High visibility research
Professional undersupply in rural areas is prevalent worldwide. Particularly among young physicians, reluctance to work in rural areas may be related to limited opportunities for education and participation in cutting-edge clinical practice. Two factors possibly related to an increase are the expansion of research and media coverage, particularly post disaster.
ImplementabilityMedium hard to implement: may take some organizational change to implement.
Obtaining media coverage so that the area becomes known and interesting, particularly during times of crisis. Establishing good relationships with local media outlets and their representatives.
Implementation examples
The Mid North Knowledge Partnership (MNKP) is a research collaboration between universities, community and business. It is hosted by Flinders Rural Health SA, Charles Darwin University and the Mid North community of South Australia.
The MNKP provides opportunities for students and researchers to undertake research placements in rural areas where such opportunities aren’t readily available. It also provides local communities an access point to a university presence. Burra, where the MNKP is located, is two hours’ drive from the nearest University, which can make access for rural and remote students in the local area very difficult.
Success factors
Countermeasures for physician undersupply in rural areas may benefit by including a rigorous research program, and media activities. These opportunities can enhance the education of young physicians, potentially contributing to a more attractive working environment and chances for career growth.
Challenges
- Funding opportunities, particularly in areas that are not affected by disaster or are smaller in size or remotely located.
- The availability of appropriate people to undertake research in the area.
- Appropriate publicity and media presence.
Doctor
Nurse
Making a move to a rural or remote community, relocating and building a life there is a major consideration. Prospective employers want to reach recruits with more than just a job advertisement; it must be easy for target recruits to access any information that would influence them in making this major life decision. Professionals may have families including a spouse who needs to find work, and children requiring education and activities.
Engagement of communities in defining their recruitment and retention strategy is essential to the development of partnerships that will make the entire suite of interventions work. Having communities involved in defining the approach that will be used in their community ensures that solutions are feasible in their specific environment, and that community members are more likely to sustain them.
In rural remote communities, professionals often work in isolation, without access to specialist support that they may have enjoyed in previous urban roles or in their training. Rural and remote health leaders who report that they have overcome challenges in recruitment and retention of professionals typically report that they consider supporting team cohesion to be a major part of their role. They involve their team of professionals in decisions on who to recruit to the team, they create opportunities for their team to socialize and learn together, and offer them some control over their work environments (shift scheduling, strategic planning, creation of leadership roles among professionals, such as regional professional development lead).
Supporting your professional teams to access professional development that is relevant to their rural and remote work environment can be a significant factor in enhancing the quality of services in your community and in retention of employees. A mixture of well designed “at distance or “technology enhanced” education programmes together with some “face-to-face” education and training should be offered.
Developing an academic/training mandate for an organization, and potentially seeking funds to allow professional teams to dedicate time to training the professionals of the future will lead to a strong return on investment. There is a clear and substantial body of evidence which confirms that offering health professional training in rural and remote environments leads to increased retention of those professionals. Furthermore, training and rural and remote environments ensures that professionals have the unique skills that are needed for rural practice.
Mid North Knowledge Partnership - http://www.flinders.edu.au/medicine/sites/furcs/in-the-community/mnkp/
Yamamoto K, Ozaki A, Tanimoto T, Leppold C, Kanazawa Y. Solutions to physician undersupply in rural areas: from the experience of rural Fukushima. Rural and Remote Health(Internet) 2016; 16: 4031. Available: http://www.rrh.org.au/articles/subviewnew.asp?ArticleID=4031