Predictors of site choice and eventual learning experiences in a decentralised training programme designed to prepare medical students for careers in underserved areas in South Africa

Muzigaba, Moïse; Naidoo, Keshena; Ross, Andrew; Nadesan-Reddy, Nisha; Pillay, Sandy

doi:10.7196/ajhpe.2016.v8i1.741

Cited by 3 publications

(4 citation statements)

References 10 publications

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“…[19] Although studies have suggested that doctors originating from rural areas are more likely to practise in such areas, this is not guaranteed. [21][22][23] Specialist outreach experience in KZN suggests a different situation, i.e. foreign doctors comprise a large proportion of district hospital staff.…”

Section: Discussionmentioning

confidence: 99%

The National Health Insurance, the decentralised clinical training platform, and specialist outreach

Caldwell

Aldous

2016

S Afr Med J

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Section: Discussionmentioning

confidence: 99%

The National Health Insurance, the decentralised clinical training platform, and specialist outreach

Caldwell

Aldous

2016

S Afr Med J

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“…[14,[16][17][18]. It reveals that while sharing some similarities, determinants may be (to some extend) different between developed and developing countries [14,19], even across developed countries with varied socioeconomic and cultural contexts [20,21], and between different medical professionals [22][23][24]. Some interventions or policies have been designed and implemented based on previous research findings on the determinants, such as recruit medical student with rural background, wavier of tuition fee for students choosing a rural PHC career, curricular training in rural PHC settings, or their combination, etc.…”

Section: Introductionmentioning

confidence: 99%

Perceived incentives and willingness of university medical students toward working in rural primary healthcare

Zou

Chen

2019

Preprint

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Background Primary healthcare (PHC) is vital for providing more equitable, accessible and affordable healthcare to the population. However, there is a general lacking and disparity of distribution of PHC workforce, especially for rural areas in China as it is very hard to attract and retain high quality medical students to rural PHC. This study was to investigate the willingness of university medical students toward working in rural PHC and their perceived incentives and compare that between medical programmes. Methods An online questionnaire survey was conducted in a leading medical university of Western China in 2017. All second-year Preventive Medicine (MBP, 5 years programme) and third-year Doctorate of Medicine (MD, 8 years programme) students participated. The willingness and perceived incentives toward working in rural PHC were analysed and compared between students of the two programmes. Results A total of 201 students, including 115 MBP and 86 MD students, participated in the study. The overall willingness rate toward working in rural PHC was 16%. More MBP (23%) than MD students (7%) expressed willingness without mention of incentives (p<0.05). The most preferred incentives were adequate remuneration (62%), non-inferior working and living conditions to urban area (58%), limited service years (56%) and privilege to postgraduate education and promotion (55%), though 13% expressed willingness under no circumstances. More MBP than MD students preferred to postgraduate education and promotion (65% vs. 43%, p<0.05) and limited service years (63% vs. 56%, p<0.05), but similar in other incentives (p>0.05). The willingness rate increased from 2%~5%, 9%~14%, 27%~25%, to 81% with single-, two-, three-, four- incentives as mentioned above, and similar between students of the two programmes. Conclusions The willingness of university medical students to work in rural PHC was low. However, more MBP students show willingness than MD students. Multiple incentives including adequate remuneration, opportunities of postgraduate education and promotion, proper working and living conditions and limited service years may be much more effective than any single incentive to attract university medical students especially MBP students to rural PHC service. Further investigation of appropriate incentives in details and interventional studies are warranted to inform relevant policy making.

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“…Muzigaba et al [16] introduce a very important concern, i.e. that students of rural origin were more likely to choose primary care exposure in urban centres.…”

Section: Guest Editorialmentioning

confidence: 99%

“…Rural contact ranges from single blocks of 6 -8 weeks, through multiple exposures of 4 -8 weeks, to a 1-year attachment at the Ukwanda Rural Clinical School. [11,13] In this issue of AJHPE, Muzigaba et al [16] describe a pilot community-based programme lasting 10 days. This variability begs the question: is there a threshold length of exposure that will give the desired outcome, i.e.…”

Section: Guest Editorialmentioning

confidence: 99%

Going rural – protracted immersion or toe-wetting: Does it matter?

Nkomazana

2016

AJHPE

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Predictors of site choice and eventual learning experiences in a decentralised training programme designed to prepare medical students for careers in underserved areas in South Africa

Cited by 3 publications

References 10 publications

The National Health Insurance, the decentralised clinical training platform, and specialist outreach

The National Health Insurance, the decentralised clinical training platform, and specialist outreach

Perceived incentives and willingness of university medical students toward working in rural primary healthcare

Going rural – protracted immersion or toe-wetting: Does it matter?

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