The impact after 50 years of a new medical education programme with a regional workforce mission

Hays, Richard; Bowles, Sarah; Brown, Terry; Lawler, Anthony; Vickers, James C.

doi:10.1111/ajr.12360

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…Four studies used an alternative approach to define rural, one used population sizes to classify geographical areas but did not cite an established classification system [86]. Another used proximity from a city post office to define rural [87] and three used State/Territory borders or other geographical boundaries to analyze and describe place of practice [26,88,89]. A single study classified place of practice using ISRAD to provide an indication of where medical graduates were practicing in terms of socio-economic deciles [27].…”

Section: Approaches To Measuring Analyzing and Describing Place Of Practicementioning

confidence: 99%

“…Other predicators of rural practice identified in cohort studies of medical graduates included: rural preference prior to medical school or rural practice intention [43,51,58]; being of rural origin or background [11,39,48,51,52,58,60,63,78]; having extended periods of rural clinical training [56,77,79,80]; completing schooling and/or training in the same rural region [77,88]; being a graduate with prior tertiary education [49]; having a partner with a rural background [60]; being single [60]; being of a mature age at entry [62]; and having a bonded scholarship [60]. However, rural background as a predictor of rural practice was found to diminish in the years following graduation [58].…”

Section: Medicinementioning

confidence: 99%

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Approaches Used to Describe, Measure, and Analyze Place of Practice in Dentistry, Medical, Nursing, and Allied Health Rural Graduate Workforce Research in Australia: A Systematic Scoping Review

Beks

Walsh

Alston

et al. 2022

IJERPH

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Redressing the maldistribution of the health workforce in regional, rural, and remote geographical areas is a global issue and crucial to improving the accessibility of primary health care and specialist services. Geographical classification systems are important as they provide an objective and quantifiable measure of access and can have direct policy relevance, yet they are not always consistently applied in rural health research. It is unclear how research focusing on the graduate health workforce in Australia has described, measured, and analyzed place of practice. To examine approaches used, this review systematically scopes Australian rural studies focusing on dentistry, medicine, nursing, and allied health graduates that have included place of practice as an outcome measure. The Joanna Brigg’s Institute Scoping Review Methodology was used to guide the review. Database searches retrieved 1130 unique citations, which were screened, resulting in 62 studies for inclusion. Included studies were observational, with most focusing on the practice locations of medical graduates and predicators of rural practice. Variations in the use of geographical classification approaches to define rurality were identified and included the use of systems that no longer have policy relevance, as well as adaptations of existing systems that make future comparisons between studies challenging. It is recommended that research examining the geographical distribution of the rural health workforce use uniform definitions of rurality that are aligned with current government policy.

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Section: Approaches To Measuring Analyzing and Describing Place Of Practicementioning

confidence: 99%

Section: Medicinementioning

confidence: 99%

Approaches Used to Describe, Measure, and Analyze Place of Practice in Dentistry, Medical, Nursing, and Allied Health Rural Graduate Workforce Research in Australia: A Systematic Scoping Review

Beks

Walsh

Alston

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…A small number of studies described single medical schools in detail, often describing their missions, structure, curricula, and outcomes, holding them up as exemplars. [68][69][70] These studies often characterized student career intentions, match, or practice outcomes using a descriptive approach. They also included description of curricula and programs from an institutional perspective, but qualitative examination of student experiences was generally absent.…”

Section: Single-institution Exemplarmentioning

confidence: 99%

Medical School Characteristics, Policies, and Practices That Support Primary Care Specialty Choice: A Scoping Review of 5 Decades of Research

Phillips

Wendling

Prunuske

et al. 2022

Fam Med

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Background and Objectives: The United States, like many other nations, faces a chronic shortage of primary care physicians. The purpose of this scoping review was to synthesize literature describing evidence-based institutional practices and interventions that support medical students’ choices of primary care specialties, published in the United States, Canada, Australia, and New Zealand. Methods: We surveyed peer-reviewed, published research. An experienced medical librarian conducted searches of multiple databases. Articles were selected for inclusion based on explicit criteria. We charted articles by topic, methodology, year of publication, journal, country of origin, and presence or absence of funding. We then scored included articles for quality. Finally, we defined and described six common stages of development of institutional interventions. Results: We reviewed 8,083 articles and identified 199 articles meeting inclusion criteria and 41 related articles. As a group, studies were of low quality, but improved over time. Most were quantitative studies conducted in the United States. Many studies utilized one of four common methodologic approaches: retrospective surveys, studies of programs or curricula, large-scale multi-institution comparisons, and single-institution exemplars. Most studies developed groundwork or examined effectiveness or impact, with few studies of planning or piloting. Few studies examined state or regional workforce outcomes. Conclusions: Research examining medical school interventions and institutional practices to support primary care specialty choice would benefit from stronger theoretical grounding, greater investment in planning and piloting, consistent use of language, more qualitative methods, and innovative approaches. Robust funding mechanisms are needed to advance these goals.

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The impact after 50 years of a new medical education programme with a regional workforce mission

Cited by 2 publications

References 6 publications

Approaches Used to Describe, Measure, and Analyze Place of Practice in Dentistry, Medical, Nursing, and Allied Health Rural Graduate Workforce Research in Australia: A Systematic Scoping Review

Approaches Used to Describe, Measure, and Analyze Place of Practice in Dentistry, Medical, Nursing, and Allied Health Rural Graduate Workforce Research in Australia: A Systematic Scoping Review

Medical School Characteristics, Policies, and Practices That Support Primary Care Specialty Choice: A Scoping Review of 5 Decades of Research

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