Developing a program logic model for evaluation and research of a rural medical training stream

Abstract Background In response to rural medical workforce shortages in Western and Southwestern Victoria, Australia, Deakin University’s School of Medicine established a dedicated Rural Training Stream (RTS) within its graduate entry Doctor of Medicine course in 2022. Consistent with the school’s i...

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Main Authors: Lara Fuller, Jessica Beattie, Vivienne Ramsbottom, Brendan Condon, Thomas Majer, Erik Martin, Nicole Mercer, Kellie Britt, Deborah Baldi, Tim Walker, Laura Gray, Janet McLeod, Gary D. Rogers
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-07315-3
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author Lara Fuller
Jessica Beattie
Vivienne Ramsbottom
Brendan Condon
Thomas Majer
Erik Martin
Nicole Mercer
Kellie Britt
Deborah Baldi
Tim Walker
Laura Gray
Janet McLeod
Gary D. Rogers
author_facet Lara Fuller
Jessica Beattie
Vivienne Ramsbottom
Brendan Condon
Thomas Majer
Erik Martin
Nicole Mercer
Kellie Britt
Deborah Baldi
Tim Walker
Laura Gray
Janet McLeod
Gary D. Rogers
author_sort Lara Fuller
collection DOAJ
description Abstract Background In response to rural medical workforce shortages in Western and Southwestern Victoria, Australia, Deakin University’s School of Medicine established a dedicated Rural Training Stream (RTS) within its graduate entry Doctor of Medicine course in 2022. Consistent with the school’s intention to promote social accountability, the RTS embodies a place-based approach, aiming to recruit 30 local applicants annually and train them in situ, thereby maximising opportunities for deeper connections with their communities and enhancing the likelihood of future local workforce retention. To underpin and facilitate collaborative program evaluation and research conceptually, a Program Logic Model (PLM) was developed. A PLM was chosen as the basis of this evaluation framework due to its foundations in systems and complexity theory and its amenity to collaborative development. Methods The PLM was developed using a stepwise, participatory approach, incorporating the contributions of a broad range of educators involved in the RTS program. Over a period of three months, participant input was provided through individual submissions and group workshops, sequentially developing each component of the model. Data gathered were summarised, reviewed and validated by the group periodically. Results The development of the PLM brought together a diverse group of academic and professional educators during the early stages of delivery of a new program, providing an opportunity for consensus building and the development of a shared understanding of the goals and objectives of the program. The developed PLM provides three clear objectives related to recruitment, training and professional identity formation. Short, medium and long-term outcomes aligned with each of these areas provide key reference points for the design of a comprehensive program of evaluation and research that is clearly linked to the program’s goals. Conclusion The development of a PLM for Deakin’s new RTS has provided an accessible roadmap that transparently communicates the design of the program to enhance local workforce outcomes for the rural communities that Deakin serves. The PLM provides a shared foundation for program-related evaluation and research, that is aligned with the strategic goals and desired outcomes. Trial registration Clinical trial number: not applicable.
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spelling doaj-art-b12f038bb8a64b16b6058236a6d10a2a2025-08-20T02:37:14ZengBMCBMC Medical Education1472-69202025-05-012511810.1186/s12909-025-07315-3Developing a program logic model for evaluation and research of a rural medical training streamLara Fuller0Jessica Beattie1Vivienne Ramsbottom2Brendan Condon3Thomas Majer4Erik Martin5Nicole Mercer6Kellie Britt7Deborah Baldi8Tim Walker9Laura Gray10Janet McLeod11Gary D. Rogers12Rural Community Clinical School, School of Medicine, Deakin UniversityRural Community Clinical School, School of Medicine, Deakin UniversityWarrnambool Clinical School, School of Medicine, Deakin UniversityWarrnambool Clinical School, School of Medicine, Deakin UniversityWarrnambool Clinical School, School of Medicine, Deakin UniversitySchool of Medicine, Deakin UniversitySchool of Medicine, Deakin UniversitySchool of Medicine, Deakin UniversitySchool of Medicine, Deakin UniversityDamion Drapac Centre for Equity in Health Professions Education, Deakin UniversityDamion Drapac Centre for Equity in Health Professions Education, Centre for Research in Assessment and Digital Learning, Deakin UniversitySchool of Medicine, Deakin UniversitySchool of Medicine, Deakin UniversityAbstract Background In response to rural medical workforce shortages in Western and Southwestern Victoria, Australia, Deakin University’s School of Medicine established a dedicated Rural Training Stream (RTS) within its graduate entry Doctor of Medicine course in 2022. Consistent with the school’s intention to promote social accountability, the RTS embodies a place-based approach, aiming to recruit 30 local applicants annually and train them in situ, thereby maximising opportunities for deeper connections with their communities and enhancing the likelihood of future local workforce retention. To underpin and facilitate collaborative program evaluation and research conceptually, a Program Logic Model (PLM) was developed. A PLM was chosen as the basis of this evaluation framework due to its foundations in systems and complexity theory and its amenity to collaborative development. Methods The PLM was developed using a stepwise, participatory approach, incorporating the contributions of a broad range of educators involved in the RTS program. Over a period of three months, participant input was provided through individual submissions and group workshops, sequentially developing each component of the model. Data gathered were summarised, reviewed and validated by the group periodically. Results The development of the PLM brought together a diverse group of academic and professional educators during the early stages of delivery of a new program, providing an opportunity for consensus building and the development of a shared understanding of the goals and objectives of the program. The developed PLM provides three clear objectives related to recruitment, training and professional identity formation. Short, medium and long-term outcomes aligned with each of these areas provide key reference points for the design of a comprehensive program of evaluation and research that is clearly linked to the program’s goals. Conclusion The development of a PLM for Deakin’s new RTS has provided an accessible roadmap that transparently communicates the design of the program to enhance local workforce outcomes for the rural communities that Deakin serves. The PLM provides a shared foundation for program-related evaluation and research, that is aligned with the strategic goals and desired outcomes. Trial registration Clinical trial number: not applicable.https://doi.org/10.1186/s12909-025-07315-3Program logic modelRural medical educationProgram designProgram evaluationPlace-basedSocial accountability
spellingShingle Lara Fuller
Jessica Beattie
Vivienne Ramsbottom
Brendan Condon
Thomas Majer
Erik Martin
Nicole Mercer
Kellie Britt
Deborah Baldi
Tim Walker
Laura Gray
Janet McLeod
Gary D. Rogers
Developing a program logic model for evaluation and research of a rural medical training stream
BMC Medical Education
Program logic model
Rural medical education
Program design
Program evaluation
Place-based
Social accountability
title Developing a program logic model for evaluation and research of a rural medical training stream
title_full Developing a program logic model for evaluation and research of a rural medical training stream
title_fullStr Developing a program logic model for evaluation and research of a rural medical training stream
title_full_unstemmed Developing a program logic model for evaluation and research of a rural medical training stream
title_short Developing a program logic model for evaluation and research of a rural medical training stream
title_sort developing a program logic model for evaluation and research of a rural medical training stream
topic Program logic model
Rural medical education
Program design
Program evaluation
Place-based
Social accountability
url https://doi.org/10.1186/s12909-025-07315-3
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