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
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Keywords:
adulthumanHumansDecision makingArticleAustraliaeducationgeneral practiceCareer choicemiddle agedprofessional practicerural health careFamily PracticeRural Health ServicesSouth Australiaretrospective studyRetrospective StudiesProfessional Practice LocationmanpowerMLCSMLOWN
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
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
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Keywords:
vocational education and trainingCompetency based trainingAmenity horticultureHorticultural education
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
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Keywords:
employabilitywork-related learningworkbased learninglearning-to-doSandwich programsTransitions from education to workWork-education programs
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
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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 <
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Keywords:
CurriculaEngineering educationlearningEngineering educationComputer aided instructionCurriculum developmentlearningCompetencesEducation and trainingCompetence-based learningCurricular developmentCompetencesEuropean higher education area (EHEA)European Higher Education Area (EHEA)Curricular developmentEuropean Higher Education Area
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
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Keywords:
work-based learningEffectivenesslearning cultureConcept analysisImplementation of evidencePractice development
Source:American Journal of Pharmaceutical Education
(2009)
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
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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
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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
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Keywords:
Professional DevelopmentTeacher EducationTeacher learningteacher knowledgestudent teacherSchool-based teacher education