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农村和偏远地区延伸临床实习中哪些因素可能从学生和临床医生的角度为实践做好准备?

What factors in rural and remote extended clinical placements may contribute to preparedness for practice from the perspective of students and clinicians?

机构信息

Broken Hill University Department of Rural Health, University of Sydney , Australia.

出版信息

Med Teach. 2013 Nov;35(11):900-7. doi: 10.3109/0142159X.2013.820274. Epub 2013 Aug 12.

Abstract

BACKGROUND

Community-based rural education opportunities have expanded in Australia, attracting more medical students to placements in rural and remote settings.

AIM

To identify the factors in an integrated, community-engaged rural placement that may contribute to preparedness for practice (P4P) from the perspective of students and clinicians.

METHOD

Forty-two semi-structured interviews with medical students, supervisors and clinicians analysed thematically.

RESULTS

Opportunities for clinical learning, personal and professional development and cultural awareness were reported by students and clinicians as key factors that contribute to P4P. Potential barriers in rural and remote settings included geographical and academic isolation, perceived educational risk and differing degrees of program engagement.

CONCLUSIONS

A longitudinal clinical placement in a rural setting may enable development of enhanced competencies leading to P4P. A rural setting can provide a unique experience through hands-on learning, enhanced personal and professional development opportunities and observation of the cultural and contextual impact on health.

摘要

背景

在澳大利亚,以社区为基础的农村教育机会有所增加,吸引了更多医学生到农村和偏远地区进行实习。

目的

从学生和临床医生的角度出发,确定综合的、社区参与的农村实习中可能有助于为实践做准备(P4P)的因素。

方法

对医学生、导师和临床医生的 42 次半结构化访谈进行了主题分析。

结果

学生和临床医生报告说,临床学习机会、个人和职业发展以及文化意识是有助于 P4P 的关键因素。农村和偏远地区的潜在障碍包括地理和学术隔离、感知的教育风险以及不同程度的项目参与。

结论

在农村环境中进行的纵向临床实习可能会使学生发展出增强的能力,从而为实践做准备。农村环境可以通过实践学习、增强个人和职业发展机会以及观察对健康的文化和背景影响提供独特的体验。

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