How Can We Choose Students from Rural Area B.Warachit, S.Yudthasompop, P.Ratanachai, P.Boonluksiri, A.Khaimook et.al.1 1 K Chamniprasart, A. Wichayanond2 The Collaborative Project to Increase Production of Rural Doctors, Hatyai Medical Education Center 2 Faculty of Medicine, Prince of Songkla University, Thailand Email : email@example.com Most medical students in Thailand had their Results hometown in capital or big city, so they did not want 150 school students were enrolled and 73 to work in rural area especially in a sensitive and students were selected. T score was calculated in cultural diversity area. High school students from rural order to adjust into standard score. area rarely had a seat in Faculty of Medicine because Total scores of those who passed were of conventional selection method using national statistically significant higher than those who were examination test and short interview. However , local not passed. recruitment faced the problem of lower national Figure 1 Comparison the mean scores between examination scores than normal track leading to selected and non selected students dropping out because of inability to learn or dislike this profession. 54 52.67 52 We believe that students from rural area 50 48 with high performance in learning, communication and 45.35 professional attitude can be trained to be a good 46 45.35 44 doctor. 42 p<0.01 40 Objective s el ect ed non s el ect ed Using Pearson correlation, there is To determine competency of selected students correlation in four selection methods significantly using new selection method. ( r = 0.23 0.47, all p value < 0.01) The selected students had higher ability than non selected in three methods except ward Methodology working as shown in Table 1. Despite ward working had lowest odds ratio , we will go on using this High school students from rural area had to method because the dislike can be screened. join four main methods of selection to test student competency including learning skills, working in wards, Table 1 Comparison of four selection methods interview with patients and interview by committees. between selected and non selected students using multiple logistic regression. 150 students from rural area joined 5 days Selection method O.R. S.E. 95% C.I. p Value activities of selection. Learning skill 1.09 0.04 1.02 1.16 < 0.001 Ratio of selected students were 1:2 in Interview with patient 1.15 0.05 1.06 1.25 < 0.001 2002 - 2003 and 1:1.5 in 2004 and 2005. Working in wards 1.05 0.04 0.99 1.13 0.124 Interview by committee 1.20 0.06 1.10 1.32 < 0.000 Selection methods Competency Testing What we do Learning skills intellectual, knowledge and self- directed Listening, answering question, reading article, Conclusion learning, critical data interpretation appraisal skill Following our policy “local recruitment, local Working in wards professional attitude, Student from the same communication skill, province working in training in community and hometown placement ”, work as part of a team. the same wards we had to choose the students who are competent to solve inability of learning and catch up with Interview with communication skill, Students interviewed with medical students in normal track who had higher patients problem solving skill patient and were observed by two assessors. national examination scores. This selection method has to improved in ward working assessment and Interview by personality, Student was interview by has to evaluate further for outcome of student committee communication skill, two committees, the selection when they go back to work in their ethics, professional committees were trained attitude before interviewing. hometown.
Pages to are hidden for
"Poster for a4"Please download to view full document