This article reviews international experiences with innovative rural health placements for medical students and offers recommendations for strengthening South African undergraduate rural health programs. Drawing on literature from 39 training programs and insights from 28 experts, it identifies various models of rural placements, from limited exposure to full immersion. Key factors for success include faculty champions, preferential selection of rural students, integration within a broader curriculum, creation of rural training centers, mentorship, community involvement, and local adaptation. Common challenges are student selection, negative attitudes, staff shortages, isolation, and evaluation difficulties. The article concludes with recommendations for expanding rural placements, including starting small, creating voluntary tracks, preferential admissions, establishing training centers, community collaboration, and evaluating outcomes.
- April 9, 2016
- J E Doherty; I Couper
- Article