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农村行动计划路线图:对加拿大本科医学教育的考察。

The Rural Road Map For Action: an examination of undergraduate medical education in Canada.

机构信息

University of Winnipeg, Manitoba, Canada.

University of Toronto, Ontario, Canada.

出版信息

Can Med Educ J. 2023 Jun 27;14(3):33-40. doi: 10.36834/cmej.74649. eCollection 2023 Jun.

Abstract

BACKGROUND

There is currently a maldistribution of physicians across Canada, with rural areas facing a greater physician shortage. The taskforce between the College of Family Physicians and the Society of Rural Physicians created a report, "The Rural Road Map for Action" (RRMA) to improve rural Canadians' health by training and retaining an increased number of rural family physicians. Using the RRMA as a framework, this paper aims to examine the extent to which medical schools in Canada are following the RRMA.

METHODS

Researchers used cross-sectional survey and collected data from 12 of 17 medical school undergraduate Deans from across Canada using both closed and open ended survey questions. Results were analyzed using quantitative (frequencies) and qualitative methods (content analysis).

RESULTS

Medical schools use different policies and procedures to recruit rural and Indigenous students. Although longitudinal integrated clerkships offer many benefits, few students have access to them. Leadership representation on decision-making education committees differed across medical schools pointing to a variation in the value of rural physicians' perspectives.

CONCLUSION

This study illustrated that medical schools are making efforts that align with the RRMA. It is critical they continue to make strategic decisions embedded in educational policy and leadership to reinforce the importance of and influence of rural medical education to support workforce planning.

摘要

背景

目前加拿大的医生分布不均,农村地区面临更大的医生短缺问题。家庭医生学院和农村医生学会之间的工作组创建了一份报告,名为“农村行动路线图”(RRMA),旨在通过培训和留住更多的农村家庭医生来改善农村加拿大人民的健康。本文以 RRMA 为框架,旨在考察加拿大的医学院在多大程度上遵循了 RRMA。

方法

研究人员使用横断面调查,从加拿大各地的 17 所医学院的 12 位本科院长那里收集了数据,使用封闭式和开放式调查问题。使用定量(频率)和定性方法(内容分析)分析结果。

结果

医学院采用不同的政策和程序来招募农村和原住民学生。尽管纵向综合实习提供了许多好处,但很少有学生能够参加。在决策教育委员会中,领导代表的代表性因医学院而异,这表明农村医生观点的重要性存在差异。

结论

本研究表明,医学院正在努力与 RRMA 保持一致。至关重要的是,他们要继续做出战略性决策,这些决策应嵌入教育政策和领导力中,以加强农村医学教育的重要性和影响力,以支持劳动力规划。

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本文引用的文献

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Faculty experience and engagement in a longitudinal integrated clerkship.教师在纵向综合实习中的经验和参与度。
Med Teach. 2017 May;39(5):527-534. doi: 10.1080/0142159X.2017.1297528. Epub 2017 Mar 10.

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