Transitioning to rural practice together: a rural fellowship model (in 6 Ps).

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Rural and remote health Pub Date : 2024-10-01 Epub Date: 2024-10-07 DOI:10.22605/RRH8791
Benjamin Gilmer, Chase Harless, Lauren White Gibson, Jill Fromewick, Robyn Latessa, Gary Beck Dallaghan, Kylie Agee, Bryan Hodge
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引用次数: 0

Abstract

Purpose: Maintaining a robust healthcare workforce in underserved rural communities continues to be a challenge. To better meet healthcare needs in rural areas, training programs must develop innovative ways to foster transition to, and integration into, these communities. Mountain Area Health Education Center designed and implemented a 12-month post-residency Rural Fellowship program to enhance placement, transition, and retention in rural North Carolina. Utilizing a '6 Ps' framework, the program targeted physicians and pharmacists completing residency with the purpose of recruiting and supporting their transition into the first year of rural practice.

Method: To better understand Rural Fellows' experiences and the immediate impact of their Fellowship year, we conducted a semi-structured interview using a narrative technique and evaluated retention rates over time. Interviews with the eight participants, which included Fellowship alumni and current Fellows, demonstrated the impact and influence of the key curricular '6 Ps' framework.

Results: An early retention rate of 100% and a long-term retention rate of 87%, combined with expressed clarity of curricular knowledge, skills, and attitudes related to the '6 Ps', demonstrate the potential and effectiveness of this Rural Fellowship model. Participants indicated the Rural Fellowship experience supports the transition to rural practice communities and expands their clinical skills.

Conclusion: The Rural Fellowship program demonstrates an effective model to support early career healthcare providers as they begin practice in rural communities in western North Carolina through academic opportunities, personal growth, and professional development. Implementation of this model has demonstrated the success of a rural retention model over a 6-year period. This model has the potential to target an array of clinical providers and disciplines. We started with family medicine and have expanded to psychiatry, obstetrics, pharmacy, and nursing. This study demonstrated that this model supports clinical providers during the critical transition period from residency to practice. Targeting the most important stage of one's medical training, the commencement of professional practice, this is a scalable model for other rural-based health professions education sites where rural recruitment and retention remain a problem.

共同过渡到农村实践:农村研究金模式(6 个 P)。
目的:在医疗服务不足的农村社区维持一支强大的医疗队伍仍然是一项挑战。为了更好地满足农村地区的医疗保健需求,培训计划必须开发创新方法,促进向这些社区的过渡和融入。山区健康教育中心设计并实施了一项为期 12 个月的实习后农村奖学金计划,以加强北卡罗来纳州农村地区的安置、过渡和保留。该计划利用 "6P "框架,以完成住院医师培训的医生和药剂师为目标,目的是招募并支持他们过渡到农村执业的第一年:为了更好地了解农村研究员的经历和研究员培训年的直接影响,我们采用叙事技术进行了半结构化访谈,并评估了随着时间推移的保留率。与八名参与者(包括研究员校友和现任研究员)的访谈显示了关键课程 "6 Ps "框架的作用和影响:结果:100% 的早期保留率和 87% 的长期保留率,以及与 "6 Ps "相关的课程知识、技能和态度的清晰度,证明了这一农村研究金模式的潜力和有效性。参与者表示,农村研究员计划的经验支持了他们向农村实践社区的过渡,并扩展了他们的临床技能:农村研究金计划展示了一种有效的模式,通过学术机会、个人成长和专业发展,为在北卡罗来纳州西部农村社区开始执业的早期职业医疗服务提供者提供支持。这一模式的实施表明,在 6 年的时间里,农村留住人才的模式取得了成功。该模式具有针对一系列临床医疗服务提供者和学科的潜力。我们从家庭医学入手,现已扩展到精神病学、产科、药学和护理学。这项研究表明,在从住院医师到执业医师的关键过渡时期,这种模式可以为临床医疗人员提供支持。针对医学培训中最重要的阶段,即开始专业实践的阶段,这是一种可推广的模式,适用于其他以农村为基础的卫生专业教育机构,因为农村的招生和留用仍然是一个问题。
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来源期刊
Rural and remote health
Rural and remote health Rural Health-
CiteScore
2.00
自引率
9.50%
发文量
145
审稿时长
8 weeks
期刊介绍: Rural and Remote Health is a not-for-profit, online-only, peer-reviewed academic publication. It aims to further rural and remote health education, research and practice. The primary purpose of the Journal is to publish and so provide an international knowledge-base of peer-reviewed material from rural health practitioners (medical, nursing and allied health professionals and health workers), educators, researchers and policy makers.
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