Verby JE Physician Redistribution: A Worldwide Medical Problem, Family Practice 1985; 2:151-158 RPAP may be the only successful program to redistribute physicians, requiring 1) absolute moral and economic support from the people, 2) willingness of medical school faculty 3) volunteer rural physician/faculty, 4) biopsychosocial emphasis in training and problem solving with patients, 5) inclusion of student's spouse and children
Mean gain in confidence scores, all significant by t-test
Area of training |
RPAP |
Control |
Laceration repair |
2.47 |
1.26 |
Vaginal delivery |
2.14 |
.9 |
Pap smear |
.97 |
.45 |
Do complete physical |
.61 |
.16 |
Make diagnostic decision and prescribe treatment |
1.79 |
1.15 |
Stand first call |
2.62 |
1.39 |
Neurological exam |
.92 |
.33 |
Provide continuous care |
2.17 |
1.42 |
Casting, splint |
2.29 |
.39 |
Charge a patient appropriately |
2.21 |
.69 |
Area of skill |
Significantly higher RPAP |
No different |
Higher for control |
Total |
Biologic skills |
26 |
3 |
0 |
29 |
Behavioral skills |
4 |
14 |
0 |
18 |
Professional skills |
3 |
4 |
0 |
7 |