出版社：Association for Medical Education in Europe (AMEE)
摘要：Many medical programmes around the world seek to provide experiences for their students in rural and remote health, community and primary care, with a view to encouraging future doctors to practice in under resourced and under-doctored areas of the world. New schools (and satellites of existing schools) have been established in rural and remote areas with a view to recruiting students from those areas who will go on to practice there. In these new schools, and in more traditional programmes, the primary curriculum models in use are either short placements in selected areas (including overseas electives) or immersive longitudinal clerkships, typically in a primary/community setting. A wealth of evidence exists of the success of these approaches, however, for many schools, the curriculum is more fixed and there are limited opportunities for introducing what can be seen as more radical change.In this paper, we describe a new approach to curriculum design offered by the Graduate Entry Medicine (GEM) programme at Swansea University Medical School which provides a selected group of students within the cohort with a range of opportunities in rural and remote health embedded within the existing curriculum. The Rural and Remote Health in Medical Education (RRHiME) track has been positively evaluated for 7 years and is transferable to a range of curricula and contexts. The longitudinal evaluation has demonstrated that students experience a prolonged engagement in rural health environments and/or focused on rural and remote health issues, not in terms of spending time in one context but in obtaining a variety of perspectives about, and deepening their understanding of, the issues, challenges and opportunities encountered in rural and remote settings.
关键词：Rural and remote healthcare; medical students; doctors; medical programme; curriculum; curriculum models; Wales; undergraduate medicine; Welsh language; culture.
