Rural Remote Health
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Rural Remote Health · Oct 2007
Clinical skills day: preparing third year medical students for their rural rotation.
In order to prepare third year medical students in the Rural Physician Associate Program for a nine-month community-based continuity care experience in rural Minnesota, USA, a clinical skills day that featured human patient simulators and standardized patients was developed. Patients presenting with common urgent and routine primary-care problems were developed and presented using the objective structured clinical examination for teaching. The goals of the day were to: (1) distinguish urgent from non-urgent clinical presentation; (2) use clinical guidelines for making decisions; (3) communicate effectively in stressful situations; and (4) uncover a significant clinical issue with a different presenting complaint. ⋯ Both students and faculty were enthusiastic about this 'hands on' team learning format, which provided students with opportunities to begin to understand the complex skills that they will need before they learn them step-by-step.
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Rural Remote Health · Oct 2007
ReviewRetrospective bibliometric review of rural health research: Australia's contribution and other trends.
The health of half of the world's 6 billion people and of the 6 million Australians living in rural and remote communities is demonstrably poorer than that of their metropolitan counterparts. As the existence of the discrete specialty of rural health (RH) is gaining acceptability worldwide, publications about RH issues are increasing in prevalence. We undertook a bibliometric analysis of Australian rural research trends and compared these with international RH research output, and analyzed how Australian RH research has been addressing the National Health Priority Areas (NHPAs) during this period. ⋯ Australia's contribution to the international RH literature is increasing, both in terms of the relative numerical contribution and the prominence of selected Australian journals as the destination for articles on RH topics. Of dedicated RH journals, AJRH is now almost as frequently used by authors as JRH. However the general journals Lancet, BMJ and MJA were also among the most frequent publishers of RH articles. Telemedicine and general practice journals (Australian Family Physician & Canadian Family Physician) were also among the top journals that published RH articles, which highlights the increasingly prominent role played by information and communication technologies in the delivery of rural health care in general practice settings. The most frequent NHPA addressed by the RH publications in Australia was mental health. However only approximately 1% of total Australian health publications from 1990 to 2005 addressed RH. There is still a pressing need for more RH research, particularly in health priority areas.
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Rural Remote Health · Oct 2007
Engaging rural communities in health care through a paramedic expanded scope of practice.
This article explores how community engagement by paramedics in an expanded scope role contributes to both primary health care and to an overall improved emergency response capacity in rural communities. Understanding how expanded scope paramedics (ESP) can strengthen community healthcare collaborations is an important need in rural areas where low workforce numbers necessitate innovation. ⋯ ESP in rural locations can improve health care beyond direct clinical skill by active community engagement that expands the capacity of other community members and strengthens links between services and communities. As health services look to gain maximum efficiency from the health workforce, understanding the intensification of effort that can be gained from practitioner and community coalitions provides important future directions.