Table 2 Perceptions of preparedness for rural practice

1

1.1

Difficult patients

Communication and interpersonal skills with specific types of difficult patients

Anger, a very important person, drunk, intimidate

–

N4, N14, N22, N23, N28

1.2

General patients

Communication and interpersonal skills between doctor and patients/relatives

Building relationship, conciliation, revealing medical error

W5, W16, W19, W22

–

1.3

Colleagues

Communication and interpersonal skills between colleagues

Understanding other people

–

N3

2

2.1

Family medicine

Knowledge of family medicine approaches

Holistic care, continuity of care, explore concern and expectation, empathy

W4, W24

N7

2.2

Medical laws and forensic medicine

Knowledge of medical laws and forensic medicine

Post-mortem examination, medical certificate, certificate for disability

W26

N21, N25

3

3.1

Emergency conditions

Clinical knowledge and skills in history taking, physical examination, investigation, differential diagnosis, management, referral, managerial skills

Life-threatening conditions—primary survey and life support in trauma and cardiac arrest (BLS, ACLS, ATLS)

W2, W6, W17, W20, W21, W26

–

Medical or surgical emergency and procedures—sepsis, arrhythmia, anaphylaxis, gastrointestinal haemorrhage/perforation, intubation, intercostal drainage, etc.

W7, W8, W9, W10, W11, W12 (except procedural skills), W14, W23 (appendectomy), W25, W27, W28

N16 (referral problem)

N20 (ultrasound)

N24 (ECG reading)

Paediatric emergency and procedures

–

N1 (infant intubation)

N8 (umbilical venous catheterisation)

N26 (supraventricular tachycardia)

Obstetrics emergency and procedures

W3 (assessment of labour)

W23 (caesarean section, assisted breech delivery, vacuum extraction)

W26 (manual removal of the placenta)

N6 (manoeuvres for shoulder dystocia)

N9 (tubal resection)

N12 (normal delivery)

3.2

Non-emergency conditions

Clinical knowledge and skills in history taking, physical examination, investigation, differential diagnosis, management, referral, managerial skills

Out-patient department (OPD)—non-communicable diseases, chronic multiple illnesses, tuberculosis, chronic kidney disease, eye diseases

W1, W13

N2, N10, N12, N15, N18, N25, N27

In-patient department (IPD)—ward round

W15, W18

–

Palliative care

–

N17, N19

Paediatrics

W27 (newborn)

N11 (psychiatry)

4

Administration and quality assurance

Knowledge of hospital administration, hospital accreditation

Government rules and regulations, hospital accreditation (HA)

–

N5, N13, N18