Interest in rural clinical school is not enough: Participation is necessary to predict an ultimate rural practice location

Denese Playford, Ian B. Puddey

    Research output: Contribution to journalArticle

    Abstract

    Objective: Rural exposure during medical school is associated with increased rural work after graduation. How much of the increase in rural workforce by these graduates is due to pre-existing interest and plans to work rurally and how much is related to the extended clinical placement is not known. Design: This cohort study compared the employment location of medical graduates who professed no rural interest as undergraduates (negative control), with those who applied but did not participate in Rural Clinical School of Western Australia (RCSWA) (positive control), and those who applied and participated in RCSWA (participants). Participants: All 1026 University of Western Australia students who had an opportunity to apply for a year-long rotation in RCSWA from 2004 to 2010, and who had subsequently graduated by the end of 2011, were included. Main Outcome Measure: Graduates’ principal workplace location (AHPRA, Feb 2014). Result: The three groups differed significantly in their graduate work locations (χ2 = 39.2, P < 0.001). In multivariate analysis, only being of older age at graduation (OR 2.28 (95% CI 1.40, 3.72), P = 0.001), being from a rural background (OR 2.99 (95% CI 1.85, 4.85), P < 0.001), being a recipient of a Medical Rural Bonded Scholarship (OR 3.36 (95% CI 1.68, 6.73, P = 0.001) and actually participating in the RCSWA remained significantly related to rural work (OR 3.10 (95% CI 1.95, 4.93), P < 0.001). Conclusion: After accounting for other factors relating to rural work, RCSWA graduates were three times more likely to work rurally than either control group. These data suggest that RCSWA has a significant independent effect on rural workforce.

    LanguageEnglish
    Pages210-218
    Number of pages9
    JournalAustralian Journal of Rural Health
    Volume25
    Issue number4
    DOIs
    StatePublished - 1 Aug 2017

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    Western Australia
    Workplace
    Medical Schools
    Cohort Studies
    Multivariate Analysis
    Outcome Assessment (Health Care)
    Students
    Control Groups

    Cite this

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    title = "Interest in rural clinical school is not enough: Participation is necessary to predict an ultimate rural practice location",
    abstract = "Objective: Rural exposure during medical school is associated with increased rural work after graduation. How much of the increase in rural workforce by these graduates is due to pre-existing interest and plans to work rurally and how much is related to the extended clinical placement is not known. Design: This cohort study compared the employment location of medical graduates who professed no rural interest as undergraduates (negative control), with those who applied but did not participate in Rural Clinical School of Western Australia (RCSWA) (positive control), and those who applied and participated in RCSWA (participants). Participants: All 1026 University of Western Australia students who had an opportunity to apply for a year-long rotation in RCSWA from 2004 to 2010, and who had subsequently graduated by the end of 2011, were included. Main Outcome Measure: Graduates’ principal workplace location (AHPRA, Feb 2014). Result: The three groups differed significantly in their graduate work locations (χ2 = 39.2, P < 0.001). In multivariate analysis, only being of older age at graduation (OR 2.28 (95{\%} CI 1.40, 3.72), P = 0.001), being from a rural background (OR 2.99 (95{\%} CI 1.85, 4.85), P < 0.001), being a recipient of a Medical Rural Bonded Scholarship (OR 3.36 (95{\%} CI 1.68, 6.73, P = 0.001) and actually participating in the RCSWA remained significantly related to rural work (OR 3.10 (95{\%} CI 1.95, 4.93), P < 0.001). Conclusion: After accounting for other factors relating to rural work, RCSWA graduates were three times more likely to work rurally than either control group. These data suggest that RCSWA has a significant independent effect on rural workforce.",
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    Interest in rural clinical school is not enough : Participation is necessary to predict an ultimate rural practice location. / Playford, Denese; Puddey, Ian B.

    In: Australian Journal of Rural Health, Vol. 25, No. 4, 01.08.2017, p. 210-218.

    Research output: Contribution to journalArticle

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