Rural Clinical Placements for Medical Students Dr Heledd Iago Ysgol Feddygol Prifysgol Abertawe – Swansea University Medical School

1 375 people doctor Background and context Ranked 27/30 European countries – falling well below the european average of 1 doctor for every 290 people. 1 doctor

Rural Wales

of living and working in Rural and Remote Health in Medical Eduation enhanced opportunities to experience medicine in these areas, gaining increased knowledge and awareness of the needs of Welsh rural populations aims to raise awareness of the benefits and realities of living and working in rural and remote areas

Rural and Remote Health in Medical Eduation RRHiME ’curriculum’ 2 x ‘Learning opportunities in clinical settings’ 2 x Clinical Apprenticeships 1 x Community Based Learning Placement 1 x Yearlong study 1 x Junior Assistantship 2 x Student selected clinical projects Welsh for Medicine Language Course Rural and Remote Health in Medical Eduation

Weighted heavily toward clinical/placement experiences RRHiME ’curriculum’ Weighted heavily toward clinical/placement experiences Rural and Remote Health in Medical Eduation

Rural and Remote Health in Medical Eduation Swansea Graduate Entry Medicine students spend a total of 84 weeks off campus out on clinical placement during their studies

Rural and Remote Health in Medical Eduation RRHiME students preferentially sent to the more rural locations based on ONS urban/rural landscape Rural and Remote Health in Medical Eduation c

Rural and Remote Health in Medical Eduation What characterises a rural placement?

Rural and Remote Health in Medical Eduation Location and/or Experiences Cannot rely on location alone.

Rural and Remote Health in Medical Eduation Core Experiences Based on research by the Mid-Wales Health Care Collaborative * Student-led / staff-supported Broadens placement experiences and outlook on holistic care pathways Optional yet enriching

RRhiME Core Experiences Community Hospitals Role of GP as part of a wider team Cancer care Palliative and end of life care Telemedicine Teleconferencing Paramedic first responders Air ambulance Patient pathway Social/green prescribing Welsh language Rural social activity

E-portfolio Rural and Remote Health in Medical Eduation

Rural and Remote Health in Medical Eduation Diolch / Thank you h.f.iago@swansea.ac.uk