Table of Contents
International Journal of Family Medicine
Volume 2014 (2014), Article ID 124708, 6 pages
http://dx.doi.org/10.1155/2014/124708
Research Article

A Change in Students’ Perceptions of Peer and Faculty Attitudes to Rural Medicine following the Introduction of a Rural Health Rotation

Department of General Practice and Rural Health, Dunedin School of Medicine, University of Otago, P.O. Box 913, Dunedin 9054, New Zealand

Received 27 May 2014; Revised 17 July 2014; Accepted 12 August 2014; Published 27 August 2014

Academic Editor: Christos D. Lionis

Copyright © 2014 Martyn Williamson. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. R. Strasser, “Rural health around the world: challenges and solutions,” Family Practice, vol. 20, no. 4, pp. 457–463, 2003. View at Publisher · View at Google Scholar · View at Scopus
  2. M. Glasser, M. Hunsaker, K. Sweet, M. MacDowell, and M. Meurer, “A comprehensive medical education program response to rural primary care needs,” Academic Medicine, vol. 83, no. 10, pp. 952–961, 2009. View at Publisher · View at Google Scholar · View at Scopus
  3. D. K. Kaye, A. Mwanika, and N. Sewankambo, “Influence of the training experience of Makerere University medical and nursing graduates on willingness and competence to work in rural health facilities,” Rural and Remote Health, vol. 10, no. 1, article 1372, 2010. View at Google Scholar · View at Scopus
  4. F. Goodyear-Smith, R. Janes, and New Zealand Institute of Rural Health, The 2005 Rural Health Workforce Survey, Ministry of Health, Wellington, New Zealand, 2005.
  5. F. Goodyear-smith and R. Janes, “New Zealand rural primary health care workforce in 2005: more than just a doctor shortage,” Australian Journal of Rural Health, vol. 16, no. 1, pp. 40–46, 2008. View at Publisher · View at Google Scholar · View at Scopus
  6. M. Pande and A. Stenson, “GP workforce demographics in 2007: gender, age, ethnicity, and work arrangements,” New Zealand Family Physician, vol. 35, no. 3, pp. 191–196, 2008. View at Google Scholar
  7. M. M. Pande, “General practice in urban and rural New Zealand: results of the 2007 RNZCGP membership survey,” Journal of Primary Health Care, vol. 1, no. 2, pp. 108–113, 2009. View at Google Scholar · View at Scopus
  8. World Health Organization, “Making medical practice and education more relevant to people’s needs: the contribution of the family doctor,” Working paper from WHO/WONCA 1994 Conference, The Contribution of the Family Doctor, 6–8 November 1994, London, Ontario, Canada, The Department of Organization of Health Services Delivery, World Health Organization, Geneva, Switzerland, 1995. View at Google Scholar
  9. P. Farry and M. Williamson, “Aligning medical education with the healthcare needs of the population,” New Zealand Medical Journal, vol. 117, no. 1204, Article ID U1114, 2004, http://www.nzma.org.nz/journal/117-1204/1114. View at Google Scholar
  10. R. A. Rosenblatt, “Commentary: do medical schools have a responsibility to train physicians to meet the needs of the public? the case of persistent rural physician shortages,” Academic Medicine, vol. 85, no. 4, pp. 572–574, 2010. View at Publisher · View at Google Scholar · View at Scopus
  11. J. H. Walker, D. E. DeWitt, J. F. Pallant, and C. E. Cunningham, “Rural origin plus a rural clinical school placement is a significant predictor of medical students' intentions to practice rurally: a multi-university study,” Rural and Remote Health, vol. 12, article 1908, no. 1, 2012. View at Google Scholar · View at Scopus
  12. H. K. Rabinowitz, J. J. Diamond, F. W. Markham, and N. P. Paynter, “Critical factors for designing programs to increase the supply and retention of rural primary care physicians,” Journal of the American Medical Association, vol. 286, no. 9, pp. 1041–1048, 2001. View at Publisher · View at Google Scholar · View at Scopus
  13. J. Rourke, “Increasing the number of rural physicians,” Canadian Medical Association Journal, vol. 178, no. 3, 2008. View at Publisher · View at Google Scholar
  14. P. S. Worley, D. J. Prideaux, R. P. Strasser, C. A. Silagy, and J. A. Magarey, “Why we should teach undergraduate medical students in rural communities,” Medical Journal of Australia, vol. 172, no. 12, pp. 615–617, 2000. View at Google Scholar · View at Scopus
  15. P. Worley, C. Silagy, D. Prideaux, D. Newble, and A. Jones, “The parallel rural community curriculum: an integrated clinical curriculum based in rural general practice,” Medical Education, vol. 34, no. 7, pp. 558–565, 2000. View at Publisher · View at Google Scholar · View at Scopus
  16. G. I. Jones, D. E. DeWitt, and S. L. Elliott, “Medical students' reported barriers to training at a Rural Clinical School,” Australian Journal of Rural Health, vol. 13, no. 5, pp. 271–275, 2005. View at Publisher · View at Google Scholar · View at Scopus
  17. W. Gillespie, J. Reid, M. Tilyard, and A. van Rij, Medical Education and Rural Health—A Partnership, Otago University, Dunedin, New Zealand, 1998.
  18. M. Williamson, A. Gormley, J. Bills, and P. Farry, “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?” New Zealand Medical Journal, vol. 116, no. 1179, 2003. View at Google Scholar · View at Scopus
  19. D. D. Hunt, C. Scott, S. Zhong, and E. Goldstein, “Frequency and effect of negative comments (“Badmouthing”) on medical students' career choices,” Academic Medicine, vol. 71, no. 6, pp. 665–669, 1996. View at Publisher · View at Google Scholar · View at Scopus
  20. D. Holmes, L. M. Tumiel-Berhalter, L. E. Zayas, and R. Watkins, “‘Bashing’ of medical specialties: students' experiences and recommendations,” Family Medicine, vol. 40, no. 6, pp. 400–406, 2008. View at Google Scholar · View at Scopus
  21. C. Jaye, T. Egan, and S. Parker, “'Do as I say, not as I do': Medical education and Foucault's normalizing technologies of self,” Anthropology and Medicine, vol. 13, no. 2, pp. 141–155, 2006. View at Publisher · View at Google Scholar · View at Scopus
  22. C. J. Bland, L. N. Meurer, and G. Maldonado, “Determinants of primary care specialty choice: a non-statistical meta- analysis of the literature,” Academic Medicine, vol. 70, no. 7, pp. 620–641, 1995. View at Publisher · View at Google Scholar · View at Scopus
  23. D. P. Gray, “Fit for the future - Are medical schools going to produce the doctors the Health Service needs?” Medical Education, vol. 33, no. 12, pp. 872–873, 1999. View at Publisher · View at Google Scholar · View at Scopus
  24. R. Petchey, J. Williams, and M. Baker, “‘Ending up a GP’: a qualitative study of junior doctors' perceptions of general practice as a career,” Family Practice, vol. 14, no. 3, pp. 194–198, 1997. View at Publisher · View at Google Scholar · View at Scopus
  25. J. R. Kerr, M. B. Seaton, H. Zimcik, J. McCabe, and K. Feldman, “The impact of interest: how do family medicine interest groups influence medical students?” Canadian Family Physician, vol. 54, no. 1, pp. 78–79, 2008. View at Google Scholar · View at Scopus
  26. P. Orpin and M. Gabriel, “Recruiting undergraduates to rural practice: what the students can tell us,” Rural and Remote Health, vol. 5, article 412, 2005. View at Google Scholar · View at Scopus
  27. P. B. Zeldow, R. C. Preston, and S. R. Daugherty, “The decision to enter a medical specialty: timing and stability,” Medical Education, vol. 26, no. 4, pp. 327–332, 1992. View at Publisher · View at Google Scholar · View at Scopus
  28. G. T. Somers, B. Jolly, and R. P. Strasser, “The SOMERS Index: a simple instrument designed to predict the likelihood of rural career choice,” Australian Journal of Rural Health, vol. 19, no. 2, pp. 75–80, 2011. View at Publisher · View at Google Scholar · View at Scopus
  29. B. Wright, I. Scott, W. Woloschuk, and F. Brenneis, “Career choice of new medical students at three Canadian universities: family medicine versus specialty medicine,” Canadian Medical Association Journal, vol. 170, no. 13, pp. 1920–1924, 2004. View at Publisher · View at Google Scholar · View at Scopus
  30. J. H. Senf, D. Campos-Outcalt, and R. Kutob, “Factors related to the choice of family medicine: a reassessment and literature review,” Journal of the American Board of Family Practice, vol. 16, no. 6, pp. 502–512, 2003. View at Publisher · View at Google Scholar · View at Scopus
  31. R. Kassamali, C. Gill, A. Murphy, L. Cheetham, and F. Ali, “Finding direction: what influences medical students in their final career speciality choices?” Medical Teacher, vol. 35, no. 4, p. 339, 2013. View at Publisher · View at Google Scholar · View at Scopus
  32. P. Auyeung and J. Sands, “Factors influencing accounting students' career choice: a cross-cultural validation study,” Accounting Education, vol. 6, no. 1, pp. 13–23, 1997. View at Publisher · View at Google Scholar
  33. M. Norredam and D. Album, “Prestige and its significance for medical specialties and diseases,” Scandinavian Journal of Public Health, vol. 35, no. 6, pp. 655–661, 2007. View at Publisher · View at Google Scholar · View at Scopus
  34. W. W. Rosser, “The decline of family medicine as a career choice,” Canadian Medical Association Journal, vol. 166, no. 11, pp. 1419–1420, 2002. View at Google Scholar · View at Scopus
  35. P. A. Pugno, G. T. Schmittling, G. T. Fetter Jr., and N. B. Kahn Jr., “Results of the 2005 national resident matching program: family medicine,” Family Medicine, vol. 37, no. 8, pp. 555–564, 2005. View at Google Scholar · View at Scopus
  36. J. Fitzjohn, T. Wilkinson, D. Gill, and R. Mulder, “The demographic characteristics of New Zealand medical students: the New Zealand Wellbeing, Intentions, Debt and Experiences (WIDE) survey of medical students 2001 study,” New Zealand Medical Journal, vol. 116, no. 1183, 2003. View at Google Scholar · View at Scopus
  37. J. P. Collins, J. Jones, and G. R. White, “Demographic variables in Auckland medical students.,” New Zealand Medical Journal, vol. 106, no. 960, pp. 306–308, 1993. View at Google Scholar · View at Scopus
  38. R. W. Schauer and D. Schieve, “Performance of medical students in a nontraditional rural clinical program, 1998-99 through 2003-04,” Academic Medicine, vol. 81, no. 7, pp. 603–607, 2006. View at Publisher · View at Google Scholar · View at Scopus
  39. P. Worley, A. Esterman, and D. Prideaux, “Cohort study of examination performance of undergraduate medical students learning in community settings,” British Medical Journal, vol. 328, no. 7433, pp. 207–209, 2004. View at Publisher · View at Google Scholar · View at Scopus