Interest in rural clinical school is not enough: Participation is necessary to predict an ultimate rural practice location

2016 ◽  
Vol 25 (4) ◽  
pp. 210-218 ◽  
Author(s):  
Denese Playford ◽  
Ian B. Puddey
Keyword(s):  
Rural Practice ◽  
Practice Location

General Dentist Characteristics Associated With Rural Practice Location

2013 ◽  
Vol 29 (s1) ◽  
pp. s89-s95 ◽  
Author(s):  
Susan C. McKernan ◽  
Raymond A. Kuthy ◽  
Golnaz Kavand
Keyword(s):  
Rural Practice ◽  
Practice Location ◽  
General Dentist

scholarly journals Factors Associated with Physician Assistant Practice in Rural and Primary Care in Utah

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Jennifer M. Coombs ◽  
Perri Morgan ◽  
Donald M. Pedersen ◽  
Sri Koduri ◽  
Stephen C. Alder
Keyword(s):  
Primary Care ◽  
Rural Communities ◽  
Physician Assistants ◽  
The United States ◽  
Rural Practice ◽  
Professional School ◽  
Care Practice ◽  
Cross Sectional Survey ◽  
Lower Odds ◽  
Practice Location

Physician Assistants (PAs) have become an integral part of the United States (U.S.) health care system since the profession began in the late 1960s. PAs have been suggested as solutions to predicted physician shortages especially in primary care. This study examined the predictors of primary care and rural practice patterns of PAs in Utah. A cross sectional survey design was utilized. The outcome variables were practice specialty and practice location. The predictor variables were age, gender, number of years in practice, location of upbringing, and professional school of graduation. There was a response rate of 67.7%. The Utah Division of Occupational and Professional Licensing (DOPL) provided the list of licensed PAs in the state. Physician assistants who reported being raised in rural communities were 2.29 times more likely to be practicing in rural communities (95% CI 0.89–5.85). Female PAs had lower odds of practicing in a rural area (OR: 0.26; 95% CI: 0.10–0.66). Female PAs had lower odds of practicing in primary care versus their male counterparts (OR: 0.56; 95% CI: 0.33–0.96). Graduation from the Utah PA Program was more likely to result in primary care practice (OR: 2.16; 95% CI: 1.34–3.49).

scholarly journals Factors perceived to influence rural career choice of urban background family physicians: a qualitative analysis

2019 ◽  
Author(s):  
Olga Szafran ◽  
Douglas Myhre ◽  
Jacqueline Torti ◽  
Shirley Schipper
Keyword(s):  
Family Medicine ◽  
Career Choice ◽  
Rural Areas ◽  
Role Models ◽  
Rural Practice ◽  
Training Experience ◽  
Urban Background ◽  
Practice Location ◽  
Telephone Interviews ◽  
Physician Role

Background: Urban background physicians are the main source of physician supply for rural areas across Canada. The purpose of this study was to describe factors that influence rural career choice and practice location of urban background family medicine graduates. Methods:  We conducted a qualitative, descriptive study employing telephone interviews with 9 urban background family medicine graduates. Those who completed residency training between 2006 and 2011 and were in rural practice, but who had an urban upbringing were asked about: when the decision for rural practice was made; factors that influenced rural career choice; and factors that influenced choice of a particular rural location.  Emerging themes were identified through content analysis of interview data.  Results:  We identified four themes as factors influencing rural career choice - variety/broad scope of rural practice, rural lifestyle, personal relationships, and positive rural experience/physician role models.  We also identified factors in four theme areas as influencing the choice of a particular rural practice location - having lived in the rural community, spousal influence, personal lifestyle, and comfort with practice expectations.  Conclusion:  Decisions for rural career choice and rural practice location by urban background family medicine graduates are based on clinical practice considerations, training experience, as well as personal and lifestyle factors.

scholarly journals Predictors of rural practice location

1977 ◽  
Vol 52 (3) ◽  
pp. 204-9
Author(s):  
P Kegel-Flom
Keyword(s):  
Rural Practice ◽  
Practice Location

scholarly journals Rural exposure during medical education and student preference for future practice location - a case of Botswana

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Tonya Arscott-Mills ◽  
Poloko Kebaabetswe ◽  
Gothusang Tawana ◽  
Deogratias O. Mbuka ◽  
Orabile Makgabana-Dintwa ◽  
...  
Keyword(s):  
Family Medicine ◽  
Student Perceptions ◽  
Rural Areas ◽  
Structured Interview ◽  
Rural Practice ◽  
Public Institution ◽  
Practice Location ◽  
Rural Training ◽  
The Impact ◽  
Future Practice

Background: Botswana’s medical school graduated its first class in 2014. Given the importance of attracting doctors to rural areas the school incorporated rural exposure throughout its curriculum. Aim: This study explored the impact of rural training on students’ attitudes towards rural practice.Setting: The University of Botswana family medicine rural training sites, Maun and Mahalapye.Methods: The study used a mixed-methods design. After rural family medicine rotations, third- and fifth-year students were invited to complete a questionnaire and semi-structured interview. Data were analysed using descriptive statistics and thematic analysis.Results: The thirty-six participants’ age averaged 23 years and 48.6% were male. Thirtythree desired urban practice in a public institution or university. Rural training did not influence preferred future practice location. Most desired specialty training outside Botswana but planned to practice in Botswana. Professional stagnation, isolation, poorly functioning health facilities, dysfunctional referral systems, and perceived lack of learning opportunities were barriers to rural practice. Lack of recreation and poor infrastructure were personal barriers. Many appreciated the diversity of practice and supportive staff seen in rural practice. Several considered monetary compensation as an enticement for rural practice. Only those with a rural background perceived proximity to family as an incentive to rural practice.Conclusion: The majority of those interviewed plan to practice in urban Botswana, however, they did identify factors that, if addressed, may increase rural practice in the future. Establishing systems to facilitate professional development, strengthening specialists support, and deploying doctors near their home towns are strategies that may improve retention of doctors in rural areas.Keyords: rural health, student perceptions

General Dentist Characteristics Associated With Rural Practice Location

2020 ◽  
Author(s):  
Susan C McKernan ◽  
Raymond A Kuthy ◽  
Golnaz Kavand
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Tracking System ◽  
Study Data ◽  
Individual Characteristics ◽  
Rural Practice ◽  
Outcome Variable ◽  
Practice Location ◽  
General Dentists ◽  
General Dentist

Purpose: To examine whether there is a difference in the likelihood that a general dentist practices in a rural location based on individual characteristics, including dental school attended, birth state, practice arrangement, sex, and age. Methods: All private practice, general dentists in Iowa were included in this study. Data were extracted from the year 2010 version of the Iowa Dentist Tracking System, which monitors practice patterns of active dentists. Rurality of primary office location, categorized using Rural-Urban Commuting Area (RUCA) codes, served as the outcome variable. Chi-square tests and multivariable logistic regression were used to explain associations between rural practice location and dentist characteristics. Findings: Fifteen percent of the state’s population resided in isolated small rural towns, but only 8% of general dentists practiced here. Approximately 17% of dentists in isolated small rural towns were age 40 or younger, compared to 32% of dentists in urban areas. Among male dentists, those who were born in Iowa (P = .002), were older (P = .020), and graduated from dental schools other than the University of Iowa (P = .009) were more likely to practice in rural areas than were their counterparts. Conversely, among female dentists, solo practice (P = .016) was the only variable significantly associated with rural practice location. Conclusions: The dentist workforce in rural areas of Iowa is dominated by older males who were born in Iowa. As this generation retires and increasing numbers of women enter the profession, state policy makers and planners will need to monitor changing trends in the rural workforce.

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