McKenzie Andrew, Beaton Neil, Hollins Jane, Jukka Clare, Hollins Aaron
School of Medicine and Dentistry, James Cook University, Townsville, Australia.
Aust J Rural Health. 2013 Feb;21(1):41-5. doi: 10.1111/j.1440-1584.2012.01315.x.
The aim of this study was to: investigate doctors' experiences of support during GP advanced rural skills training, and identify strategies to improve support.
The qualitative responses from a cross-sectional, postal survey are reported.
Rural vocational training sector.
Sixty-one doctors who had completed GP advanced rural skills training (procedural or non-procedural) in Queensland between 1995 and June 2009 participated in the study.
Advanced trained doctors' experiences of support and their strategy recommendations to improve support.
Experiences and strategies to improve support were developed into a framework of support, consisting of three theme areas. Strategies included: provision of training and career advice to allow immediate use of advanced skills; introduction of rural attachments and rural case studies during training to ensure rural orientation; development of GP mentor and peer networks for clinical and non-clinical support; advocacy to improve understanding and recognition of advanced rural skills training.
Expanded support is required across the pre-enrolment, training, early practice continuum. A holistic approach to support is required. Training providers, professional bodies, health departments, universities and workforce agencies need to work together to address and resource the support needs of advanced, rural GP trainees before, during and after training.
本研究旨在：调查全科医生（GP）农村高级技能培训期间医生获得支持的经历，并确定改善支持的策略。
报告了一项横断面邮政调查的定性答复。
农村职业培训部门。
1995年至2009年6月期间在昆士兰州完成全科医生农村高级技能培训（程序性或非程序性）的61名医生参与了该研究。
接受高级培训医生获得支持的经历及其改善支持的策略建议。
改善支持的经历和策略被纳入一个支持框架，该框架由三个主题领域组成。策略包括：提供培训和职业建议以便能立即运用高级技能；在培训期间引入农村实习和农村案例研究以确保以农村为导向；建立全科医生导师和同行网络以提供临床和非临床支持；进行宣传以提高对农村高级技能培训的理解和认可。
在入学前、培训期间和早期实践的连续过程中都需要扩大支持。需要采取整体支持方法。培训提供者、专业团体、卫生部门、大学和劳动力机构需要共同努力，以满足农村全科医生高级培训学员在培训前、培训期间和培训后的支持需求并提供资源。
