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Outcomes of Australian rural clinical schools: a decade of success building the rural medical workforce through the education and training continuum

机译:澳大利亚农村临床学校的成果:通过教育和培训连续性成功建立农村医疗队伍的十年

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Introduction:The establishment of the rural clinical schools funded through the Commonwealth Department of Health and Ageing (now Department of Health) Rural Clinical Training and Support program over a decade ago has been a significant policy initiative in Australian rural health. This article explores the impacts of this policy initiative and presents the wide range of educational innovations contextualised to each rural community they serve.Methods:This article reviews the achievements of the Australian rural clinical and regional medical schools (RCS/RMS) through semi-structured interviews with the program directors or other key informants. The questions and responses were analysed according to the funding parameters to ascertain the numbers of students, types of student placements and range of activities undertaken by each university program.Results:Sixteen university medical schools have established 18?rural programs, creating an extensive national network of RCS and RMS in every state and territory. The findings reveal extensive positive impacts on rural and regional communities, curriculum innovation in medical education programs and community engagement activities. Teaching facilities, information technology, video-conferencing and student accommodation have brought new infrastructure to small rural towns. Rural clinicians are thriving on new opportunities for education and research. Clinicians continue to deliver clinical services and some have taken on formal academic positions, reducing professional isolation, improving the quality of care and their job satisfaction. This strategy has created many new clinical academics in rural areas, which has retained and expanded the clinical workforce. A total of 1224?students are provided with high-quality learning experiences for long-term clinical placements. These placements consist of a year or more in primary care, community and hospital settings across hundreds of rural and remote areas.?Many programs offer longitudinal integrated clerkships; others offer block rotations in general practice and specialist clinics. Nine universities established programs prior to 2004, and these well-established programs are finding graduates who are returning to rural practice. Universities are required to have 25% of the students from a rural background. University admission policies have changed to encourage more applications from rural students. This aspect of the policy implements the extensive research evidence that rural-origin students are more likely to become rural practitioners.?Additional capacity for research in RCS has influenced the rural health agenda in fields including epidemiology, population health, Aboriginal health, aged care, mental health and suicide prevention, farming families and climate change. There are strong research partnerships with rural workforce agencies, research centres for early career researchers and PhD students.Conclusions:The RCS policy initiative has vastly increased opportunities for medical students to have long-term clinical placements in rural health services. Over a decade since the policy has been implemented, graduates are being attracted to rural practice because they have positive learning experiences, good infrastructure and support within rural areas. The study shows the RCS initiative sets the stage for a sustainable future Australian rural medical workforce now requiring the development of a seamless rural clinical training pipeline linking undergraduate and postgraduate medical education.
机译:简介:十年前,由联邦卫生与老龄化部(现为卫生部)农村临床培训与支持计划资助的农村临床学校的建立是澳大利亚农村卫生的一项重要政策举措。本文探讨了这项政策举措的影响,并针对他们服务的每个农村社区提出了广泛的教育创新背景。方法:本文通过半结构性回顾澳大利亚农村临床和区域医学院(RCS / RMS)的成就与计划主管或其他关键线人的访谈。根据资助参数对问题和答案进行分析,以确定每个大学计划的学生人数,学生安置类型和活动范围。结果:十六所大学医学院建立了18个农村计划,建立了广泛的国家网络每个州和地区的RCS和RMS的百分比。调查结果揭示了对农村和地区社区,医学教育计划中的课程创新和社区参与活动的广泛积极影响。教学设施,信息技术,视频会议和学生住宿为农村小城镇带来了新的基础设施。农村临床医生正在寻求新的教育和研究机会。临床医生继续提供临床服务,其中一些人已担任正式的学术职位,减少了专业隔离,提高了护理质量和工作满意度。该策略在农村地区创建了许多新的临床学者,从而保留并扩大了临床工作队伍。为1224名学生提供了长期临床实习的高质量学习经验。这些职位包括在数百个农村和偏远地区的初级保健,社区和医院环境中,为期一年或更长时间的员工。许多计划提供纵向综合业务;其他人则在普通科和专科诊所提供轮换。 2004年之前,有9所大学建立了课程,这些完善的课程正在寻找重返农村实践的毕业生。大学必须有25%的农村学生。大学录取政策已经改变,以鼓励更多的农村学生申请。该政策的这一方面提供了广泛的研究证据,表明农村学生更可能成为农村从业者。RCS的额外研究能力已经影响了农村卫生议程,包括流行病学,人口卫生,原住民卫生,老年护理,心理健康和自杀预防,农业家庭和气候变化。与农村劳动力机构,针对早期职业研究人员的研究中心和博士生建立了牢固的研究合作关系。结论:RCS政策倡议极大地增加了医学生在农村卫生服务部门进行长期临床实习的机会。自该政策实施以来的十多年中,毕业生被农村实践所吸引,因为他们在农村地区拥有积极的学习经验,良好的基础设施和支持。研究显示,RCS计划为未来的可持续农村澳大利亚劳动力奠定了基础,现在要求开发一条无缝的农村临床培训渠道以连接本科和研究生医学教育。

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