INTRODUCTION: In 1988, the New South Wales (NSW) Department of Health developed the NSW Rural Resident Medical Officer Cadetship Program (Cadetship Program) to help overcome a junior doctor workforce shortage in rural hospitals. A second aim was to increase recruitment to the rural medical workforce on the basis that positive exposure to rural medicine increases the likelihood of choosing to practice in a rural location. The Cadetship Program offers bonded scholarships which provide financial support for residents of NSW studying medicine during the final 2 years of their medical degree. In return, cadets are contracted to complete 2 of their first 3 postgraduate years in the NSW rural hospital network. NSW Rural Doctors Network has managed the Cadetship Program for the NSW Department of Health since 1993, and carried out an evaluation in 2004. The purpose of this evaluation was to track the career choice and practice location of medical students entering the Cadetship Program before 1999, and to comment on the impact of the Program on the rural medical workforce in NSW to date, and its implications for the future workforce. METHODS: The career choice and practice locations of 107 medical students who received cadetships between 1989 and 1998 were tracked. Students who did not graduate from medical school (n = 3) or who did not complete their rural service (13) were excluded from the analysis. Career choice was not available for a further nine former cadets and they were also excluded from the analysis. The NSW Rural Doctors Network was the major source of data on career choice and practice location due to its role in administering the Cadetship Program on behalf of the NSW Department of Health. Two brief questionnaires targeting specific groups of cadets were used to fill knowledge gaps about where cadets grew up, what vocational training they undertook, and where they were working in 2004. Where this information was not obtained from cadets first hand, it was sourced from the CD-ROM version of the Medical Directory of Australia. RESULTS: Forty-three percent of cadets entering the Program before 1999 were working in rural locations in 2004 (compared with 20.5% of medical practitioners nationally), 46% had attended primary school in a rural location and 44% chose to specialize in general practice. Career choice was the major determinant of practice location. Having a rural background did not appear to influence practice location; whereas, those specialising in general practice made up 70% of this cohort of cadets working in rural areas. All general practice trainees were in rural locations compared with only two of the 25 trainee specialists, which reflects the availability of accredited training places in rural Australia. CONCLUSIONS: The Cadetship Program, which ensures junior doctors work for 2 of their first 3 postgraduate years in a rural allocation centre, is an effective link between medical school and rural practice, particularly rural general practice. Providing vocational training opportunities in rural locations is central to this success, and needs to be considered in efforts to expand the rural specialist workforce, and in ensuring rural health capitalises on the increasing number of medical students moving through the education and training system in the next 4-10 years.
INTRODUCTION: In 1988, the New South Wales (NSW) Department of Health developed the NSW Rural Resident Medical Officer Cadetship Program (Cadetship Program) to help overcome a junior doctor workforce shortage in rural hospitals. A second aim was to increase recruitment to the rural medical workforce
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Keywords:
femalehumanmalemedical educationHumansInternship and ResidencyDecision makingArticlemotivationAustraliaCareer choicemedical studentStudents, Medicalcohort analysisStatisticsMedicinerural health careRural Health ServicesCohort StudiesNew South WalesmanpowerSpecialties, Medical
Current policies to expand and "flexibilise" labour markets are encapsulated in the drive to ensure "employability". To achieve this "employability", workers and the unemployed are encouraged to participate in "life-long learning". In this context, the traditional understanding of
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For too long, theories and practices of learning have been dominated by the requirements of formal learning. Quite simply this book seeks to persuade readers through philosophical argument and empirically grounded examples that the balance should be shifted back towards the informal. These arguments
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vocational educationworkplace learninglifelong learninginclusioneducationinformal learningphilosophy of educationlearning and instructionjudgementClusterlifel
Emotional-motivational factors, which, for a long time, have been neglected, seem to be indispensable to successful learning processes in the domaines of engineering, economy, and society. The importance of emotions, in particular, has not been discussed sufficiently, findings of brain research have not been considered adequately. Emotional processes play a fundamental role in the controlling of cognitive processes of action-regulation. In order to take into account the inseparability of emotional and motivational processes, the authors draw on the construct of emotional states. They discuss the significance of this construct regarding processes of teaching and learning in institutions of vocational education.
Emotional-motivational factors, which, for a long time, have been neglected, seem to be indispensable to successful learning processes in the domaines of engineering, economy, and society. The importance of emotions, in particular, has not been discussed sufficiently, findings of brain research have
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Over the last 35 years, fewer students have been enrolling in vocational education programs in secondary schools and in nursing and nursing assistant programs in hospitals, but more students have been enrolling in
The ACGME requires adequate lengths of appointment for both the program director and faculty as being essential to maintaining an appropriate continuity of leadership (1). Although this requirement does not apply to the program coordinator, the ACGME does require that a program have a dedicated coor
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The transition from school to vocational training is a developmental task whose completion is central to the ongoing career path. Until recently, the role played by emotions in the process of searching for apprenticeship positions has hardly been researched. The
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Action regulationMultivariate change modelsTransition to vocational training