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https://hdl.handle.net/1959.11/12244
Title: | Medical students on long-term regional and rural placements: what is the financial cost to supervisors? | Contributor(s): | Hudson, Judith (author); Weston, Kathryn M (author); Farmer, EA (author) | Publication Date: | 2012 | Handle Link: | https://hdl.handle.net/1959.11/12244 | Abstract: | Introduction: Medical student education is perceived as utilising significant amounts of preceptors' time, negatively impacting on clinical productivity. Most studies have examined short-term student rotations in urban settings, limiting their generalisability to other settings and educational models. To test Worley and Kitto's hypothetical model which proposed a 'turning point' when students become financially beneficial, this study triangulated practice financial data with the perspectives of clinical supervisors before and after regional/rural longitudinal integrated community-based placements. Methods: Gross practice financial data were compared before and during the year-long placement. Interview data pre- and post-placement were analysed by two researchers who concurred on emergent themes and categories. Results: This study suggested a financial 'turning point' of 1-2 months when the student became beneficial to the practice. Most preceptors (66%) perceived the longitudinal placement as financially neutral or favourable. Nineteen per cent of supervisors reported a negative financial impact, some attributing this to reduced patient throughput, inadequacy of the government teaching subsidy and/or time spent on assessment preparation. Other supervisors were unconcerned about costs, perceiving that minor financial loss was outweighed by personal satisfaction. Conclusions: Senior students learning in long-term clerkships are legitimate members of regional/rural communities of practice. These students can be cost-neutral or have a small positive financial impact on the practice within a few months. Further financial impact research should include consideration of different models of supervisor teaching subsidies. The ultimate financial benefit of a model may lie in the recruitment and retention of much-needed regional and rural practitioners. | Publication Type: | Journal Article | Source of Publication: | Rural and Remote Health, 12(2), p. 1-9 | Publisher: | Australian Rural Health Education Network | Place of Publication: | Australia | ISSN: | 1445-6354 | Fields of Research (FoR) 2008: | 111709 Health Care Administration 111708 Health and Community Services |
Fields of Research (FoR) 2020: | 420306 Health care administration 420305 Health and community services |
Socio-Economic Objective (SEO) 2008: | 920506 Rural Health 920206 Health Inequalities |
Socio-Economic Objective (SEO) 2020: | 200508 Rural and remote area health 200204 Health inequalities |
Peer Reviewed: | Yes | HERDC Category Description: | C1 Refereed Article in a Scholarly Journal | Publisher/associated links: | http://www.rrh.org.au/articles/showarticlenew.asp?ArticleID=1951 |
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Appears in Collections: | Journal Article |
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