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A new model to understand the career choice and practice location decisions of medical graduates.

Article Open Access
INTRODUCTION: Australian medical education is increasingly influenced by rural workforce policy. Therefore, understanding the influences on medical graduates' practice location and specialty choice is crucial for medical educators and medical workforce planners. The South Australian Flinders University Parallel Rural Community Curriculum (PRCC) was funded by the Australian Government to help address the rural doctor workforce shortage. The PRCC was the first community based medical education program in Australia to teach a full academic year of medicine in South Australian rural general practices. The aim of this research was to identify what factors influence the career choices of PRCC graduates. METHODS: A retrospective survey of all contactable graduates of the PRCC was undertaken. Quantitative data were analysed using SPSS 14.0 for Windows. Qualitative data were entered into NVIVO 7 software for coding, and analysed using content analysis. RESULTS: Usable data were collected from 46 of the 86 contactable graduates (53%). More than half of the respondents (54%) reported being on a rural career path. A significant relationship exists between being on a rural career pathway and making the decision prior to or during medical school (p = 0.027), and between graduates in vocational training who are on an urban career path and making a decision on career specialty after graduation from medical school (p = .004). Graduates in a general practice vocational training program are more likely to be on a rural career pathway than graduates in a specialty other than general practice (p = .003). A key influence on graduates' practice location is geographic location prior to entering medical school. Key influences on graduates choosing a rural career pathway are: having a spouse/partner with a rural background; clinical teachers and mentors; the extended rural based undergraduate learning experience; and a specialty preference for general practice. A lack of rural based internships and specialist training places is influencing both urban- and rural-origin graduates to practise in urban locations. Further analysis of graduates' career pathway choices (rural or urban) and geographic background (rural or urban) was conducted. This resulted in the development of a new model, 'The Four Qs Model'. This model consists of four quadrants derived from the variables career pathway choice (rural or urban) and geographic background (rural or urban). Clustering of consistent demographic and qualitative trends unique to each quadrant was demonstrated. The distinctive clustering that emerged from the data resulted in the quadrants being renamed 'The True Believers', 'The Convertibles' 'The Frustrated' and 'The Metro Docs'. CONCLUSIONS: The PRCC is influencing graduates to choose a rural career path. The PRCC program affirms the career preferences of rural origin students while graduates with little rural exposure prior to the PRCC report being positively influenced to pursue a rural career path. The Four Qs Model is a useful model in that it demonstrates consistent themes in the characteristics of PRCC graduates and assists understanding of why they choose a rural medical career. This could be relevant to the selection of medical students into rural medical education programs and in the construction of rural curricula. The model also offers a useful framework for further research in this field.
INTRODUCTION: Australian medical education is increasingly influenced by rural workforce policy. Therefore, understanding the influences on medical graduates' practice location and specialty choice is crucial for medical educators and medical workforce planners. The South Australian Flinders Univers …

The nottingham apprenticeship model: Schools in partnership with artists and creative practitioners

Article Open Access
This article documents the collaborative research and development of an apprenticeship model of learning for the arts. It focuses on teachers working in partnership with artists and other creative practitioners. The model is rooted in theories of social learning and cognitive apprenticeship. It was developed and tested through collaborative research, some of it action research. The aim was to explore and test the model for appropriateness and for its impact on the learning of all participants (children, teachers, creative practitioners). The model was found to be useful as a guide to the organisation of children's learning in the arts. Moreover, using the model had a positive effect on the inclusion of children on the margins into wider school learning. The model was also useful in facilitating the professional development of the adults concerned: teachers, artists and others. © 2009 British Educational Research Association.
This article documents the collaborative research and development of an apprenticeship model of learning for the arts. It focuses on teachers working in partnership with artists and other creative practitioners. The model is rooted in theories of social

Developments in Australian Horticultural Vocational Education

Article
Australia's higher education and vocational education and training (VET) systems have undergone major structural change over the last 30 years with significant ramifications for horticultural education and training. Unlike at higher education levels, where the presence of horticulture students and programs are on the decline, Australia's VET sector has experienced growth in program diversity, provider and student numbers. Significant changes that have occurred within this sector include: (i) evolution of a national curriculum framework, (ii) shift to a competency-based model of education, and (iii) an expansion in organizational profile of education and training providers. This paper focuses on structural changes to the VET sector with emphasis on the Victorian education and training system. Trends indicate that VET horticulture, in the current form of the Amenity Horticultural Training Package, will continue to evolve and grow particularly in the private sector. Employees and institutions appear to accept the overall sense of order achieved by VET sector reforms, although there are specific concerns on the adequacy of industry competency standards themselves that include issues of duplication, the practicalities of providing practical work placements and workplace assessments on a large scale, their ability to service recognition-of-prior learning (RPL), and concerns over quality control.
Australia's higher education and vocational education and training (VET) systems have undergone major structural change over the last 30 years with significant ramifications for horticultural education and training. Unlike at higher education levels, where the presence of horticulture students and p …

Impact of sandwich course design on first job experience

Article
Education is a common means to prepare oneself for a career, be it in government, industry, or academe; profit or non-profit organization; for self-employment or as part of the human resource talent of someone else's organization. Consequently, one of the responsibilities of higher education institutions is to prepare students for their careers. A concept that began to take off in the 1960s is to sandwich a period of actual work exposure within a student's curriculum. This paper explored different variations of that concept within a private university and demonstrated how it impacts the first job experience of its graduates. Data seem to point that students who are exposed to work for longer hours on a full-time basis are likely to receive higher salaries at better first-job level positions after they graduate. © 2009 De La Salle University.
Education is a common means to prepare oneself for a career, be it in government, industry, or academe; profit or non-profit organization; for self-employment or as part of the human resource talent of someone else's organization. Consequently, one of the responsibilities of higher education institu …

Teaching adult learners in online career and technical education

Article
Online education is becoming an important component of career and technical education (CTE) in teacher preparation and at the graduate level. In the midst of such growth, and in response to questions about quality compared with traditional learning, there is a consensus that online courses and programs should be designed based on the needs of adult learners. However, much of the literature in online CTE lacks implicit connections to emerging notions of adult development and learning. This article provides an overview of the status of online education in CTE at the postsecondary level, discusses related issues and current research focus, and highlights adult learning developments and the implications for curriculum design, instruction, and use of technology. The article concludes with an outline of emerging trends bridging adult learning and online education relevant to career and technical education. © 2009, IGI Global.
Online education is becoming an important component of career and technical education (CTE) in teacher preparation and at the graduate level. In the midst of such growth, and in response to questions about quality compared with traditional learning, there is a c …

Achieving competence-based curriculum in engineering education in Spain

Article Open Access
The fact of placing competences and outcomes learning at the heart of the academic activity means overhauling the curricular architecture of higher education in Europe. Some universities have undergone important transformations moving toward a competence-based learning environment, while others maintain traditional curriculum packaged formats. In the realm of the European Higher Education Area, this paper examines the use of competence-based initiatives in curricular development for engineering degrees with special focus to the Spanish case. Although the concept of competence and competence-based learning has a long history in education and training research, these terms are still very diffuse and demand a clear conceptualization. In the first part of this paper, we provide a conceptual overview and a critical reflection of competences as implemented in a wide range of settings, including its origins, key concepts, and definitions. Next, we discuss the purposes, principles, pitfalls, and processes that enable defining a map of competences within engineering education. Lastly, we present a pilot project involving curriculum development and faculty enhancement within a competence-based learning initiative in Electronic Engineering. © 2006 IEEE.
The fact of placing competences and outcomes learning at the heart of the academic activity means overhauling the curricular architecture of higher education in Europe. Some universities have undergone important transformations moving toward a competence-based < …

Work-based learning in the context of contemporary health care education and practice: A concept analysis

Article
Work-based learning has the potential to transform health care services to improve patients' and users' experiences, support the implementation of evidence, provide value for money, improve productivity and achieve continued modernization. This article describes the findings from a literature-based concept analysis that explored a contemporary understanding of work-based learning relevant to modern health care practice and education. Many descriptions of work-based learning exist but it is difficult to define the concept in a way that practitioners can understand and relate to in their daily working lives. The article identifies the distinguishing attributes of work-based learning, together with its enabling factors and consequences. From this literature-based concept analysis, it is concluded that work-based learning is a process that concentrates on how learning takes place within the workplace. It is stimulated by workplace activities that engage the learner in discussion and debate with workplace colleagues. This critical dialogue, if facilitated and adequately resourced, can trigger a transformation of workplace culture into one that captures situated learning to enhance not only the individual, but also team and even organizational working practices. © 2009 John Wiley & Sons, Ltd.
Work-based learning has the potential to transform health care services to improve patients' and users' experiences, support the implementation of evidence, provide value for money, improve productivity and achieve continued modernization. This article describes …

Keys to successful implementation of interprofessional education: learning location, faculty development, and curricular themes

Review
Although there is evidence to support implementing interprofessional education (IPE) in the health sciences, widespread implementation in health professions education is not yet a reality. Challenges include the diversity in location and settings of schools and colleges, ie, many are not located within an academic health center. Faculty members may not have the necessary skill set for teaching in an IPE environment. Certain topics or themes in a pharmacy curriculum may be more appropriate than others for teaching in an IPE setting. This paper offers solutions to teaching IPE in diverse settings, the construct for implementing a faculty development program for IPE, and suggested curricular topics with their associated learning objectives, potential teaching methods, and timelines for implementation.
Although there is evidence to support implementing interprofessional education (IPE) in the health sciences, widespread implementation in health professions education is not yet a reality. Challenges include the diversity in location and settings of schools and colleges, ie, many are not located wit …

Conceptualizing learning experiences: Contributions and mediations of the social, personal, and brute

Review
This article conceptualizes and elaborates what constitutes learning experiences. It does so from a perspective that centres on experiences as arising through relations between social and personal worldsyet also acknowledges the mediation of brute facts (i.e., nature). The social contributions are twofold, yet quite distinct. First, there are immediate social experiences that are projected by the particular socially and culturally derived events (i.e., activities and interactions) that individuals encounter, often in circumstances shaped by socially situational and physical factors. Second, there are socio-personal legacies, comprising individuals' cognitive experience, that arise through their ongoing engagements with social experiences throughout life histories. Although socially derived, these legacies are person dependent and may be personally idiosyncratic. Of importance, they shape how individuals construe and construct what they experience during, engage with, and learn from these events. learning experiences, therefore, comprise a negotiation between the suggestions of social and physical world and individuals' construal of what the world projects. These negotiations are also shaped and mediated by brute facts, such as maturation. Underpinning this conception of learning experiences are interdependencies between the social and personal contributions, which are negotiated in ways that are necessarily relational in terms of the exercise of personal agency and the suggestion of social and physical forms. It is through these negotiations that individuals' change or learn and society's norms and practices are remade and transformed. Given this duality, the activities and interactions that comprise learning experiences stand as important bases for understanding (a) individual change or learning and (b) the ongoing process of remaking cultural practices. It also extends the concept of interpsychological processes as being relational and needing to include the contributions and mediations of brute facts. Copyright © Regents of the University of California on behalf of the Laboratory of Comparative Human Cognition.
This article conceptualizes and elaborates what constitutes learning experiences. It does so from a perspective that centres on experiences as arising through relations between social and personal worldsyet also acknowledges the mediation of brute facts (i.e., n …

What and how do student teachers learn during school-based teacher education

Article
This study looks at how student teachers learn to teach during school-based teacher education. It explores the changes that occurred in the practical theories of the student teachers and how the student teachers made these modifications. Eight student teachers were closely monitored during their training. The study's findings show that all student teachers developed broad, well-structured practical theories that focused on pupils' learning processes. Their learning processes displayed considerable individual variation. As a result of these findings, several questions have been formulated for further research concerning the impact of learning style on learning outcomes and learning in a work-based context. © 2008 Elsevier Ltd. All rights reserved.
This study looks at how student teachers learn to teach during school-based teacher education. It explores the changes that occurred in the practical theories of the student teachers and how the student teachers made these modifications. Eight student teachers were closely monitored during their tra …