Evaluation of rural general practice experiences for pre-vocational medical graduates
- McGrail, Matthew, Chhabra, Jasleen, Hays, Richard
- Authors: McGrail, Matthew , Chhabra, Jasleen , Hays, Richard
- Date: 2023
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 23, no. 1 (2023), p.
- Full Text:
- Reviewed:
- Description: Introduction: Despite substantial investment in rural workforce support, sustaining the necessary recruitment and retention of general practitioners (GPs) in rural areas remains a challenge. Insufficient medical graduates are choosing a general/rural practice career. Medical training at postgraduate level, particularly for those ‘between’ undergraduate medical education and specialty training, remains strongly reliant on hospital experience in larger hospitals, potentially diverting interest away from general/rural practice. The Rural Junior Doctor Training Innovation Fund (RJDTIF) program offered junior hospital doctors (interns) an experience of 10 weeks in a rural general practice, aiming to increase their consideration of general/rural practice careers This study aimed to evaluate the educational and potential workforce impact of the RJDTIF program. Methods: Up to 110 places were established during 2019–2020 for Queensland’s interns to undertake an 8–12-week rotation (depending on individual hospital rosters) out of regional hospitals to work in a rural general practice. Participants were surveyed before and after the placement, although only 86 were invited due to the disruption caused by the COVID-19 pandemic. Descriptive quantitative statistics were applied to the survey data. Four semistructured interviews were conducted to further explore the experiences post-placement, with audio-recordings transcribed verbatim. Semi-structured interview data were analysed using inductive, reflexive thematic analysis. Results: In total, 60 interns completed either survey, although only 25 were matched as completing both surveys. About half (48%) indicated they had preferenced the rural GP term and 48% indicated strong enthusiasm for the experience. General practice was indicated as the most likely career option for 50%, other general specialty 28% and subspecialty 22%. Likelihood to be working in a regional/rural location in 10 years was indicated as ‘likely’ or ‘very likely’ for 40%, ‘unlikely’ for 24% and ‘unsure’ for 36%. The two most common reasons for preferencing a rural GP term were experiencing training in a primary care setting (50%) and gaining more clinical skills through increased patient exposure (22%). The overall impact on pursuing a primary care career was self-assessed as much more likely by 41%, but much less by 15%. Interest in a rural location was less influenced. Those rating the term poor or average had low pre-placement enthusiasm for the term. The qualitative analysis of interview data produced two themes: importance of the rural GP term for interns (hands-on learning, skills improvement, influence on future career choice and engagement with the local community), and potential improvements to rural intern GP rotations. Conclusion: Most participants reported a positive experience from their rural GP rotation, which was recognised as a sound learning experience at an important time with respect to choosing a specialty. Despite the challenges posed by the pandemic, this evidence supports the investment in programs that provide opportunities for junior doctors to experience rural general practice in these formative postgraduate years to stimulate interest in this much-needed career pathway. Focusing resources on those who have at least some interest and enthusiasm may improve its workforce impact © 2023, Rural and Remote Health.All Rights Reserved.
- Authors: McGrail, Matthew , Chhabra, Jasleen , Hays, Richard
- Date: 2023
- Type: Text , Journal article
- Relation: Rural and Remote Health Vol. 23, no. 1 (2023), p.
- Full Text:
- Reviewed:
- Description: Introduction: Despite substantial investment in rural workforce support, sustaining the necessary recruitment and retention of general practitioners (GPs) in rural areas remains a challenge. Insufficient medical graduates are choosing a general/rural practice career. Medical training at postgraduate level, particularly for those ‘between’ undergraduate medical education and specialty training, remains strongly reliant on hospital experience in larger hospitals, potentially diverting interest away from general/rural practice. The Rural Junior Doctor Training Innovation Fund (RJDTIF) program offered junior hospital doctors (interns) an experience of 10 weeks in a rural general practice, aiming to increase their consideration of general/rural practice careers This study aimed to evaluate the educational and potential workforce impact of the RJDTIF program. Methods: Up to 110 places were established during 2019–2020 for Queensland’s interns to undertake an 8–12-week rotation (depending on individual hospital rosters) out of regional hospitals to work in a rural general practice. Participants were surveyed before and after the placement, although only 86 were invited due to the disruption caused by the COVID-19 pandemic. Descriptive quantitative statistics were applied to the survey data. Four semistructured interviews were conducted to further explore the experiences post-placement, with audio-recordings transcribed verbatim. Semi-structured interview data were analysed using inductive, reflexive thematic analysis. Results: In total, 60 interns completed either survey, although only 25 were matched as completing both surveys. About half (48%) indicated they had preferenced the rural GP term and 48% indicated strong enthusiasm for the experience. General practice was indicated as the most likely career option for 50%, other general specialty 28% and subspecialty 22%. Likelihood to be working in a regional/rural location in 10 years was indicated as ‘likely’ or ‘very likely’ for 40%, ‘unlikely’ for 24% and ‘unsure’ for 36%. The two most common reasons for preferencing a rural GP term were experiencing training in a primary care setting (50%) and gaining more clinical skills through increased patient exposure (22%). The overall impact on pursuing a primary care career was self-assessed as much more likely by 41%, but much less by 15%. Interest in a rural location was less influenced. Those rating the term poor or average had low pre-placement enthusiasm for the term. The qualitative analysis of interview data produced two themes: importance of the rural GP term for interns (hands-on learning, skills improvement, influence on future career choice and engagement with the local community), and potential improvements to rural intern GP rotations. Conclusion: Most participants reported a positive experience from their rural GP rotation, which was recognised as a sound learning experience at an important time with respect to choosing a specialty. Despite the challenges posed by the pandemic, this evidence supports the investment in programs that provide opportunities for junior doctors to experience rural general practice in these formative postgraduate years to stimulate interest in this much-needed career pathway. Focusing resources on those who have at least some interest and enthusiasm may improve its workforce impact © 2023, Rural and Remote Health.All Rights Reserved.
- Authors: Green, Monica
- Date: 2022
- Type: Text , Journal article
- Relation: Children, Youth and Environment Vol. 32, no. 2 (2022), p. 125-144
- Full Text: false
- Reviewed:
- Description: This small-scale study examinesyoung people’s perspectives aboutenergy transition and climate change adaptation in regional Gippsland, Victoria,Australia. As the opinions and experiences of children and youth have been historically overlooked in contemporary sustainability climate discourse and policy, this research investigatespreviously unheard accounts.The studydrawsonfourfacilitated “Conversations for Change”discussions with a total of 14 young people (aged 9-17)that exploredtheir ideas and concerns about sustaining themselves and their communities during a time of climate change and energy transition. Theirideas and opinionsaboutliving in/with a climate-alteredlocaland global futurearereflected across four main themes: (a)young people’s values;(b) perceptions of energy, transition and adaptation;(c) the enabling role of climate literacy for young people; and (d) responding to a just energy transition through collective endeavors.
A long and winding road : Autonomous men's learning through participation in community sheds across Australia
- Brown, Michael, Golding, Barry, Foley, Annette
- Authors: Brown, Michael , Golding, Barry , Foley, Annette
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at 38th Annual SCUTREA Conference, University of Edinburgh, Edinburgh, UK : 2nd-4th July 2008 p. 78-86
- Full Text:
- Description: This paper discusses aspects of men's learning derived from our study of mostly older men who are coming together, talking, working and socialising in community sheds across Australia (Golding et al 2007). The paper looks at the social, informal and autonomous learning and considers the significance of the community "work-like" settings (author abstract)
- Description: 2003006465
- Authors: Brown, Michael , Golding, Barry , Foley, Annette
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at 38th Annual SCUTREA Conference, University of Edinburgh, Edinburgh, UK : 2nd-4th July 2008 p. 78-86
- Full Text:
- Description: This paper discusses aspects of men's learning derived from our study of mostly older men who are coming together, talking, working and socialising in community sheds across Australia (Golding et al 2007). The paper looks at the social, informal and autonomous learning and considers the significance of the community "work-like" settings (author abstract)
- Description: 2003006465
Common wealth through community men's sheds : Lives and learning networks beyond work
- Authors: Golding, Barry
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at Fifth Pan-Commonwealth Forum on Open Learning, University of London, London, UK : 13th-17th July 2008
- Full Text:
- Description: This paper explores the recent phenomenon and benefits of community men's sheds in Australia, focusing on the important role sheds and workshop-based practice plays in creating informal learning and friendship networks for men. It is based on recent studies of organizations and contexts in Australia that informally and effectively engage men. Problems are identified with front-end models of vocational training that disregard or undervalue the lifetime of skills and experiences built up by men in previous paid work roles and in adult and community education sectors that tend not to cater for men or diverse masculinities. Insights are provided into ways in which men's skills and experiences can be shared, transferred, valued and celebrated in men's livelihoods beyond paid work, through regular, shared, hands on activity in gendered communities of practice. It particularly explores the untapped potential of open and flexible shed-based practice for men';s vocational retraining, lifelong learning and inter-generational skills transfer. The "open" and inclusive nature of the community shed and what occurs in it and its pedagogical familiarity with men are identified as its key strengths. The paper identifies what it is about the nature of community-based men's sheds that has proven to be increasingly popular, productive and therapeutic in Australia in the past decade. One of my purposes at presenting at this conference is to seek out, identify and learn about different and similar insights from conference participants from other countries that might contribute to an ongoing international study of men's informal learning beyond the workplace. My paper particularly seeks to identify shed and workshop-type settings and organizations in other national and cultural contexts that might play a similar role in the livelihoods of men, families and communities.
- Authors: Golding, Barry
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at Fifth Pan-Commonwealth Forum on Open Learning, University of London, London, UK : 13th-17th July 2008
- Full Text:
- Description: This paper explores the recent phenomenon and benefits of community men's sheds in Australia, focusing on the important role sheds and workshop-based practice plays in creating informal learning and friendship networks for men. It is based on recent studies of organizations and contexts in Australia that informally and effectively engage men. Problems are identified with front-end models of vocational training that disregard or undervalue the lifetime of skills and experiences built up by men in previous paid work roles and in adult and community education sectors that tend not to cater for men or diverse masculinities. Insights are provided into ways in which men's skills and experiences can be shared, transferred, valued and celebrated in men's livelihoods beyond paid work, through regular, shared, hands on activity in gendered communities of practice. It particularly explores the untapped potential of open and flexible shed-based practice for men';s vocational retraining, lifelong learning and inter-generational skills transfer. The "open" and inclusive nature of the community shed and what occurs in it and its pedagogical familiarity with men are identified as its key strengths. The paper identifies what it is about the nature of community-based men's sheds that has proven to be increasingly popular, productive and therapeutic in Australia in the past decade. One of my purposes at presenting at this conference is to seek out, identify and learn about different and similar insights from conference participants from other countries that might contribute to an ongoing international study of men's informal learning beyond the workplace. My paper particularly seeks to identify shed and workshop-type settings and organizations in other national and cultural contexts that might play a similar role in the livelihoods of men, families and communities.
- Authors: Golding, Barry
- Date: 2008
- Type: Text , Journal article
- Relation: Journal of Adult and Continuing Education Vol. 14, no. 1 (2008), p. 17-33
- Full Text: false
- Description: This paper reports on research into community-based men's sheds in Australia, focusing on how regular activity in these sheds impacts on the informal learning experiences of the mainly older men who use them. It leads to an exploration and reflection on how men's learning experiences in such sheds might inform adult and vocational education in community contexts for older men in other national and cultural contexts. Shed-based activity in community settings is found to provide a critically important, positive and therapeutic, male-positive context that satisfies a wide range of needs not currently available to older men in more formal education settings or in typical adult learning providers. Men's sheds in community contexts provide an important and voluntary social and community outlet for older retired men, particularly for workin- class men who are less likely than other men and particularly women to participate in adult and community education. The research identifies the likely fruitfulness of more closely examining the role of informal learning in enhancing wellbeing through voluntary participation in community settings in other cultural and national contexts.
Old dogs, new shed tricks : An exploration of innovative, workshop-based learning practice in Australia
- Golding, Barry, Brown, Michael, Foley, Annette
- Authors: Golding, Barry , Brown, Michael , Foley, Annette
- Date: 2007
- Type: Text , Conference paper
- Relation: Paper presented at AVETRA 2007 Conference, Victoria University, Footscray, Victoria: 11th-13th April 2007
- Full Text:
- Description: Our paper explores some recent innovations in workshop-based learning practice that come out of community-based men's sheds in Australia. It deliberately goes beyond an exploration of the typical community-based men's shed, already explored in our recent NCVER research report and looks at some new and productive interactions between sheds and other informal learning organisations. We go to the margins of rapidly evolving shed practice and single out three types of shed-based organisations that work with school resisters, Vietnam Veterans and older men in aged care. Our aim is to illustrate, using new Australian narrative data, some theoretical and practical implications and benefits of reciprocal, workshop-based mentoring relationships involving men of different ages. Our focus is on ways in which men with a skill or trade are able, in a situated and authentic learning context, to informally weave magic for and with other men, and in some cases with young people. Our paper provides pointers to some of the principles underpinning successful informal and community-based learning practice for older men: particularly the need for a high level of engagement; the choice of an appropriate and safe setting; and to account for the differences associated with age and gender. We articulate an imperative for bringing more blokes into all forms of learning in Australia including through more informal, community-based learning as well as through adult and community education. Our paper and its conclusions have implications for other workshop and shed-based learning practice in vocational education and training as well as informal and community-based learning by volunteers in the quintessential and ubiquitous Australian fire and football sheds.
- Description: 2003005537
- Authors: Golding, Barry , Brown, Michael , Foley, Annette
- Date: 2007
- Type: Text , Conference paper
- Relation: Paper presented at AVETRA 2007 Conference, Victoria University, Footscray, Victoria: 11th-13th April 2007
- Full Text:
- Description: Our paper explores some recent innovations in workshop-based learning practice that come out of community-based men's sheds in Australia. It deliberately goes beyond an exploration of the typical community-based men's shed, already explored in our recent NCVER research report and looks at some new and productive interactions between sheds and other informal learning organisations. We go to the margins of rapidly evolving shed practice and single out three types of shed-based organisations that work with school resisters, Vietnam Veterans and older men in aged care. Our aim is to illustrate, using new Australian narrative data, some theoretical and practical implications and benefits of reciprocal, workshop-based mentoring relationships involving men of different ages. Our focus is on ways in which men with a skill or trade are able, in a situated and authentic learning context, to informally weave magic for and with other men, and in some cases with young people. Our paper provides pointers to some of the principles underpinning successful informal and community-based learning practice for older men: particularly the need for a high level of engagement; the choice of an appropriate and safe setting; and to account for the differences associated with age and gender. We articulate an imperative for bringing more blokes into all forms of learning in Australia including through more informal, community-based learning as well as through adult and community education. Our paper and its conclusions have implications for other workshop and shed-based learning practice in vocational education and training as well as informal and community-based learning by volunteers in the quintessential and ubiquitous Australian fire and football sheds.
- Description: 2003005537
Older men's lifelong learning : Common threads/sheds
- Authors: Golding, Barry
- Date: 2007
- Type: Text , Conference paper
- Relation: Paper presented at CRLL 4th International Conference: The times they are a-changin': Researching transitions in life long learning, University of Stirling, Scotland : 22nd-24th June 2007
- Full Text: false
- Description: This paper is based primarily on a suite of completed research in Australia into informal learning by older men in community contexts. Based on extensive survey and interviews, this suite forms part of the first prong of a proposed, new international comparative study of older men's(defined as over 45 years) informal learning across countries and cultures. The research into older men's lifelong learning was originally motivated by knowledge of the relatively low proportion of older men involved in adult and community education (ACE) settings in Australia. It was widely believed that older men were not interested and therefore not involved in learning. A number of research projects since 2002 in rural and remote Australian communities sought to look beyond what are conventionally regarded as education providers and closely examine whether and what learning takes place informally by older men who participate in community-based organisations. The research began with studies of men's learning in volunteer rural fire brigades, football and senior citizens clubs, land care as well as adult and community education providers. It led to as study of the learning role and function of rural fire brigades and emergency service organisations in small and remote towns across Australia. The research has most recently focussed on informal learning through men's sheds in community contexts. These workshops specifically for older men have recently sprung up and proliferated across much of southern Australia. What has emerged from the research is a picture of older men with a strong desire to socialise and learn, particularly with other men, in productive, informal contexts, wherever possible outside. Older men's experiences of learning as well as their lives generally have often been adversely affected over a lifetime by negative experiences of formal learning, starting with school. This paper takes what has been learnt from this suite of studies, pulls together some of the common threads, and places the findings against what is known from the wider international research literature about older men's learning. These include an examination of common motivations for older men to learn, common barriers, preferred pedagogies as well as some common valued outcomes. It seeks to determine whether what has been found from this research in Australian community contexts is similar to or different in what has been found other countries and cultural settings. Part of the paper includes consideration of issues associated with men's identities as they age as well as gender issues associated with learning. It also critically examines the role and legitimacy of creating learning spaces and organisations for men and older men in particular.
- Description: 2003007969
- Description: 2003005534
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