Association Between Dedicated Rural Training Year and the Likelihood of Becoming a General Surgeon in a Small Town

Deveney, Karen E.; Deatherage, Mark; Oehling, David; Hunter, John G.

doi:10.1001/jamasurg.2013.2681

Cited by 49 publications

(61 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…did not adjust) Inferential statistics, unadjusted)[35, 37, 43, 46, 50, 54, 57, 67, 80, 86, 92, 94]12Sample Size (Includes both intervention/control/comparison group if applicable) Less than 100[37, 50, 73, 80–82, 84–89, 92, 93]14 100–500[12, 35, 39, 40, 42, 44, 45, 47–49, 54, 56–59, 62, 67, 68, 70, 83, 90, 91, 94, 95]24 500+[36, 38, 41, 43, 46, 51–53, 55, 60, 61, 63–66, 69, 71, 72, 74–79]24Consent or Participant Rate (Depending on the study/type of study and reporting) Below 50%[35, 47, 58, 59, 69, 71, 73, 79, 81, 88, 91]11 50–80%[39, 40, 44, 45, 48, 49, 51, 56, 64, …”

Section: Resultsmentioning

confidence: 99%

The impact of rural outreach programs on medical students’ future rural intentions and working locations: a systematic review

2018

View full text Add to dashboard Cite

BackgroundSignificant investment has been undertaken by many countries into ‘Rural Clinical Training Placement Schemes’ for medical students in order to deal with shortages of trained health care professionals in rural and remote locations. This systematic review examines the evidence base of rural educational programs within medical education and focusses on workforce intentions and employment outcomes. The study provides a detailed description of the methodological characteristics of the literature, thematic workforce outcomes and key related factors are identified, study quality is assessed, and the findings are compared within an international context.MethodsA systematic review looking at international literature of rural placement programs within medical education between January 2005 to January 2017 from databases including; Medline, Embase, NursingOVID, PubMed and Cochrane. The study adopted the PRISMA protocol. A quality assessment of the literature was conducted based on the Health Gains Notation Framework.ResultsSixty two papers met the inclusion criteria. The review identified three program classifications; Rural Clinical Placement Programs, Rural Clinical Placement Programs combined with a rural health educational curriculum component and Rural Clinical School Programs. The studies included were from Australia, United States, Canada, New Zealand, Thailand and Africa.Questionnaires and tracking or medical registry databases were the most commonly reported research tools and the majority were volunteer programs. Most studies identified potential rural predictors/confounders, however a number did not apply control groups and most programs were based on a single site. There was a clear discrepancy in the ideal rural clinical placement length. Outcomes themes were identified related to rural workforce outcomes. Most studies reported that an organised, well-funded, rural placement or rural clinical school program produced positive associations with increased rural intentions and actual graduate rural employment.ConclusionsFuture research should focus on large scale methodologically rigorous multi-site rural program studies, with longitudinal follow up of graduates working locations. Studies should apply pre-and post-intervention surveys to measure change in attitudes and control for predictive confounders, control groups should be applied; and in-depth qualitative research should be considered to explore the specific factors of programs that are associated with encouraging rural employment.Electronic supplementary materialThe online version of this article (10.1186/s12909-018-1287-y) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

The impact of rural outreach programs on medical students’ future rural intentions and working locations: a systematic review

2018

View full text Add to dashboard Cite

show abstract

“…Deveney et al 19 demonstrated that trainees with experience in a rural practice location were more likely to practice community-based general surgery than those who lacked such an experience. One can speculate that the experiences included exposure to practice management components, leading to increased confidence in this area among graduates who selected community practices.…”

Section: Discussionmentioning

confidence: 99%

Practice administration training needs of recent general surgery graduates

Klingensmith

Cogbill

Samonte

et al. 2015

Surgery

View full text Add to dashboard Cite

“…This finding supports recent studies which show increased interest in general surgery among medical students on nonmetropolitan surgery clerkships 40 and increased likelihood of rural practice among surgeons who experienced rural training as residents. 41,42 This contribution of undergraduate rural medical training programs to the high-need rural specialty workforce is an evolving area for further study.…”

Section: Discussionmentioning

confidence: 99%