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与“内陆地区”的人们一起生活和工作:本科医学教育中农村和偏远临床实习的基础。

Living and working with the people of 'the bush': a foundation for rural and remote clinical placements in undergraduate medical education.

机构信息

School of Medicine, University of Notre Dame, Fremantle, Western Australia, Australia.

出版信息

Med Teach. 2012;34(9):e603-10. doi: 10.3109/0142159X.2012.670326. Epub 2012 Apr 10.

Abstract

BACKGROUND

The Australian Government's policies and programmes to redress the medical workforce shortage in rural and remote areas focus on recruitment of rural students and provision of rural clinical placements. The University of Notre Dame's Rural and Remote Health Placement Programme (RRHPP) uses an additional approach to address this issue.

AIM

This article describes the RRHPP undertaken by all medical students in the first 2-years of their course and examines the educational worth of this approach.

METHOD

Data were obtained from curricular documents, publications about the RRHPP and evaluation questionnaires administered to students and supervisors.

RESULTS

The RRHPP provides students with opportunities to develop a patient- and community-centred perspective on the health issues of rural and remote populations by having them live and work with people in these areas prior to clinical placements. It is based on sound educational principles and underpinned by participation of rural/remote communities as experts and equal teaching partners. The RRHPP is valued and perceived by a majority of students and placement hosts as a useful strategy to develop medical students' understanding of the rural/remote community context and its impact on health.

CONCLUSION

This community participatory approach benefits medical students and rural/remote communities.

摘要

背景

澳大利亚政府的政策和计划旨在解决农村和偏远地区医疗劳动力短缺的问题,重点是招聘农村学生和提供农村临床实习机会。圣母大学的农村和偏远地区健康实习计划(RRHPP)采用了一种额外的方法来解决这个问题。

目的

本文描述了所有医学生在课程的前 2 年中所进行的 RRRPP,并考察了这种方法的教育价值。

方法

数据来自课程文件、关于 RRRPP 的出版物以及对学生和导师进行的评估问卷。

结果

RRHPP 通过让学生在临床实习前在这些地区与居民一起生活和工作,为学生提供了一个以患者和社区为中心的视角来了解农村和偏远地区人口的健康问题。它基于坚实的教育原则,并得到了农村/偏远社区作为专家和平等教学伙伴的参与。RRHPP 受到了大多数学生和实习负责人的重视和认可,被认为是一种有用的策略,可以培养医学生对农村/偏远社区背景及其对健康的影响的理解。

结论

这种社区参与式方法使医学生和农村/偏远社区受益。

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