دورية أكاديمية
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Association between rural exposure/experience and practice location 10 years postgraduation, stratified by specialty: evidence from a cohort study of graduates from nine Australian universities.

التفاصيل البيبلوغرافية
العنوان: Association between rural exposure/experience and practice location 10 years postgraduation, stratified by specialty: evidence from a cohort study of graduates from nine Australian universities.
المؤلفون: Seal A; School of Medicine Sydney, Rural Clinical School, The University of Notre Dame Australia, Wagga Wagga, New South Wales, Australia Alexa.seal@nd.edu.au., McGrail MR; Rural Clinical School, University of Queensland, Rockhampton, Queensland, Australia., Bain-Donohue S; Rural Clinical School, School of Medicine and Psychology, The Australian National University, Canberra, Australian Capital Territory, Australia., Fuller L; Rural Community Clinical School, Deakin University Faculty of Health Medicine Nursing and Behavioural Sciences, Colac, Victoria, Australia., Kirke A; Rural Clinical School of Western Australia, The University of Western Australia, Perth, Western Australia, Australia., Garne D; Graduate School of Medicine, University of Wollongong, Wollongong, New South Wales, Australia., Luscombe G; The School of Rural Health, Sydney Medical School, The University of Sydney, Orange, New South Wales, Australia., Allen P; Rural Clinical School, University of Tasmania, Burnie, Tasmania, Australia., Wright J; Department of Rural Health, Rural Clinical School, The University of Melbourne, Shepparton, Victoria, Australia., Burrows JM; The University of Newcastle, Tamworth, New South Wales, Australia.
المصدر: BMJ open [BMJ Open] 2024 Jun 17; Vol. 14 (6), pp. e086850. Date of Electronic Publication: 2024 Jun 17.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Professional Practice Location*/statistics & numerical data, Humans ; Australia ; Male ; Female ; Cohort Studies ; Adult ; Rural Health Services ; Career Choice ; General Practitioners/education ; Specialization/statistics & numerical data ; Universities ; Education, Medical, Graduate/statistics & numerical data
مستخلص: Objective: This study aims to determine the associations between specialty type and practice location at postgraduate year 10 (PGY10), matched with PGY5 and PGY8 work locations, and earlier rural exposure/experience.
Design and Setting: A cohort study of medicine graduates from nine Australian universities.
Participants: 1220 domestic medicine graduates from the class of 2011.
Outcome Measures: Practice location recorded by the Australian Health Practitioner Regulation Agency in PGY10; matched graduate movement between PGYs 5, 8 and 10 as classified by the Modified Monash Model, stratified by specialty type (predominantly grouped as general practitioner (GP) or non-GP).
Results: At PGY10, two-thirds (820/1220) had achieved fellowship. GPs were 2.8 times more likely to be in non-metropolitan practice (28% vs 12%; 95% CI 2.0 to 4.0, p<0.001) than graduates with non-GP (all other) specialist qualifications. More than 70% (71.4%) of GPs who were in non-metropolitan practice in PGY5 remained there in both PGY8 and PGY10 versus 29.0% of non-GP specialists and 36.4% of non-fellowed graduates (p<0.001). The proportion of fellowed graduates observed in non-metropolitan practice was 14.9% at PGY5, 16.1% at PGY8 and 19.0% at PGY10, with this growth predominantly from non-GP specialists moving into non-metropolitan locations, following completion of metropolitan-based vocational training.
Conclusions: There are strong differences in practice location patterns between specialty types, with few non-GP specialists remaining in non-metropolitan practice between PGY5 and PGY10. Our study reinforces the importance of rural training pathways to longer-term work location outcomes and the need to expand specialist vocational training which supports more rural training opportunities for trainees outside general practice.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: health services accessibility; health workforce; medical education & training
تواريخ الأحداث: Date Created: 20240618 Date Completed: 20240618 Latest Revision: 20240623
رمز التحديث: 20240623
مُعرف محوري في PubMed: PMC11191762
DOI: 10.1136/bmjopen-2024-086850
PMID: 38889942
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2024-086850