Evaluation of a pre-professional pathway program: perspectives of former students in the rural pre-medicine program at Selkirk College





Background: Having a rural background is one of the most predictive factors in eventually having a rural practice, but people from rural areas face several barriers to post-secondary education. Pre-professional rural pathway initiatives are a potential solution. The Rural Pre-Medicine Program (RPM) at Selkirk College, British Columbia was developed to provide students with the credits necessary to apply to medicine and other health professional programs, an introduction to rural healthcare issues, and a unique and comprehensive support program to enable success.

Methods: We administered a cross-sectional survey to former students who left the program from its inception in September 2014 to May 2020 to explore the extent to which program aims are being met.

Results: The response rate was 49.4% (40/81). Respondents agreed the program increased their skills, their understanding of rural healthcare issues, and enhanced their competitiveness for applying to health professional programs. Most agreed the program increased their future rural work intentions. Respondents suggested that academic programming be more flexible to allow for more varied post-program pathways.

Conclusion: This survey provides preliminary evidence the RPM Program is on track to increase the number of people with a rural affinity who prepare to become health professionals.


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Ogden J, Preston S, Partanen RL, Ostini R, Coxeter P. Recruiting and retaining general practitioners in rural practice: systematic review and meta‐analysis of rural pipeline effects. Med J Aust. 2020; 213(5):228–36. https://doi.org/10.5694/mja2.50697. DOI: https://doi.org/10.5694/mja2.50697

Asghari S, Kirkland M, Blackmore J, et al. A systematic review of reviews: recruitment and retention of rural family physicians. Can J Rural Med. 2020;25(1):20-30. https://doi.org/10.4103/CJRM.CJRM_4_19. DOI: https://doi.org/10.4103/CJRM.CJRM_4_19

Rourke J. Strategies to increase the enrolment of students of rural origin in medical school: recommendations from the Society of Rural Physicians of Canada. Can Med Assoc J. 2005; 172(1):62–5. DOI: https://doi.org/10.1503/cmaj.1040879

Whalen D, Harris C, Harty C, Green A., Faour E., Thomson K, Ravalia M. Should I apply to medical school? High school students and barriers to application. Canadian Journal of Rural Medicine. Can J Rural Med. 2016; 21(2):46-50. PMID: 26986684.

McEwen S, Larsen T, Lund E, Vanderhoek J. Supported rural pre-medicine: a descriptive evaluation of a novel undergraduate program’s first cohorts. Can Med Ed J 2021;12(6):114-6. https://doi.org/https://doi.org/10.36834/cmej.72358. DOI: https://doi.org/10.36834/cmej.72358

Crane M, Bauman A, Lloyd B, McGill B, Rissel C, Grunseit A. Applying pragmatic approaches to complex program evaluation: a case study of implementation of the New South Wales Get Healthy at Work program. Health Promot J Austr. 2019; 30(3):422–32. https://doi.org/10.1002/hpja.239. DOI: https://doi.org/10.1002/hpja.239

Kohn M, Senyak J. Sample Size Calculators [website]. UCSF CTSI. 2021. Available at https://sample-size.net/confidence-interval-proportion/ [Accessed on January 13, 2023]

Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9):1277-1288 https://doi.org/10.1177/1049732305276687. DOI: https://doi.org/10.1177/1049732305276687

Smith T, Cross M, Waller S, Chambers H, Farthing A, Barraclough F, et al. Ruralization of students’ horizons: insights into Australian health professional students’ rural and remote placements. J Multidiscip Healthc. 2018;11:85–97. https://doi.org/10.2147/JMDH.S150623. DOI: https://doi.org/10.2147/JMDH.S150623

Hogenbirk JC, Strasser RP, French MG. Ten years of graduates: a cross-sectional study of the practice location of doctors trained at a socially accountable medical school. PLoS One. 2022;17(9):e0274499. https://doi.org/10.1371/journal.pone.0274499. DOI: https://doi.org/10.1371/journal.pone.0274499

Wheat JR, Leeper JD. Pipeline programs can support reforms in medical education: a cohort study of Alabama’s rural health leaders pipeline to engage community leaders. J Rural Health. 2021;37(4):745–54. https://doi.org/10.1111/jrh.12531. DOI: https://doi.org/10.1111/jrh.12531




How to Cite

McEwen S, Vanderhoek J, Larsen T. Evaluation of a pre-professional pathway program: perspectives of former students in the rural pre-medicine program at Selkirk College . Can. Med. Ed. J [Internet]. 2023 Sep. 19 [cited 2024 Jul. 23];14(5):88-94. Available from: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/76951



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