Supporting GP advanced rural skills training

McKenzie, Andrew; Beaton, Neil; Hollins, Jane; Jukka, Clare; Hollins, Aaron

doi:10.1111/j.1440-1584.2012.01315.x

Cited by 5 publications

(5 citation statements)

References 6 publications

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“…Thus, their members may have greater confidence in working in more isolated communities requiring advanced skills. Maintaining advanced skills in procedural practice areas is likely to depend on matching training options to community need and ongoing job opportunities, availability of hospital departments with service gaps from other specialists, as well as employing adequate professional rewards and continuing learning support for advanced skill use [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value

McGrail

O’Sullivan

2020

IJERPH

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Strategies are urgently needed to foster rural general practitioners (GPs) with the skills and professional support required to adequately address healthcare needs in smaller, often isolated communities. Australia has uniquely developed two national-scale faculties that target rural practice: the Fellowship in Advanced Rural General Practice (FARGP) and the Fellowship of the Australian College of Rural and Remote Medicine (FACRRM). This study evaluates the benefit of rural faculties for supporting GPs practicing rurally and at a broader scope. Data came from an annual national survey of Australian doctors from 2008 and 2017, providing a cross-sectional design. Work location (rurality) and scope of practice were compared between FACRRM and FARGP members, as well as standard non-members. FACRRMs mostly worked rurally (75–84%, odds ratio (OR) 8.7, 5.8–13.1), including in smaller rural communities (<15,000 population) (41–54%, OR 3.5, 2.3–5.3). FARGPs also mostly worked in rural communities (56–67%, OR 4.2, 2.2–7.8), but fewer in smaller communities (25–41%, OR 1.1, 0.5–2.5). Both FACRRMs and FARGPs were more likely to use advanced skills, especially procedural skills. GPs with fellowship of a rural faculty were associated with significantly improved geographic distribution and expanded scope, compared with standard GPs. Given their strong outcomes, expanding rural faculties is likely to be a critical strategy to building and sustaining a general practice workforce that meets the needs of rural communities.

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Section: Discussionmentioning

confidence: 99%

Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value

McGrail

O’Sullivan

2020

IJERPH

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“…Solutions in the MLHD should focus on proactive management and maintenance of existing maternity services to keep these units sustainable and functioning, and offering opportunities such as courses for upskilling staff. Previous research ascertained that solutions must incorporate innovative local partnerships, which help build sustainable training models 24 and clinical support, mentoring and supporting networks 6 . In the Murrumbidgee region, there are support networks between clinicians in different rural towns within the LHD; however, this could be further supported and fostered.…”

Section: Discussionmentioning

confidence: 99%

Giving birth in the Murrumbidgee region: A quantitative and qualitative approach to general practice obstetrics in a rural region

Telford

Harding

Stewart

et al. 2022

Australian J Rural Health

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Objective: There is public concern regarding rural workforce shortages and closure of smaller obstetric centres. Aim:To identify whether safety is a concern for Murrumbidgee hospitals that fit primary medical care models and ascertain general practitioner (GP) obstetricians' perspectives regarding the benefits and challenges to practising in the region.Design: Mixed-method retrospective analysis of selected outcomes in the NSW Mothers and Babies Reports 2012-2015 and semi-structured interviews with GP obstetricians.

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“…One article was excluded after full article review, because the article described undergraduate medical education. A total of 51 articles were included in the final analysis 9,14–63 …”

Section: Methodsmentioning

confidence: 99%

“…This likely reflects the high number of articles discussing rural curricula, and utilising distance teaching through their distributed rural sites. Other rural distance learning approaches discussed the use of free open access medical education, 31 a teaching collaborative, 63 peer network and e-mentoring programs, 34 and trainee assessment via videoconference. 57 In those few countries with dedicated rural educational programs, ICT was commonly utilised and described in the distributed teaching models.…”

Section: Distance Learningmentioning

confidence: 99%

How might access to postgraduate medical education in regional and rural locations be best improved? A scoping review

Kiuru

Webster

2021

Australian J Rural Health

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Rural medical education is known as one of the most effective strategies in improving rural recruitment and retention. The aim was to identify modes of delivery to improve access to rural postgraduate medical education. Arksey and O'Malley's methodological framework was used for conducting scoping reviews. CINAHL, Google Scholar, ERIC, PsycINFO, Medline and PubMed were searched to identify peer‐reviewed English‐language literature published between 2000 and 2019 focusing on postgraduate rural and regional medical education. A total of 102 articles were identified, with 51 included in the final analysis after applying inclusion and exclusion criteria. Outcome measures included: article type; research methodology; date of publication; country of origin; and study population. Through iterative reading, common themes were identified. A typology of 6 content themes emerged as follows: rural curriculum; procedural skills; rurally based learning; service delivery; workforce; and distance learning. The majority of articles focused on rural curriculum, and rurally based learning, with half originating from Australia or New Zealand. Although results strongly emphasised context and curriculum in rural environments, lack of specific and pragmatic approaches was noted. Surprisingly, few articles focused on rural distance learning utilising information and communication technology. Pathways to improve rural education access include recognition of the unique rural context in curriculums; development of rural educational faculty; and creation of opportunities for rural specialist training. Emphasis should be given for education provided through rural centres rather than urban facilities. Use of information technology could be increased, for example in remote trainee supervision programs.

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Supporting GP advanced rural skills training

Cited by 5 publications

References 6 publications

Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value

Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value

Giving birth in the Murrumbidgee region: A quantitative and qualitative approach to general practice obstetrics in a rural region

How might access to postgraduate medical education in regional and rural locations be best improved? A scoping review

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