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Objective: To propose a model of mentoring suitable for rural and remote health professionals., Design: Given the rural and remote health workforce shortage, mentoring is proposed as a workforce retention strategy. Mentoring literature was reviewed; aspects of mentoring highlighted in the literature were considered to ascertain their suitability for rural and remote health professionals., Method: A total of 39 mentoring papers were reviewed to outline key factors in mentoring rural and remote health professionals. Using this literature, key ways that rural and remote practice enhance or are barriers to mentoring were identified. From this, a model for mentoring rural and remote health practitioners, students and academics was developed., Results: Four models of mentoring were identified: the cloning, nurturing, friendship and apprenticeship models. The apprenticeship model was identified as suitable for students, the nurturing model as suited to new health professionals to rural and remote settings and the friendship model for senior practitioners/academics. Factors more likely to enable mentoring in rural and remote settings were identified as feelings of obligation by senior practitioners, strong relationships between staff, blurred work/social boundaries, lack of hierarchy, inter-professional practice and technology. The barriers identified included workloads, access to mentors, fee-for-service system for some practitioners, conflicts which could jeopardise working and business relationships, and feelings of being judged., Conclusions: A model of mentoring for rural and remote health professionals was presented. Given the potential to strengthen and increase the rural and remote health workforce, trialling such a model is worthwhile and evaluation would identify its impact., (© 2014 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.)

Discussions regarding overweight may be infrequent in Australian general practice. General practitioners (GPs) may find these discussions difficult to initiate if they are unsure of the language to use, or if patients would find it acceptable to be weighed. Overweight and obesity are more prevalent in rural areas than in metropolitan areas, and strategies to address the health risks associated with these conditions need to be tailored to rural communities. The aims of this study were to identify the language preferred by an Australian adult sample with a range of body sizes, to assess acceptability of routine weight measurement by GPs, and to assess potential influence of gender, body size and rurality on these preferences. A questionnaire was distributed through the authors' informal networks using email and social media. Australian adults were eligible to participate. Respondents (n = 771) were predominantly female, health professionals and resided in rural areas. The preferred language was weight neutral (' weight ') or linked to health (' your weight may be damaging your health ', ' you are above your healthy weight range '). Preferred language appeared to be influenced by gender and body size but not rurality. Most respondents (76%) would find it acceptable to be weighed regularly by their GP. [ABSTRACT FROM AUTHOR]

Chronic ill health has recently emerged as the most important health issue on a global scale. Rural communities are disproportionally affected by chronic ill health. Many health systems are centred on the management of acute conditions and are often poorly equipped to deal with chronic ill health. Cardiovascular disease (CVD) is one of the most prominent chronic ill health conditions and the principal cause of mortality worldwide. In this paper, CVD is used as an example to demonstrate the disparity between rural and urban experience of chronic ill health, access to medical care and clinical outcomes. Advances have been made to address chronic ill health through improving self-management strategies, health literacy and access to medical services. However, given the higher incidence of chronic health conditions and poorer clinical outcomes in rural communities, it is imperative that integrated health care emphasises greater collaboration between services. It is also vital that rural GPs are better supported to work with their patients, and that they use consumer-directed approaches to empower patients to direct and coordinate their own care. [ABSTRACT FROM AUTHOR]

The article presents a study which determined the efficiency over the improvement of knowledge, attitudes, and resolution to rural health issues through short-term replacement of metropolitan medical students. Invited to participate were medical students at a 3-week Rural Health Modules orientation and questionnaire wherein students had been asked to comment on issues. Results indicated that undergoing a 3-week RHM can improve the student's knowledge on the issues confronting rural health.

There is a dearth of literature on how research agendas have been developed. In this article, the authors reflect on the process of developing a research agenda through a case study of a rural health university centre. The aim is to contribute to understanding how a team can effectively plan research. Two leaders of the process, as well as academics external to the process, reflected on the experience and the outcome of the agenda development process. Reflections focused on three areas: (a) engagement levels, (b) power and influence, and (c) interpretation of the research agenda. First, while there was passionate discussion at meetings and afterward, engagement levels varied. Second, the process was imbued with power and influence at multiple levels. Finally, the availability of a conceptual framework to contextualise rural and remote health research helped in interpreting the significance of the resulting research agenda. The article concludes with contrasting thoughts on the place of research agendas within contemporary neoliberal regimes of research management. [ABSTRACT FROM AUTHOR]