The pathway to more rural doctors: the role of universities

McGrail, Matthew Richard; Doyle, Zelda; Fuller, Lara; Gupta, Tarun Sen; Shires, Lizzi; Walters, Lucie

doi:10.5694/mja2.52021

Cited by 6 publications

(2 citation statements)

References 44 publications

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“…Currently, improvements in rural general surgical training are focused on increased rural selection, a Rural Coach Program for trainees, moving towards a rural facing curriculum, rural training hubs and flexible training opportunities. As yet, these programs have not been evaluated for their effectiveness 12,43 …”

Section: Training Rural General Surgeonsmentioning

confidence: 99%

“…Recruiting and retaining general surgeons rurally is multifaceted. Strategies include an increased focus on rural selection (rural origin, clinical school placement, prevocational work), increased rural general surgery training hubs and supporting the non‐professional needs of surgeons and trainees (childcare, childhood education, partner's employments, relocation support) 12,43 . There also needs to be a focus on income disparity for rurally based surgeons, who have fewer options for private practice 12,43 …”

Section: Training Rural General Surgeonsmentioning

confidence: 99%

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The provision of general surgery in rural Australia: a narrative review

Paynter,

Qin,

Brennan

et al. 2024

Medical Journal of Australia

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Summary Rural surgery is most commonly provided by general surgeons to the 29% of people (7 million) living in rural Australia. The provision of rural general surgery to enable equitable and safe surgical care for rural Australians is a multifaceted issue concerning recruitment, training, retention, surgical procedures and surgical outcomes. Sustaining the rural general surgical workforce will be dependent upon growing an increased number of resident rural general surgeons, as well as changed models of care, with a need for ongoing review to track the outcomes of these changes. To increase recruitment, rural general surgical training must improve to be less stressful for trainees and to be incorporated alongside a rural‐facing generalist curriculum. Rural general surgical outcomes (excluding some oncology conditions) achieve comparable results to metropolitan centres. Access to, and outcomes of, surgical oncology services continues to be inequitable for rural Australians and should be a major focus for improved service delivery.

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Section: Training Rural General Surgeonsmentioning

confidence: 99%

Section: Training Rural General Surgeonsmentioning

confidence: 99%

The provision of general surgery in rural Australia: a narrative review

Paynter,

Qin,

Brennan

et al. 2024

Medical Journal of Australia

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The threshold of rural placement frequency and duration: A repeated cross-sectional study examining rural career aspirations among student nurses

Terry,

Peck,

Elliott

et al. 2024

Nurse Education in Practice

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Regional, rural and remote medicine attracts students with a similar approach to learning in both the Northern and Southern hemisphere

Mansfield,

Iversen,

Løchen

2024

International Journal of Circumpolar Health

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Doctors who work in areas of workforce shortage, such as regional, rural and remote areas or areas of low socioeconomic means need to be more self-motivated, adaptable and self-directed than their metropolitan counterparts. This study aimed to examine the goal orientation and learning characteristics of students recruited into two medical programmes, one from the Northern hemisphere and one from the Southern hemisphere; both with a commitment to producing doctors to practice medicine in rural locations. Three survey tools were administered to 263 medical students: 1. achievement goal orientation survey; 2. learning characteristics survey and 3. the study process questionnaire. Medical students from both cohorts showed a learning goal orientation, which significantly increased with age (P0.007). In terms of learning characteristics, the students from the south had significantly higher scores for curiosity (P0.003), while the northern students had significantly higher scores for methodical ( p < 0.001). Both cohorts were similar for adaptability and consciousness. Across the entire student cohort, three of the four learning disposition characteristics were also seen to correlate with learning goal orientation. In both cohorts of medical students deep learning scores exceeded surface learning scores. Selection of students with a learning goal orientation and learning characteristics of curiosity, adaptability and conscientiousness could potentially help students to flourish in rural placement environments.

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The pathway to more rural doctors: the role of universities

Cited by 6 publications

References 44 publications

The provision of general surgery in rural Australia: a narrative review

The provision of general surgery in rural Australia: a narrative review

The threshold of rural placement frequency and duration: A repeated cross-sectional study examining rural career aspirations among student nurses

Regional, rural and remote medicine attracts students with a similar approach to learning in both the Northern and Southern hemisphere

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