Abstract：
INTRODUCTON:The key parameter for rural clinical schools (RCSs) is to provide at least 1 year of clinical training in rural areas for 25% of Australian Commonwealth supported medical students with the intent to influence future rural medical workforce outcomes. The objective of this study was to describe the association between a medical student's selection preference and their RCS experience and rural career intent. METHODS:Medical students completing an RCS placement in 2012 and 2013 were encouraged to complete a survey regarding their experience and future career intent. Data were analysed to compare medical students for whom the RCS was their first choice with students who described the RCS as other than their first preference. RESULTS:Students for whom RCS was their first choice (724/1092) were significantly more likely to be female, come from a rural background and be from an undergraduate program. These students reported more positive experiences of all aspects of the RCS program (costs, access, support and networks, safety) and were 2.36 times more likely to report intentions to practice in a non-metropolitan area (odds ratio(OR)=2.36 (95% confidence interval(CI)=1.82-3.06), p<0.001). This was true for students of rural (OR=3.11 (95%CI=1.93-5.02), p<0.001) and metropolitan backgrounds (OR=2.07 (95%CI=1.48-2.89), p<0.001). More students in the first-choice group (68.8%) intended to practice in a regional area (not a capital or major city), significantly higher than the 48.4% of participants in the other-preference group (χ2 (1) 42.79, p<0.001). CONCLUSIONS:The decision to choose an RCS placement is a marker of rural career intention and a positive rural training experience for students of both rural and metropolitan backgrounds. It may be important to identify other-preference students and their specific social support needs to ensure a positive perception of a future rural career.
journal_name
Rural Remote Healthjournal_title
Rural and remote healthauthors
Walters L,Seal A,McGirr J,Stewart R,DeWitt D,Playford Dsubject
Has Abstractpub_date
2016-10-01 00:00:00pages
3698issue
4issn
1445-6354pii
3698journal_volume
16pub_type
杂志文章abstract：:Rural and Remote Health is committed to the task of providing a freely accessible, international, peer-reviewed evidence base for rural and remote health practice. Inherent in this aim is a recognition of the universal nature of rural health issues that transcends local culture and regional interests. While RRH is alr...
journal_title：Rural and remote health
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更新日期：2003-01-01 00:00:00
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journal_title：Rural and remote health
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journal_title：Rural and remote health
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journal_title：Rural and remote health
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journal_title：Rural and remote health
pub_type： 杂志文章
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更新日期：2010-07-01 00:00:00
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journal_title：Rural and remote health
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更新日期：2010-07-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章
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journal_title：Rural and remote health
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pub_type： 杂志文章,评审
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更新日期：2016-10-01 00:00:00
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journal_title：Rural and remote health
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journal_title：Rural and remote health
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更新日期：2012-01-01 00:00:00
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pub_type： 杂志文章,多中心研究
doi：
更新日期：2007-07-01 00:00:00
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journal_title：Rural and remote health
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journal_title：Rural and remote health
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更新日期：2006-04-01 00:00:00
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journal_title：Rural and remote health
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更新日期：2014-01-01 00:00:00
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journal_title：Rural and remote health
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更新日期：2004-07-01 00:00:00
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journal_title：Rural and remote health
pub_type： 杂志文章
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更新日期：2005-10-01 00:00:00
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更新日期：2006-01-01 00:00:00
