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SUMMARY


The worldwide shortage of rural family doctors contributes directly to the difficulties with providing adequate medical care in rural and remote areas in both developed and less developed countries. WONCA believes there is an urgent need to implement strategies to improve rural health services around the world. This will require sufficient numbers of skilled rural family doctors to provide the necessary services. In order to achieve this goal, WONCA recommends:
1. Increasing the number of medical students recruited from rural areas.
2 Substantial exposure to rural practice in the medical undergraduate curriculum.
3. Specific flexible, integrated and coordinated rural practice vocational training programs.
4. Specific tailored continuing education and professional development programs which meet the identified needs of rural family physicians.
5. Appropriate academic positions, professional development and financial support for rural doctor-teachers to encourage rural research and education.
6. Medical schools should take responsibility to educate appropriately skilled doctors to meet the needs of their general geographic region including underserved areas and should play a key role in providing regional support for health professionals and accessible tertiary health care.
7. Development of appropriate needs based and culturally sensitive rural health care resources with local community involvement, regional cooperation and government support.
8. Improved professional and personal/family conditions in rural practice to promote retention of rural doctors.
9. Development and implementation of national rural health strategies with central government support.


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