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. 1998 May;44:1045–1050.

Preparing for rural practice. Enhanced experience for medical students and residents.

D G Moores 1, S C Woodhead-Lyons 1, D R Wilson 1
PMCID: PMC2277631  PMID: 9612590

Abstract

PROBLEM ADDRESSED: Recruitment and retention of physicians appropriately trained for rural practice in Canada continues to be a serious challenge. We describe three integrated educational programs at the University of Alberta that aim to increase students' and residents' participation in rural health care and encourage them to take up practice in rural areas. OBJECTIVES OF PROGRAM: To expand and enrich rural educational experiences at undergraduate and postgraduate levels and to supplement family medicine postgraduate education with a third-year special-skills program for rural practice. MAIN COMPONENTS OF PROGRAM: Main components are sustained, reliable funding from the Government of Alberta for the Rural Physician Action Plan; adequate infrastructure to support the program; and commitment by university faculty, rural physicians, and communities. CONCLUSION: The rural-based educational programs have allowed more than 95% of medical students to gain experience in rural areas. The number of family medicine residents doing rural rotations has doubled, and the length of experiences in rural practice has increased fourfold. The third-year special-skills training for rural practice has expanded greatly, and at least 26 of 49 participants have gone on to enter rural practice. In more than 30 rural Alberta communities, 56 physicians have had an important influence on the training of medical students and family medicine residents.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baldwin L. M., Hart L. G., West P. A., Norris T. E., Gore E., Schneeweiss R. Two decades of experience in the University of Washington Family Medicine Residency Network: practice differences between graduates in rural and urban locations. J Rural Health. 1995 Winter;11(1):60–72. doi: 10.1111/j.1748-0361.1995.tb00397.x. [DOI] [PubMed] [Google Scholar]
  2. Busing N. Survey of Third-Year Postgraduate Training Positions in Family Medicine: Adding more positions for adequate training in primary care. Can Fam Physician. 1992 Jun;38:1393–1396. [PMC free article] [PubMed] [Google Scholar]
  3. Chaulk C. P., Bass R. L., Paulman P. M. Physicians' assessments of a rural preceptorship and its influence on career choice and practice site. J Med Educ. 1987 Apr;62(4):349–351. doi: 10.1097/00001888-198704000-00008. [DOI] [PubMed] [Google Scholar]
  4. Culhane A., Kamien M., Ward A. The contribution of the undergraduate rural attachment to the learning of basic practical and emergency procedural skills. Med J Aust. 1993 Oct 4;159(7):450–452. [PubMed] [Google Scholar]
  5. Goertzen J., Stewart M., Weston W. Effective teaching behaviours of rural family medicine preceptors. CMAJ. 1995 Jul 15;153(2):161–168. [PMC free article] [PubMed] [Google Scholar]
  6. Gray J. D., Steeves L. C., Blackburn J. W. The Dalhousie University experience of training residents in many small communities. Acad Med. 1994 Oct;69(10):847–851. doi: 10.1097/00001888-199410000-00016. [DOI] [PubMed] [Google Scholar]
  7. Norris T. E., Norris S. B. The effect of a rural preceptorship during residency on practice site selection and interest in rural practice. J Fam Pract. 1988 Nov;27(5):541–544. [PubMed] [Google Scholar]
  8. Paulman P. M., Davidson-Stroh L. The effect of a rural family practice preceptorship on medical students' residency selection. Fam Pract Res J. 1993 Dec;13(4):385–389. [PubMed] [Google Scholar]
  9. Price D. A., Miflin B. M., Mudge P. R., Jackson C. L. The quality of medical teaching and learning in rural settings: the learner's perspective. Med Educ. 1994 May;28(3):239–251. doi: 10.1111/j.1365-2923.1994.tb02705.x. [DOI] [PubMed] [Google Scholar]
  10. Rourke J. T., Rourke L. L. Rural family medicine training in Canada. Can Fam Physician. 1995 Jun;41:993–1000. [PMC free article] [PubMed] [Google Scholar]
  11. Verby J. E. The Minnesota Rural Physician Associate Program for medical students. J Med Educ. 1988 Jun;63(6):427–437. doi: 10.1097/00001888-198806000-00001. [DOI] [PubMed] [Google Scholar]
  12. Whiteside C., Mathias R. Training for rural practice. Are graduates of a UBC program well prepared? Can Fam Physician. 1996 Jun;42:1113–1121. [PMC free article] [PubMed] [Google Scholar]
  13. Wilson D. R., Woodhead-Lyons S. C., Moores D. G. Alberta's Rural Physician Action Plan: an integrated approach to education, recruitment and retention. CMAJ. 1998 Feb 10;158(3):351–355. [PMC free article] [PubMed] [Google Scholar]

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