新日期：2019-10-01 00:00:00
abstract：INTRODUCTION:This study considered the views and experiences of 85 rural women, most of whom gave birth in two regional South Australian hospitals. METHOD:This descriptive survey used a validated questionnaire, modified for use in rural South Australia, which included open-ended questions to invite further comment. Wo...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2009-07-01 00:00:00
abstract：INTRODUCTION:Despite reports suggesting an oversupply of pharmacists, there is currently an inadequate supply in rural and remote Australia. This can lead to a reduction in pharmaceutical services for an already vulnerable population. The objective of this study was to identify strategies for increasing the pharmacist ...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH5741
更新日期：2020-11-01 00:00:00
abstract：CONTEXT:Entry to practice medical programs (graduate- and undergraduate-entry) in Australia are under considerable pressure to provide clinical training as a result of increased student numbers. At the same time modern medical curricula require the development of active placements in expanded settings to achieve gradua...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：:Rural clinicians require expertise across a broad range of specialties, presenting difficulty in maintaining currency of knowledge and application of best practice. Free open access medical education is a new paradigm in continuing professional education. Use of the internet and social media allows a globally accessib...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2015-07-01 00:00:00
abstract：:There are trends towards centralising hospital care within the NHS, for many excellent reasons. Yet this has a disproportionate impact upon those patients who live at a distance from their hospital, and this impact has not been well reported or researched, but studies have demonstrated that the utilisation of services...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2005-04-01 00:00:00
abstract：INTRODUCTION:The Indian Ocean Territories (IOT) comprising Christmas and Cocos (Keeling) Islands are situated over 2500 km from Perth, Australia, and are accessible by commercial aircraft only twice a week. The IOT Health Service (IOTHS) is administered from the Department of Transport and Regional Services in Canberra...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2007-04-01 00:00:00
abstract：INTRODUCTION:In Italy the course to become a general practitioner (GP) lasts 3 years and includes both theoretical and practical study. Different from the theoretical part, until recently the practical activity has not been assessed at all. The Emilia Romagna Regional Health Authority has developed a special program ca...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2016-07-01 00:00:00
abstract：INTRODUCTION:Farmers and farm workers have higher than expected rates of suicide and undetermined deaths in UK studies, and some rural areas of Scotland have higher than average male suicide rates. Firearm access seems to be an influencing factor in England and Wales. Type of farming, and farming social networks may al...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2006-01-01 00:00:00
