Rural doctor recruitment: does medical education in rural districts recruit doctors to rural areas?

1993 ◽  
Vol 27 (3) ◽  
pp. 250-253 ◽  
Author(s):  
J. H. MAGNUS ◽  
A. TOLLAN
Keyword(s):  
Medical Education ◽  
Rural Areas ◽  
Rural Districts ◽  
Rural Doctor

The Forgotten Many

2022 ◽  
pp. 150-170
Author(s):  
Rachelle Kuehl ◽  
Carolyn M. Callahan ◽  
Amy Price Azano
Keyword(s):  
Stereotype Threat ◽  
Rural Schools ◽  
Gifted Education ◽  
Rural Areas ◽  
Large Scale ◽  
Rural Students ◽  
Federally Funded ◽  
Rural Districts ◽  
Gifted Programming ◽  
Language Arts Instruction

Limited economic resources and geographic challenges can lead rural schools in areas experiencing poverty to deprioritize gifted education. However, for the wellbeing of individual students and their communities, investing in quality rural gifted education is crucial. In this chapter, the authors discuss some of the challenges to providing equitable gifted programming to students in rural areas and present approaches to meeting those challenges (e.g., cluster grouping, mentoring). They then describe a large-scale federally-funded research project, Promoting PLACE in Rural Schools, which demonstrated methods districts can use to bolster gifted education programming. With 14 rural districts in high-poverty areas of the southeastern United States, researchers worked with teachers and school leaders to establish universal screening processes for identifying giftedness using local norms, to teach students the value of a growth mindset in reducing stereotype threat, and to train teachers on using a place-based curriculum to provide more impactful language arts instruction to gifted rural students.

scholarly journals Does Money Matter More in the Country? Education Funding Reductions and Achievement in Kansas, 2010–2018

AERA Open ◽  
2020 ◽  
Vol 6 (4) ◽  
pp. 233285842096368
Author(s):  
Emily Rauscher
Keyword(s):  
Low Income ◽  
Rural Areas ◽  
Economies Of Scale ◽  
State Level ◽  
Department Of Education ◽  
Block Grant ◽  
Short Term ◽  
Rural Districts ◽  
Before And After ◽  
Funding Cuts

The U.S. Department of Education made recent technical changes reducing eligibility for the Rural and Low-Income School Program. Given smaller budgets and lower economies of scale, rural districts may be less able to absorb short-term funding cuts and experience stronger negative achievement effects. Kansas implemented a state-level finance change (block grant funding) after 2015, which froze district revenue regardless of enrollment and reduced funding in districts where enrollment increased. Difference-in-differences models compare achievement before and after block grant implementation to estimate effects of funding cuts separately in rural and nonrural districts. Between-state and within-state comparisons offer complementary identification strategies in which the strengths of one approach help address limitations of the other. Revenue/spending reductions are similar by geography but represent a larger fraction of rural district budgets. Results indicate that revenue reductions have larger implications for achievement in rural areas, where they represent a larger proportion of the total budget.

scholarly journals Making doctors available for rural India:

2020 ◽  
Vol 20 (2) ◽  
pp. 196-217
Author(s):  
Prasanth Subrahmanian ◽  
Shivangi Rai ◽  
Himanshu Bhushan
Keyword(s):  
Medical Education ◽  
Rural Areas ◽  
Health Care Services ◽  
Central Government ◽  
Rural India ◽  
Medical Council ◽  
State Governments ◽  
Medical Practitioners ◽  
Care Services ◽  
State Interventions

In the backdrop of acute shortage of allopathic doctors in rural India, this paper looks at the interplay and tension between central and state regulatory measures aimed at improving the availability and retention of allopathic doctors in the rural areas, within the overarching framework of centre-state relations and division of legislative powers between them, with respect to regulation of medical education. While the Central Government has introduced certain provisions in the central law to promote availability of doctors in rural areas, some States have implemented provisions with the same objective, that go beyond the stipulations of the Central Act. Several such measures taken by state governments; be it reservation of post graduate seats for doctors serving in government rural institutions or developing cadre of medical practitioners for rural area under certain conditionalities; have been challenged in courts and held to be violative of the central legislation which inter alia, regulates standards of medical education and registration of doctors. The measures introduced by the state governments for increasing availability of doctors in rural areas, even though struck down as invalid, were intended as instruments of equity and social justice, with far reaching implications for improving availability of health care services in underserved areas. Unless the Medical Council of India Act is amended or the subject matter of medical education is moved from Union list to State list, state interventions are likely to continue to be struck down if they are found to be affecting the standards of medical education.

scholarly journals A snap shot of space and time dynamics of COVID-19 risk in Malawi. An application of spatial temporal model

2020 ◽  
Author(s):  
Alfred Ngwira ◽  
Felix Kumwenda ◽  
Eddons Munthali ◽  
Duncan Nkolokosa
Keyword(s):  
Rural Areas ◽  
Outcome Data ◽  
Second World War ◽  
World War ◽  
Time Dynamics ◽  
Rural Districts ◽  
Space And Time ◽  
Temporal Models ◽  
Temporal Model ◽  
Second World

Background: COVID-19 has been the greatest challenge the world has faced since the second world war. The aim of this study was to investigate the distribution of COVID-19 in both space and time in Malawi. Methods: The study used publicly available data of COVID-19 cases for the period from 24th June to 20th August, 2020. Semiparametric spatial temporal models were fitted to the number of weekly confirmed cases as an outcome data, with time and location as independent variables. Results: The study found significant main effect of location and time with the two interacting. The spatial distribution of COVID-19 showed major cities being at greater risk than rural areas. Over time the COVID-19 risk was increasing then decreasing in most districts with the rural districts being consistently at lower risk. Conclusion. Future or present strategies to avert the spread of COVID-19 should target major cities by limiting international exposure. In addition, the focus should be on time points that had shown high risk.

scholarly journals Impact of participation in continuing medical education small group learning (CME-SGL) on the stress, morale, and professional isolation of rurally-based GPs: a qualitative study in Ireland

BJGP Open ◽  
2019 ◽  
Vol 3 (4) ◽  
pp. bjgpopen19X101673
Author(s):  
Stephanie Dowling ◽  
Jason Last ◽  
Henry Finnegan ◽  
Pat Daly ◽  
John Bourke ◽  
...  
Keyword(s):  
Medical Education ◽  
Qualitative Study ◽  
Small Group ◽  
Continuing Medical Education ◽  
Rural Areas ◽  
Group Learning ◽  
Social Aspect ◽  
Small Group Learning ◽  
Educational Benefits ◽  
Professional Isolation

BackgroundThe pressures of general practice contribute to high levels of stress, low morale, and burnout in some GPs. In addition, rurally-based doctors may experience significant professional isolation. Participation in continuing medical education (CME) appears to reduce stress, and may improve the retention of rural GPs.AimAs part of a larger study devised to examine the effectiveness of regular participation in CME small group learning (SGL) on rurally-based Irish GPs, this study explored whether CME-SGL had any impact on GP stress, morale, and professional isolation.Design & settingThis was a qualitative study involving four CME-SGL groups based in rural Ireland.MethodSemi-structured focus group interviews were conducted in established CME-SGL groups in four different rural geographical locations. Interviews were audiorecorded, transcribed verbatim, and analysed thematically.ResultsAll members of these CME-SGL groups (n = 43) consented to interview. These GPs reported that regular meetings with an established group of trusted colleagues who are ‘in the same boat’ provided a ‘safe space’ for discussion of, and reflection on, both clinical concerns and personal worries. This interaction in a supportive, non-threatening atmosphere helped to relieve stress, lift morale, and boost self-confidence. The social aspect of CME-SGL sustained these rural GPs, and served to alleviate their sense of professional isolation.ConclusionDelivery of CME through locally-based SGL provides as an important means of supporting GPs working in rural areas. The non-educational benefits of CME-SGL, as described by these Irish GPs, are of relevance for rural doctors in other countries.

scholarly journals Teaching Health Center Graduate Medical Education Locations Predominantly Located in Federally Designated Underserved Areas

2016 ◽  
Vol 8 (2) ◽  
pp. 241-243 ◽  
Author(s):  
Songhai C. Barclift ◽  
Elizabeth J. Brown ◽  
Sean C. Finnegan ◽  
Elena R. Cohen ◽  
Kathleen Klink
Keyword(s):  
Primary Care ◽  
Medical Education ◽  
Health Center ◽  
Residency Training ◽  
Graduate Medical Education ◽  
Rural Areas ◽  
Clinical Training ◽  
Community Based ◽  
Underserved Area ◽  
Graduate Medical

ABSTRACT  The Teaching Health Center Graduate Medical Education (THCGME) program is an Affordable Care Act funding initiative designed to expand primary care residency training in community-based ambulatory settings. Statute suggests, but does not require, training in underserved settings. Residents who train in underserved settings are more likely to go on to practice in similar settings, and graduates more often than not practice near where they have trained.Background  The objective of this study was to describe and quantify federally designated clinical continuity training sites of the THCGME program.Objective  Geographic locations of the training sites were collected and characterized as Health Professional Shortage Area, Medically Underserved Area, Population, or rural areas, and were compared with the distribution of Centers for Medicare and Medicaid Services (CMS)–funded training positions.Methods  More than half of the teaching health centers (57%) are located in states that are in the 4 quintiles with the lowest CMS-funded resident-to-population ratio. Of the 109 training sites identified, more than 70% are located in federally designated high-need areas.Results  The THCGME program is a model that funds residency training in community-based ambulatory settings. Statute suggests, but does not explicitly require, that training take place in underserved settings. Because the majority of the 109 clinical training sites of the 60 funded programs in 2014–2015 are located in federally designated underserved locations, the THCGME program deserves further study as a model to improve primary care distribution into high-need communities.Conclusions

Management of Rural Development Programming and its Environmental Effects: A Case Study of farms of Masal County

2015 ◽  
Vol 16 (SE) ◽  
pp. 231-237
Author(s):  
Guiti Moradi Estalkhzir
Keyword(s):  
Rural Development ◽  
Rural Areas ◽  
Point Of View ◽  
Rural Districts ◽  
Change Environment ◽  
Rural Environments ◽  
Comprehensive Development ◽  
Development Programming ◽  
Local Programming ◽  
Coefficient Technique

Village and ruralism has a high place and importance in Iran. No attention to the rural spaces, carelessness about rural environments, no attention toward production abilities and possibilities of rural areas, are among essential problems in access to the rural development, and by execution of exact programming we can prevent harmful effects resulting from damaging of natural environment of villages and help to make the environment clean. The region studied in this research is Masal County, one of the counties in Guilan Province which has three areas of plain, mountainside and mountainous from natural point of view, and in this research, we have used feature coefficient technique for determination of applications based on type of services and determined feature coefficient technique so that amount of development of rural districts of this county would be determined on the basis of type of services and quantities of them. Results out of this research show that rural districts of this county depends on rate of population, natural environmental conditions, placement in natural potential accessibilities and possibilities centers; and in this environment renewing process intends to change environment of the villages that we should help to keep and even improvement of it by an essential programming. Generally, programming in direction to development without damage to rural texture and space and keeping natural view of village, need a comprehensive and principal management, that this involves a special attention to regional and local programming so that priorities existing in each region would be specified exactly. Recognition and analysis of programming features of the state rural development, and investigation and analysis of obstacles and difficulties in development from programming point of view, can make the path smooth for comprehensive development of the villages. In this paper, we have tried to notice on issues such as attention to low-level rural centers, consequences of concentration in programming for rural districts and making the rural environment healthy, by execution of principal and collected program, and discuss it.

Social Roots of Medical Education

2018 ◽  
pp. 90-102
Author(s):  
Neha Madhiwalla
Keyword(s):  
Nineteenth Century ◽  
Primary Care ◽  
Medical Education ◽  
Health System ◽  
Rural Areas ◽  
Political Influence ◽  
Modern Medicine ◽  
The Political ◽  
State Health

Allopathy has become the dominant system of medicine in India today. Since mid-nineteenth century, allopathic medical education institutions have grown exponentially. However, its growth has been problematic. Further, the political influence of modern medicine practitioners has enabled them to gain monopolistic control of state health system, even though they remain marginal to the provision of primary care in the rural areas.

scholarly journals Tourism and Sport: Strategic Synergies to Enhance the Sustainable Development of a Local Context

2013 ◽  
Vol 57 (1) ◽  
pp. 44-57 ◽  
Author(s):  
Elena Radicchi
Keyword(s):  
Sustainable Development ◽  
Rural Areas ◽  
Urban Spaces ◽  
Local Context ◽  
Nordic Walking ◽  
The Sustainable Development ◽  
Rural Districts ◽  
Local Resources ◽  
Use Of Resources ◽  
Tourism Flows

Abstract In recent years sport has become a phenomenon of large dimensions and it is an important resource for the development of a local context (Hautbois, Desbordes, 2008; Maier, Weber, 1993; Weed, Bull, 2004). The combination of physical and sports practices within a natural environment (outdoor) broadens the range of activities that people can choose in their free time (nordic walking, hiking, rediscovering rural districts, walking and cycling in urban spaces, etc.). The demand of this kind of activities is continuously evolving. Sports tourism is a new opportunity for the development of tourism offer. Cities, regions, rural areas, etc. through the exploitation of local resources, vocations and specializations can promote a destination in terms of reputation and tourism flows.This research aims to stimulate a reflection on the role that the synergies between tourism and sport, combined with the use of resources, services and local products (cultural and artistic paths, local artefacts, wine tastings, etc.) may have for the development of a specific territory and its socio-economic environment.

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