The Rural Clinical School of Western Australia Larger and smaller sites in The Rural Clinical School...
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The Rural Clinical School of Western Australia Larger and smaller sites in The Rural Clinical School of Western Australia: benefits and down sides Harriet Denz-Penhey Senior Research Fellow
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Transcript of The Rural Clinical School of Western Australia Larger and smaller sites in The Rural Clinical School...
The Rural Clinical School
of Western Australia
Larger and smaller sites in The Rural Clinical School of Western
Australia: benefits and down sides
Harriet Denz-Penhey
Senior Research Fellow
The Rural Clinical School
of Western Australia
History
• Operating since 2003
• 6 cohorts
• Now 68 students
• 2 universities
• UWA undergraduate : UNDA graduate
The Rural Clinical School
of Western Australia
Major concerns
• Is it possible to educate students in remote places to metropolitan standards?
• What are the students’ subjective experiences?
The Rural Clinical School
of Western Australia
Evaluation
• Close relationships with local coordinator
• Comparison of RCS & metro end of year results
• Mid year evaluation: interview 2003-7
• DREEM: 2007-8
The Rural Clinical School
of Western Australia
Quantitative Comparison
• Dependent Variable: End of year marks • Metropolitan students 71.0• RCS Large sites (Pop >25,000) 72.3• RCS Small sites (pop < 25000) 72.4• Statistically significant between Metro &
RCS (p <.03 lge, p<.04 sm)
The Rural Clinical School
of Western Australia
Qualitative
• Strong identification with their own sites
• Indications that students at small sites were more enthusiastic than larger sites even when teaching conditions less than ideal
The Rural Clinical School
of Western Australia
DREEM QuestionnaireDundee Ready Education Environment
Measure
• Internationally validated & accepted
• Identified all the site issues known through the qualitative interviews
The Rural Clinical School
of Western Australia
DREEM QuestionnaireDundee Ready Education Environment
Measure• Highest scores in literature: 139
• RCS overall mean score: 150.0• Small sites mean score: 159.1• Larger sites mean score: 147.1
The Rural Clinical School
of Western Australia
Larger sites Smaller sites• Student perception learning 34.6 39.5• Student perception teaching 34.0 34.9• Student academic self perception 21.1 23.3• Student perception of atmosphere 37.0 38.3• Student social perception 20.5 21.8
The Rural Clinical School
of Western Australia
Larger Sites
• Rotational clinical exp• Similar to metro exp• More specialists• More specialist
teachers• Structure
Smaller Sites
• Clinically see what comes through door
• Generalist taught• Access to all the odd,
different, & technically challenging cases
• Flexibility
The Rural Clinical School
of Western Australia
Students sent to small remote sites
• With good systems & support
• Are not disadvantaged– End of year results– Subjective experience
