Myhre Douglas, Ornstein Jodie, Whalen-Browne Molly, Malhi Rebecca L
Department of Family Medicine, Cumming School of Medicine, University of Calgary, Alberta, Canada.
Distributed Learning and Rural Initiatives, Cumming School of Medicine, University of Calgary, Alberta, Canada.
Can Med Educ J. 2021 Nov 1;12(5):6-17. doi: 10.36834/cmej.71304. eCollection 2021 Nov.
The use of rural rotations within urban-based postgraduate programs is the predominant response of medical education to the health needs of underserved rural populations. The broader impact on rural physicians who teach has not been reported.
This study examined the personal, professional, and financial impact of a rural rotations for urban-based family medicine (UBFM) residents on Canadian rural teaching physicians. A survey was created and reviewed by community and academic rural physicians and a cohort of Canadian rural family physicians teaching UBFM residents was sampled. Survey data and free-text responses were assessed using quantitative and qualitative analyses.
Participants with rural residency backgrounds perceived a negative impact of teaching UBFM ( = 0.02 personal and professional) and those in a primary rural environment (as defined below) perceived impact as positive ( < 0.001). Rural preceptors often held contrasting attitudes towards learners with negative judgements counter-balanced by positive thoughts. Duration in practice and of teaching experience did not have a significant impact on ratings.
Being a rural preceptor of UBFM residents is rewarding but also stressful. The preceptor location of training and scope of practice appears to influence the impact of UBFM residents.
在以城市为基础的研究生项目中安排农村轮转，是医学教育针对农村地区医疗服务不足人群的健康需求所做出的主要应对措施。然而，对于参与教学的农村医生所产生的更广泛影响，此前尚无相关报道。
本研究调查了针对以城市为基础的家庭医学（UBFM）住院医师开展的农村轮转，对加拿大农村带教医生个人、职业及经济方面所产生的影响。研究设计了一份调查问卷，经社区和学术领域的农村医生审核，并抽取了一组在加拿大农村带教UBFM住院医师的家庭医生作为样本。通过定量和定性分析对调查数据及自由文本回复进行评估。
有农村住院医师经历的参与者认为带教UBFM住院医师有负面影响（个人和职业方面，P = 0.02），而处于主要农村环境（定义如下）的参与者则认为有积极影响（P < 0.001）。农村带教老师对学生的态度往往相互矛盾，负面评价与正面想法相互抵消。临床实践时长和教学经验对评分没有显著影响。
担任UBFM住院医师的农村带教老师既有益处也有压力。带教老师的培训地点和执业范围似乎会影响UBFM住院医师带来的影响。
