The impact of socially-accountable, community-engaged medical education on graduates in the Central Philippines: implications for the global rural medical workforce
Siega-Sur, J.L., Woolley, T., Ross, S.J., Reeve, C., and Neusy, A-J. (2017) The impact of socially-accountable, community-engaged medical education on graduates in the Central Philippines: implications for the global rural medical workforce. Medical Teacher, 39 (10). pp. 1084-1091.
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Abstract
Introduction: Developing and retaining a high quality medical workforce, especially within low-resource countries has been a world-wide challenge exacerbated by a lack of medical schools, the maldistribution of doctors towards urban practice, health system inequities, and training doctors in tertiary centers rather than in rural communities.
Aim: To describe the impact of socially-accountable health professional education on graduates; specifically: their motivation towards community-based service, preparation for addressing local priority health issues, career choices, and practice location.
Methods: Cross-sectional survey of graduates from two medical schools in the Philippines: the University of Manila-School of Health Sciences (SHS-Palo) and a medical school with a more conventional curriculum.
Results: SHS-Palo graduates had significantly (p < 0.05) more positive attitudes to community service. SHS-Palo graduates were also more likely to work in rural and remote areas (p < 0.001) either at district or provincial hospitals (p = 0.032) or in rural government health services (p < 0.001) as Municipal or Public Health Officers (p < 0.001). Graduates also stayed longer in both their first medical position (p = 0.028) and their current position (p < 0.001).
Conclusions: SHS-Palo medical graduates fulfilled a key aim of their socially-accountable institution to develop a health professional workforce willing and able, and have a commitment to work in underserved rural communties.
| Item ID: | 49751 |
|---|---|
| Item Type: | Article (Research - C1) |
| ISSN: | 1466-187X |
| Additional Information: | © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. |
| Funders: | Atlantic Philanthopies, Training for Health Equity Network (THEnet) |
| Projects and Grants: | THEnet grant number 0003 |
| Date Deposited: | 01 Aug 2017 02:18 |
| FoR Codes: | 42 HEALTH SCIENCES > 4203 Health services and systems > 420305 Health and community services @ 50% 42 HEALTH SCIENCES > 4206 Public health > 420699 Public health not elsewhere classified @ 50% |
| SEO Codes: | 92 HEALTH > 9202 Health and Support Services > 920206 Health Policy Economic Outcomes @ 33% 92 HEALTH > 9202 Health and Support Services > 920208 Health Inequalities @ 33% 92 HEALTH > 9202 Health and Support Services > 920204 Evaluation of Health Outcomes @ 34% |
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