Robinson Maija A, Douglas-Vail Matt B, Bryce Jessica N, van Zyl Theunis J
Faculty of Medicine, University of Ottawa, Ottawa, Ont.
Schulich School of Medicine and Dentistry, Western University, London, Ont.
Can J Rural Med. 2017 Spring;22(2):62-67.
Rural communities in Canada face challenges with physician recruitment. Physicians from rural backgrounds are more likely to practise in rural areas; however, rural students are underrepresented in medical schools. To address this, the Southwestern Ontario Medical Mentorship Program (SWOMMP) was created to expose rural secondary school students to medical careers.
This pilot project involved a school-based interactive session run by rural medical students on paths to medicine, medical specialties and skills workshops of roughly 2.5 hours targeted to grades 10-12 university-level students in rural southwestern Ontario. Two sessions were held, 1 in a town with a population of 20 000 and the other in a town with a population of 5000. A survey was administered before and after the session to assess changes in interest in medical careers and in perceived barriers.
Forty-five students participated in the sessions. After the sessions, 32 students (71%) were considering a career in health care, compared to 26 (58%) before the sessions. Almost all students (43 [96%]) found the session helpful or extremely helpful, and all reported they would recommend it to other classes. Finances, grades and length of schooling were the most commonly perceived barriers to pursuing a career in medicine; fewer students had concerns about finances and length of schooling after the sessions. Twenty-nine students (64%) enrolled in longitudinal mentorship with a medical student.
This pilot project showed that a rural secondary school outreach program run by medical students can increase high school students' interest in medical careers. The project will continue and aims to expand and improve using the pilot study's data.
加拿大农村社区在招聘医生方面面临挑战。来自农村背景的医生更有可能在农村地区执业;然而,农村学生在医学院中的占比却很低。为了解决这一问题,安大略西南部医学指导项目(SWOMMP)应运而生,旨在让农村中学生了解医学职业。
这个试点项目包括一场由农村医学生开展的校内互动活动,活动内容涉及医学之路、医学专业以及针对安大略西南部农村地区10至12年级大学水平学生的技能工作坊,时长约2.5小时。共举办了两场活动,一场在一个拥有2万人口的城镇,另一场在一个拥有5000人口的城镇。在活动前后分别进行了一项调查,以评估学生对医学职业兴趣的变化以及对感知到的障碍的看法。
45名学生参加了这些活动。活动结束后,32名学生(71%)考虑从事医疗保健行业,而活动前这一比例为26名学生(58%)。几乎所有学生(43名[96%])都认为活动有帮助或非常有帮助,并且所有学生都表示会向其他班级推荐。经济状况、成绩和学业时长是人们认为追求医学职业最常见的障碍;活动结束后,担心经济状况和学业时长的学生减少了。29名学生(64%)报名参加了与医学生的长期指导项目。
这个试点项目表明,由医学生开展的农村中学外展项目可以提高高中生对医学职业的兴趣。该项目将继续进行,并旨在利用试点研究的数据进行扩展和改进。