Despite the huge differences between developing and developed countries, access is major issue in rural health around world. Even countries where majority of population lives areas, resources are concentrated cities. All have difficulties with transport communication, they all face challenge shortages doctors other professionals remote areas. Many people caught poverty- ill health-low productivity downward spiral, particularly countries. Since 1992, WONCA, World Organization Family Doctors,...

Access to well trained and motivated health workers is the major rural issue. Without local access, it unlikely that people in remote communities will be able achieve Millennium Development Goals. Studies many countries have shown three factors most strongly associated with entering practice are: (i) a background; (ii) positive clinical educational experiences settings as part of undergraduate medical education; (iii) targeted training for at postgraduate level. This paper presents evidence...

Context Longitudinal integrated clerkships (LICs) represent a model of the structural redesign clinical education that is growing in USA, Canada, Australia and South Africa. By contrast with time-limited traditional block rotations, medical students LICs provide comprehensive care patients populations continuing learning relationships over time across disciplines venues. The evidence base for reveals transformational professional workforce outcomes derived from number small...

Background: The Northern Ontario School of Medicine (NOSM) has a social accountability mandate to contribute improving the health people and communities Ontario. NOSM recruits students from or similar backgrounds provides Distributed Community Engaged Learning in over 70 clinical community settings located region, vast underserved rural part Canada.Methods: Centre for Rural Health Research (CRaNHR) used mixed methods studies track medical learners dietetic interns, assess socioeconomic...

"Community" has featured in the discourse about medical education for over half a century. This explored relationships between programs and communities community-oriented community-based and, recent years, extended to community-engaged (CEME). Perspective explores developing focus on "community" education, describes CEME as concept, presents examples of action at Flinders University School Medicine (Australia), Northern Ontario (Canada), Ateneo de Zamboanga (Philippines).The authors describe...

Abstract Background Recruiting and retaining a skilled health workforce is common challenge for remote rural communities worldwide, negatively impacting access to services, in turn peoples’ health. The research literature highlights different factors facilitating or hindering recruitment retention of healthcare workers areas; however, there are few practical tools guide local organizations their struggles. purpose this paper describe the development process, contents, suggested use Framework...

Background Flinders University has developed the Parallel Rural Community Curriculum (PRCC), a full year clinical curriculum based in rural general practice South Australia. The examination performance of students on this course been shown to be higher than that their tertiary hospital-based peers. Aim To compare learning experiences community-based programme with those hospital order explain these improved academic outcomes. Method A case study was undertaken, using an interpretivist...

Like many rural regions around the world, Northern Ontario has a chronic shortage of doctors. Recognizing that medical graduates who have grown up in area are more likely to practice setting, Government Ontario, Canada, decided 2001 establish new school region with social accountability mandate contribute improving health people and communities Ontario. The School Medicine (NOSM) is joint initiative Laurentian University Lakehead University, which located 700 miles apart. This paper outlines...

Introduction: Flinders University in Australia has had a rural longitudinal integrated clerkship for selected medical students, the Parallel Rural Community Curriculum, since 1997. The Northern Ontario School of Medicine (NOSM) Canada introduced similar all NOSM students 2007. An external evaluation both programs was conducted 2006 and 2008, respectively. aim this article to analyse similarities differences between these two determine key factors that could inform others interested creating...

Evaluation of rural clinical attachments has demonstrated that the setting provides a high-quality learning environment is potential value to all medical students. Specifically, education more 'hands on' experience for students in which they are exposed wide range common health problems and develop high level competence. Northern Ontario Canada large region chronic shortage healthcare providers. The School Medicine (NOSM) was established with social accountability mandate contribute...

Across the globe, a "fit for purpose" health professional workforce is needed to meet needs and challenges while capitalizing on existing resources strengths of communities. However, socio-economic impact educating deploying fit purpose can be challenging evaluate. In this paper, we provide brief overview six promising strategies interventions that context-relevant education within system. The focused in paper are:1. Distributed community-engaged learning: Education occurs or near...

Northern Ontario School of Medicine (NOSM) serves as the Faculty Lakehead and Laurentian Universities, views entire geography its campus. This paper explores how community engagement contributes to achieving social accountability in over 90 sites through NOSM's distinctive model, Distributed Community Engaged Learning (DCEL).Studies involving qualitative quantitative methods contribute this paper, which draws on administrative data from NOSM external sources, well surveys interviews...

Family physicians in Ontario provide most of the primary care to healthcare system. However, given their broad scope practice, they often additional services including emergency medicine, hospital and palliative care. Understanding spectrum provided by family across different regions is important for health human resource planning (HHRP). We investigated Ontario, Canada using a provincial physician database administrative billing data from 2017. Billing codes were used define 18 general that...

In the eyes of many, critical shortage doctors in rural areas is only reason for providing experiences medical students. This article reviews body evidence supporting placements as a long-term workforce strategy and additional regarding apparent educational benefits such placements. By enabling students to learn significant periods time communities, it now possible universities address imperatives communities they serve at same intrinsic advantages their

Context This paper describes the transition processes experienced by Year 3 medical students during their longitudinal integrated clerkship (LIC). The authors conceptualise stages that encompass through a LIC. Objectives purpose of this study was to understand perspectives 12 Northern Ontario School Medicine (NOSM) about process. Methods Data were collected longitudinally three conversational interviews with each these students, occurring before, and after clerkship. used guided walk...

Despite the substantial differences between developing and developed countries, access is major rural health issue. Studies in many countries have shown that three factors most strongly associated with entering practice are: (1) a upbringing; (2) positive clinical educational experiences settings as part of undergraduate medical education; (3) targeted training for at postgraduate level. This paper presents examples successful primary care-based education different parts world, then...

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This article documents a number of rural medical education initiatives in Australia, Canada and the United States. A typology is created reflecting centrality mandate characterizing different features each school's program. Interviews with school officials are drawn on to reflect challenges these schools face.Seven noted for their programs were selected from three countries interviews conducted senior officials. The interview data was supplemented by published material schools.The Typology:...

There is abundant evidence that rural origin an influence on career choice. Rural widely used to select students be supported into programs designed address the medical workforce shortage. What not as clear how many years of upbringing are required have a maximal effect Neither place having sense background well understood.A cross-sectional self-completed paper-based survey all in one through four Monash University course was undertaken 2003. The included scale measure stated intention...

Ensuring access to high quality health care in remote and rural settings is particularly challenging. Remote communities require service models that are designed for these settings, provided by practitioners with the requisite knowledge skills responsive people's needs. Studies many countries have shown three factors most strongly associated entering practice (1) a upbringing, (2) positive clinical educational experiences as part of undergraduate medical education (3) targeted training at...