Mrs Nikki Hulse1, Dr Robyn Doney1, Dr James Debenham1
1Majarlin Kimberley Centre for Remote Health, Broome, Australia
Biography:
Nikki is an experienced occupational therapist with nearly 30 years in the field, focusing on remote practice for the past 13 years. Throughout Nikki's career she has been committed to student education and supporting graduates in the UK and remote Australia. Nikki has contributed to clinical training, professional development and advancement of innovative student OT practices spanning diverse populations across the Kimberley.
Abstract:
Clinical placements in rural locations significantly influence the likelihood of allied health (AH) graduates joining the rural workforce. However, the tyranny of distance, university curriculum design and local workforce shortages limit rural placement opportunities, particularly in foundational years of study. To address these barriers and enhance rural exposure, the Kimberley-based Commonwealth-funded University Department of Rural Health implemented a non-assessed community immersion program (CIP).
Twelve second year, metro-based Occupational Therapy students participated in a four-week CIP in Broome, Western Australia. The program incorporated volunteering, cultural activities, guided reflections, and engagement with local clinicians. Focus groups were conducted to evaluate the program and explore students’ views of the CIP experience.
Thematic analysis of focus groups revealed six emergent themes: 1) Pre-placement influences/feelings 2) Cultural insights 3) Positive & Negatives of the CIP 4) Support received 5) Personal and professional reflections, and 6) Recommendations.
Students expressed initial apprehension about travelling and working remotely. In contrast, they reported positive experiences related to cultural knowledge acquisition, volunteering, local support, and the diversity of professional and social experiences. Notably, over half of the students indicated increased interest in remote work. They also provided valuable recommendations to enhance the program.
CIPs are a promising tool to increase AH student exposure to rural health, particularly in foundational study years. In addition to influencing career intentions, CIP’s facilitate learning by challenging beliefs, enhancing cultural understanding and broadening awareness of barriers to health.