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首页> 外文期刊>International Journal of Environmental Research and Public Health >Increasing Rural Recruitment and Retention through Rural Exposure during Undergraduate Training: An Integrative Review
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Increasing Rural Recruitment and Retention through Rural Exposure during Undergraduate Training: An Integrative Review

机译：在本科培训期间通过农村曝光增加农村招聘和保留：一项综合审查

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Objectives: Ensuring nationwide access to medical care challenges health systems worldwide. Rural exposure during undergraduate medical training is promising as a means for overcoming the shortage of physicians outside urban areas, but the effectiveness is widely unknown. This integrative review assesses the effects of rural placements during undergraduate medical training on graduates’ likelihood to take up rural practice. Methods: The paper presents the results of a longitudinal review of the literature published in PubMed, Embase, Google Scholar and elsewhere on the measurable effects of rural placements and internships during medical training on the number of graduates in rural practice. Results: The combined database and hand search identified 38 suitable primary studies with rather heterogeneous interventions, endpoints and results, mostly cross-sectional and control studies. The analysis of the existing evidence exhibited predominantly positive but rather weak correlations between rural placements during undergraduate medical training and later rural practice. Beyond the initial scope, the review underpinned rural upbringing to be the strongest predictor for rural practice. Conclusions: This review confirms that rural exposure during undergraduate medical training to contributes to recruitment and retention in nonurban settings. It can play a role within a broader strategy for overcoming the shortage of rural practitioners. Rural placements during medical education turned out to be particularly effective for rural-entry students. Given the increasing funding being directed towards medical schools to produce graduates that will work rurally, more robust high-quality research is needed.
机译：目标：确保全国范围内的医疗服务挑战卫生系统。本科医疗培训期间的农村曝光是克服城市外部医生短缺的手段，但有效性是广泛的未知。这种综合评论评估了农村展示在本科医学培训期间对毕业生的可能性造成农村惯例的影响。方法：本文介绍了在农村实践中毕业生毕业生数量的医学培训期间发表于PubMed，Embase，Google Scholar和其他地方的文学纵向审查结果。结果：组合的数据库和手动搜索确定了38种适当的初级研究，具有相当异质的干预，终点和结果，主要是横截面和对照研究。对现有证据的分析主要呈积极，而且在本科医学培训和后期农村惯例期间的农村展示率之间的相关性。除了初步范围之外，审查是农村成长为农村惯例的最强预测因素。结论：本综述确认本科医疗培训期间的农村风险有助于招聘和保留在非城环境中。它可以在更广泛的策略中发挥作用，克服农村从业者的短缺。医学教育中的农村展示会对农村学生特别有效。鉴于向医学院指导越来越多的资金来生产毕业生，需要更加努力，需要更强大的高质量研究。

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