Rural origin plus a rural clinical school placement is a significant predictor of medical students' intentions to practice rurally: a multi-university study

Walker, Judi; DeWitt, Dawn E.; Pallant, Julie; Cunningham, Christine E

doi:10.22605/rrh1908

Cited by 66 publications

(33 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Equally, training in rural longitudinal integrated clerkships in small rural towns provides opportunities for emerging doctors to experience rural immersion, with continuity to place where they can follow patients and clinicians between hospital and the community and learn about longitudinal care under the supervision of rural generalists [31,32]. Some evidence demonstrates the association between early rural exposures and an 'outcome' of rural practice intent whilst still at medical school [33,34]. Similarly, location intent at medical school exit is much more strongly translated to rural practice compared with intent at entry [35].…”

Section: Introductionmentioning

confidence: 99%

Exploring Doctors’ Emerging Commitment to Rural and General Practice Roles over Their Early Career

McGrail

O’Sullivan

Gurney

et al. 2021

IJERPH

View full text Add to dashboard Cite

Producing enough doctors working in general practice or rural locations, or both, remains a key global policy focus. However, there is a lack of evidence about doctors’ emerging commitment to these decisions. This study aimed to explore changes in the level of certainty about career interest in working in general practice and working rurally, as doctors pass through various early career stages. The participants were 775 eligible respondents to a 2019 survey of medical graduates of The University of Queensland from 2002–2018. Certainty levels of specialty choice were similar between GPs and specialists up until the beginning of registrar training. At that point, 65% of GPs compared with 80% of other specialists had strong certainty of their specialty field. Consistently (and significantly) less of those working rurally had strong certainty of the location where they wanted to practice medicine at each career time point. At the start of registrar training, a similar gap remained (strong certainty: 51% rural versus 63% metropolitan). This study provides new evidence that career intent certainty is more delayed for the cohort choosing general practice and rural practice than the other options. The low level of certainty in early career highlights the importance of regular positive experiences that help to promote the uptake of general practice and rural practice.

show abstract

Section: Introductionmentioning

confidence: 99%

Exploring Doctors’ Emerging Commitment to Rural and General Practice Roles over Their Early Career

McGrail

O’Sullivan

Gurney

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Understanding the positive aspects (incentives) and challenges (barriers) that influence these trainees' preferences for repeated rural placements that place them in settings for longer durations is essential for increasing the rural surgical workforce in Australia. Unfortunately, most studies, predominantly quantitative focus on medical students in rural training schools and investigate the positive aspects of rural placement to demonstrate their influence on medical students' rural career intention and uptake 3,6–10 . This study, therefore, aims to explore the incentives and barriers to trainees preferencing rural placements in Australia during their surgical training.…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of the incentives and barriers that influence preferences for rural placements during surgical training in Australia

Hippolyte-Blake

Dreschler

Rose

et al. 2022

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background: Rural exposure of long durations during clinical training is positively associated with rural career uptake and is a central strategy to addressing the geographical maldistribution of Australia's surgical workforce. However, the incentives and barriers to trainees undergoing surgical training preferencing repeated rural placements in Australia are not well understood. This qualitative study explores the incentives and barriers that influence preference for rural placements during surgical training in Australia. Methods: This qualitative study employed online semi-structured in-depth interviews. Participants were recruited using an online survey, and interviews were conducted between October 2020 and November 2020. Transcripts were transcribed and de-identified, and thematically analysed. Results: Twenty-nine semi-structured interviews were conducted with trainees and 12 Fellows. Twenty-five participants identified as male, and four identified as female. Four main incentives identified were: (1) broad scope of learning opportunities, (2) quality of supervision, (3) positive work environment and (4) lifestyle. Seven barriers identified were:(1) inadequate preparation for placement, (2) limited case mix to support learning outcomes, (3) lack of formally structured learning opportunities, (4) workload and safe hours concerns, (5) lack of peer support, (6) childcare and educational needs and (7) partner career development. Conclusion:The strategy of encouraging trainees to undertake rural placements to address the maldistribution of the surgical workforce should include initiatives that support learning outcomes across their training levels. In addition, improving trainees' ability to prepare adequately for placements may also improve the number and duration of rural placements trainees undertake during their training.

show abstract

“…A skilled rural health workforce is essential to support the health needs of regional, rural and remote Australia. There is a range of literature which supports the important role of rural clinical placement experiences on influencing the intention of health students to work rurally (Courtney et al, 2002;Walker et al, 2012) and rural career outcomes (MacQueen et al, 2018;Playford et al, 2020;Playford et al, 2017;Taylor et al, 2019). While rural background is a significant predictor of rural employment, research suggests that rural placement experiences influence students from both rural and metropolitan backgrounds to practice rurally in the future (Playford et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

A qualitative exploration of the factors which influence rural nursing and midwifery placement experience: Benefits and challenges identified by students and health service staff

Walker

Forbes

Osborn

et al. 2022

Australian Journal of Clinical Education

View full text Add to dashboard Cite

Background: Positive rural clinical experiences strongly correlate with future rural health career intention. It is therefore important to understand the factors which contribute to positive rural clinical placement experiences.Aims: To understand the benefits and challenges of rural nursing and midwifery placements for students, and to explore factors which influence positive clinical placement experiences.Methods: Semi-structured interviews were undertaken to explore the experiences and perspectives of nursing and midwifery students (n=17) and staff working at health services where students are placed (n=36). Data were subject to thematic analysis.Results: Five themes were identified: variety of experiences in a rural health context; supervision and support; engaging with a rural community; placement type and duration influence on rural placement experience; and inspiring, reaffirming or challenging future rural career intentions. Conclusion:This study reiterates the importance of ensuring that students are actively engaged and supported during rural clinical placements to encourage students to consider future rural career pathways. The findings highlight the important role of education providers and health services in supporting student placement experiences to enable positive rural career intentions.

show abstract

Rural origin plus a rural clinical school placement is a significant predictor of medical students' intentions to practice rurally: a multi-university study

Cited by 66 publications

References 17 publications

Exploring Doctors’ Emerging Commitment to Rural and General Practice Roles over Their Early Career

Exploring Doctors’ Emerging Commitment to Rural and General Practice Roles over Their Early Career

A qualitative study of the incentives and barriers that influence preferences for rural placements during surgical training in Australia

A qualitative exploration of the factors which influence rural nursing and midwifery placement experience: Benefits and challenges identified by students and health service staff

Contact Info

Product

Resources

About