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“我从未真正认为这是我能做到的事情”:农村背景医学毕业生的医学之路。

'I Hadn't Ever Really Thought It Was Something That I Could Do': Rural Background Medical Graduates' Pathways to Medicine.

作者信息

Beattie Jessica, Binder Marley, Beks Hannah, Fuller Lara

机构信息

Rural Community Clinical School, School of Medicine, Deakin University, Colac, Australia.

Department of Rural Health, School of Medicine, Deakin University, Warrnambool, Australia.

出版信息

Aust J Rural Health. 2025 Apr;33(2):e70047. doi: 10.1111/ajr.70047.

DOI:10.1111/ajr.70047
PMID:40249161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12007442/
Abstract

OBJECTIVE

This study aims to elevate the voices of doctors with rural backgrounds by exploring their experience of applying for medicine and identifying learnings that can further widen access for prospective rural applicants.

METHODS

This study is part of a larger qualitative study exploring the experiences of medical graduates from Deakin University's rural longitudinal integrated clerkship.

DESIGN

Qualitative interviews. Interviews were audio recorded, transcribed verbatim, and thematically analysed to elicit themes that aligned with the barriers and facilitators to admission to medicine.

SETTING

Rural longitudinal integrated clerkship.

PARTICIPANTS

A total of 17 participants self-identified as originating from a rural background.

MAIN OUTCOME MEASURES

Barriers and facilitators to gaining admission to medicine.

RESULTS

Barriers included aptitude tests, visibility and aspiration, and financial issues. Facilitators included equity admission policies, perseverance, and life experience.

CONCLUSION

Despite gaining admission to medicine, participants described the barriers they overcame and validated the importance of equity processes. Universities have a responsibility to continually review admission policies to ensure they are training a diverse cohort of students who are representative of the communities they serve.

摘要

目的

本研究旨在通过探索有农村背景的医生申请医学专业的经历,并确定能够进一步扩大未来农村申请者入学机会的经验教训,来提升他们的声音。

方法

本研究是一项更大规模定性研究的一部分,该研究探索了迪肯大学农村纵向综合实习项目中医学毕业生的经历。

设计

定性访谈。访谈进行了录音,逐字转录,并进行了主题分析,以找出与医学专业入学的障碍和促进因素相关的主题。

背景

农村纵向综合实习项目。

参与者

共有17名参与者自我认定来自农村背景。

主要观察指标

医学专业入学的障碍和促进因素。

结果

障碍包括能力测试、知名度和抱负以及财务问题。促进因素包括公平录取政策、毅力和生活经历。

结论

尽管已被医学专业录取,但参与者描述了他们克服的障碍,并证实了公平程序的重要性。大学有责任不断审查录取政策,以确保他们培养出代表其所服务社区的多样化学生群体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52c2/12007442/0ad4303f9c71/AJR-33-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52c2/12007442/0ad4303f9c71/AJR-33-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52c2/12007442/0ad4303f9c71/AJR-33-0-g001.jpg

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本文引用的文献

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Describing a medical school's rural activity footprint: setting selection and workforce distribution priorities.描述医学院农村活动足迹:设定选择和劳动力分配重点。
Rural Remote Health. 2024 Jul;24(3):8316. doi: 10.22605/RRH8316. Epub 2024 Jul 28.
2
Influence of a rural Longitudinal Integrated Clerkship on medical graduates' geographic and specialty decisions: a constructivist grounded theory study.农村纵向综合临床实习对医学毕业生地理和专业决策的影响:建构主义扎根理论研究。
BMC Med Educ. 2024 Jul 24;24(1):795. doi: 10.1186/s12909-024-05793-5.
3
Experiences of Rural and Metropolitan Background Applicants in Preparing for and Completing a Regionally Focused Multiple Mini-interview for Admission into a Regional Medical Program.
农村和城市背景申请人在准备和完成区域性集中的多站式迷你面试以进入区域医学项目方面的经验。
Educ Health (Abingdon). 2023 Sep 1;36(3):116-122. doi: 10.4103/efh.efh_190_23. Epub 2023 Dec 22.
4
The pathway to more rural doctors: the role of universities.培养更多乡村医生的途径:大学的作用。
Med J Aust. 2023 Aug 7;219 Suppl 3:S8-S13. doi: 10.5694/mja2.52021.
5
Increasing doctors working in specific rural regions through selection from and training in the same region: national evidence from Australia.通过在同一地区选拔和培训来增加在特定农村地区工作的医生:来自澳大利亚的全国证据。
Hum Resour Health. 2021 Oct 29;19(1):132. doi: 10.1186/s12960-021-00678-w.
6
Graduate rural work outcomes of the first 8 years of a medical school: What can we learn about student selection and clinical school training pathways?医学院校 8 年农村工作毕业生的结果:我们能从学生选拔和临床学校培训途径中学到什么?
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7
Rural origin students match metropolitan origin students' academic performance once admitted to Bachelor of Medicine Bachelor of Surgery course.农村生源学生一旦被医学学士与外科学士课程录取,其学业表现可与城市生源学生相媲美。
Aust J Rural Health. 2019 Apr;27(2):181-182. doi: 10.1111/ajr.12503. Epub 2019 Apr 4.
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A critical scoping review of the connections between social mission and medical school admissions: BEME Guide No. 47.社会使命与医学院招生之间联系的关键性范围综述:BEME 指南第 47 号。
Med Teach. 2018 Mar;40(3):219-226. doi: 10.1080/0142159X.2017.1406662. Epub 2017 Nov 26.
9
Widening access to medicine may improve general practitioner recruitment in deprived and rural communities: survey of GP origins and current place of work.扩大医学专业的准入机会可能会改善贫困和农村社区的全科医生招聘情况:对全科医生出身地和当前工作地点的调查。
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Only the best: medical student selection in Australia.择优录取:澳大利亚的医学生选拔。
Med J Aust. 2012 Mar 19;196(5):357. doi: 10.5694/mja10.11388.