Denz-Penhey Harriet, Murdoch J Campbell
The Rural Clinical School of Western Australia, Perth, Western Australia, Australia.
Rural Remote Health. 2009 Jan-Mar;9(1):1093. Epub 2009 Mar 26.
With the expectation that students educated in a rural setting will be likely to return to practise in a rural area after graduation, the Rural Clinical School of Western Australia (RCSWA) focuses on long-term placements in rural areas during students' clinical training.
to identify why students chose to come to RCSWA.
each of the 10 rural and remote sites in the RCSWA office.
All students in 2006 and 2007 attending the RCSWA who were available for the mid-year evaluation interviews participated (n = 98). A qualitative thematic analysis of individual interviews was undertaken and emerging themes were compared, with the 2006 data used as a basis to consider the data from 2007.
Three major reasons for coming to RCSWA were identified, with most students giving more than one reason. Over 80% of the students reported that they expected to receive broader and better clinical and academic learning opportunities in the rural setting. Three-quarters of the students chose the RCS in order to have the chance to have a year experiencing rural life. One-third of the students came for personal development and increased life experience. The reasons for coming were often multidimensional. Students also articulated reasons for not coming which they considered prior to accepting the position in the RCSWA. In addition, they gave examples of why their decision to come had been a good one, in terms of opportunities for clinical learning and their other identified reasons.
Students reported they perceived an academic year spent in a rural area to be so overwhelmingly positive that they were prepared to give up everything the city has to offer and go to a different, often challenging environment in order to participate.
鉴于期望在农村地区接受教育的学生毕业后有可能回到农村地区行医,西澳大利亚农村临床学院(RCSWA)在学生临床培训期间注重在农村地区进行长期实习。
确定学生选择来RCSWA的原因。
RCSWA办公室的10个农村和偏远地点中的每一个。
2006年和2007年所有参加RCSWA且可参加年中评估访谈的学生参与了研究(n = 98)。对个人访谈进行了定性主题分析,并对出现的主题进行了比较,以2006年的数据为基础来考量2007年的数据。
确定了学生来RCSWA的三个主要原因,大多数学生给出了不止一个原因。超过80%的学生报告称,他们期望在农村环境中获得更广泛、更好的临床和学术学习机会。四分之三的学生选择农村临床学院是为了有机会体验一年的农村生活。三分之一的学生是为了个人发展和增加生活经历而来。前来的原因往往是多方面的。学生们还阐述了在接受RCSWA的职位之前他们考虑过的不来的原因。此外,他们举例说明了就临床学习机会和其他确定的原因而言,他们来此的决定为何是个明智之举。
学生们报告说,他们认为在农村地区度过的一学年非常积极,以至于他们准备放弃城市所能提供的一切,前往一个不同的、往往具有挑战性的环境中参与其中。