Rural medical education: how different is it?
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Biomedical subjects
Publications and source records attributed to Richard Hays.
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The establishment of a new medical school in northern Australia, with its focus on preparing graduates to understand the health care needs of the regional population, has raised an interesting issue in problem design for teaching and assessing in an integrated curriculum. This issue is the extent to which the clinical content of a teaching or assessment problem should consider more subtle contextual issues that help to define the different roles played by rural practitioners, rather than what might be regarded as appropriate for "generic" medical education. This brief paper provides example case studies that highlight the challenge facing curriculum designers developing programs for rural clinical schools.
OBJECTIVE: To trial in Australian general practice a performance assessment module based on review of a sample of videotaped consultations. DESIGN: As part of a broader project 33 doctors provided 20 videotaped consultations collected according patient age, gender and problems encountered. The consultations were rated by a single trained rater. RESULTS: The consultations covered sufficient variety of patient ages, gender balance and problems encountered to achieve validity and the single rater design achieved defensible reliability (generalisability coefficient 0.86). CONCLUSION: The module is suitable for further exploration as an optional method for certification or re-certification assessment.
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The present paper discusses some of the issues relating to the poorer health and shorter life expectancy of Australian Aboriginal and Torres Strait Islander peoples. The barriers to improvement include funding of the medical service, the nature of early contact between Indigenous peoples and the European settlers, and the complex nature of Indigenous cultures. The role of the new medical school at James Cook University is discussed in relation to its mission of meeting the health care needs of the population of tropical and rural North Queensland. Indigenous representation in the management of the Medical School, staff selection, student selection, and curriculum content are discussed, and recommendations are made for a partnership approach to achieving improvements in the functioning of the health system of the area.