Will Australia have a fit‐for‐purpose medical workforce in 2025?

Strasser, Roger

doi:10.5694/mja17.01169

Cited by 16 publications

(21 citation statements)

References 9 publications

(13 reference statements)

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“…These qualities are in concordance with the requirement of future medical workforce which amongst others require healthcare workers with the right skills to provide the right care, in the right place, at the right time, and with competent leadership skills, communication skills and the ability to work within a team. (26) List Of Abbreviations…”

Section: Resultsmentioning

confidence: 99%

Peer Assisted Study Session (PASS): Are the Millennial Leaders the Leaders of Tomorrow? A Prospective Cohort Study.

Shafiaai

Kadirvelu

Pamidi³

2020

Preprint

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Background PASS is a peer-led structured academic mentoring program designed to provide academic assistance for new students in their transition from college to university studies and also for students struggling in certain units. This study aims to establish acquired skills by peer leaders associated with peer-led mentoring via PASS program, and to explore the role played by these acquired skills in their journey to become a successful doctor.Methods Study participants were forty selected second-year undergraduate medical students at Monash University Malaysia with commendable examination results. Validated pre-test and post-test questionnaires were administered to explore changes in the level of communication, leadership, professional, and pedagogical skills before and after participation in peer mentoring program. Qualitative analysis of focused group interviews was performed by an independent investigator to identify how the skills developed as a peer mentor may help with becoming a good doctor. Major themes were identified with the thematic-analysis approach.Results Thirty-eight students completed the pre-test and post-test questionnaires. Peer leaders reported improvement in oral and written skills for teaching; increased confidence to give constructive feedback; better stress management; efficient time management; improved interpersonal skills; and enhanced problem-solving and critical thinking capabilities. Eight major themes were identified from the interview and peer leaders reported positive experience of working in diverse environments and shouldering of responsibilities.Conclusions Peer-led mentoring provides a good opportunity for medical students to shoulder responsibilities as a leader and offers an of experience of managing a team of their peers and juniors which in turn may enhance their communication, interpersonal, and leadership skills.

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Section: Resultsmentioning

confidence: 99%

Peer Assisted Study Session (PASS): Are the Millennial Leaders the Leaders of Tomorrow? A Prospective Cohort Study.

Shafiaai

Kadirvelu

Pamidi³

2020

Preprint

View full text Add to dashboard Cite

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Section: Resultsmentioning

confidence: 99%

Peer mentoring experience on becoming a good doctor: Student perspectives.

Shafiaai

Kadirvelu

Pamidi³

2020

Preprint

View full text Add to dashboard Cite

Background: PASS is a peer-led structured academic mentoring program designed to provide academic assistance for new students in their transition from college to university studies and also for students struggling in certain units. This study aims to establish acquired skills by peer leaders associated with peer-led mentoring via the PASS program, and to explore the role played by these acquired skills in their journey to become a successful doctor.Methods: Study participants were forty selected second-year undergraduate medical students at Monash University Malaysia with commendable examination results. Validated pre-test and post-test questionnaires were administered to explore changes in the level of communication, leadership, professional, and pedagogical skills before and after participation in peer mentoring program. Qualitative analysis of focused group interviews was performed by an independent investigator to identify how the skills developed as a peer mentor may help with becoming a good doctor. Major themes were identified with the thematic-analysis approach.Results: Thirty-eight students completed the pre-test and post-test questionnaires. Peer leaders reported improvement in oral and written skills for teaching; increased confidence to give constructive feedback; better stress management; efficient time management; improved interpersonal skills; and enhanced problem-solving and critical thinking capabilities. Eight major themes were identified from the interview and peer leaders reported positive experience of working in diverse environments and shouldering of responsibilities.Conclusions: Peer-led mentoring provides a good opportunity for medical students to shoulder responsibilities as a leader and offers an experience of managing a team of their peers and juniors which in turn may enhance their communication, interpersonal, and leadership skills.

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“…However, many feared this may limit their exposure to higher acuity presentations, restrict research opportunities and remove networking opportunities, potentially disadvantaging future applications to specialty training. Additionally, high levels of competition for vocational training positions from increased graduate numbers may perpetuate the belief of many rural interested candidates that establishing professional connections with clinical directors of large metropolitan units is critical in order to gain entry into specialty training [32,47]. A recent opinion piece from Australia's rural medical students reiterates fears of reduced access to training programs and missing out on key professional relationships and supports via rural internships [48].…”

Section: Discussionmentioning

confidence: 99%

“…However, supplying new rural vocational positions largely depends on graduate doctors electing to stay in rural prevocational pathways, including during the internship period. In Australia, each doctor's training pathway is administered by multiple providers including universities (basic qualifications), jurisdictional health services which offer prevocational positions for junior doctors (including newly graduated doctors in their first postgraduate year, hereafter termed 'interns') and specialty colleges [32]. Internship training is required for general registration with health services considering interns as the backbone of basic service provision in hospitals [33].…”

Section: Australian Policiesmentioning

confidence: 99%

“…In the last decade many Australian states have expanded the number of available rural internship positions. In parallel, there has also been a rapid growth in the numbers of graduating medical students in Australia around 1425 graduates in 2002 expanding to 3569 in 2016 [32,38]. This has not been fully matched with growth in internship training places, thus creating angst about securing an intern position which has been evident as national competition for internships increases [39,40].…”

Section: Australian Policiesmentioning

confidence: 99%

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Exploring preference for, and uptake of, rural medical internships, a key issue for supporting rural training pathways

McGrail

O’Sullivan

Russell

et al. 2020

BMC Health Serv Res

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Background Improved medical care access for rural populations continues to be a major concern. There remains little published evidence about postgraduate rural pathways of junior doctors, which may have strong implications for a long-term skilled rural workforce. This exploratory study describes and compares preferences for, and uptake of, rural internships by new domestic and international graduates of Victorian medical schools during a period of rural internship position expansion. Methods We used administrative data of all new Victorian medical graduates’ location preference and accepted location of internship positions for 2013–16. Associations between preferred internship location and accepted internship position were explored including by rurality and year. Moreover, data were stratified between ‘domestic graduates’ (Australian and New Zealand citizens or permanent residents) and ‘international graduates’ (temporary residents who graduated from an Australian university). Results Across 2013–16, there were 4562 applicants who filled 3130 internship positions (46% oversubscribed). Domestic graduates filled most (69.7%, 457/656) rural internship positions, but significantly less than metropolitan positions (92.2%, p < 0.001). Only 20.1% (551/2737) included a rural location in their top five preferences, less than for international graduates (34.4%, p < 0.001). A greater proportion of rural compared with metropolitan interns accepted a position not in their top five preferences (36.1% versus 7.4%, p < 0.001). The proportion nominating a rural location in their preference list increased across 2013–2016. Conclusions The preferences for, and uptake of, rural internship positions by domestic graduates is sub-optimal for growing a rural workforce from local graduates. Current actions that have increased the number of rural positions are unlikely to be sufficient as a stand-alone intervention, thus regional areas must rely on international graduates. Strategies are needed to increase the attractiveness of rural internships for domestic students so that more graduates from rural undergraduate medical training are retained rurally. Further research could explore whether the uptake of rural internships is facilitated by aligning these positions with protected opportunities to continue vocational training in regionally-based or metropolitan fellowships. Increased understanding is needed of the factors impacting work location decisions of junior doctors, particularly those with some rural career intent.

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Will Australia have a fit‐for‐purpose medical workforce in 2025?

Cited by 16 publications

References 9 publications

Peer Assisted Study Session (PASS): Are the Millennial Leaders the Leaders of Tomorrow? A Prospective Cohort Study.

Peer Assisted Study Session (PASS): Are the Millennial Leaders the Leaders of Tomorrow? A Prospective Cohort Study.

Peer mentoring experience on becoming a good doctor: Student perspectives.

Exploring preference for, and uptake of, rural medical internships, a key issue for supporting rural training pathways

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