TAILIEUCHUNG - The Future of Family Medicine and Implications for Rural Primary Care Physician Supply

Williams and Wessel (2004) studied weekly reflective journal entries of 48 physical therapy students, using five levels of reflection (Williams et al. 2000). The five levels, from the least to the most analytic, and the number of students who achieved each were: ‘describes learning’ and ‘analyses learning’ (both 100%); ‘verifies learning’ (96%); ‘gains a new understanding’ (66%); and, ‘indicates future behaviour’ (25%). The studies of students involve larger numbers of participants, and over several pro- fessions and levels of learners. As with practitioners, students demonstrated different orientations to reflection and different levels of reflective thinking; similarly, the deeper reflective levels appeared most difficult to achieve. The observations made. | Final Report 125 The Future of Family Medicine and Implications for Rural Primary Care Physician Supply August by Roger A. Rosenblatt MD MPH Frederick M. Chen MD MPH Denise M. Lishner MSW Mark P. Doescher MD MSPH This study was supported through the WWAMI Rural Health Research Center with funding from the federal Office of Rural Health Policy Health Resources and Services Administration Public Health Service Grant 6U1CRH03712-02 . I RURAL HEALTH RESEARCH CENTER UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE DEPARTMENT OF FAMILY MEDICINE CONTENTS Executive Summary 3 Findings Results 6 Introduction Family Medicine Conclusions 16 and Rural Health 5 References 16 Methods 5 ABOUT THE CENTER The WWAMI Rural Health Research Center RHRC is one of six centers supported by the Federal Office of Rural Health Policy FORHP a component of the Health Resources and Services Administration HRSA of the . Public Health Service. The major focus of the RHRC is to perform policy-oriented research on issues related to rural health care and the rural health professional workforce. Specific interests of the RHRC include the adequacy of the supply and education of rural health care professionals and the availability and quality of health care for rural populations with particular emphasis on access to high-quality care for vulnerable and minority rural populations. The WWAMI Rural Health Research Center is based in the Department of Family Medicine at the University of Washington School of Medicine and has close working relationships with the WWAMI Center for Health Workforce Studies state offices of rural health and the other health science schools at the University as well as with other major universities in the five WWAMI states Washington Wyoming Alaska Montana and Idaho. The University of Washington has over 30 years of experience as part of a decentralized educational research and service consortium involving the WWAMI states and the activities of the RHRC are particularly focused on

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