The Parallel Rural Community Curriculum: an integrated clinical curriculum based in rural general practice

Paul Worley, Chris Silagy, David Prideaux, David Newble, Alison Jones

    Research output: Contribution to journalArticle

    139 Citations (Scopus)

    Abstract

    Introduction
    In an attempt to address the rural medical workforce maldistribution and the concurrent inappropriate caseload at the urban tertiary teaching hospitals, Flinders University and the Riverland Division of General Practice decided to pilot, in 1997, an entire year of undergraduate clinical curriculum in Australian rural general practice. This program is called the Parallel Rural Community Curriculum (PRCC). This paper is a discussion of the aims of the programme; student selection; practice recruitment; curriculum structure, and academic content, together with lessons learnt from the evaluation of the first cohort of students’ experience of the course.

    Methods
    Independent external evaluators undertook a thematic analysis of a series of structured interviews of students and faculty involved in both the PRCC and the traditional curriculum. The mean examination results were determined and a rank order comparison of student academic performance was undertaken.

    Results
    The eight selected volunteer students reported greater access to patients and clinical learning opportunities than their mainstream counterparts and learned clinical decision making in the context of the whole patient, their family, and the available community resources. They identified patients with ‘core’ clinical conditions and had a longitudinal exposure to common diseases, whereas hospital‐based peers had a cross‐sectional exposure to highly filtered illness. The PRCC students’ academic performance improved in comparison with that of their tertiary hospital peers’ and in comparison to their own results in previous years.

    Conclusion
    The PRCC curriculum has cut across the traditional clinical discipline boundaries by teaching in an integrated way in rural general practice. It has affirmed the potential role of true generalist physicians in undergraduate medical education.
    Original languageEnglish
    Pages (from-to)558-565
    Number of pages8
    JournalMedical Education
    Volume34
    Issue number7
    DOIs
    Publication statusPublished - Jul 2000

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