Abstract:
OBJECTIVES:Using a novel longitudinal tracking project, this study develops and evaluates the performance of a predictive model and index of rural medical practice intention based on the characteristics of incoming medical students. METHODS:Medical school entry survey data were obtained from the Medical Schools Outcome Database (MSOD) project implemented in all Australian and New Zealand medical schools and coordinated through Medical Deans Australia and New Zealand, the representative body for the Deans of 18 Australian and two New Zealand medical schools and faculties. The medical school commencement survey collects data on students' education and family background, including rural upbringing, personal circumstances and scholarships, and on their practice intentions in terms of location and specialty. The MSOD will also allow tracking of medical graduates after graduation. Logistic regression modelling was used to develop a predictive model of rural practice intention. Split-sample validation was used to gain some insight into the stability of performance of the model. RESULTS:Response rates to the MSOD survey exceeded 90% on average. The model findings confirm and extend previous research examining the association of medical student characteristics with intention to take up rural medical practice. The statistically significant independent factors in the model included students' rural backgrounds, financial arrangements and intentions regarding specialist versus generalist practice upon graduation. Model performance was good, with an area under the receiver-operator characteristics curve of 0.86, and reproducible, with an area in a validation sample of 0.83. CONCLUSIONS:The model and related index provide important insights into individual factors associated with rural practice intention among students commencing medical studies. The model can also provide a means for optimising the use of scarce medical programme resources, thereby helping to improve the supply of rural medical practitioners. This study illustrates the power and potential of a robust, consistent, systematic longitudinal tracking project.
journal_name
Med Educjournal_title
Medical educationauthors
Jones M,Humphreys J,Prideaux Ddoi
10.1111/j.1365-2923.2009.03506.xsubject
Has Abstractpub_date
2009-10-01 00:00:00pages
1001-9issue
10eissn
0308-0110issn
1365-2923pii
MED3506journal_volume
43pub_type
杂志文章abstract::The purpose of this paper is to examine similarities and differences between graduating medical students who do and do not match through the National Internship and Resident Matching Programme (NIRMP). Data from graduates of 3- and 4-year undergraduate curricula were examined separately. A two way analysis of variance...
journal_title:Medical education
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doi:10.1111/j.1365-2923.1979.tb01530.x
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journal_title:Medical education
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journal_title:Medical education
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journal_title:Medical education
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更新日期:2001-06-01 00:00:00
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journal_title:Medical education
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journal_title:Medical education
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journal_title:Medical education
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doi:10.1046/j.1365-2923.2001.00880.x
更新日期:2001-03-01 00:00:00
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journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1999-02-01 00:00:00
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journal_title:Medical education
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更新日期:2016-03-01 00:00:00
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journal_title:Medical education
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journal_title:Medical education
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02407.x
更新日期:1981-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,随机对照试验
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更新日期:2013-08-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01163.x
更新日期:2002-07-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2923.2001.01000.x
更新日期:2001-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1997.tb02568.x
更新日期:1997-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb01406.x
更新日期:1987-11-01 00:00:00
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journal_title:Medical education
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doi:10.1111/j.1365-2923.1976.tb01494.x
更新日期:1976-09-01 00:00:00
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更新日期:2016-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02510.x
更新日期:1990-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02725.x
更新日期:1994-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:1992-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01253.x
更新日期:1982-07-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2005-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2001.00768.x
更新日期:2001-01-01 00:00:00
abstract::Primary health care has been held to be the foundation of any rational health system. The principle was fully endorsed by the Alma-Ata Conference in 1978, and has become the main policy of the World Health Organization. Important implications are involved for the education and training of doctors and other health care...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1983.tb00653.x
更新日期:1983-05-01 00:00:00
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journal_title:Medical education
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doi:10.1111/j.1365-2923.2004.01737.x
更新日期:2004-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2007.02685.x
更新日期:2007-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb01012.x
更新日期:1984-07-01 00:00:00