Farry Patrick, Adams John, Walters Lucie, Worley Paul, Dovey Susan
Department of General Practice and Rural Health, Dunedin School of Medicine, PO Box 913, Dunedin, New Zealand.
N Z Med J. 2010 Sep 24;123(1323):16-23.
To report the development of the first Rural Medical Immersion Programme (RMIP) of the University of Otago in New Zealand.
We review medical education trends and challenges for educating New Zealand's doctors and recruiting them to careers in rural practice. We describe key features of the RMIP developed in response to these challenges.
Medical education is evolving from discipline and hospital-based teaching to using more integrated, community-based teaching. The RMIP aims to immerse 5th-year medical students in an integrated, patient-centred, community-based, parallel learning environment where learners' experiences in primary, secondary, and tertiary settings are always based on patient care. Government funding for the RMIP pilot was granted in November 2006 and the first 6 students started in the programme in 2007. Experiences of the programme from 2007-2009 are reported.
The RMIP remains true to the principles underpinning its establishment and has to date delivered successful medical education outcomes for the first 18 students of the 2007 and 2008 cohorts. We cannot yet assess its role in future recruitment to rural medical careers.
报告新西兰奥塔哥大学首个农村医学沉浸式项目(RMIP)的开展情况。
我们回顾了新西兰医生教育及吸引他们从事农村医疗工作的医学教育趋势与挑战。我们描述了为应对这些挑战而开发的RMIP的关键特征。
医学教育正从基于学科和医院的教学向采用更综合的、基于社区的教学转变。RMIP旨在让五年级医学生沉浸于一个综合的、以患者为中心的、基于社区的平行学习环境中,在这个环境里,学习者在初级、中级和三级医疗机构的经历始终以患者护理为基础。2006年11月获得了政府对RMIP试点项目的资助,首批6名学生于2007年开始参与该项目。报告了2007 - 2009年该项目的情况。
RMIP仍然坚持其设立所依据的原则,迄今为止,已为2007年和2008年批次的首批18名学生取得了成功的医学教育成果。我们尚无法评估其在未来农村医疗职业招募中的作用。