Does a mandatory rural exposure change medical students’ rural practice intent?

2016 ◽  
Vol 28 (1) ◽  
pp. 10-15
Author(s):  
Jennifer Moffatt
Keyword(s):  
Medical Students ◽  
Rural Practice

scholarly journals Effect of rural practice observation on the anxiety of medical students

2015 ◽  
Author(s):  
Selma Aydin ◽  
Fusun Yaris ◽  
Mustafa Fevzi Dikici ◽  
Fusun Artiran Igde
Keyword(s):  
Medical Students ◽  
Rural Practice

scholarly journals Assessing Initiatives for Rural Health Practices in South Carolina

2020 ◽  
Vol 17 (3) ◽  
pp. 61-72
Author(s):  
Aalia Soherwardy ◽  
Elizabeth Crouch
Keyword(s):  
South Carolina ◽  
Medical Students ◽  
Rural Area ◽  
Rural Areas ◽  
Financial Incentives ◽  
Medical Practitioner ◽  
Rural Practice ◽  
Incentive Programs ◽  
Personal Motivation ◽  
Loan Forgiveness

The purpose of this study was to determine which incentives are most effective in motivating medical students to practice in rural areas of South Carolina, which can be informative for the medical practitioner rural recruitment process. Medical students attending the University of South Carolina School of Medicine located in Columbia, South Carolina were surveyed about demographic information, motivations for rural practice, and considerations for choosing a practice location (n=109). Chi-square tests and bivariate analyses were used to test for significant differences. A significant relationship was found between previous residence in a rural area and personal motivation to practice in a rural area (p<0.001). It was also found that 86.2% of students who had previously lived, worked, or served in rural areas had a personal motivation to practice medicine in a rural area, confirming previous research. Loan forgiveness options were the most appealing personal incentive for the students in this study, closely followed by guaranteed minimum incomes and tax incentives; financial incentives were more preferred than non-financial incentives like reduced on-call work and accelerated residencies. The results of this study can be utilized to craft future state-supported incentive programs or to tailor current programs to more effectively recruit students to rural practice. KEYWORDS: Rural; Recruitment; Healthcare Provider; Shortage; Incentive Programs; Medical Student; Southern United States; Loan Forgiveness

scholarly journals Screening for burn-out in Australian medical students undertaking a rural clinical placement

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029029 ◽  
Author(s):  
Vivian Isaac ◽  
Craig S McLachlan ◽  
Lucie Walters ◽  
Jennene Greenhill
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Social Isolation ◽  
Outcome Measures ◽  
Self Efficacy ◽  
Rural Practice ◽  
Clinical Placement ◽  
Secondary Outcome ◽  
Factors Associated ◽  
Burn Out

ObjectiveTo investigate Australian medical student burn-out during rural clinical placement. Second, to examine the association between perceived burn-out and rural career intent at the time of finishing their rural placement.Design, settings and participantsThe 2016 Federation of Rural Australian Medical Educators evaluation survey is a cross-sectional study of medical students from 17 Australian universities. Specifically, those medical students who completed a full academic year or more at a Rural Clinical School (RCS). Responses from 638 medical students from regional Australia were analysed in the study of all eligible 756 medical students (response rate 84.3%).Primary and secondary outcome measuresThe primary objective was to determine self-reported burn-out (emotional exhaustion) in rural placements for medical students. Secondary outcome measures were designed to explore interactions with rural practice self-efficacy and rural intentions. Logistic regression models explored factors associated with burn-out.Results26.5% of students reported experiencing burn-out during a rural placement. Factors associated with burn-out were female gender, rural origin, low preference for RCS, stress in the year prior to a rural clinical placement, perceived social isolation during rural placement and lower rural practice self-efficacy. Burn-out was not associated with rural career intentions. Social isolation and low rural self-efficacy were independently associated with burn-out during rural placement and together explained 10% of variance in burn-out (Model Nagelkerke R2=0.23).ConclusionBurn-out during rural placement may be a consequence of stress prior to a medical school placement. Social isolation and rural self-efficacy are amendable factors to mitigate medical student burn-out during rural placements.

Driving change in rural workforce planning: the Medical Schools Outcomes Database

2010 ◽  
Vol 16 (1) ◽  
pp. 36 ◽  
Author(s):  
Jonathan P. Gerber ◽  
Louis I. Landau
Keyword(s):  
Medical Students ◽  
Succession Planning ◽  
Workforce Planning ◽  
Medical Schools ◽  
Rural Practice ◽  
Career Trajectories ◽  
Rural Workforce ◽  
Longitudinal Tracking ◽  
Potential Impact ◽  
Using Data

The Medical Schools Outcomes Database (MSOD) is an ongoing longitudinal tracking project of medical students from all medical schools in Australia and New Zealand. It was established in 2005 to track the career trajectories of medical students and will directly help develop models of workforce flow, particularly with respect to rural and remote shortages. This paper briefly outlines the MSOD project and reports on key methodological factors in tracking medical students. Finally, the potential impact of the MSOD on understanding changes in rural practice intentions is illustrated using data from the 2005 pilot cohort (n = 112). Rural placements were associated with a shift towards rural practice intentions, while those who intended to practice rurally at both the start and end of medical school tended to be older and interested in a generalist career. Continuing work will track these and future students as they progress through the workforce, as well as exploring issues such as the career trajectories of international fee-paying students, workforce succession planning, and the evaluation of medical education initiatives.

scholarly journals A short‐term rural placement can change metropolitan medical students' knowledge of, and attitudes to, rural practice

2014 ◽  
Vol 201 (2) ◽  
pp. 106-108 ◽  
Author(s):  
Julian R Wright ◽  
Lisa Bourke ◽  
Catherine J Waite ◽  
Thom A Holden ◽  
Jenni M Goodwin ◽  
...  
Keyword(s):  
Medical Students ◽  
Rural Practice ◽  
Short Term

scholarly journals Factors influencing choice of site for rural clinical placements by final year medical students in a South African university

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Nontsikelelo O. Mapukata ◽  
Rainy Dube ◽  
Ian Couper ◽  
Motlatso G. Mlambo
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Service Learning ◽  
Human Resources ◽  
Selection Process ◽  
Contextual Factors ◽  
Rural Practice ◽  
Public Health Care ◽  
Family Responsibilities ◽  
Clinical Placements

Background: Most of South Africa’s citizens who live in rural or underserved communities rely on the public health care sector to access quality health care. The value of rural exposure through clinical placements is well documented. Medical schools in South Africa have a responsibility to provide solutions that address the prevailing human resources challenges. Despite this commitment, medical students do not necessarily appreciate their role in resolving South Africa’s human resources challenges. This study aimed to assess the factors that influenced the choice of clinical learning sites in a self-selection process undertaken by Wits final year medical students for the compulsory 6-week integrated primary care block rotation.Methods: Qualitative data related to reasons for choice of service learning site were gathered from 524 pre-placement questionnaires completed by final year medical students entering the rotation over a 3-year period (2012–2014). Thematic analysis was performed using the MAXQDA software.Results: Eight themes emerged from the study indicating that the majority of participants were in favour of local urban underserved placement. Contextual factors, such as work commitments or family responsibilities, being compromised socially and losing academic standing were the main reasons for seeking urban placement. Good supervision, opportunistic learning, skills development and moral support were reasons for seeking rural placements. Previous voluntary exposure to rural practice or being of rural origin was a strong indicator for uptake of rural placement.Conclusion: This study has demonstrated the challenges faced by coordinators in balancing personal and institutional needs with country needs and the contextual factors that must be considered when implementing medical education programmes that respond to social challenges.

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