The impact of rural-exposure strategies on the intention of dental students and dental graduates to practice in rural areas: a systematic review and meta-analysis

Suphanchaimat, Rapeepong; Cetthakrikul, Nisachol; Dalliston, Alexander; Putthasri, Weerasak

doi:10.2147/amep.s116699

Cited by 12 publications

(29 citation statements)

References 31 publications

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“…This finding is consistent with results from previous research that found professionals with rural upbringings were more likely to practice in a rural area 10, 17, 28 . A meta‐analysis reported that students with rural experiences were four times as likely to practice in a rural area than those without rural experiences 28 . These studies are consistent with our findings, in which more than one‐third of the respondents indicated they would like to work in rural areas, especially if they grew up in one.…”

Section: Discussionsupporting

confidence: 93%

“…We found that having a rural background increased the chance of pediatric dentists' moving to a rural area to practice. This finding is consistent with results from previous research that found professionals with rural upbringings were more likely to practice in a rural area 10, 17, 28 . A meta‐analysis reported that students with rural experiences were four times as likely to practice in a rural area than those without rural experiences 28 .…”

Section: Discussionsupporting

confidence: 91%

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Where Do Pediatric Dental Residents Intend to Practice? Exploring the Influence of Loan Repayment Programs and Other Factors

Alrayyes

Garrett

LeHew

et al. 2019

Journal of Dental Education

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The high cost of dental education and consequent loan burdens contribute to the shortage of pediatric dental providers in rural areas (RAs). Economic incentives are meant to recruit practitioners to RAs. The aim of this study was to assess the ability of government subsidized loan repayment programs (GSLRPs) to recruit pediatric specialists to practice in RAs. A 26‐item questionnaire was emailed to all 921 pediatric dental residents across the U.S. in 2015 for a cross‐sectional study of factors influencing their choice of practice location. The instrument included information about GSLRPs, enabling the study to serve as a quasi‐experiment on the level of funding needed to make GSLRPs effective. A total of 169 residents responded, for an 18% response rate; 74% of respondents were women and 86% had student loan debt. Among the respondents, 40.6% said they would like to practice in RAs, but only 4.1% actually intended to do so. Over one‐third initially reported interest in GSLRPs for practicing in RAs. However, after being informed that the average GSLRP is $30,000 annually, one‐third of those lost interest. Although 14.2% said no amount would convince them to consider practice in an RA, over half (53.3%) indicated willingness to consider it if the GSLRP were $40,000‐$60,000. These results suggest that current GSLRP levels are insufficient to induce pediatric dentists to practice in RAs.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 91%

Where Do Pediatric Dental Residents Intend to Practice? Exploring the Influence of Loan Repayment Programs and Other Factors

Alrayyes

Garrett

LeHew

et al. 2019

Journal of Dental Education

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“…It is important that pharmacy students be exposed to working in a variety of settings during their education. It has been shown that when dental students were required to have a rural experiential experience, they were more likely to become indifferent to positions in rural areas [29]. Colleges of pharmacy may collaborate with rural hospitals and pharmacies to bring practitioners to campus so students can hear the students.…”

Section: Discussionmentioning

confidence: 99%

Financial Incentive Required for Pharmacy Students to Accept a Post-Graduation Position in Rural and Undesirable Pharmacy Settings

Ulrich

Hurdelbrink

Perepelkin³

et al. 2019

Pharmacy

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Background: It has been estimated that in 2018, 20% of pharmacy students were unemployed following graduation. However, many pharmacy positions go vacant each year, with the majority of these positions existing in rural areas. Methods: Pharmacy students completed a one-time, anonymous, online questionnaire. Measures of interest included: subject characteristics and preference in a variety job offers. Discrete Choice Experiment methodology of questionnaire design was used and Conditional Logit models were conducted to analyze the data to determine the financial incentive required for pharmacy students to take a post-graduate job with particular traits. Conclusions: A total of 283 students completed questionnaires from Iowa, North Dakota, South Dakota, Saskatchewan, and Manitoba. The majority of subjects were female, P3 students, and from a non-rural hometown. American students would need to be paid an additional $18,738 in salary to practice in a rural area, while Canadian students would require an additional $17,156. Canadian respondents would require an additional $7125 in salary to work in a community pharmacy with a low level of patient interaction compared to a community position with a large amount of patient interaction. Overall, pharmacy student preferences in post-graduation job attributes vary significantly between states and provinces.

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“…The limited number of identified studies in this review (11 studies) supports a recent 2016 meta‐analysis addressing rural exposure strategies in dentistry, which identified only seven studies. In this review, studies identified were mainly from Australia (6 studies) with the remaining ones from South Africa, USA, India and Thailand.…”

Section: Discussionmentioning

confidence: 99%

“…However, the evidence in this review indicates that well‐designed, financially supported programmes, with the provision of a valuable clinical experience, good supervisors, a positive experience and professional support are essential and likely lead to increased intentions to work rurally. This supports the recent findings of Suphanchaimat et al who reported that addressing the shortage of dental professionals in rural areas is a multifactorial problem.…”

Section: Discussionmentioning

confidence: 99%

Rural placement experiences in dental education and the impact on professional intentions and employment outcomes—A systematic review

Johnson

Wright

Foster

et al. 2017

Eur J Dental Education

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The evidence suggests that well-prepared rural clinical placements, which have experienced clinical supervisors, good professional student support from the dental school, provide a valuable clinical experience and are sufficiently funded, can increase intentions to work in a rural location upon graduation. However, there is a lack of evidence in dentistry into whether intentions translate into practitioners taking clinical positions in a rural location. Future research should be planned, which will undertake longitudinal cohort studies to identify factors that have an important influence on rural job choice.

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The impact of rural-exposure strategies on the intention of dental students and dental graduates to practice in rural areas: a systematic review and meta-analysis

Cited by 12 publications

References 31 publications

Where Do Pediatric Dental Residents Intend to Practice? Exploring the Influence of Loan Repayment Programs and Other Factors

Where Do Pediatric Dental Residents Intend to Practice? Exploring the Influence of Loan Repayment Programs and Other Factors

Financial Incentive Required for Pharmacy Students to Accept a Post-Graduation Position in Rural and Undesirable Pharmacy Settings

Rural placement experiences in dental education and the impact on professional intentions and employment outcomes—A systematic review

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