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Educational challenges in delivering rural training programmes for doctors, dentists, and veterinarians: a comparative analysis

Dickenson, Andrew ORCID: https://orcid.org/0000-0003-0606-3099 and Rhind, Susan 2026. Educational challenges in delivering rural training programmes for doctors, dentists, and veterinarians: a comparative analysis. Journal of the Academy of Medical Educators 1 , pp. 2-10. 10.18573/jaome.5

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Abstract

Persistent workforce shortages in rural healthcare and veterinary sectors are closely linked to the challenges of delivering high‑quality training in geographically remote settings. This paper presents a comparative analysis of the educational barriers encountered by doctors, dentists, and veterinarians undertaking rural training, drawing on UK and international literature. Using a realist lens, we examine how infrastructural constraints, pedagogical limitations, professional development opportunities, and community integration shape learning experiences and influence workforce outcomes. While several challenges, such as digital fragility, professional isolation, and limited subspecialty exposure, are shared across professions, discipline‑specific differences underscore the need for tailored educational strategies. We argue that rural training is not a deficit model but a high‑value context that can cultivate generalist competence, leadership, and continuity of care when appropriately designed and supported. The paper concludes with a four‑pillar framework to guide policy and programme development aimed at strengthening rural medical, dental, and veterinary education.

Item Type: Article
Date Type: Publication
Status: Published
Subjects: R Medicine > R Medicine (General)
Publisher: Cardiff University Press
ISSN: 2977-5981
Date of First Compliant Deposit: 14 April 2026
Date of Acceptance: 5 March 2026
Last Modified: 14 Apr 2026 11:39
URI: https://orca.cardiff.ac.uk/id/eprint/186379

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