D.K. Kaye, A. Mwanika, N. Sewankambo
Rural and Remote Health, 2010
"The global human resources crisis in the rural health sector is characterized by an unwillingness or inability of health workers to locate to a rural area, and/or function effectively there. To assist in addressing this issue in Uganda, Makerere University Faculty of Medicine designed and implemeted a problem-based learning (PBL) curriculum in which health students underwent experiential training on community placements. This study sought to assess the influence of this training experience on students' willingness, readiness, and competence to work in rural health facilities by sruveying 60 recent graduates of Makerere University Faculty of Medicine, who completed their studies during the transition from traditional to PBL curriculum. The community based training experience of graduates significantly influenced their choice to work in a rural and underserved area og Uganda, compared with their counterparts from the traditional curriculum. In addition, PBL/community based curriculum graduates showed greater motivation to take up employment in a rural area, and confidence about practicing there effectively. While personal values may impact on a decision to work in a rural area, training experience also shapes these personal values and choices."