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Routes to Rural Readiness: Enhancing Clinical Training Experiences for Physician Assistants.

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The Journal of Physician Assistant Education : the Official Journal of the Physician Assistant Education Association
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Summary
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Rurally oriented physician assistant (PA) programs face challenges like student housing and competition for training slots. Successful rural clinical training requires enthusiastic students and supportive preceptors who understand rural communities.

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Area of Science:

  • Medical Education
  • Rural Health
  • Physician Assistant Studies

Background:

  • Rural areas face healthcare provider shortages.
  • Physician Assistant (PA) programs are crucial for training healthcare professionals for diverse settings.
  • Understanding the nuances of rural clinical training is essential for PA education.

Purpose of the Study:

  • To describe the practices and experiences of rurally oriented physician assistant (PA) training programs.
  • To identify facilitators and barriers in providing rural clinical training to PA students.
  • To explore the perspectives of PA program directors and rural clinical preceptors.

Main Methods:

  • Survey of 178 PA program directors (PDs) regarding program characteristics and rural training.
  • Interviews with 13 PDs from rurally oriented programs.
  • Interviews with 13 rural clinical preceptors (CPs).
  • Content analysis to identify key themes.

Main Results:

  • 61% of responding PA programs were rurally oriented, actively recruiting rural students and addressing rural issues.
  • Successful rural training depends on supportive preceptors who enjoy teaching and fostering student understanding of rural communities.
  • Enthusiastic students with a genuine interest in rural practice are key to successful training.
  • Systemic barriers include student housing, decreased productivity, competition for training slots, and administrative burden.

Conclusions:

  • PA students can enhance their rural clinical experiences by actively engaging in rotations and demonstrating community interest.
  • Key systemic challenges to increasing PA rural clinical training include student housing, competition for slots, and lack of financial incentives.
  • Addressing these barriers is vital for sustaining and expanding rural PA training opportunities.