The Impact of Rural Training Experiences on Medical Students: A Critical Review

Barrett, Felicia; Lipsky, Martin S.; Lutfiyya, M. Nawal

doi:10.1097/acm.0b013e3182046387

Cited by 93 publications

(91 citation statements)

References 21 publications

(18 reference statements)

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“…Using the same language seemed to be an advantage compared to nonTamil speakers who expressed possible communication difficulties in the NE. Previous studies indicated the preference of hometown-based practice among healthcare professionals [22][23][24][25]. In addition, as members of the same ethnic group, students with NE origins expressed their…”

Section: Discussionmentioning

confidence: 99%

Medical students’ willingness to work in post-conflict areas: A qualitative study in Sri Lanka

Gadi¹,

Higuchi²,

Warnasuriya³

et al. 2012

Health

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Background: The north-east (NE) region of Sri Lanka observed a critical health workers' shortage after the long-lasting armed conflict. This study aimed to explore medical students' attitudes towards working in the NE and to identify factors determining such attitudes. Methods: A semi-structured, self-administered questionnaire survey was conducted in two medical schools, one in the NE and the other near the capital, in October 2004. Data were qualitatively analysed using the framework approach. Results: Three main themes were identified: 1) Professional motives and career plans; 2) Students' perceptions of the healthcare situation in the NE; and 3) Students' choice of the NE as a future practice location. It was found that familiarity with the difficulties faced by the NE people was a major motivation for medical students to work in the NE in the future. For NE students, familiarity was linked to their sense of belonging. For non-NE students, their personal experience of the NE familiarized them with the difficult situation there, which positively influenced their willingness to work there. Demotivations to work in the NE were poor working and living conditions, fewer opportunities for postgraduate education, language differences, insecurity, and fear of an unpleasant social response from the NE communities. Conclusions: NE local medical students had a sense of belonging to the NE and compassion for the Tamil people as members of the ethnic group. They were willing to work in the NE if their concerns about difficult working and living conditions and postgraduate education could be solved. Non-NE students who were familiar with the NE situation through their personal experience also showed a willingness to work there; thus, early exposure programmes in medical education might help to increase the health workforce in the NE. It is also expected that non-NE physicians working for the NE people would facilitate reconciliation and the rebuilding of trust between two ethnic groups.

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Section: Discussionmentioning

confidence: 99%

Medical students’ willingness to work in post-conflict areas: A qualitative study in Sri Lanka

Gadi¹,

Higuchi²,

Warnasuriya³

et al. 2012

Health

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“…It is possible that the presence of multiple learners means that the needs of each are less easily met. There is much in the literature about the benefits for students from learning in rural practices [25] but this work has not demonstrated such impacts. This is likely to be because students are following the same curriculum regardless of where they are placed.…”

Section: Discussionmentioning

confidence: 99%

Do quality indicators for general practice teaching practices predict good outcomes for students?

Bartlett

Potts

McKinley

2016

Education for Primary Care

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“…Finally, given that it is likely that if a graduate learns in an underserved area, he or she is more likely to choose to work in an underserved area, [16][17][18][19] locality policy makers for underserved areas should consider how they could support students to come to, and live and learn in, and with, their communities, perhaps later returning to work with them.…”

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confidence: 99%