Undergraduate education in rural primary health care: evaluation of a first-year field attachment programme

In an effort to evaluate the first part of the rural field attachment programme at the University of Zimbabwe Medical School, a self-assessment questionnaire was administered to the first-year students. Assessment criteria were derived from the stated aims of the school's new undergraduate medical curriculum. The results indicate that students view the programme as relevant and of value of their training as future doctors, even though they were dissatisfied with aspects of the programme. There was some evidence that more emphasis should be placed on the limitations on what doctors can do to solve the health problems of rural Zimbabweans. Contrary to previous opinions of some individuals, students whose homes are in rural areas benefited from the programme and found it of value. Better orientation and selection of supervisors would benefit the programme. Recommendations for field attachment programmes are made based on the findings.