Building a local medical workforce in Tasmania: where are international fee-paying medical graduates likely to work?

Abstract:

INTRODUCTION:Much of regional Australia continues to face challenges in recruitment and retention of medical practitioners, despite the apparently successful rural medical education initiatives funded by the Commonwealth Government. International fee-paying (IFP) medical students are a significant component of Australian medical education, contributing additional income and more diverse learning environments for universities. Their contribution to the Australian medical workforce is harder to determine. After obtaining registration, IFP graduates may apply to remain in Australia as skilled migrants. Since 1999 there has been a 325% increase in the number of international medical students in Australia, with approximately 73% of IFP graduates remaining in Australia for at least some postgraduate training. Recognising the potential contribution of IFP students to the Tasmanian medical workforce, the authors sought better understanding of the career intentions and work locations of IFP graduates from the medical program in Tasmania, Australia, through two studies. Firstly, a quantitative study was conducted of the locations of all IFP graduates from the Tasmanian medical program, and then a qualitative study exploring graduating students' intentions and factors that contribute to their decisions about work location choices. METHODS:This was a cohort study of IFP students who graduated from the University of Tasmania School of Medicine over the period 2000-2015. Work locations for 2016 were mapped to a Modified Monash rurality classification. Semi-structured interviews were held with 15 final year IFP medical students, exploring career intentions and location preferences. RESULTS:There were 261 IFP graduates, 54.4% male. The most common country of origin was Malaysia (55.2%). In 2016, 189 (72.4 %) were working in Australia, 42 (16.1%) in Tasmania and 126 (66.7%) in areas categorised as Modified Monash 1. Recent graduates in postgraduate year 1/2 (71.3%) were more likely to be working in Tasmania but most left for specialty training. All 15 interview participants intended to remain in Australia for at least their intern year, although at enrolment only six had planned to remain. Factors influencing workplace location decisions were (1) 'professional': greater appeal of Australian medical workplaces, intention to pursue a speciality, and to complete this at an Australian metropolitan hospital; (2) 'social': proximity to family/partner or opportunity to meet a prospective partner, family obligations, positive rural experiences; and (3) 'location': direct travel access to family. CONCLUSIONS:IFP graduates from the Tasmanian medical program make an important contribution to the Australian mainland metropolitan medical workforce, but play only a small role in workforce development for both Tasmania and the broader Australian rural and remote context. Most IFPs do not choose to work rurally. Rurally focused medical programs need to consider how they place IFP students to meet both the learning and career needs of IFP students and the goal of the rural medical programs in developing a rural workforce.

journal_name

Rural Remote Health

journal_title

Rural and remote health

authors

Cheek C,Hays R,Allen P,Walker G,Shires L

doi

10.22605/RRH4292

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

4292

issue

3

issn

1445-6354

pii

4292

journal_volume

17

pub_type

杂志文章
  • Reframing the HIV/AIDS debate in developing countries I: setting the scene.

    abstract::In 2001, it was estimated that 4.7 million South Africans were living with HIV/AIDS. Prevalence figures have risen steadily over the past 10 years in most African countries, and in only a few, like Uganda, does the epidemic show signs of waning. In Africa, the status of the obese has risen enormously. If you're fat, y...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Couper ID

    更新日期:2004-04-01 00:00:00

  • Interprofessional learning and rural paramedic care.

    abstract:INTRODUCTION:The traditional view of paramedic practice is one of provision of emergency care and transport within community or industrial settings. With greater integration of emergency services with the overall health system, this role is changing. Paramedics, especially in rural areas, are now working more closely w...

    journal_title:Rural and remote health

    pub_type: 杂志文章,评审

    doi:

    authors: Mulholland P,Barnett T,Spencer J

    更新日期:2014-01-01 00:00:00

  • Rural children's perceptions of child farm safety printed communication strategies.

    abstract:INTRODUCTION:Child farm safety has been identified as a key public health concern in Australia. To date, communication strategies for child farm safety have primarily targeted rural based adults as custodians of children, and because the greatest proportion of deaths occur in pre-school children. However, emerging inte...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Bryant L,Hoon EA

    更新日期:2007-10-01 00:00:00

  • Personal characteristics and experiences of long-term allied health professionals in rural and northern British Columbia.

    abstract:INTRODUCTION:Health sciences programs are being designed to attract students who are likely to stay and practice in rural and northern Canada. Consequently, student recruitment and screening are increasingly including assessment of suitability for rural practice. Although retention factors among rural physicians and nu...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Manahan CM,Hardy CL,MacLeod ML

    更新日期:2009-10-01 00:00:00

  • Extent, causes and impact of road traffic crashes in the Solomon Islands 1993-2012: data from the orthopaedic department at the National Referral Hospital, Honiara.

    abstract:INTRODUCTION:Road traffic crashes constitute a considerable public health burden and represent the eighth leading cause of death and tenth leading cause of disability adjusted life years (DALYs) globally. However, very little is known about the extent, causes and impact of crashes in low- and middle-income countries in...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Stewart MJ,Negin J,Farrell P,Houasia P,Munamua AB,Martiniuk A

    更新日期:2015-07-01 00:00:00

  • Clinical decision-making of rural novice nurses.

    abstract:INTRODUCTION:Nurses in rural settings are often the first to assess and interpret the patient's clinical presentations. Therefore, an understanding of how nurses experience decision-making is important in terms of educational preparation, resource allocation to rural areas, institutional cultures, and patient outcomes....

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Seright TJ

    更新日期:2011-01-01 00:00:00

  • Support for rural practice: female physicians and the life-career interface.

    abstract:INTRODUCTION:The need for family physicians in rural areas across the USA and Canada is a longstanding issue that has been well documented. Since family physicians constitute the largest population of rural practitioners, the problem has been exacerbated by a sharp decline in medical students' interest in the field of ...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:10.22605/RRH5341

    authors: Stutzman K,Ray Karpen R,Naidoo P,Toevs SE,Weidner A,Baker E,Schmitz D

    更新日期:2020-01-01 00:00:00

  • Domestic migrant workers in India returning to their homes: emerging socioeconomic and health challenges during the COVID-19 pandemic.

    abstract::Domestic migrant workers were stranded far from home when India declared nationwide lockdown to combat the pandemic of novel coronavirus (COVID-19). A large number of these workers were left with no economic support, no food and in many cases nowhere to live. The pandemic posed a serious health threat to these people,...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:10.22605/RRH6186

    authors: Jha SS,Lahiri A

    更新日期:2020-11-01 00:00:00

  • Assessing disaster preparedness and mental health of community members in Aceh, Indonesia: a community-based, descriptive household survey of a national program.

    abstract:INTRODUCTON:Disaster preparedness of the community is an essential disaster-mitigation strategy to protect human life and to prevent injuries and property damage. This study aimed to assess the knowledge of disaster, and the disaster preparedness of community members in Aceh, Indonesia. METHODS:A community-based descr...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Ismail N,Suwannapong N,Howteerakul N,Tipayamongkholgul M,Apinuntavech S

    更新日期:2016-10-01 00:00:00

  • Attitudes of GPs towards Older Adults Psychology Services in the Scottish Highlands.

    abstract:INTRODUCTION:The mental health of older adults is of increasing concern in an aging population and GPs are frequently the gatekeepers to specialist mental health services. Psychotherapy, social interventions and bibliotherapy all have an evidence-base for treating depression and anxiety in the elderly, as does pharmaco...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Todman JP,Law J,MacDougall A

    更新日期:2011-01-01 00:00:00

  • Teaching undergraduate students in rural general practice: an evaluation of a new rural campus in England.

    abstract:INTRODUCTION:One approach to facilitating student interactions with patient pathways at Keele University School of Medicine, England, is the placement of medical students for 25% of their clinical placement time in general practices. The largest component is a 15-week 'student attachment' in primary care during the fin...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Bartlett M,Pritchard K,Lewis L,Hays RB,Mckinley RK

    更新日期:2016-04-01 00:00:00

  • "I live in a bubble": Speech-language therapy and audiology students' expectations and experiences of a rural community work practicum.

    abstract:INTRODUCTION:Locally and internationally, there have been renewed calls for equitable access to healthcare services. Simultaneously, caseloads have become more challenging and contexts more complex, which may be overwhelming to new graduates. The South African context offers a particularly interesting example of these ...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Watermeyer J,Barratt J

    更新日期:2013-01-01 00:00:00

  • Breastfeeding prevalence and distribution in the USA and Appalachia by rural and urban setting.

    abstract:INTRODUCTION:Breastfeeding provides health benefits to infants and mothers, yet many women decide against breastfeeding. This study examined differences in the prevalence of breastfeeding among national, urban, rural, and Appalachian regions of the USA. METHODS:Secondary data analysis of the US 2007 National Survey of...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Wiener RC,Wiener MA

    更新日期:2011-01-01 00:00:00

  • Lifecourse factors and likelihood of rural practice and emigration: a survey of Ghanaian medical students.

    abstract:INTRODUCTION:Health worker shortages and maldistribution have important implications for the capacity of health systems. Ghana has one of the highest physician emigration rates in the world, and over 75% of those who remain work in Ghana's two largest cities. The aim of this study was to investigate the contribution of...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Kotha SR,Johnson JC,Galea S,Agyei-Baffour P,Nakua E,Asabir K,Kwansah J,Gyakobo M,Dzodzomenyo M,Kruk ME

    更新日期:2012-01-01 00:00:00

  • Perceived facilitators and barriers to physical activity for rural youth: an exploratory study using photovoice.

    abstract:INTRODUCTION:Decreasing physical activity levels, particularly among youth, continue to be a prominent health concern in Canada, and youth living in rural areas may encounter unique facilitators and barriers to physical activity. In addition, current research suggests that overweight and obesity rates are higher for yo...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Walia S,Leipert B

    更新日期:2012-01-01 00:00:00

  • Depression literacy: rates and relation to perceived need and mental health service utilization in a rural American sample.

    abstract:INTRODUCTION:Mental health literacy assists patients to recognize, manage and prevent emotional disorders such as depression. Depression literacy is a specific type that varies among populations; however, there is a paucity of research on the depression literacy of rural Americans. The purposes of this study were to ev...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Deen TL,Bridges AJ

    更新日期:2011-01-01 00:00:00

  • Diabetes and stress: an anthropological review for study of modernizing populations in the US-Mexico border region.

    abstract:INTRODUCTION:Diabetes is a growing worldwide problem, characterized by considerable ethnic variation and being particularly common in modernizing populations. Modernization is accompanied by a variety of stressful sociocultural changes that are believed to increase the risk of diabetes. Unfortunately, there is little a...

    journal_title:Rural and remote health

    pub_type: 杂志文章,评审

    doi:

    authors: Ely JJ,Zavaskis T,Wilson SL

    更新日期:2011-01-01 00:00:00

  • Expectations of rural community-based medical education: a case study from Thailand.

    abstract:INTRODUCTION:Thailand has recognised and sought to remedy rural medical workforce shortages. The Collaborative Project to Increase Production of Rural Doctors (CPIRD) has improved rural workforce recruitment through publicly funding medical school places for students with rural backgrounds. However, challenges in rural...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:10.22605/RRH4709

    authors: Somporn P,Walters L,Ash J

    更新日期:2018-11-01 00:00:00

  • The Australian 'grey nomad' and aged care nurse practitioner models of practice: a case study analysis.

    abstract:INTRODUCTION:The Nurse Practitioner - Aged Care Models of Practice Initiative supported the roll-out of a range of nurse practitioner (NP) models of practice, across Australia. One of these models was a community-based clinic-located practice, situated in a remote tourist destination where there is no resident general ...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Hungerford C,Prosser B,Davey R,Clark S

    更新日期:2016-04-01 00:00:00

  • Ambulatory diagnoses-cluster statistics of patient visits at a clinic in the Amazon Region of Ecuador.

    abstract:INTRODUCTION:Mondana Clinic is a small rural clinic located in the Napo river region of the Amazon basin in Ecuador. Since its opening in 1997 the clinic has grown to be the primary health care facility for approximately 3000 individuals. METHODS:A retrospective study was performed tabulating the ambulatory diagnosis,...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Samaan R,Nemes A,Pearce K,Matheny S,Crockett S,Seydel K

    更新日期:2001-01-01 00:00:00

  • ICEE/AHMRC NSW Aboriginal Eye and Visioncare Program, Australia.

    abstract:CONTEXT:An astounding 50% of blindness and 70% of vision impairment in Australia is caused by conditions that are said to be preventable or treatable. Aboriginal people suffer 10 times the rate of blindness and attend eyecare practitioners in far lower numbers than other members of the Australian population. ISSUE:In ...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Layland B,Holden B,Evans K,Bailey S

    更新日期:2004-01-01 00:00:00

  • Telenephrology application in rural and remote areas of Jordan: benefits and impact on quality of life.

    abstract:INTRODUCTION:This study aimed to assess the impact of live interactive telenephrology on diagnosis and disease management, patients' quality of life, and time- and cost savings. METHODS:A pre-test-post-test one-group design was used to evaluate the process and outcomes of the teleconsultations among all consecutive pa...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: AlAzab R,Khader Y

    更新日期:2016-01-01 00:00:00

  • A model for internal medicine physicians in a small rural hospital.

    abstract:CONTEXT:Finding providers to work in the hospitals and clinics in the small towns of the USA is a significant struggle. In the traditional model, the primary care doctor sees patients in the inpatient setting in addition to a clinic practice. In the usual hospitalist model, providers specialize to work only in the inpa...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:10.22605/RRH4419

    authors: Bunge P

    更新日期:2018-08-01 00:00:00

  • Swine influenza (H1N1) pandemic: developing countries' perspective.

    abstract::Since the first case of the current pandemic (H1N1) 2009 virus reported to WHO on 24 April 2009 on the American continent, the virus has spread in 160 countries and territories. By mid-2009, there were 135,000 cases and 816 deaths recorded. Pandemic preparedness is not advanced in most developing countries. Effective ...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Khan SI,Akbar SM,Hossain ST,Mahtab MA

    更新日期:2009-07-01 00:00:00

  • Free open access medical education can help rural clinicians deliver 'quality care, out there'.

    abstract::Rural clinicians require expertise across a broad range of specialties, presenting difficulty in maintaining currency of knowledge and application of best practice. Free open access medical education is a new paradigm in continuing professional education. Use of the internet and social media allows a globally accessib...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Leeuwenburg TJ,Parker C

    更新日期:2015-07-01 00:00:00

  • Patterns of transfer in labour and birth in rural New Zealand.

    abstract:INTRODUCTION:For many women, and particularly rural women, birthing locally and within their own community is important for personal, social and/or cultural reasons. If concerns about the woman or her baby mean transfer to a secondary or tertiary facility is necessary, this can be disruptive and stressful, especially i...

    journal_title:Rural and remote health

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Patterson JA,Foureur M,Skinner JP

    更新日期:2011-01-01 00:00:00

  • Sources of healthcare financing among surgical patients in a rural Niger Delta practice in Nigeria.

    abstract:INTRODUCTION:The environmental degradation following crude oil exploration in the Niger Delta has resulted in poverty for local rural dwellers. For those who are ill, if herbal treatments and/or self-medication with orthodox drugs are unsuccessful, the only alternative is expensive medical treatment in clinics. Surgica...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Dienye PO,Brisibe SF,Eke R

    更新日期:2011-01-01 00:00:00

  • Measuring the attractiveness of rural communities in accounting for differences of rural primary care workforce supply.

    abstract:INTRODUCTION:Many rural communities continue to experience an undersupply of primary care doctor services. While key professional factors relating to difficulties of recruitment and retention of rural primary care doctors are widely identified, less attention has been given to the role of community and place aspects on...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:10.22605/RRH3925

    authors: McGrail MR,Wingrove PM,Petterson SM,Humphreys JS,Russell DJ,Bazemore AW

    更新日期:2017-04-01 00:00:00

  • Unintentional injuries and parental violence against children during flood: a study in rural Bangladesh.

    abstract:INTRODUCTION:Violence and injuries are under-reported in developing countries, especially during natural disasters such as floods. Compounding this, affected areas are isolated from the rest of the country. During 2007 Bangladesh experienced two consecutive floods which affected almost one-third of the country. The obj...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:

    authors: Biswas A,Rahman A,Mashreky S,Rahman F,Dalal K

    更新日期:2010-01-01 00:00:00

  • Massive pericardial effusion without cardiac tamponade due to subclinical hypothyroidism (Hashimoto's disease).

    abstract:CONTEXT:Hypothyroidism is a significant cause of pericardial effusion. However, large pericardial effusions due to hypothyroidism are extremely rare. Hormone replacement therapy is the cornerstone of treatment for hypothyroidism and regular follow-up of patients after initiation of the therapy is indicated. Herein, the...

    journal_title:Rural and remote health

    pub_type: 杂志文章

    doi:10.22605/RRH4384

    authors: Papakonstantinou PE,Gourniezakis N,Skiadas C,Patrianakos A,Gikas A

    更新日期:2018-05-01 00:00:00