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A Post-Fellowship Support Framework for Rural Doctors: the Queensland experience.
Dilip Dhupelia1, Ansmarie Van Erp1, James Collins1
1Darling Downs Health, Queensland Country Practice, Brisbane, QLD, 4001, Australia.
Developing a post-Fellowship support framework is crucial for retaining rural doctors. This study identified ten guiding principles to build a sustainable rural medical workforce and address community needs.
Area of Science:
- Medical Education
- Rural Health Workforce
- Health Services Research
Background:
- International rural doctor shortages necessitate retention strategies.
- Australia's National Rural Generalist Pathway aims to address these shortages.
- Less focus has been placed on post-Fellowship support for rural doctors.
Purpose of the Study:
- To explore rural doctors' post-Fellowship support needs.
- To develop and validate a post-Fellowship support framework for rural doctors.
- To inform retention strategies for a sustainable rural medical workforce.
Main Methods:
- Literature and policy review of rural workforce and medical education.
- Mixed-methods approach including interviews with rural doctors, administrators, and clinicians.
- Thematic analysis of qualitative data from interviews.
Main Results:
- Ten interconnected guiding principles for post-Fellowship support were validated.
- A grounded, contextually relevant framework for rural doctor support was developed.
- Four key themes emerged: primary/secondary care connection, valuing rural careers, training support, and valuing rural general practice.
Conclusions:
- The developed framework serves as a blueprint for rural doctor retention strategies.
- Addressing the identified themes can enhance the sustainability of the rural medical workforce.
- Engagement with stakeholders is essential for developing effective support and retention strategies.
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