Barritt A, Silagy C, Worley P, Watts R, Marley J, Gill D
Flinders University, South Australia.
Aust Fam Physician. 1997 Jul;26 Suppl 2:S87-90.
Increasing exposure of undergraduate medical students to rural practice is a key component of the national effort in Australia to redress the rural workforce shortage. For this exposure to be successful, willing cooperation of current rural general practitioners is essential. To date there has been no formal assessment of rural general practitioners' attitudes to having undergraduate medical students attached to their practice.
A descriptive survey, using a mailed questionnaire was sent to all 316 general practitioners currently practising in rural areas of South Australia, as identified from the database maintained by the South Australian Rural Practice Training Unit.
A 71.5% response rate (n = 225) was achieved, of which 203 were eligible for inclusion. Of these, 176 doctors had medical student attachments in their practice on at least one occasion; 74.4% of whom (n = 131) perceived the attachments to have a positive experience on their continuing medical education experience, and 81.1% (n = 142) described a positive experience on their professional development. However, 52.6% (n = 92) felt the attachments had a negative effect on their income. Almost all the doctors who were included in the survey (94.6%, n = 192) were willing to have students attached to their practice in the future for between one to two weeks. Of these, 169 wanted quality assurance points, 112 wanted financial reimbursement, and 108 wanted 'academic status' with a university.
The results suggest that rural general practitioners are willing to have students attached to their practice for periods between one to two weeks, providing they receive quality assurance points, and to a lesser extent, financial reimbursement and academic status.
增加本科医学生接触农村医疗实践的机会，是澳大利亚全国为解决农村劳动力短缺问题所做努力的关键组成部分。要使这种接触取得成功，当前农村全科医生的积极合作至关重要。迄今为止，尚未对农村全科医生对于接收本科医学生到其诊所实习的态度进行过正式评估。
采用邮寄问卷的方式，对南澳大利亚农村实践培训单位维护的数据库中确定的目前在南澳大利亚农村地区执业的所有316名全科医生进行了描述性调查。
回复率为71.5%（n = 225），其中203人符合纳入条件。在这些人中，176名医生至少有一次接收医学生到其诊所实习；其中74.4%（n = 131）认为这种实习对他们的继续医学教育经历有积极影响，81.1%（n = 142）描述了对他们职业发展有积极影响。然而，52.6%（n = 92）觉得这种实习对他们的收入有负面影响。几乎所有参与调查的医生（94.6%，n = 192）都愿意在未来接收学生到其诊所实习一至两周。其中，169人希望获得质量保证积分，112人希望得到经济补偿，108人希望在大学获得“学术地位”。
结果表明，农村全科医生愿意接收学生到其诊所实习一至两周，前提是他们能获得质量保证积分，在较小程度上，获得经济补偿和学术地位。
