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This study found that students from non-rural backgrounds have a greater positive change in their intention to practice rurally as an effect of longer term rural placements when compared with students from rural backgrounds.
Looking at Ecuador's program, it seems likely that the rural placements encourage at least some physicians to stay in rural medicine, but increased administrative and academic support of the program is certainly needed.
Or, do we improve the rural placements for specialists in family medicine with these training?
Thus there is a need to consider the reasons for providers' disfavoring rural placements.
Indeed, this may be a further reason that rural placements were so disliked [ 54].
There are several educational benefits of rural placements for health professional training.
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The Interdisciplinary Rural Placement Program involved the development, implementation and evaluation of a common rural primary health care module.
Strategies to increase students' perceptions of competence and confidence to undertake a rural placement are likely to increase students' selection to 'go rural'.
The results suggest that the selection of a rural placement is more likely to occur when students feel competent, confident and organised about their clinical experience.
One-third of the students who chose a rural placement had no previous experience of a rural lifestyle and over half of these students indicated their intention to work in a rural setting following their clinical placement These results support the theory that undergraduate rural clinical experience can have a positive influence on the recruitment of health professionals to rural areas.
Those undertaking a rural placement, compared with no rural placement, or a long rural placement compared to a short rural placement, were more likely to undertake a rural internship [ 27, 62, 65, 69].
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