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Community-based learning enhances doctor retention.
Pairoj Boonluksiri1, Hathaitip Tumviriyakul1, Rajin Arora2
1Hatyai Medical Education Center, Songkhla, Thailand.
Education for Health (Abingdon, England)
|December 12, 2018
Summary
Community-based learning (CBL) can improve rural doctor retention. Longer CBL contact time and rural background recruitment are associated with better retention rates in the government health-care system.
Area of Science:
- Medical Education
- Rural Health Policy
- Physician Workforce Studies
Background:
- Addressing the persistent rural doctor shortage requires effective strategies.
- Factors influencing doctor retention include professional and personal circumstances.
- Community-based learning (CBL) is recommended by the WHO to improve retention.
Purpose of the Study:
- To determine the association between the duration of Community-based learning (CBL) contact time and the retention of doctors with rural backgrounds.
- To evaluate the impact of CBL on physician distribution in rural and remote areas.
Main Methods:
- A cohort study of 10,018 doctors graduated between 2001 and 2010.
- Analysis of retention rates in the government health-care system over four years.
- Calculation of CBL contact time as a proportion of total curricular credit hours and logistic regression analysis.
Main Results:
- Overall retention rate was 57.6% (5774 doctors).
- Doctors recruited from rural backgrounds (CPIRD) showed significantly higher retention (72.1%) compared to the normal track (53.8%).
- Community-based learning (CBL) and geographic location were significantly associated with retention.
Conclusions:
- Community-based learning (CBL) can enhance doctor retention, particularly when incorporating meaningful rural experiences.
- Strategies focusing on rural exposure within CBL, graduate entry programs, and considering workplace location are crucial for improving physician distribution.
- Further integration of service and community engagement in medical education can bolster rural healthcare workforce stability.
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