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This Issue in the Journal
Taking the pulse: medical student workforce
intentions and the impact of debt
William R G Perry, Tim J Wilkinson The current New Zealand health workforce faces many
challenges, including a shortage of resident medical officers. This study
explored debt and what factors are important to medical students as they seek to
make their decisions about where they will live, work and train after
graduation. Fifty-two percent of students planned to leave New Zealand soon
after graduation. The average debt was $75,752 which many students thought would
influence career choices. The data will help in New Zealand health workforce
planning.
Programmatic research in medical education: a
national collaboration
Tim J Wilkinson, Jennifer M Weller, Judy McKimm, Barbara J O’Connor, Ralph E Pinnock, Phillippa J Poole, Dale Sheehan, Mike J Tweed, Andy M Wearn Coordinated research into medical education is needed. This
paper summarises a consensus view of priority areas that fit under an
overarching theme of “Growing a professional workforce”. Seven key
areas of activity have been identified: engaging in community and clinical
learning environments; improving recruitment and retention; improving phases of
transition; assessing professional behaviours; promoting quality feedback;
engaging clinical teachers and educational and clinical leadership.
The New Zealand Advanced Choice of Employment (ACE)
Scheme: analysis after 7 years of District Health Board cooperation in a
competitive employment context
Brandon M Adams, Gregory O'Grady, J Richard Pole New Zealand medical students in their 6th (final) year of
study are called trainee interns. Approximately 360 medical students graduate
from New Zealand medical schools each year and compete for jobs as first-year
doctors at 20 district health boards. The ACE (Advance Choice of Employment)
Scheme is a cooperative matching scheme used by the DHBs and job applicants to
administer the complex process of matching employees with employers. The scheme
has been run for 7 years and continues to be successful. There are some
operational areas that continue to need improvement.
The student code: ethical and professional
expectations of medical students at the University of Otago
Lynley C Anderson, Neil J Pickering Medical students at the University of Otago are now required
to sign a ‘student code’ on beginning medical school. This new
requirement has been put in place in response to changes to the medical
curriculum that have resulted in earlier and increased contact with patients,
healthcare staff and the general public, and in order to recognise and formalise
the students’ own learning needs. While a student code can most obviously
be useful for disciplinary and assessment purposes, the authors make a claim for
the code to be used as educational tool to assist students to internalise their
obligations to others. The student code, while having common values espoused in
other extant codes, is framed with the student experience in mind. The authors
discuss the process of development, implementation and proposed review.
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