In-Place Training: Optimizing Rural Health Workforce Outcomes through Rural-Based Education in Australia

Autor/inn/en	May, Jennifer; Brown, Leanne; Burrows, Julie
Titel	In-Place Training: Optimizing Rural Health Workforce Outcomes through Rural-Based Education in Australia
Quelle	In: Education Sciences, 8 (2018), Artikel 20 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext kostenfreie Datei Verfügbarkeit
Zusatzinformation	ORCID (Brown, Leanne) ORCID (Burrows, Julie)
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	2227-7102
Schlagwörter	Foreign Countries; Rural Areas; Undergraduate Students; Experiential Learning; Program Effectiveness; Medical Education; Graduates; Medical Students; Physicians; Student Characteristics; Statistical Analysis; Student Records; Geographic Location; Influences; Regression (Statistics); Australia + Suchen Sie Ihr Suchwort? Ausland; Rural area; Ländlicher Raum; Experiental learning; Erfahrungsorientiertes Lernen; Medizinische Ausbildung; Graduate; Absolvent; Absolventin; Hochschulabsolvent; Hochschulabsolventin; Physician; Doctor; Arzt; Statistische Analyse; Schülerakte; Influence; Einfluss; Einflussfaktor; Regression; Regressionsanalyse; Australien
Abstract	The medical workforce shortfall in rural areas is a major issue influencing the nature of undergraduate medical education in Australia. Exposing undergraduates to rural life through rural clinical school (RCS) placements is seen as a key strategy to address workforce imbalances. We investigated the influence of an extended RCS placement and rural origin on the rural principal place of practice (PPP) of the first 3 graduate cohorts (2012-2014) from a Joint Medical Program offered by two universities based in northern New South Wales. Data was available for 426 eligible graduates. Participation in an extended RCS placement (odds ratio (OR), 6.075, 95% confidence interval (CI) 2.716-13.591), rural background (OR 3.613, 95% CI 1.752-7.450) and being 25 years or older at completion of a medical degree (OR 2.550, 95% CI 1.252-5.194) were all independently associated with rural PPP. Being bonded into a program to practice rurally was not associated with rural PPP. Participation in an extended RCS placement is strongly associated with rural practice in the first 3 to 5 years of practice for graduates from both rural and metropolitan backgrounds. This finding indicates that strategies to improve the rural workforce should focus on the promotion of rural placements, in addition to rural background. (As Provided).
Anmerkungen	MDPI AG. Klybeckstrasse 64, 4057 Basel, Switzerland. Tel: e-mail: indexing@mdpi.com; Web site: http://www.mdpi.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01