Critchley J, DeWitt D E, Khan M A, Liaw S
University of Melbourne School of Rural Health, Shepparton, Victoria, Australia.
Rural Remote Health. 2007 Apr-Jun;7(2):688. Epub 2007 Jun 1.
The Australian Commonwealth Department of Health and Ageing has funded University Departments of Rural Health (UDRHs) to facilitate student placements with the goal of encouraging students to choose rural health practice. The objective of this article is twofold: first, to report student feedback regarding The University of Melbourne-UDRH required 4 week Rural Health Module based in Shepparton, Victoria, at the School of Rural Health, with placements in communities in rural northeast Victoria; and second, to identify students' attitudes about practising in rural areas at the completion of the course.
Student evaluations conducted at the completion of the program were analysed utilising both quantitative and qualitative survey questions.
Of 393 students who completed the course, 93% participated in the evaluation. Over half (70%) said that the course increased their interest in rural health issues more than 'somewhat', and 47% stated that the course increased their interest in practising rurally more than 'somewhat'. Students valued their community placements highly but wanted greater clinical focus.
A required community-based rural health course positively influences many medical students' reported intention toward rural practice and increases most students interest in rural health. Rural general practice placements are in short supply. This course offers valuable rural experience to students without depending significantly on GPs, but student feedback has increased efforts to make the course more clinically focussed.
澳大利亚联邦卫生与老龄部资助农村卫生大学部(UDRHs),以促进学生实习,目的是鼓励学生选择农村卫生工作。本文的目的有两个:第一,报告学生对墨尔本大学农村卫生大学部设在维多利亚州谢珀顿农村卫生学院、为期4周的农村卫生模块的反馈,该模块安排学生在维多利亚州东北部农村社区实习;第二,确定课程结束时学生对在农村地区执业的态度。
利用定量和定性调查问题对课程结束时进行的学生评估进行分析。
在完成课程的393名学生中,93%参与了评估。超过一半(70%)的学生表示,该课程对他们农村卫生问题兴趣的提升“远超”“有些许提升”,47%的学生表示,该课程对他们在农村地区执业兴趣的提升“远超”“有些许提升”。学生对社区实习评价很高,但希望课程更注重临床。
一门必修的基于社区的农村卫生课程对许多医学生报告的农村执业意向产生了积极影响,并提高了大多数学生对农村卫生的兴趣。农村全科实习岗位供不应求。该课程为学生提供了宝贵农村经验,且不严重依赖全科医生,但学生反馈促使人们加大努力,使课程更注重临床。