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This article explores strategies to address the shortage of doctors in rural and remote areas of Wales, with a focus on the College of Medicine at Swansea University. It discusses the benefits of the Graduate Entry Medicine program and the importance of integrating rural health education into the curriculum. The article also highlights the role of the Welsh language in medical education and its impact on patient care.
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Enhancing medical students’ employment prospects in rural and remote Wales
Shortage of Doctors in Wales
Shortage of Doctors in RURAL Wales
Low foundation years application rate
College of Medicine Swansea University • Celebrating its 10th anniversary 2014 • Graduate Entry Medicine • First graduates completing their degrees this summer. • St. David’s flag is the basis of the logo – emphasising the welsh roots and foundations of the College of Medicine
Graduate Entry Medicine Swansea University • Situated in the Clinical Setting • Student-driven • Spiral • Simulating Clinical Practice • Small • Serving the needs of patients • and the public
Graduate Entry Medicine Swansea University • Learning weeks – University based with clinical teaching • Apprenticeships - learn the ‘practice of medicine’ • Specialty Attachments - specialty based
Graduate Entry Medicine Swansea University • Hospitals • Abertawe • Singleton • Morriston • CefnCoed • Neath Port Talbot • Caerfyrddin • Aberystwyth • Llanelli • Haverfordwest • GP Surgeries • All over!
Rural health in medical education in Wales
Rural health in medical education in Wales...recommendations • ...Rural Medicine forming part of the medical undergraduate curriculum and the foundation programme... • ...recommend the locating of careers and training posts, for medical students and post-graduate levels, in rural areas... • ...the location of career posts has a significant impact on where doctors choose to live...and the location of professional development services and career posts in rural areas would permit a tailoring of workforce skills that matches local needs...
Rural and Remote Health in Medical Education - RRHIME The RRHIME Track aims to increase the numbers of students and doctors practising in rural Wales and raise awareness amongst the GEM students of the benefits and realities of living and working in rural and remote areas. Research indicates that early and deep (‘immersive’) experience of rural healthcare by medical students and trainee doctors may facilitate their retention in the rural environment.
Rural and Remote Health in Medical Education - RRHIME • Curriculum Elements contributing to RRHIME • All elements of education • prolonged immersion • student choice • 30% of the curriculum • Outcomes are identical to non-RRHIME curriculum
Welsh Language in Medical Education - Why? • Health • More than Just Words: Strategic Framework for Welsh Language Services (2011) • response to Frances Report (2013) • NHS’ commitment (2011) to develop Welsh language services • Education • Enhanced opportunities for students to study through the medium of Welsh through the Welsh Government Vision for HE (2009) • CCC funding support for developing Welsh medium higher education
Welsh Language in Medical Education - Why? “It is important for people working in health, social service and social care to recognise that many people can only communicate their care needs effectively through the medium of Welsh. For many Welsh speakers, being able to use your own language has to be seen as a core component of care, not an optional extra.” (More than Words, Welsh Assembly Government, 2012).
Welsh Language in Medical Education - Swansea • Curriculum-embedded • Welsh medium interviews • Personal tutorials • placement opportunities • LOCS, LORS, CBL, Apprenticeships, Speciality Attachments • Assessments • Building into the academic framework • Patient facing information for student projects • Extra Curricular • Welsh language for medicine course • grant awarded to develop interactive resources • Swansea Medical Society
Welsh Language in Medical Education - Benefits? • Increased awareness of Welsh-language needs in the health service • Confident in using Welsh in a professional and clinical setting • Gain knowledge in understanding the linguistic barriers encountered in the healthcare service.
Impact? Percentage of Swansea Medical Graduates staying in Wales for Foundation Training
Thank you I am more than happy to answer any questions. h.f.iago@swansea.ac.uk 07712641447