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Medical Teacher Volume 34, 2012 - Issue 7
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Research Article

Attracting healthcare professionals to remote and rural medicine: Learning from doctors in training in the north of Scotland

J. ClelandUniversity of Aberdeen, UK; PROFESSOR JENNIFER CLELAND is lead for medical education research at the University of Aberdeen.Correspondence[email protected]
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P.W. JohnstonNorth of Scotland Deanery, UK; Dr PETER JOHNSTON is associate postgraduate dean, NES, North of Scotland Deanery.JC and PJ had the original idea for the study. JC wrote the grant application for funding and this was reviewed by PJ and GN. JC and PJ were involved in the data collection. JC and LW carried out the data analysis, with input from PJ. JC prepared the initial draft of this paper and all authors commented on the manuscript.
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L. WalkerUniversity of Aberdeen, UK; LEIGHTON WALKER is a 5th-year medical student, who worked on this project on a University of Aberdeen Teaching Development Award.
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G. NeedhamNorth of Scotland Deanery, UK; PROFESSOR GILLIAN NEEDHAM is postgraduate dean, NES, North of Scotland Deanery.
Pages e476-e482 | Published online: 02 Jul 2012

References

  • Australian Institute of Health and Welfare. 2006. National Health Labour Force Series Number 38: Medical Labour Force 2004. Canberra: Australian Institute of Health and Welfare. Available from http://www.aihw.gov.au/publications/hwl/mlf04/mlf04.pdf. Accessed 5 March 2012
  • British Medical Association (BMA) Board of Science. 2005. Healthcare in a rural setting. London: BMJ Publishing Group. Available from http://www.bma.org.uk/ap.nsf/Content/healthcarerural. Accessed 11 November 2011
  • Cleland J, Johnston PW, French FH, Needham G, 2012. Associations between medical school and career preferences in first year medical students in Scotland. Med Educ 46(5) (in press)
  • Cutchin MP, Norton JC, Quar MM, Bolt D, Hughes S, Lindeman B. To stay or not to stay: Issues in rural primary care physician's retention in Eastern Kentucky. J Rur Health 1994; 10: 273–278
  • Deuville J, Grant A. Overcoming the pull factors of convenient urban living – Perceptions of rural general practice. Med Teach 2011; 33: e211–e217
  • Dorsey ER, Jarjoura D, Rutecki GW. Influence of controllable lifestyle on recent trends in speciality choice by US medical students. JAMA 2003; 290: 1173–1178
  • Farmer J, Iverson L, Bond C, Duthie I. Medical students’ orientation towards rural general practice: Results from an exploratory study of a Scottish cohort. Educ Prim Care 2003; 14: 463–467
  • James R, Cormack D, Dowell A, 2005. Rural general practitioners: 1999 Survey part 4: Analysis of specific sub-groups. NZ Med J 118. (Online) Available from http://www.nzma.org.nz/journal/118-1208/1256/. Accessed 5 March 2012
  • Jones M, Humphreys J, Prideaux D. Predicting medical students’ intentions to take up rural practice after graduation. Med Educ 2009; 43: 1001–1009
  • Laven G, Wilkinson D. Rural doctors and rural backgrounds: How strong is the evidence. A systematic review. Aust J Rur Health 2003; 11: 277–284
  • Lent RW, Brown SD, Hackett C. Toward a unifying social cognitive theory of career and academic interest, choice and performance (Monograph). J Vocat Behav 1994; 45: 79–122
  • Maley M, Denz-Penhey H, Lockyer-Stevens V, Murdoch J. Tuning medical education for rural-ready practice: Designing and resourcing optimally. Med Teach 2006; 28: 345–350
  • Maley M, Worley P, Dent J. Using rural and remote setting in the undergraduate medical curriculum AMEE Guide No. 47. Med Teach 2009; 31: 969–983
  • Mayo E, Mathews M. Spousal perspectives on factors influencing recruitment and retention of rural family physicians. Can J Rur Med 2006; 11: 271–276
  • Nichols A, Worley PS, Toms L, Johnston-Smith PR. Change of place, change of pace, change of status: Rural community training for junior doctors, does it influence choices of training and career?. Rur Remote Health 2004; 4: 259
  • Richards HM, Farmer J, Selvaraj S. Sustaining the rural primary healthcare workforce: Survey of healthcare professionals in the Scottish Highlands. Rur Remote Health 2005; 5: 365
  • Ritchie J, Spencer L. Qualitative data analysis for applied policy research. Analysing qualitative data, A Bryman, R Burgess. Routledge, London 1994; 173–194
  • Temple J, 2002. Securing future practice: Shaping the new medical workforce for Scotland. Report of a Short Life Working Group Commissioned by the Scottish Executive. Available from http://www.scotland.gov.uk/Publications/2002/07/15039/8399. Accessed 5 March 2012
  • Tholl WG, 2001. Rural and remote healthcare in Canada. Presentation to Standing Social Committee on Social Affairs, Science and Technology, May 31 2001. Available from http://www.cma.ca/multimedia/staticContent/HTML/N0/l2/working_on/Kirby/rural.pdf. Accessed 5 August 2008
  • Van der Horst K, Siegrist M, Orlow P, Giger M. Residents’ reasons for speciality choice: Influence of gender, time, patient and career. Med Educ 2010; 44: 595–602
  • Williamson M, Gormley A, Bills J, Farry P, 2003. The new rural health curriculum at Dunedin School of Medicine: How has it influenced the attitudes of medical students to a career in rural general practice? NZ Med J 116. (Online) Available from http://www.nzma.org.nz/journal/116-1179/537/
  • Wilson M, Cleland JA. Evidence for the acceptability and academic success of an innovative remote and rural extended placement. Rur Remote Health 2008; 8: 960
  • World Organisation of Family Doctors (WONCA) Working party on rural practice 2001, 2004. Policy on rural practice and rural health. Available from www.globalfamilydoctor.com. Accessed February 2006.
  • World Health Organization. Increasing access to health workers in remote and rural areas through improved retention: global policy recommendations. WHO, Washington, DC 2010
  • Worley P, Martin A, Prideaux D, Woodman R, Worley E, Lowe M. Vocational career paths of graduate entry medical students at Flinders University: A comparison of rural, remote and tertiary tracks. Med J Aust 2008; 188: 177–178
  • Worley P, Murray R. Social accountability in medical education – An Australian rural and remote perspective. Med Teach 2011; 33: 654–658

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