Using rural and remote settings in the undergraduate medical curriculum: AMEE Guide No. 47

Moira Maley, Paul Worley, John Dent

    Research output: Contribution to journalReview article

    29 Citations (Scopus)

    Abstract

    The goal of global equity in health care requires that the training of health-care professionals be better tuned to meet the needs of the communities they serve. In fact medical education is being driven into isolated communities by factors including workforce undersupply, education pedagogy, medical practice and research needs.

    Rural and remote medical education (RRME) happens in rural hospitals and rural general practices, singly or in combination, generally for periods of 4 to 40 weeks. An effective RRME programme matches the context of the local health service and community. Its implementation reflects the local capacity for providing learning opportunities, facilitates collaboration of all participants and capitalises on local creativity in teaching. Implementation barriers stem from change management, professional culture and resource allocation. Blending learning approaches as much as technology and local culture allow is central to achieving student learning outcomes and professional development of local medical teachers. RRME harnesses the rich learning environment of communities such that students rapidly achieve competence and confidence in a primary care/generalist setting. Longer programmes with an integrated (generalist) approach based in the immersion learning paradigm appear successful in returning graduates to rural practice and a career track with a quality lifestyle.

    Original languageEnglish
    Pages (from-to)969-983
    Number of pages15
    JournalMedical Teacher
    Volume31
    Issue number11
    DOIs
    Publication statusPublished - 2009

    Keywords

    • EFFECTIVE WORKFORCE STRATEGY
    • FAMILY MEDICINE
    • HEALTH-CARE
    • GENERAL-PRACTITIONERS
    • COMMUNITY SETTINGS
    • EDUCATION PROGRAM
    • CLINICAL SCHOOLS
    • INTERN CHOICE
    • SOUTH-AFRICA
    • 12 TIPS

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