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The impact of rural rotations on urban based postgraduate learners: A literature review

机译：农村轮落对城市研究生学习者的影响：文献综述

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Background/Objective: The rural physician shortage remains an international crisis. Rural rotations are commonly used to address the issue. This review assesses the published evidence of the impact of rural rotations on urban-based postgraduate learners. Methods: The OVID Medline database was searched for eligible articles published in peer-reviewed academic journals between 1980 and 2017. Data were extracted and analyzed to draw inferences about the impact of rural rotations on urban-based postgraduate learners. The methodological quality of included articles was assessed with the Medical Education Research Study Quality Instrument (MERSQI). Results: The search identified 301 articles; 19 studies met inclusion criteria (mean MERSQI score 11.95). Of the various rural rotation characteristics reported, duration was most consistently associated with the eventual rural practice. No consensus of impact was found for other characteristics. Our review provided indications of the cumulative effect of the postgraduate rural rotation, rural origin, and rural intent on rural practice decisions. Conclusions: The importance of rural rotations during urban postgraduate training for the outcome of rural practice is apparent. However, the reliance of medical educational systems on the rural rotation, specifically duration, does not accurately reflect the complexity of the choice to practice in a rural community.
机译：背景/目的：农村医师短缺仍然是国际危机。农村旋转通常用于解决问题。该审查评估了农村轮换对城市研究生学习者影响的公布证据。方法：搜索了Ovid Medline数据库，以1980年至2017年间的同行评审学期刊出版的符合条件的文章。提取并分析数据，以利用农村轮换对城市研究生学习者的影响。随着医学教育研究质量工具（MERSQI）评估了包括文章的方法论质量。结果：搜索已确定301篇文章; 19研究符合纳入标准（平均分数11.95分）。在报告的各种农村旋转特征中，持续时间与最终的农村惯例最持续。没有发现对其他特征的影响共识。我们的审查提供了研究生农村轮换，农村和农村意图对农村实践决策的累积效力的迹象。结论：农村实践结果城市研究生培训期间农村轮流的重要性是明显的。然而，医学教育系统对农村旋转，特别是持续时间的依赖，并不能准确地反映出在农村社区实践的复杂性。

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