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Predictors of rural practice location for James Cook University MBBS graduates at postgraduate year 5


Woolley, T and Sen Gupta, T and Murray, R and Hays, RB, Predictors of rural practice location for James Cook University MBBS graduates at postgraduate year 5, Australian Journal of Rural Health, 22, (4) pp. 165-171. ISSN 1440-1584 (2014) [Refereed Article]

Copyright Statement

Copyright 2014 National Rural Health Alliance Inc.

DOI: doi:10.1111/ajr.12106


OBJECTIVE: To describe factors predicting James Cook University (JCU) medical graduates having a rural practice location at postgraduate year (PGY) 5.

PARTICIPANTS: JCU MBBS graduates who had completed their PGY 5 in Australia (n = 260).

DESIGN: Multiple logistic regression analysis involving graduates' application data (age, gender, location of hometown, School Leaving Score, interview score, ethnicity), undergraduate data (scholarship awarded, honours program), and postgraduation data (internship location, specialty training undertaken).

MAIN OUTCOME MEASURE: Predictors of practice in a 'rural' town (Australian Standard Geographic Classification Remoteness Area (ASGC-RA)) 3-5 at PGY 5.

RESULTS: Practice in a 'rural' town in PGY 5 was predicted by 'internship in an ASGC-RA 3-5 location' (prevalence odds ratios (POR) = 3.9, P < 0.001), 'undertaken postgraduate training as a general practitioner or rural generalist' (POR = 3.4, P < 0.001), 'hometown at application located in ASGC-RA 3-5 area' (POR = 2.9, P = 0.023), 'Aboriginal & Torres Strait Islander ancestry' (POR = 5.6, P = 0.031), and NOT undertaken postgraduate training in surgery (POR = 5.4, P = 0.055).

CONCLUSIONS: This study provides evidence that likelihood of early career rural medical practice in Australia is enhanced by education strategies, such as providing rurally located internship places, supporting rural general practice, and selecting applicants with rural origins, Aboriginal or Torres Strait Islander ancestry, and/or a genuine interest in rural, remote, Indigenous, and tropical medicine. This early evidence supports the proposition that investing in rural medical education will produce an appropriately trained medical workforce to meet the needs of rural Australia. Findings also suggest rural workforce may be further enhanced with additional specialty training opportunities in rural tertiary hospitals, in particular, surgery.

Item Details

Item Type:Refereed Article
Keywords:Health workforce; Medical education; Rural practice
Research Division:Education
Research Group:Curriculum and pedagogy
Research Field:Medicine, nursing and health curriculum and pedagogy
Objective Division:Education and Training
Objective Group:Learner and learning
Objective Field:Learner and learning not elsewhere classified
UTAS Author:Hays, RB (Professor Richard Hays)
ID Code:96872
Year Published:2014
Web of Science® Times Cited:21
Deposited By:Medicine
Deposited On:2014-11-25
Last Modified:2017-11-20

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