How should we train physicians for remote and rural practice? What the present incumbents say.
OBJECTIVE
To obtain the views of the current remote and rural consultant physicians with regards to their opinion on components of an ideal training programme for an aspirant remote and rural physician.


METHODS
A questionnaire was designed to elicit information in three main areas: experience and training prior to appointment, current pattern of service provision and opinions on components of an ideal training programme for remote and rural physicians.


METHODS
Five Scottish rural hospitals in Shetland, Wick, Stornoway, Fort William and Oban.


METHODS
Thirteen consultant physicians based in the five rural hospitals chosen.


RESULTS
The response rate to the questionnaire was 85%. All had previous experience in acute general medicine, and most in one of a variety of subspecialties. Each physician had developed interests and skills in other branches of medicine following appointment in order to meet local service needs. Most felt that there was a need for expansion of consultant numbers in the future, 45% citing the European Working Time Directive as the major reason. There was an encouraging degree of commonality between the current consultants as to what they felt should be included in a training programme for remote and rural physicians.


CONCLUSIONS
There are challenges in meeting training needs for consultant physicians intending to work in a remote setting. Development of broader-based training than offered by most current dual training programmes is essential. Only imaginative approaches to training will produce physicians who are fit for purpose.
Department of General Medicine, Grampian University Hospitals Trust, Aberdeen.
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P
Wilson
K C
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McHardy
D001291:Attitude of Health Personnel; D004504:Education, Medical, Undergraduate; D006780:Hospitals, Rural; D006801:Humans; D012423:Rural Health; D012606:Scotland; D011795:Surveys and Questionnaires