OM LEGERS TURNUSTJENESTE: Klikk her
REVIEWS /Oversiktsartikler i Pubmed: Klikk her
'Implementing a Swedish regionalized medical program supported by digital technologies: possibilities and challenges from a management perspective' The recent implementation of a regionalized medical program (undergraduate rural clinical clerkship) in Sweden provides useful management insights for medical educators yet to introduce this innovation, and for those with well established programs. Rural and Remote Health Journal, April 2013
'Choice or chance! The influence of decentralised training on GP retention in the Bogong region of Victoria and New South Wales' Does a decentralised training model have a positive influence on the retention of rural GPs? This study from rural NSW, Australia identified cultural and regulatory influences, and also the roles of choice and chance. Riral and Remote Health Journal, March 2013
'Primary health care and general practice attachment: establishing an undergraduate teaching network in rural Greek health centers' This project report presents a Greek experience of setting up sustainable community oriented medical education. Crucial to this successful program was careful planning to potentiate the voluntary efforts of self-selected, multi-professional teachers for a large group of students annually. Rural and remote Health Journal, March 2013
'Advanced rural skills training: are recently qualified GPs using their procedural skills? Why is there a decline in the number of Australian rural GPs who provide procedural services? These researchers examined the first five years after a GP's advanced rural skills training to see if early intervention can make a difference. Rural and Remote Health Journal, March 2013
'Factors influencing rural and urban emergency clinicians' participation in an online knowledge exchange intervention. Internet based learning modules can be an important source of support for physicians on the front lines. Pediatric care can be quite complex and specialized pediatric centers are rare. Urban and rural emergency physicians need sources of information. Do they access learning modules, each other, or other sources of support? Are there rural-urban differences in the sources of information? Remote and Rural Health Journal, Febr 2013
'Rural placements are effective for teaching medicine in Australia: evaluation of a cohort of students studying in rural placements' This research from the University of Western Sydney adds to the medical education evidence for long-term rural placements. The authors place their own results in the context of recent, similar Australian studies. Rural and Remote Helath Journal, Nov 2012
'Nourishing networks: an interprofessional learning model and its application to the Australian rural health workforce' For rural health clinicians to participate in continuing professional development it is necessary to transcend conventional educational methods - or so say these authors. They present a different approach to interprofessional learning that is both flexible and adaptable. Rural and Remote Health Journal, Nov 2012
'Going the distance: early results of a distributed medical education initiative for Royal College residencies in Canada' Rural vocational experiences commonly involve generalist rotations, but rural specialists are also needed. The typical pattern of packing specialty and sub-specialty training into a few most concentrated locations will not assist physician distribution. Studies such as this one are needed to help understand the impact of rural experiences on various types of specialties. Rural and Remote Health Journal, Oct 2012
'Remote supervision of health professionals in areas of workforce need: time to extend the model?' This commentary by a well-known Australian rural medical educator puts the case for extending the successful medical Remote Vocational Training Scheme supervision model to all health professions. Rural and Remote Health Journal, Oct 2012
Why community members want to participate in the selection of students into medical school. Motivated by a mix of social, community and governmental accountability, many medical schools involve rural community members in the undergraduate student selection process. These Flinders University researchers investigated the motivation and more of a sample of South Australian community members who make this pro bono contribution. Rural and Remote Health Journal, Aug 2012
Medical student characteristics predictive of intent for rural practice. The most recent medical schools added in the United States have been a disappointment for primary care and for rural outcomes but there are some exceptions. One newer school has started well in the primary care and family practice areas most needed as indicators of future rural workforce. Students were surveyed regarding their intent for rural practice and this was compared to characteristics such as origin of student and spouse and Myers-Briggs Personality Type. Rural and Remote Health Journal, Aug 2012
'Does the positive influence of an undergraduate rural placement persist into postgraduate years?' Does the effect of medical students' short-term rural placements endure and influence eventual practice location? This study from New Zealand revisited graduates' student intentions to find out. Rural and Remote Health Journal, June 2012
Interdisciplinary rural immersion week' Rural physicians who become rural medical educators soon realize that it is difficult or impossible to do rural medical education without the rural community. One solution has been rural preceptorship experiences, but not always do students find out as much about rural communities. Five days of immersion can help students to explore rural communities and rural life. Rural and Remote Health Journal, June 2012
'Generational differences in factors influencing physicians to choose a work location. Recruitment still reigns as a major factor in practice location choice, but physicians at different stages of a career do have different motivations including work/life balance, medical need, and family. The findings of this interesting study suggest that more research is needed that considers differing generations of physicians and different types of specialties. Rural and Remote Health Journal, Febr 2012
'Supporting international medical graduates in rural Australia: a mixed methods evaluation. International medical graduates (IMGs) make a substantial contribution to Australia's rural medical workforce, despite the multiple challenges faced in their new professional and cultural environment. This evaluation of the innovative Victorian GIPSIE (Gippsland Inspiring Professional Standards among International Experts) program shows that much can be done to support and assist the adjustment and continuing development of IMGs who commit to working in rural health services. Rural and Remote Helath Journal, Jan 2012
'A decade of Australian Rural Clinical School graduates - where are they and why?' Is the decade-plus Australian Rural Clinical Schools (RCS) initiative addressing the rural medical workforce shortage? One RCS has monitored its impact on graduates for as long as 9 years. Its latest survey concerns career location and speciality choice, as well offering a perspective on the reality of career choices and life decisions as a graduate in the medical workforce. Rural and Remote Health Journal, March 2012
'Are medical students influenced by preceptors in making career choices, and if so how? A systematic review' Are medical students' career choices influenced by their preceptors? And what role, if any, does the duration of rural placement play in students selecting a primary care career? This comprehensive review of the literature has the answers, in what should be essential reading for medical curriculum designers and policy-makers. Rural and Remote Health Journal, Jan 2012
'Rural origin plus a rural clinical school placement is a significant predictor of medical students' intentions to practice rurally: a multi-university study. In this report of an Australian multi-university study, the authors describe a "winning combination" of factors as the most significant predictor of a medical undergrad's rural practice intention. Rural and Remote Health Journal, Jan 2012
'A rural undergraduate campus in England: virtue from opportunity and necessity' This project report from the UK describes the challenges overcome by Keele University Medical School and its partners to establish a rural campus, bringing undergraduates into the teaching environment of previously inaccessible rural general practices and community hospitals. Rural and Remote Health Journal, Nov 2011
'Exploring the role of social capital in supporting a regional medical education campus' It is difficult to anticipate likely changes when establishing regional/rural sites for medical education. The authors' description of the Prince George site in Canada within the framework of social capital assists our understanding of what can result from collaborative health professional education efforts and what participants, partners, and stakeholders can expect. Rural and Remote Helath Journal, Nov 2011
'Implications of increased student intake on rural rotations in Australian medical schools' This Letter to the Editor questions the effect of increasing Australian medical school cohorts on the quality of rural clinical placements. Rural and Remote Health Journal, Nov 2011
'Nature and nurture in the family physician's choice of practice location. Nature versus Nurture is the age old question of rural workforce. How do nations address populations suffering a shortage of physicians? Studies should consider both Nature and Nurture, as well as involving multiple institutions. Rural and Remote Health Journal, Sept 2011
'Increasing the enrolment of rural applicants to the faculty of medicine and addressing diversity by using a priority matrix approach to assign values to rural attributes'
If identifying 'rural-attribute applicants' for admission to medical school was as simple as asking for 'high school graduation location', the rural-urban medical workforce gap would be narrowing. In taking a matrix approach to distinguishing potential students' rural attributes, these authors from Manitoba, Canada, acknowledged that rural-student selection is a more complex exercise, where even some urban-background applicant are considered. The result has been a promising increase in the rural-origin mix of local admissions, and a methodology that promises the same for faculty selection committees in other world regions. Rural and Remote Health Journal, May 2011
'Global health education for medical undergraduates' Australian medical students' vary in their motivation to take the University of Adelaide's Global Health course, from wanting to 'make a small difference', to wanting to do 'something different'. What matters most is that students' world views are challenged and altered by this elective that continues to evolve in response to local and global conditions. Rural and Remote Health Journal, May 2011
'Student opinions on a rural placement program in New South Wales, Australia'
The value of undergraduate rural medical placements is now funded and established as a rural workforce strategy. Will the same strategy improve the distribution of dentists to Australian rural areas? This study from New South Wales reviews local and international evidence to date, and adds to it with information from a 2009 study of dental undergraduates - to be continued. Rural and Remote Helath Journal, May 2011
'Initial evaluation of rural programs at the Australian National University: understanding the effects of rural programs on intentions for rural and remote medical practice'
Foreshadowing the proposed national career tracking of Australian medical school graduates, this evaluation of compulsory and elective rural medical components at the Australian National University adds to the evidence on undergraduate rural practice intention. Of interest are findings on motivation to select or decline elective year-long rural immersion. Rural and Remote Health Journal, May 2011
'Junior doctors' and medical students' commitment to working in areas of workforce shortage' Will recent Australian Government initiatives succeed in boosting the medical workforce in underserved rural locations? This short report on the work intentions of the next generation of doctors provides a tentative answer. Rural and Remote Health Journal, April 2011
'Rural longitudinal integrated clerkships: lessons from two programs on different continents' Highly centralized and subspecialized training is a prestigious line of work with a long and glorious tradition of failing to provide the workforce needed for rural areas worldwide. Common sense indicates that training specific to rural workforce would focus on training longitudinally in rural locations. Two of these models have captured rural medical student and rural clinician impressions for review. Rural and Remote Health Journal, March 2011
'A proposal for funding and monitoring medical education supervision in expanded clinical settings - a 'meducation' card This is an era when medical educators and funders strive for quality clinical placements in expanded practice settings typified by rural and remote teaching sites. Could the proposed Australian 'meducation' card use existing infrastructure to facilitate the training of future medical practitioners? Rural and Remote Health Journal, March 2011
'Postgraduate specialty training in northeastern Ontario and subsequent practice location' Studies of broad-scope generalist physicians indicate the influence of rural training upon rural practice location, but how does rural training impact on more specialized physicians? The authors review data from the Northeast Ontario Postgraduate Specialty program. Rural and Remote Health Journal, March 2011
'Are medical student results affected by allocation to different sites in a dispersed rural medical school?' As rural medical education becomes decentralised and dispersed to distant and sometimes remote sites, is the quality of learning being maintained? This article approaches the question by analysing performance data from multiple student cohorts across the multiple sites of a dispersed Australian clinical school. Rural and Remote Health Journal, Jan 2011
'An interdisciplinary geriatric component for a rural summer experience'
How do we prepare health care professionals for geriatric practice in rural areas? We can all learn from this project report which provides details and examples from the author's experiences in New York State. Rural and Remote Health Journal, Nov 2010
Is small beautiful? Student performance and perceptions of their experience at larger and smaller sites in rural and remote longitudinal integrated clerkships in the Rural Clinical School of Western Australia. With good infrastructure, clarity about learning objectives and a structured academic approach to the complexities of the first full clinical year’s curriculum, students need not be disadvantaged by being sent in small numbers to small and/or remote sites for their clinical education. This was established both academically in terms of end of year marks, and also by their subjective experiences. Rural and Remote Health Journal, Sept 2010
A multi-university evaluation of the rural clinical school experience of Australian medical students. For almost a decade, Australian medical students have been attending rural clinical schools in a national strategy to boost the diminishing rural medical workforce. Among the now 13 state and territory universities conducting undergraduate- and graduate-entry RCS programs there are distinct curricula. Despite diversity, is the RCS program on track to achieve its goals? In this report on part of the first multi-institution study, the medical students of 6 RCS have their say. Rural and Remote Health Journal, Sept 2010
A multi-university study of which factors medical students consider when deciding to attend a rural clinical school in Australia Rural medical educational exposure has been associated with an increased interest in pursuing a career as a rural doctor. However, if medical students are conscripted to rural clinical experience, they may view the whole experience negatively and decline graduate rural practice. This Australian multi-university study identifies which factors medical students consider in their decision to attend a rural clinical school - and there are some surprises. Rural and Remote Health Journal, sept 2010
Postgraduate training at the ends of the Earth - a way to retain physicians?
Artikkel om den spesielt distriktsvenlige spesialistutdanningen i Norges effekt for å stabilisere leger uten for sykehus og de store sentrene. Av K Straume, MS Søndenå, P Prydz. Rural and Remote Helath Journal, juni 2010
'Retention of physicians in rural Japan: concerted efforts of the government, prefectures, municipalities and medical schools Japan attempted to resolve rural physician shortages using standard approaches but still came up short. Their ultimate solution appears to have been in the design of Jichi Medical University, a rural medical school that involves all levels of government, aligning selection and specific training for a guaranteed rural workforce. Could this model work in other countries? Rural and Remote Health Journal, juni 2010
Using decentralized medical education to address the workforce needs of a rural state: a partnership between Maine Medical Center and Tufts University School of Medicine. Erfaringer fra USA der et universitet inngikk en avtale med et helsesenter om utdanning av leger i 2008. Rural and Remote Health Journal, mai 2010
The Northland Regional-Rural program (Pūkawakawa): broadening medical undergraduate learning in New Zealand. These authors from New Zealand have reported on selected features and the evaluation of the University of Auckland's first regional-rural medical education program, Pūkawakawa, a 27 week curriculum for year 5 students. Rural and Reote Helath Journal, mars 2010
National Centre of Rural Medicine in Norway: a bridge from rural practice to the academy En artikkel av Ivar J. Aaraas og Elisabeth Swensen fra NSDM. Rural and Remote Health Journal, juni 2008
Expectations and experiences associated with
rural GP placements En forskergruppe i Sør-Australia har intervjuet 30 unge leger som fulgte et spesialiseringsprogram for allmennpraksis, der utplassering i distriktspraksis hørte med. Forventninger fra legene før (11 stk) og etter (19 stk) denne 6 månedersperioden ble identifisert. Mange negative forventninger hos gruppen som skulle ut kunne vært snudd hvis erfaringene fra gruppen som hadde vært ute var bedre kjent. Rural and Remote Health Journal, november 2009
'Reported reasons of medical students for choosing a clinical longitudinal integrated clerkship in an Australian rural clinical school' Current rural clinical school students who have chosen to spend an exciting time during their clinical training in the bush are among the best advertisements for a career in rural Autralia. This positive study might present a "rose tinted" view of life in the country as a Western Australian medical student, but it does provide more evidence and data to encourage future students to "go rural". Rural and remote Healthe Journal, mars 2009
A new model to understand the career choice and practice location decisions of medical graduates En ny model for å forstå legestudenters karrierevalg presenteres i en studie fra Austraia. Rurale studenter velger urbant - hvorfor? Urbane studenter som velger ruralt - hvem er de? Rural and Remote Health Journal, november 2009
Helping to prepare future physicians. Every family physician’s responsibility?Editoria: The teaching issue Det kanadiske tidsskriftetet for allmennleger, Canadian Familiy Physician, har i sitt septembernummer 2009 både en leder og en artikkel om hvordan læring i allmennmedisinsin bør foregå: i praksis med allmennleger som lærere. "I never teach my pupils. I only attempt to provide the conditions in which they can learn."Albert Einstein (1879–1955).
Artikkel fra Kongo: Medical schools in rural areas – necessity or aberration?In total, 97.7% of graduates from the rural-located medical school were employed in the province where they trained, the majority (81.4%) in rural areas. In contrast, 40.0% of graduates from the urban-located school were employed in the province where they trained, with 23.7% working in a rural area.
Av AO Longombe, Rural and Remote Health Journal, juli 2009
Community Based Medical Education - fra suksess i grisgrendte strøk til utfordringer i storbyen Universitetet i Northern Territories i Australia har en befolkning preget av urfolk og distrikt. Deres modell Community Based Medical Education har fungert godt for å lære bort distriktsmedisin. det går dårligere når de prøver ut undervisningsmodellen i mer utbane strøk. Rural and Remote Health Journal, september 2009
Fra utkant til utkant. Brev fra studiereise i 2000 til Alberta i canada og Wisconsin i USA for å lære om rekruttering og stabilisering av leger i allmennmedisin i distriktene. Tidsskr Nor legeforen 30. september 2000
Nasjonalt senter for distriktsmedisin. Institutt for samfunnsmedisin, 9037 Tromsø. Telefon: +47 776 45 512 | Siteman CMS