Rural and Remote Health

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Rural and Remote Health




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Presentations text content in Rural and Remote Health

Slide1

Rural and Remote Health

in Medical Education

A. Grant, H. IagoSwansea University Medical School

Slide2

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

&

Retention

Slide5

80%

Land Area

20%

Population

2/3

RURAL

URBAN

Vs.

Local Authorities

1

/3

WALES

9/22

Slide6

WALES

Local Authorities

Detailed Reality

Wales

NEEDS

Rural

Medics

Slide7

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-life

Slide8

‘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 PRACTICE

Slide9

RURAL PRACTICE

Swansea University Medical School

has put research into practice

with unique opportunities in its Undergraduate Medical Education Programme

Slide10

SWANSEA

Graduate Entry Medicine

4 year course

Combination of classroom and placement teaching

Total of

84

weeks on placement

Hospital Placement Locations

Slide11

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 populations

Slide13

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

placement

Slide14

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

Succeeding

Slide17

Diolch

/ Thank youQuestions?

A. Grant, H. IagoSwansea University Medical School


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