You are not logged in.
Openly accessible

Why do medical graduates choose rural careers?

Henry, J.A., Edwards, B. J. and Crotty, B. 2009, Why do medical graduates choose rural careers?, Rural and Remote Health, vol. 9, no. 1083, pp. 1-13.

Attached Files
Name Description MIMEType Size Downloads
Crotty_Why_Do_Medical_Graduates-2009.pdf Published version application/pdf 231.74KB 905

Title Why do medical graduates choose rural careers?
Author(s) Henry, J.A.
Edwards, B. J.
Crotty, B.ORCID iD for Crotty, B. orcid.org/0000-0002-0592-235X
Journal name Rural and Remote Health
Volume number 9
Issue number 1083
Start page 1
End page 13
Total pages 13
Publisher Australian Rural Health Education Network
Place of publication Geelong, Vic.
Publication date 2009-02
ISSN 1445-6354
Keyword(s) graduate entry
rural pipeline
school admission criteria
student selection
Summary Introduction: This study is based on the metaphor of the ‘rural pipeline’ into medical practice. The four stages of the rural
pipeline are: (1) contact between rural secondary schools and the medical profession; (2) selection of rural students into medical
programs; (3) rural exposure during medical training; and (4) measures to address retention of the rural medical workforce.
Methods: Using the rural pipeline template we conducted a literature review, analysed the selection methods of Australian
graduate entry medical schools and interviewed 17 interns about their medical career aspirations.
Results: Literature review: The literature was reviewed to assess the effectiveness of selection practices to predict successful
gradation and the impact of rural pipeline components on eventual rural practice. Undergraduate academic performance is the
strongest predictor of medical course academic performance. The predictive power of interviews is modest. There are limited data
on the predictive power of other measures of non-cognitive performance or the content of the undergraduate degree. Prior rural
residence is the strongest predictor of choice of a rural career but extended rural exposure during medical training also has a
significant impact. The most significant influencing factors are: professional support at national, state and local levels; career
pathway opportunities; contentedness of the practitioner’s spouse in rural communities; preparedness to adopt a rural lifestyle;
educational opportunities for children; and proximity to extended family and social circle. Analysis of selection methods: Staff
involved in student selection into 9 Australian graduate entry medical schools were interviewed. Four themes were identified:
(1) rurality as a factor in student selection; (2) rurality as a factor in student selection interviews; (3) rural representation on student
selection interview panels; (4) rural experience during the medical course. Interns’ career intentions: Three themes were identified:
(1) the efficacy of the rural pipeline; (2) community connectedness through the rural pipeline; (3) impediments to the effect of the
rural pipeline, the most significant being a partner who was not committed to rural life
Conclusion: Based on the literature review and interviews, 11 strategies are suggested to increase the number of graduates
choosing a career in rural medicine, and one strategy for maintaining practitioners in rural health settings after graduation.
Notes First published in the journal, Rural and Remote Health [http://www.rrh.org.au]
Language eng
Field of Research 130103 Higher Education
Socio Economic Objective 920205 Health Education and Promotion
HERDC Research category C1 Refereed article in a scholarly journal
HERDC collection year 2009
Copyright notice ©2009, JA Henry, BJ Edwards, B Crotty
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30018594

Document type: Journal Article
Collections: School of Medicine
Open Access Collection
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 78 times in TR Web of Science
Scopus Citation Count Cited 81 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 632 Abstract Views, 871 File Downloads  -  Detailed Statistics
Created: Wed, 09 Sep 2009, 11:50:18 EST by Steven Sawyer

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.