scholarly journals Medical students’ interests on rural practices

2019 ◽  
Vol 8 (2) ◽  
pp. 192
Author(s):  
Khairinnisa Maizal Gazali ◽  
Rizma Syakurah ◽  
Mariatul Fadilah
Keyword(s):  
Medical Students ◽  
Rural Area ◽  
Rural Areas ◽  
Past Experience ◽  
Influential Factor ◽  
Validated Questionnaire ◽  
Medical Faculties ◽  
Effective Policy ◽  
Determining Factor ◽  
Young Physicians

<span>Misdistribution of physicians is still an issue, especially physicians’ lack of interest to work in rural area. Finding characteristics from medical students that show interest to work in rural areas is important to craft effective policy to enforce young physicians to work in rural areas. This study was quantitative analytics. Participants rated the influence of 19 factors that affect their interest towards working in rural area using translated and validated questionnaire, distributed online to all medical students from 20 medical faculties in Sumatra. Out of 1124 respondents, 748 (66.5%) subjects interested to work in rural area. Determinants which influence medical students’ interest towards working in rural area are past experience of visiting rural area (p&lt;0.001), careers opportunity (p&lt;0.001), family’s socioeconomic status (p=0.001), proximity to family (p=0.001), rural area’s facilities (p=0.002), culture of rural community (p=0.005), students’ lifestyle (p=0.005), rural curriculum (p=0.007), proximity to spouse (p=0.031) and location of university (p=0.049). Past experience of visiting rural area (OR 2.281, p&lt;0.001) is the most determining factor to influence students’ interest towards working in rural area. Medical students mostly interested to work in rural area. Past experience of visiting rural area was the most influential factor for medical students’ interest on rural practices</span>

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 Perception of medical students towards serving rural people: A study from central India

2018 ◽  
Vol 5 (4) ◽  
pp. 1580
Author(s):  
Yachana Choudhary ◽  
Manju Dubey ◽  
Manju Toppo ◽  
D. K. Pal
Keyword(s):  
Medical Students ◽  
Rural Area ◽  
Rural Areas ◽  
Central India ◽  
Cross Sectional Study ◽  
Work Place ◽  
Cross Sectional ◽  
Medical College ◽  
Perceptions And Attitudes ◽  
Study Participants

Background: India is facing critical problem of paucity of certified physicians in rural areas, although majority of the population resides in rural areas. According to rural health statistics report 2015, there is a deficit of 659 doctors in rural areas. The study was done with the objective to capture the perception among medical students (interns / postgraduates) about their preference of work place after graduation/post-graduation and to know the factors responsible for preference / non-preference.Methods: A cross sectional study was carried out, among 203 medical students in a government medical college of Bhopal (M.P) from January to March 2016. A semi-structured questionnaire was used to obtain information regarding their preference to serve in rural areas and reasons associated with their choices. The data was entered in MS excel and analysis was performed using Epi-Info7.Results: The study participants included 203 medical students, only 33 (16.26%), were willing to work in rural area. The major reasons for non-preference of rural area were lack of primary facilities like equipments, paramedical staff, non favorable working conditions. Majority of them responded that good salary, better lifestyle and security for doctors especially for females would make them work there.Conclusions: Very less proportion of study participants preferred rural area as their preferred work place. Our study has shown a need for intervention to overcome these perceptions and attitudes of the students towards practice in rural area in order to reverse this disparity.

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 The brain drain: why medical students and young physicians want to leave Egypt

2021 ◽  
Vol 27 (11) ◽  
pp. 1102-1108
Author(s):  
Ibrahim Kabbash ◽  
Rania El-Sallamy ◽  
Hanaa Zayed ◽  
Ibrahim Alkhyate ◽  
Ahmed Omar ◽  
...  
Keyword(s):  
Medical Students ◽  
Financial Incentives ◽  
Health Sector ◽  
Working Hours ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Shortage Of Physicians ◽  
Medical Faculties ◽  
Young Physicians

Background: Egypt has a shortage of physicians despite thousands of medical students graduating annually. Aims: This study aimed to explore the reasons for Egyptian medical students and young physicians wanting to emigrate. Methods: This cross-sectional study, conducted from February to April 2019, included 711 fifth- and sixth-year medical students and 174 residents from two medical faculties in Egypt, Tanta and Kafrelshiekh. A questionnaire was used to collect data on sociodemographic factors, desire to emigrate and motives for wanting to emigrate. Results: Most participant (89.4%) wanted to emigrate, and thought their salary was not compatible with their working hours or risks. About half the participants (52.8%) worked part-time in private hospitals. Only 4.9% of participants felt appreciated by the country. Most participants (75.9%) were not satisfied with their relationship with patients and 40.2% were not satisfied with their relationship with colleagues. Verbal abuse was reported by 55.5% of participants and physical assaults by 35.4%. Most participants who wanted to emigrate (85.1%) said they would change their minds if improvements were made in the health sector. Residents generally had less negative attitudes to workplace and professional factors than students. Conclusion: Physicians emigrate to seek better work and financial incentives. A retention policy needs to be developed to prevent Egyptian physicians from emigrating

Knowledge, Perceptions and Practices on Modified Release Tablets among Prescribers: A Preliminary Study

2020 ◽  
Vol 01 (01) ◽  
pp. 05-14
Author(s):  
M.G.K.M. Fernando ◽  
K.I.J. Priyadarshi ◽  
L.G.T. Shanika ◽  
N.R. Samaranayake
Keyword(s):  
Online Survey ◽  
Product Information ◽  
Response Rate ◽  
Immediate Release ◽  
State Universities ◽  
Modified Release ◽  
Validated Questionnaire ◽  
Therapeutic Outcomes ◽  
Medical Faculties ◽  
Enteric Coated

Introduction: Modified release tablets (MRTs) are developed to achieve different therapeutic outcomes and are frequently prescribed. This study aims to evaluate the knowledge, perceptions and practices on using MRTs among a selected cohort of prescribers. Methods: A self administered online survey was conducted using a pre-validated questionnaire, prepared in-house to assess knowledge, perceptions and practices on using MRTs, among academics with an MBBS degree in medical faculties of State universities in Sri Lanka. Results: The response rate was 15.5% among 375 prescribers. Most were females (53.4%) and were 46-55 years (29.3%). Over 50% correctly expanded abbreviations related to MRTs. Most defined enteric coated (87.9%) and targeted release (77.6%) forms accurately. However, 87.0% mixed-up definitions of sustained release with controlled release. Most believed that inability to split tablets (70.7%) and high cost (70.7%), as disadvantages of MRTs. Nearly half did not identify the risk of dose dumping (53.5%) and inflexible dosing schedule (44.8%) as disadvantages. For frequency of administering MRTs, 86.2% referred the product information leaflet (PIL) while 29.0% depended on the frequency of the corresponding immediate release tablet. Most (79.3%) prescribed MRTs to increase patient compliance while 12.1% prescribed them to reduce cost. When problems regarding MRTs were encountered, most referred PILs (81.0%) and clarified with experts (75.9%). Conclusions: Although the response rate was low, a clear gap in knowledge, perceptions and practices on using MRTs were identified among prescribers who responded. Interventions are needed to improve the knowledge, perceptions, and practices on using MRTs among prescribers.

scholarly journals Facilitating co-production in public services: Empirical evidence from a co-design experience with family caregivers living in a remote and rural area

2020 ◽  
pp. 095148482097145
Author(s):  
Eleonora Gheduzzi ◽  
Niccolò Morelli ◽  
Guendalina Graffigna ◽  
Cristina Masella
Keyword(s):  
Home Care ◽  
Family Caregivers ◽  
Empirical Evidence ◽  
Rural Area ◽  
Public Service ◽  
Rural Areas ◽  
Crucial Role ◽  
Care Agency ◽  
Home Care Agency ◽  
Design Experience

The involvement of vulnerable actors in co-production activities is a debated topic in the current public service literature. While vulnerable actors should have the same opportunities to be involved as other actors, they may not have the needed competences, skills and attitudes to contribute to this process. This paper is part of a broader project on family caregivers’ engagement in remote and rural areas. In particular, it investigates how to facilitate co-production by looking at four co-design workshops with family caregivers, representatives of a local home care agency and researchers. The transcripts of the workshops were coded using NVivo, and the data were analysed based on the existing theory about co-production. Two main findings were identified from the analysis. First, the adoption of co-production by vulnerable actors may occur in conjunction with other forms of engagement. Second, the interactions among facilitators and providers play a crucial role in encouraging the adoption of co-production. We identified at least two strategies that may help facilitators and providers achieve that goal. However, there is a need for an in-depth understanding of how facilitators and providers should interact to enhance implementation of co-production.

Attitudes of final year medical students towards work in rural areas could be a problem for Croatian tourism

2019 ◽  
Vol 95 (1127) ◽  
pp. 517-517
Author(s):  
Karla Margetic ◽  
Teo Miric ◽  
Eric Nham ◽  
Robert Likic
Keyword(s):  
Medical Students ◽  
Rural Areas

scholarly journals Career Intentions and Dropout Causes Among Medical Students in Kazakhstan

Medicina ◽  
2013 ◽  
Vol 49 (6) ◽  
pp. 45
Author(s):  
Kamila Faizullina ◽  
Galina Kausova ◽  
Zhanna Kalmataeva ◽  
Ardak Nurbakyt ◽  
Saule Buzdaeva
Keyword(s):  
Medical Students ◽  
Human Resources ◽  
Rural Areas ◽  
Urban Areas ◽  
Human Resources For Health ◽  
Medical Schools ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Unequal Distribution ◽  
Survey Tool

Background and Objective. The number of new entrants to higher medical schools of Kazakhstan increased by 1.6 times from 2007 to 2012. However, it is not known how it will affect the shortage of human resources for health. Additionally, human resources for health in rural areas of Kazakhstan are 4 times scarcer than in urban areas. The aim of the present study was to investigate the intentions of students toward their professional future and readiness to work in rural areas, as well as to determine the causes for dropping out from medical schools. Material and Methods. A cross-sectional survey was conducted in 2 medical universities in Almaty during the academic year 2011–2012. The study sample included medical students and interns. In total, 2388 students participated in the survey. The survey tool was an anonymous questionnaire. Results. The students of the first years of studies compared with those of later years of studies were more optimistic about the profession and had more intentions to work in the medical field. Only 8% of the students reported a wish to work in rural localities. On the other hand, 4% of the students did not plan to pursue the profession. On the average, every third medical student dropped out on his/her own request. Conclusions. Associations between intentions to work according to the profession and the year of studies, faculty, and residence area before enrolling in a medical school were documented. The majority of the students who came from rural areas preferred to stay and look for work in a city, which might contribute to an unequal distribution of physicians across the country.

Basic life support awareness level among medical students in Jordan: a cross-sectional study

2021 ◽  
Author(s):  
Ebraheem Albazee ◽  
Mohammad Alnifise ◽  
Lina Almahmoud ◽  
Ahmed Alsaeedi ◽  
Mohammed Al-balawi ◽  
...  
Keyword(s):  
Medical Students ◽  
Basic Life Support ◽  
Life Support ◽  
Cardiopulmonary Arrest ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Grade Point ◽  
Validated Questionnaire ◽  
Awareness Level

Objective: Performing basic life support (BLS) in patients with cardiopulmonary arrest decreases mortality and morbidity. In addition, BLS knowledge is a prerequisite for medical graduation. The present study was conducted to determine the awareness level of undergraduate medical students in Jordan regarding BLS and background knowledge. Methods: This cross-sectional study was conducted between 17 April 2021 and 12 May 2021. A validated questionnaire was used as an online Google form and was posted in all medical student groups and Jordanian universities through various social medias. We categorized level of awareness into two groups: adequate awareness for those who got 60% or more, and inadequate awareness for those who got less than 60% in BLS test. Chi-square test was used to compare different variables. Results: A total of 886 students with a mean age of 21.5 (± 2.2) years completed the survey, including 552 females (62.3%). Among participated students, only 281 (31.7%) had adequate awareness, whereas 605 (68.3%) had inadequate awareness, with a mean score of 10 (± 3.8) out of 20. Surprisingly, there was no statistically significant correlation (P=0.210) between grade point average (GPA) and awareness level among participated students. On the contrary, we detected statistically significant relationships (P<0.001) between various variables and awareness level. Conclusion: Overall, we found that awareness of BLS among medical students in Jordan is not adequate. We can improve the awareness of medical students in this regard through obligating them to educate the general population, especially school students, as a volunteer campaign.

Online programs to strengthen mental health in medical students: a literature review (Preprint)

2021 ◽  
Author(s):  
Patrizia Ungar ◽  
Ann-Kathrin Schindler ◽  
Sabine Polujanski ◽  
Thomas Rotthoff
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Literature Search ◽  
Medical Profession ◽  
Behavioral Therapy ◽  
Individual Characteristics ◽  
Online Programs ◽  
Health Promoting ◽  
Medical Faculties ◽  
Prevention Approach

BACKGROUND Medical students are at an increasing risk of depression and burnout during their study period. This trend among future physicians is a cause for concern, given the great responsibility that the medical profession entails. Medical faculties therefore play a significant role in supporting medical students in maintaining their mental health. Especially in the context of the current COVID-19 pandemic, support services that allow greater flexibility in their use become particularly relevant. Online programs can be accessed from anywhere and any time and can be used individually in a safe or well-known setting. From a preventive perspective, individual characteristics that have been shown to be protective of mental health should be addressed in such programs. Before conceptualizing an online program, reviewing existing online programs for medical students is a first relevant step. OBJECTIVE This review provides an overview of the current online programs for medical students to strengthen their mental health by addressing individual characteristics believed to be protective of mental health and addressable in medical curricula. METHODS PubMed, ERIC, Cochrane, and Web of Science were used for a systematic literature search. The programs had to be offered digitally and address medical students. Preventive individual characteristics for mental health were included in the search to provide information on their role in the studies. Publications also should include information on the effectiveness of the respective programs. RESULTS The literature search yielded 592 articles; of them, only nine met the study criteria. The programs found included elements of cognitive-behavioral therapy, mindfulness training, or peer support. Regarding the mental health outcomes, two studies showed a significant reduction in perceived stress and one study indicated a reduced level of burnout. One program had significant immediate effects on mindfulness, empathy, and resilience; two studies indicated strengthening coping strategies. Two programs were qualitatively assessed as helpful. One study is still ongoing. CONCLUSIONS Only a few studies have assessed the effectiveness of online programs to strengthen medical students’ mental health. The programs found mostly addressed preventive individual characteristics but were not developed on the basis of a survey of medical students’ demands. Furthermore, they were provided as add-on programs; integration of such programs into the curriculum may highlight the relevance of mental health. For the development of future online programs, the concrete needs of the respective target group should be surveyed and taken into account. Based on this, suitable online programs can be developed in a targeted way to strengthen mental health by addressing preventive individual characteristics. This needs-based prevention approach can support health-promoting education of future physicians.

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