Fuller Lara, Beattie Jessica, Ramsbottom Vivienne, Condon Brendan, Majer Thomas, Martin Erik, Mercer Nicole, Britt Kellie, Baldi Deborah, Walker Tim, Gray Laura, McLeod Janet, Roger Gary D
Rural Community Clinical School, School of Medicine, Deakin University, PO Box 713, Colac, VIC, 3250, Australia.
Warrnambool Clinical School, School of Medicine, Deakin University, c/o South West Healthcare, 25 Ryot Street, Warrnambool, VIC, 3280, Australia.
BMC Med Educ. 2025 May 22;25(1):749. doi: 10.1186/s12909-025-07315-3.
In response to rural medical workforce shortages in Western and Southwestern Victoria, Australia, Deakin University's School of Medicine established a dedicated Rural Training Stream (RTS) within its graduate entry Doctor of Medicine course in 2022. Consistent with the school's intention to promote social accountability, the RTS embodies a place-based approach, aiming to recruit 30 local applicants annually and train them in situ, thereby maximising opportunities for deeper connections with their communities and enhancing the likelihood of future local workforce retention. To underpin and facilitate collaborative program evaluation and research conceptually, a Program Logic Model (PLM) was developed. A PLM was chosen as the basis of this evaluation framework due to its foundations in systems and complexity theory and its amenity to collaborative development.
The PLM was developed using a stepwise, participatory approach, incorporating the contributions of a broad range of educators involved in the RTS program. Over a period of three months, participant input was provided through individual submissions and group workshops, sequentially developing each component of the model. Data gathered were summarised, reviewed and validated by the group periodically.
The development of the PLM brought together a diverse group of academic and professional educators during the early stages of delivery of a new program, providing an opportunity for consensus building and the development of a shared understanding of the goals and objectives of the program. The developed PLM provides three clear objectives related to recruitment, training and professional identity formation. Short, medium and long-term outcomes aligned with each of these areas provide key reference points for the design of a comprehensive program of evaluation and research that is clearly linked to the program's goals.
The development of a PLM for Deakin's new RTS has provided an accessible roadmap that transparently communicates the design of the program to enhance local workforce outcomes for the rural communities that Deakin serves. The PLM provides a shared foundation for program-related evaluation and research, that is aligned with the strategic goals and desired outcomes.
Clinical trial number: not applicable.
为应对澳大利亚维多利亚州西部和西南部农村地区医疗劳动力短缺的问题，迪肯大学医学院于2022年在其研究生入学医学博士课程中设立了专门的农村培训流（RTS）。与该学院促进社会问责制的意图一致，RTS采用基于地点的方法，旨在每年招募30名当地申请人并在当地对他们进行培训，从而最大限度地增加与社区建立更深入联系的机会，并提高未来当地劳动力留用的可能性。为了从概念上支持和促进合作项目评估与研究，开发了一个项目逻辑模型（PLM）。选择PLM作为该评估框架的基础，是因为它基于系统和复杂性理论，并且便于进行合作开发。
PLM采用逐步参与式方法开发，纳入了参与RTS项目的广泛教育工作者的贡献。在三个月的时间里，通过个人提交和小组研讨会提供参与者的意见，依次开发模型的每个组成部分。收集到的数据由小组定期进行汇总、审查和验证。
在新项目交付的早期阶段，PLM的开发汇聚了不同的学术和专业教育工作者群体，为达成共识以及对项目目标形成共同理解提供了机会。所开发的PLM提供了与招募、培训和职业身份形成相关的三个明确目标。与这些领域中的每一个相关的短期、中期和长期成果为设计与项目目标明确相关的综合评估和研究计划提供了关键参考点。
为迪肯大学新的RTS开发PLM提供了一个易于理解的路线图，透明地传达了该项目的设计，以改善迪肯大学所服务的农村社区的当地劳动力成果。PLM为与项目相关的评估和研究提供了一个共同基础，与战略目标和预期成果保持一致。
临床试验编号：不适用。
