School of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia.
Queensland Medical Education and Training, ClinEdQ, QLD Health, Mackay, QLD, Australia.
Med J Aust. 2013 Dec 16;199(11):787-91. doi: 10.5694/mja13.10563.
To review the available literature regarding skills and competencies gained by junior doctors in rural and regional general practice placements and their alignment with the Australian Curriculum Framework for Junior Doctors (ACFJD).
A comprehensive literature review using a three-phase process. Articles were initially identified from database searches in OvidSP and Scopus. Additional information was obtained after a hand search of contents pages from relevant journals and from reports, conference abstracts and grey literature. Documented skills and procedures were mapped against the competencies from the ACFJD.
We analysed 36 relevant articles written in English and published during 1997-2011. Articles referring to learning outcomes for junior doctors training with rural general practitioners were included.
Evidence was available of the advantages of junior doctor rural general practice placements in gaining advanced skills in the areas of communication and professionalism, as well as developing autonomy in clinical management and decision making. Less evidence was available regarding exposure to particular clinical conditions and development of specific clinical skills.
Rural and regional general practice placements for junior doctors are likely to comply with the ACFJD requirements and, further, provide excellent learning opportunities in several domains of the curriculum. However, there was little research published confirming learning outcomes for junior doctors in rural general practice settings.
回顾初级医生在农村和地区全科医学实习中获得的技能和能力的相关文献，并将其与澳大利亚初级医生课程框架（ACFJD）进行比较。
采用三阶段法进行全面文献综述。最初在 OvidSP 和 Scopus 数据库搜索中确定了文章。在对相关期刊的目录进行手工搜索、从报告、会议摘要和灰色文献中获取了更多信息。将记录的技能和程序与 ACFJD 的能力相对应。
我们分析了 1997 年至 2011 年间用英语撰写并发表的 36 篇相关文章。包括关于初级医生在农村全科医生培训中学习成果的文章。
初级医生在农村全科医学实习中获得沟通和专业精神方面高级技能、以及在临床管理和决策方面发展自主性的优势，有充分的证据支持。然而，关于接触特定临床情况和发展特定临床技能的证据较少。
农村和地区全科医学实习对初级医生来说可能符合 ACFJD 的要求，并且在课程的多个领域提供了极好的学习机会。然而，发表的关于农村全科实践环境中初级医生学习成果的研究很少。
