Hickner J M
Department of Family Practice, Michigan State University College of Human Medicine, East Lansing.
Med J Aust. 1991 Jan 21;154(2):111-8. doi: 10.5694/j.1326-5377.1991.tb120996.x.
There is a shortage of general practitioners in rural Australia. Several recent State and federal government reports have highlighted the difficulties of rural practice. One of the reasons commonly cited for the shortage of country doctors is the lack of appropriate training in Australia's medical schools and the Family Medicine Programme. This survey of the heads of departments of community medicine/general practice of Australia's 10 medical schools and of the State directors of the Family Medicine Programme documents the present efforts to train doctors for rural general practice. A 100% response was achieved. The responses indicate much interest and effort from the Family Medicine Programme in developing rural training schemes. Though the community medicine/general practice departments demonstrate considerable interest and innovation, they are hampered by lack of resources and negative attitudes of some specialist colleagues. Overall, the main impediments are: lack of "affirmative action" admissions policies to recruit rural students; insufficient curricular time for teaching the principles of general practice; students' lack of confidence in the procedural aspects of rural practice; lack of appropriate training posts in anaesthetics; lack of appropriate general practice training posts at regional hospitals; and lack of financial resources. Some suggestions are given to improve training for rural practice in Australia.
澳大利亚农村地区全科医生短缺。最近几份州政府和联邦政府报告都强调了农村医疗工作的困难。乡村医生短缺的一个常见原因是澳大利亚医学院校和家庭医学项目缺乏适当培训。本次对澳大利亚10所医学院校社区医学/全科医学系主任以及家庭医学项目州主任的调查记录了目前为农村全科医疗培养医生所做的努力。问卷回复率达100%。回复表明家庭医学项目对制定农村培训计划兴趣浓厚且付出了诸多努力。尽管社区医学/全科医学系表现出了相当大的兴趣和创新精神，但它们受到资源短缺以及一些专科同事消极态度的阻碍。总体而言，主要障碍包括：缺乏招收农村学生的“平权行动”录取政策；用于教授全科医疗原则的课程时间不足；学生对农村医疗程序方面缺乏信心；麻醉学方面缺乏合适的培训岗位；地区医院缺乏合适的全科医疗培训岗位；以及资金资源短缺。文中给出了一些改进澳大利亚农村医疗培训的建议。
