Literature DB >> 15720310

Doctors in vocational training: rural background and rural practice intentions.

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Abstract

OBJECTIVE: To report the findings of a national survey of Australian doctors in vocational training about their rural practice intentions and their plans to work full time or part time.
DESIGN: A self-administered mailed survey.
SETTING: Vocational training: general practice and other medical college training programs.
SUBJECTS: Australian doctors (i.e. Australian citizens and permanent residents) registered with one of Australia's 17 medical college vocational training programs in September 2002. MAIN OUTCOME MEASURES: Intention to practise in a rural area on completion of vocational training; full-time or part-time practice plans; views about rural practice.
RESULTS: Of the 7899 doctors who met the criteria for inclusion in the study, 4259 (54%) responded. In total:14% indicated a preference for rural practice on completion of vocational training; 17% were GP trainees of which 31% preferred rural practice; 83% were registered with one of the other 16 specialist training programs (e.g. adult medicine, paediatric medicine and surgery) of which 10% preferred rural practice; 50% of general practice trainees and 23% of trainees in other specialist training programs with a rural background indicated a preference for rural practice in the long term, compared with 25% and 7%, respectively, of doctors with an urban background; 46% of general practice trainees with intentions to practise in a rural area plan to practise part time. A positive association was observed between rural background and preference for rural practice (odds ratio (OR) 2.9) and between preference for rural practice and enrollment in the rural general practice training pathway (OR 3.1) and involvement in rural education and training activities (OR 5.1).
CONCLUSIONS: The findings of this study support initiatives to increase the number of rural background students entering medical school and rural education and vocational training initiatives. Australia's rural doctor shortage is not likely to be addressed by this cohort of doctors in vocational training. General practice workforce plans, rural and urban, need to take note of the high proportion of doctors who plan to practise part time.

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Year:  2005        PMID: 15720310     DOI: 10.1111/j.1440-1854.2004.00640.x

Source DB:  PubMed          Journal:  Aust J Rural Health        ISSN: 1038-5282            Impact factor:   1.662


  6 in total

1.  Rural origin and exposure drives Ghanaian midwives reported future practice.

Authors:  Jody R Lori; Laura Livingston; Megan Eagle; Sarah Rominski; Emmanuel Kweku Nakua; Peter Agyei-Baffour
Journal:  Afr J Reprod Health       Date:  2014-09

2.  Rural intentions: factors affecting the career choices of family medicine graduates.

Authors:  Diane J Lu; Jacquie Hakes; Meera Bai; Helen Tolhurst; James A Dickinson
Journal:  Can Fam Physician       Date:  2008-07       Impact factor: 3.275

3.  Predictors of rural family medicine practice in Canada.

Authors:  Goldis Mitra; Margot Gowans; Bruce Wright; Fraser Brenneis; Ian Scott
Journal:  Can Fam Physician       Date:  2018-08       Impact factor: 3.275

4.  The impact of an early_exposure program on medical students' interest in and knowledge of rural medical practices: a questionnaire survey.

Authors:  Naoto Ishimaru; Ayumi Takayashiki; Takami Maeno; Yurika Kawamura; Hiroshi Kurihara; Tetsuhiro Maeno
Journal:  Asia Pac Fam Med       Date:  2015-04-14

5.  Influence of rural clinical school experience and rural origin on practising in rural communities five and eight years after graduation.

Authors:  Alexa N Seal; Denese Playford; Matthew R McGrail; Lara Fuller; Penny L Allen; Julie M Burrows; Julian R Wright; Suzanne Bain-Donohue; David Garne; Laura G Major; Georgina M Luscombe
Journal:  Med J Aust       Date:  2022-04-01       Impact factor: 12.776

6.  Rural medical students at urban medical schools: Too few and far between?

Authors:  Jennifer M Hensel; Maureen Shandling; Donald A Redelmeier
Journal:  Open Med       Date:  2007-04-14
  6 in total

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