Perceptions of UK medical students on rural clinical placements

Deaville, Jennifer; Wynn-Jones, John; Hays, Richard; Coventry, P; McKinley, Robert K; Randall-Smith, Jane

doi:10.22605/rrh1165

Cited by 13 publications

(9 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Breadth in perspective means considering a variety of national settings and a range of communities of practice in defining rural practice. There is the standard Statistics Canada definition, the flexible benchmark, of communities of less than 10 000 people that are also outside of the commuting zone of an urban centre (du Plessis et al, 2001). There are also rural Canadian psychologists who self-identify as "rural".…”

Section: Psychological Practice In Rural Canadamentioning

confidence: 99%

“…Armstrong (2008) makes the point that "only when definitions are clear can the role of rurality in relation to mental health and well-being truly be understood and lead to meaningful community-based intervention" (p.7). Rural areas tend to be defined as areas that are not urban (Stamm et al, 2007), by population size (Zapf, 2001), or by remoteness (Muula, 2007) and many authors have called for more adequate descriptors (Armstrong, 2008;du Plessis et al, 2001;Harowski et al, 2006;Jameson & Blank, 2007;Judd, 2006). The difficulty in conceptualising rural lies in part in the increasing diversity and ongoing economic and social changes in rural areas (Barbopoulos & Clark, 2003;Jameson & Blank, 2007;Harowski et al, 2006).…”

Section: Articulating a Shared Definitionmentioning

confidence: 99%

“…This would foster research and program development, ensure that the needs of rural people are not missed or marginalized, and validate research in rural practice. Research has suggested that such a definition should incorporate key characteristics such as: access to health care, services, and amenities (Muula, 2007;Stamm et al, 2007;Zapf, 2001), the distinct rural lifestyle or culture (Armstrong, 2008;du Plessis et al, 2001;Harowski et al, 2006), geographic disparity from urban centres (du Plessis et al, 2001;Harowski et al, 2006), and any distinct socioeconomic concerns (Jameson & Blank, 2007;Judd, 2006).…”

Section: Articulating a Shared Definitionmentioning

confidence: 99%

“…Definitions that do exist focus on population and distance. In empirical studies operational definitions ranged from communities of 2500 to under 20000 people or by distance such as 50 kilometres from an urban centre (Bazana, 1999;du Plessis, Beshiri, Bollman, & Clemenson, 2001;Ministry of Rural Affairs, 2000). The defining characteristics of rurality became an issue in a study of medical students in the United Kingdom.…”

mentioning

confidence: 99%

“…In that study, "What is rural?" became an unintended theme of the research (Deaville et al, 2009). Indeed, the authors concluded that degree of rurality, or what is rural, "will mean different things to different people, depending on their background" (Deaville et al, 2009(Deaville et al, , p. 1165.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Professional practice out of the urban context: Defining Canadian rural psychology.

Malone¹

2011

Canadian Psychology / Psychologie canadienne

View full text Add to dashboard Cite

There is an often unacknowledged difference between urban and rural practice in psychology which lacks clarity, in part, because of the lack of a common definition of rurality. Rural psychology in Canada presents complex and nuanced aspects of professional practice. The professional and social milieus of rural communities position the practising psychologist within a context that may differ vastly from urban settings. The rural context highlights the need to define this specific practice setting. This paper proposes a tentative definition of rural Canadian professional practice in psychology. This is meant to elucidate the distinct practice, training, and ethical considerations that may be the realities of the psychologists who are in professional practice in rural Canada. Rural professional practice is unique and Canadian training programs are urban-based. Training of future psychologists needs to acknowledge the unique features of rural practice to meet our obligations to students specifically and to rural Canadians generally. This is enhanced with a shared definition of rural professional practice in psychology.

show abstract

Section: Psychological Practice In Rural Canadamentioning

confidence: 99%

Section: Articulating a Shared Definitionmentioning

confidence: 99%

Section: Articulating a Shared Definitionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Professional practice out of the urban context: Defining Canadian rural psychology.

Malone¹

2011

Canadian Psychology / Psychologie canadienne

View full text Add to dashboard Cite

show abstract

Enhancing future acceptance of rural placement in Tanzania through peripheral hospital rotations for medical students

et al. 2016

View full text Add to dashboard Cite

BackgroundMal-distribution of health care workers is a global health challenge that exacerbates health disparities, especially in resource-limited settings. Interventions to mitigate the problem have targeted qualified personnel with little focus on medical students. However, studies have demonstrated that rural rotations positively influence students to practice in rural settings upon graduation. To evaluate the influence of peripheral rotations in a resource-limited setting, the Kilimanjaro Christian Medical University College introduced a 12-week clerkship rotation in peripheral hospitals for third-year medical (MD3) students in 2012. We administered an end-of-rotation survey to assess student perceptions, and attitudes toward rural practice after graduation.MethodsQuestionnaires were voluntarily and anonymously administered to MD3 students in April 2014. The questions assessed perceptions of the experience, and attitudes towards rural practice upon graduation. The perceptions were assessed using strength of consensus measures (sCns). The effect of the experience on likelihood for rural practice was assessed using Crude Odds Ratio (COR), and predictors using Adjusted Odds Ratio (AOR) with 95 % Confidence Intervals (CI) tested at a 5 % level of significance. Variation was assessed using Hosmer and Lemeshow test Chi-square.Results111 out of 148 MD3 students participated; 62 % were male; 62 % <25 years old; and 72 % matriculated directly from secondary school. Overall, 81 % of MD3 students were satisfied with rural rotations (sCns = 83 %). The likelihood of accepting rural practice deployment after graduation was predicted by satisfaction with the peripheral hospital rotation program (AOR, 4.32; 95 % CI, 1.44–12.96; p, 0.009) and being male (AOR, 2.73; 95 % CI, 1.09–6.84; p, 0.032). Students admitted in medical school after health-related practice trended toward a higher likelihood of accepting rural practice after graduation compared to those enrolled directly from secondary school, although the difference was not significant (AOR, 4.99; 95 % CI, 0.88–28.41; p, 0.070). The Hosmer and Lemeshow test p-value was 0.686, indicating a good fit of the model. No significant differences in satisfaction between these two groups were observed, and also no significant differences between students born in rural areas compared to those born in urban areas existed.ConclusionResults indicate that satisfaction with rural rotations is associated with increased likelihood of rural practice after graduation. We conclude that opportunities may exist to reduce mal-distribution of healthcare workers through interventions that target medical students.

show abstract

<p>Immersive placement experiences promote rural intent in allied health students of urban and rural origin</p>

Wolfgang¹,

Wakely²,

Smith³

et al. 2019

JMDH

View full text Add to dashboard Cite

IntroductionPre-vocational placement experiences are known to considerably influence the career preferences of health graduates and are a key factor in growing the rural allied health workforce. This paper explores the rural placement experiences and future work intentions of students who attended a placement with the University of Newcastle Department of Rural Health.MethodsPart of a larger longitudinal mixed methods study of students’ placement experiences and subsequent career choices, this study explored students’ placement evaluations responses. Following each placement, students were invited to complete an online survey which asked about their placement experiences and future work intentions. Counts and proportion tests were performed for frequencies of quantitative variables. Wilcoxon signed rank tests were conducted on the paired pre- and post-rural intent scores to determine any perceived differences in intent before and after placement for students both with and without a rural background. Qualitative data from short answer questions were analyzed thematically guided by qualitative content analysis. Data were comparatively analyzed for students of a rural or urban background.ResultsFour hundred and forty end of placement surveys were completed by 275 students (response rate 69.8%). There was a positive shift in intention to work rurally for students of both rural and urban background post-placement, but this was only statistically significant in the group from an urban background (p≤0.001). From the qualitative analysis three themes emerged: immersed rural supported placement experience, immersed interaction in rural life with other students, and immersed interaction in the rural community. Students from both rural and urban backgrounds indicated similar benefits and challenges.ConclusionWhile the positive impact of rural placement experiences and rural background on future rural practice is well known, this study highlights the importance of positive supported placement experience for students from both rural and urban backgrounds.

show abstract

Perceptions of UK medical students on rural clinical placements

Cited by 13 publications

References 8 publications

Professional practice out of the urban context: Defining Canadian rural psychology.

Professional practice out of the urban context: Defining Canadian rural psychology.

Enhancing future acceptance of rural placement in Tanzania through peripheral hospital rotations for medical students

<p>Immersive placement experiences promote rural intent in allied health students of urban and rural origin</p>

Contact Info

Product

Resources

About