Summer in the Country

Kane, Kevin Y.; Quinn, Kathleen; Stevermer, James J.; Porter, Jana; Webb, Weldon; Williamson, Hannah; Burdin, Julie

doi:10.1097/acm.0b013e318299fb5d

Cited by 22 publications

(15 citation statements)

References 8 publications

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“…There was a wide spread in sample size from small to large population size programs across the literature. More than 50% of studies reported high participant or consent rates of 81–100% [12, 36, 38, 41–43, 46, 50, 52–55, 57, 60–63, 65, 66, 72, 74–78, 83, 87, 89, 92–95]. …”

Section: Resultsmentioning

confidence: 99%

“…More than three quarters of the programs were volunteer programs, which involved participants either applying for a program or agreeing to participate upon invitation [35–37, 39–43, 46–52, 54–56, 58–64, 66–73, 76–79, 81–95]. …”

Section: Resultsmentioning

confidence: 99%

“…Less than half [24] of the studies were identified as having a control group [36, 50, 52–55, 57–60, 62, 63, 65, 66, 69, 72, 74, 77–79, 81, 83, 93, 95], however, 46 studies reported using a control group, and or a comparison group, or both [36, 38, 39, 41, 43, 44, 46, 47, 49–66, 68, 69, 71–79, 81–83, 87, 90–95]. Therefore, 16 studies did not report using a control group or comparison group [12, 35, 37, 40, 42, 45, 48, 67, 70, 80, 84–86, 88, 89, 94].…”

Section: Resultsmentioning

confidence: 99%

“…Questionnaire survey format (40 studies) [12, 35, 38–40, 42–45, 47–50, 52, 56, 58, 59, 61, 64, 67–71, 73, 76, 79–82, 84–92, 95] and localised alumni school records (25 studies) [35, 40, 44, 46, 49, 50, 52, 53, 55, 57, 60, 62, 63, 66, 69, 72, 74, 76, 78, 79, 83, 86, 93–95] were the most commonly used methods of evaluation. Twenty-three studies were identified as using national registration databases including the; Australian Health Practitioner Regulation Agency (AHPRA) [41, 43, 63, 69, 78, 79] the American Medical Association (AMA) Physician Masterfile [50, 54, 55, 60, 61, 65, 72, 75–77], and the Medical Schools Outcomes Database (MSOD) [38, 43, 48, 68, 70, 71, 90].…”

Section: Resultsmentioning

confidence: 99%

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The impact of rural outreach programs on medical students’ future rural intentions and working locations: a systematic review

2018

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BackgroundSignificant investment has been undertaken by many countries into ‘Rural Clinical Training Placement Schemes’ for medical students in order to deal with shortages of trained health care professionals in rural and remote locations. This systematic review examines the evidence base of rural educational programs within medical education and focusses on workforce intentions and employment outcomes. The study provides a detailed description of the methodological characteristics of the literature, thematic workforce outcomes and key related factors are identified, study quality is assessed, and the findings are compared within an international context.MethodsA systematic review looking at international literature of rural placement programs within medical education between January 2005 to January 2017 from databases including; Medline, Embase, NursingOVID, PubMed and Cochrane. The study adopted the PRISMA protocol. A quality assessment of the literature was conducted based on the Health Gains Notation Framework.ResultsSixty two papers met the inclusion criteria. The review identified three program classifications; Rural Clinical Placement Programs, Rural Clinical Placement Programs combined with a rural health educational curriculum component and Rural Clinical School Programs. The studies included were from Australia, United States, Canada, New Zealand, Thailand and Africa.Questionnaires and tracking or medical registry databases were the most commonly reported research tools and the majority were volunteer programs. Most studies identified potential rural predictors/confounders, however a number did not apply control groups and most programs were based on a single site. There was a clear discrepancy in the ideal rural clinical placement length. Outcomes themes were identified related to rural workforce outcomes. Most studies reported that an organised, well-funded, rural placement or rural clinical school program produced positive associations with increased rural intentions and actual graduate rural employment.ConclusionsFuture research should focus on large scale methodologically rigorous multi-site rural program studies, with longitudinal follow up of graduates working locations. Studies should apply pre-and post-intervention surveys to measure change in attitudes and control for predictive confounders, control groups should be applied; and in-depth qualitative research should be considered to explore the specific factors of programs that are associated with encouraging rural employment.Electronic supplementary materialThe online version of this article (10.1186/s12909-018-1287-y) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The impact of rural outreach programs on medical students’ future rural intentions and working locations: a systematic review

2018

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“…The University of Missouri takes a multi-faceted approach toward increasing the rural physician pipeline, which includes a rural early clinical experience "elective" lasting 4-8 weeks that resembles SCP. (Kane et al, 2013) Although other medical schools have developed curricula incorporating early clinical exposure for their students (Kamien, 1990;Secundy & Lloyd, 1974;Steele et al), the FSUCOM SCP model shares many similarities with a program developed earlier at the University of Florida (UF). (Rooks, Watson, & Harris, 2001) Both were originally developed with close ties to Area Health Education Center programs, and emphasize clinical experience in primary care settings.…”

Section: Discussionmentioning

confidence: 99%

Student and Preceptor Perceptions of the Summer Clinical Practicum: An Assessment of the First Year Clinical Skills Capstone

Beitsch¹,

Geletko²,

Bellamy³

et al. 2017

MedEdPublish

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Objective: As the first new medical school chartered in the 21 st century, FSUCOM adopted a unique approach to medical education. Beyond the expected basic science courses, first year students participate in a year-long Doctoring and Clinical Skills Course. The first year culminates in a three week Summer Clinical Practicum (SCP) emphasizing mission centric populations. We designed a survey to assess medical student and clinical preceptor impressions of the SCP for purposes of quality improvement.Methods: Students in their second, third, and fourth years and their preceptors were included in a cross sectional descriptive study. All participants responded to an electronic web based survey developed and administered in Summer 2016. The overall student response rate was 32%, while 53% of preceptors participated.Results: Survey results indicated that the SCP first year capstone experience is highly valued by students and preceptors alike. We found a high concordance of perceptions between student cohorts spanning three years and faculty preceptor respondents. For purposes of programmatic planning and quality improvement there was strong support for maintaining the current length for the SCP at three weeks. Additionally, survey findings appear to support ongoing perceived benefit from the early clinical exposure summer experience, with students agreeing that the SCP helped focus their learning as M-2s, and influenced their readiness for subsequent clinical clerkships. Conclusion:Our study supports the growing body of knowledge that early clinical experience for matriculating medical students is not only feasible, but desirable, and has lasting effects throughout their undergraduate medical education.

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Interventions for increasing the proportion of health professionals practising in rural and other underserved areas

Grobler

Marais

Mabunda

2015

Cochrane Database of Systematic Reviews

223

182

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Summer in the Country

Cited by 22 publications

References 8 publications

The impact of rural outreach programs on medical students’ future rural intentions and working locations: a systematic review

The impact of rural outreach programs on medical students’ future rural intentions and working locations: a systematic review

Student and Preceptor Perceptions of the Summer Clinical Practicum: An Assessment of the First Year Clinical Skills Capstone

Interventions for increasing the proportion of health professionals practising in rural and other underserved areas

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