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A new international collaborative study of 200 practicing midwives in New Zealand and Scotland is showing just what it takes to operate in a remote rural area. Dr Andrea Gilkison, who has been a midwife since 1985 and is a Senior Lecturer of midwifery at AUT explains why the education of new midwives, as well as remuneration models that suit their special set of needs, is crucial. Kathryn is also joined by Professor Jean Rankin from the University of the West of Scotland Plus to discuss the findings.