in Medical Education A Grant H Iago Swansea University Medical School CRISIS Wales has one of the poorest doctortopatient ratios in the whole of Europe 375 people 1 doctor ID: 682132
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Slide1
Rural and Remote Health
in Medical Education
A. Grant, H. IagoSwansea University Medical SchoolSlide2
CRISIS
Wales has one of the
poorest
doctor-to-patient ratios in the whole of Europe
375
people
1
doctor
:Slide3
CRISIS
Wales is ranked
27
th
out of
30
European countries and falls well below the European
average of
290
people
1
doctor
:Slide4
Shortage
of
doctors in
Wales
M
U
S
T
I
N
C
R
E
A
S
E
CHALLENGE
How?
Recruitment
&
RetentionSlide5
80%
Land Area
20%
Population
2/3
RURAL
URBAN
Vs.
Local Authorities
1
/3
WALES
9/22Slide6
WALES
Local Authorities
Detailed Reality
Wales
NEEDS
Rural
MedicsSlide7
How
is it different?
RURAL PRACTICE
Patient Perspective
Access to services
Locality to nearest DGH
Locality to specialty services
Locality to long-term treatment centres
Doctor Perspective
Isolation
Referral procedures
Colleague interaction
Lacking conveniences of city-lifeSlide8
‘Rural
Health Plan for improving integrated service delivery across Wales’
recommended
…
rural
medicine forming part of the medical undergraduate
curriculum…
Often perceived as a
challenging
clinical environment
Research indicates
that
e
arly, deep,
immersive
exposure
to clinical experience
in a rural
environment
may be a factor in
retaining medics
to
rural areas
RURAL PRACTICESlide9
RURAL PRACTICE
Swansea University Medical School
has put research into practice
with unique opportunities in its Undergraduate Medical Education ProgrammeSlide10
SWANSEA
Graduate Entry Medicine
4 year course
Combination of classroom and placement teaching
Total of
84
weeks on placement
Hospital Placement LocationsSlide11
Established 2012
Optional track that is not directly assessed
Clearly defined yet embedded throughout the whole curriculum
R
ural and
R
emote
H
ealth
i
n
M
edical
E
ducation
RRHiME
aims
to
raise
awareness
of the
benefits
and
realities
of
living and working in rural and remote areas Slide12
Rural Placements
Monthly Meetings
Curriculum Tracker
RURAL ENGAGEMENT
What am I signing up for?
RRHiME
e
nhanced
opportunities
to
e
xperience
medicine
in
these
areas
,
gaining
increased
knowledge
a
nd
awareness
of the
needs
of
Welsh
rural populationsSlide13
Monthly
Meetings
Guest speakers
Inter-cohort
Chance to share and discuss
Online
Curriculum
Tracker
record
,
reflect
and
review
RRHiME
e
xperiences
f
orms a rural
m
edicine portfolio
RRHiME
Rural Placements
Preferentially sent
to rural
placements
Must still
experience urban
placementSlide14
Complete assessments
using
a
r
ural lens
RRHiME
2 x LOCS
2
x clinical
apprenticeships
1
x 4th year
junior assistantships
1 x CBL
placement
2 x SSCPs
Welsh for Medicine
RRHiME
Curriculum
Slide15
Optional but
recomended
RRHiME
Level 1 + 2 developed
–
both up and running
Aims to teach Welsh that is useful in a clinical setting
Increases awareness, knowledge and confidence
Welsh for Medicine
Slide16
“Being able to visit more remote hospitals in Wales has been
excellent
and given me a
greater understanding
of rural health in
Wales”
RRHiME
Numbers
2012 2
2013 3
2014 6
2015 11
2016 12
2017 15
WE ARE
…
Increasing
Developing
SucceedingSlide17
Diolch
/ Thank youQuestions?
A. Grant, H. IagoSwansea University Medical School