Student selection |
Nativity |
Rural student are more likely to go back to their village |
Rural population accept incomer GPs more than aborigine ones |
Gender |
High cost of women physician in rural areas |
Lack of women’s tendency for working in rural settings |
Women’s dependency on their husbands |
Residency |
Unfamiliarity of urban students with rural settings |
Inability of urban student for communication with rural population |
Socioeconomic status of selected students |
Medical Students are mainly selected from wealthy families |
Rural settings have no welfare motivation for welfare-experienced GPs |
Medical students’ perception about their field of study |
Medical students expectations |
Misconception about working conditions of GPs in the future |
Lack of exposure with rural patients during education |
Misconception about working in rural and underserved areas |
Tendency to welfare among medical students |
Tendency toward attending in specialization courses |
Much income difference between specialized physicians and GPs |
Ambiguity about GPs role in health system |
GPs pay attention to higher degrees entrance exam instead of working and communicating in rural areas |
Higher degrees entrance exam focuses on complicated diseases instead of rural and health courses |
Education setting and approach |
Instructors and faculty members |
Most instructors does not have rural working experience |
Lack of emphasis on ethical issues by instructors |
Education place |
Education in big cities |
Education in cities with different culture |
Hospital oriented medical education |
Medical students should handle patients in specialized hospitals |
Medical students face with complicated patients in hospitals |
Medical students work on second and third hand patients, not outpatient in their apprenticeship courses |
Curriculum of medical education |
Skills needed for rural practice |
Unfamiliarity of graduated GPs with Family Physician Plan |
Lack of patient management skills education |
Rural apprenticeship does not prepare GPs for rural practice |
Medical students are not faced with rural patients and not aware of their needs |
Negligence of health related courses |
GPs’ health role is neglected in education while in rural settings it is more important than their therapeutic role |
Lack of education about common diseases in rural areas |
Lack of education about health indices and indicators |
Management and leadership skills |
GPs in rural settings are the manager of health team |
GPs need meeting skills |
GPs are health coordinator and need coordination skills |
GPs need resource management skills |
GPs need advocacy skills |
Communication skills |
Patient trust in physicians needs good communication skills |
Skills for communication with rural settings is needed |
Lack of education about types of patient in rural areas |
Lack of education about communication with rural people and patients |
Medical ethics |
Lack of sense of belonging and commitment toward providing services to rural population |
Low morale in medical students |
Negligence of values of working for deprived population |
Not serious education of medical ethics |