scholarly journals Encouragers and discouragers affecting medical graduates' choice of regional and rural practice locations

2017 ◽  
Vol 17 (4) ◽  
Author(s):  
Ann McKillop ◽  
Craig Webster ◽  
Win Bennett ◽  
Barbara O'Connor ◽  
Warwick Bagg
Keyword(s):  
Rural Practice ◽  
Medical Graduates

scholarly journals General practice registrars’ intentions for future practice: implications for rural medical workforce planning

2016 ◽  
Vol 22 (5) ◽  
pp. 440 ◽  
Author(s):  
Catherine Harding ◽  
Alexa Seal ◽  
Joe McGirr ◽  
Tim Caton
Keyword(s):  
General Practice ◽  
Workforce Planning ◽  
Rural Practice ◽  
Fee For Service ◽  
Ability To Work ◽  
Medical Graduates ◽  
Practice Models ◽  
Part Time ◽  
Future Practice ◽  
General Practice Training

The models of practice that general practice registrars (GPRs) envisage undertaking will affect workforce supply. The aim of this research was to determine practice intentions of current GPRs in a regional general practice training program (Coast City Country General Practice Training). Questionnaires were circulated to 220 GPRs undertaking general practice placements to determine characteristics of ideal practice models and intentions for future practice. Responses were received for 99 participants (45%). Current GPRs intend to work an average of less than eight half-day sessions/week, with male participants intending to work more hours (t(91)=3.528, P=0.001). More than one-third of this regional cohort intends to practice in metropolitan centres. Proximity to family and friends was the most important factor influencing the choice of practice location. Men ranked remuneration for work as more important (t (88)=–4.280, P<0.001) and women ranked the ability to work part-time higher (t(94)=3.697, P<0.001). Fee-for-service payment alone, or in combination with capitation, was the preferred payment system. Only 22% of Australian medical graduates intend to own their own practice compared with 52% of international medical graduates (χ2(1)=8.498, P=0.004). Future general practitioners (GPs) intend to work fewer hours than current GPs. Assumptions about lifestyle factors, practice models and possible professional roles should be carefully evaluated when developing strategies to recruit GPs and GPRs into rural practice.

scholarly journals Are Medical Graduates’ Job Choices for Rural Practice Consistent with their Initial Intentions? A Cross-Sectional Survey in Western China

2019 ◽  
Vol 16 (18) ◽  
pp. 3381 ◽  
Author(s):  
Jinlin Liu ◽  
Bin Zhu ◽  
Ning Zhang ◽  
Rongxin He ◽  
Ying Mao
Keyword(s):  
Medical Students ◽  
Low Income ◽  
Clinical Medicine ◽  
Health Workers ◽  
Rural Practice ◽  
Western China ◽  
Job Choice ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical Graduates

Global concerns persist regarding the shortage and misdistribution of health workers in rural and remote areas. Medical education is an important input channel of human resources for health. This study aimed to identify the association between medical graduates’ job choices for rural practice and their initial intentions when they began to look for a job in China. Data were extracted from a cross-sectional survey among medical students in ten western provinces in China in 2013. Only medical students who were in the last year of study (i.e., medical graduates) and had found a job were included in this study. Of the 482 participants, 61.04% (293) presented an initial intention of rural practice when they began to look for a job, and 68.88% (332) made a final job choice for rural practice. However, of the 332 graduates with a final job choice of rural practice, only 213 (64.55%) had an initial intention. A univariate association was identified in which medical graduates who were more likely to make final job choices for rural practice were those having initial intentions (OR: 1.59; 95% CI: 1.08–2.36); however, after adjusting for controlled variables, it became insignificant and was reduced to a 1.31-fold increase (95% CI: 0.82–2.07). The initial intentions of medical graduates are not assurance of ultimate job outcomes, and it cannot be deduced that all medical graduates who made a final job choice for rural practice had authentic desires for rural practice. Twenty years of age or below, low-income families, majoring in non-clinical medicine, and studying in a junior medical college or below were associated with medical graduates’ final job choices for rural practice. More studies are required on how to translate medical student’s intention of rural medical practice into reality and how to retain these graduates via a job choice in rural practice in the future.

scholarly journals What influences trainee decisions to practise in rural and regional Australia?

2020 ◽  
Vol 26 (6) ◽  
pp. 520
Author(s):  
Alexa Seal ◽  
Catherine Harding ◽  
Joe McGirr
Keyword(s):  
Rural Areas ◽  
Rural Practice ◽  
Substantial Part ◽  
Medical Graduates ◽  
Practice Models ◽  
Binary Regression Analysis ◽  
Royal Australian College ◽  
Key Variables ◽  
Regional Australia ◽  
Remote Medicine

Although international medical graduates (IMGs) make up a substantial part of the Australian rural general practice workforce, most research on factors associated with rural practice has focused on Australian medical graduates (AMGs). This study aimed to determine whether there were differences between IMGs and AMGs in terms of these factors. Registrars in training and recent fellows (Fellowship of the Royal Australian College of General Practitioners/Fellowship of the Australian College of Rural and Remote Medicine) who participated in training in rural and regional Australia were surveyed about practice models and rural practice. Almost two-thirds of participants were practicing or intending to practice in rural areas, with no difference between AMGs and IMGs. None of the variables associated with rural practice for AMGs was found to be associated with rural practice in IMGs in univariate binary regression analysis. Two key variables that are strongly associated with rural medical practice in the current literature, namely rural background and rural exposure, were not significant predictors of rural practice among IMGs. Due to the significant number of IMGs in regional training programs, any future incentives designed to improve rural recruitment and retention need to address factors relevant to IMGs.

scholarly journals International sore throat guidelines and international medical graduates: a mixed methods systematic review

2016 ◽  
Vol 8 (1) ◽  
pp. 20 ◽  
Author(s):  
Karen J. Hoare ◽  
Erin Ward ◽  
Bruce Arroll
Keyword(s):  
Mixed Methods ◽  
New Zealand ◽  
Rheumatic Fever ◽  
Sore Throat ◽  
Acute Rheumatic Fever ◽  
International Medical ◽  
Rural Practice ◽  
International Medical Graduates ◽  
Medical Graduates ◽  
Rich Countries

ABSTRACT AIM To examine national and international guidelines on sore throat management and subsequently, to explore the phenomenon of international medical graduates working in general and rural practice in New Zealand. METHOD Two separate systematic reviews were conducted that resulted in a contingent methodology. Contingent methodologies involve syntheses of data that are derived sequentially. The initial review for this study examined international sore throat guidelines and their key points. The results of this initial review resulted in the theory that international medical graduates may be unaware of the New Zealand specific sore throat guidelines and the problem of acute rheumatic fever in this country. The subsequent review examined the phenomenon of international medical graduates working in general or rural practice in New Zealand. Data sources were Medline, Google Scholar, Trip Database, and NHS Evidence, Embase and Scopus. Electronic databases were searched for relevant data published January 2000–December 2013. Additional hand searches found key references from articles and websites. RESULTS International guidelines for the management of sore throats differ from New Zealand guidelines. Of resource rich countries, New Zealand has the second highest number of international medical graduates: they may not use New Zealand specific sore throat guidelines. DISCUSSION Acute rheumatic fever is virtually eradicated in most resource rich countries. Rheumatic fever rates of among indigenous Māori and Pacifika people in New Zealand have failed to reduce over the last three decades. Knowledge and actions of international medical graduates in relation to sore throat management needs investigating. KEYWORDS Sore throats; acute rheumatic fever; clinical guidelines; international medical graduates; mixed methods review

scholarly journals Finding the line of best fit: constructing a profile for rural-based international medical graduates in Canada.

2021 ◽  
Author(s):  
Hannah Kovacs
Keyword(s):  
Rural Communities ◽  
International Medical ◽  
Rural Practice ◽  
International Medical Graduates ◽  
Future Directions ◽  
Recruitment And Retention ◽  
Medical Graduates ◽  
Physician Shortages ◽  
Rural And Remote Areas ◽  
Best Fit

Canada's vast landscape has produced challenges in providing equitable access to healthcare for those living in rural and remote areas. Over several decades physician shortages have increasingly compromised rural communities' access to medical services. In response, provinces and territories have recruited international medical graduates (IMGs) to address these shortages. Synthesizing literature and frameworks from American, Australian and Canadian sources, this paper will explore issues related to IMG recruitment and retention to rural practice. Using an evidence-based review of the literature and data from the Canadian Residency Matching Service (CaRMS) this investigation will examine the profiles of IMGs who voluntarily pursue rural practice in hopes of identifying trends and future directions for recruitment and retention efforts.

scholarly journals Finding the line of best fit: constructing a profile for rural-based international medical graduates in Canada.

2021 ◽  
Author(s):  
Hannah Kovacs
Keyword(s):  
Rural Communities ◽  
International Medical ◽  
Rural Practice ◽  
International Medical Graduates ◽  
Future Directions ◽  
Recruitment And Retention ◽  
Medical Graduates ◽  
Physician Shortages ◽  
Rural And Remote Areas ◽  
Best Fit

Canada's vast landscape has produced challenges in providing equitable access to healthcare for those living in rural and remote areas. Over several decades physician shortages have increasingly compromised rural communities' access to medical services. In response, provinces and territories have recruited international medical graduates (IMGs) to address these shortages. Synthesizing literature and frameworks from American, Australian and Canadian sources, this paper will explore issues related to IMG recruitment and retention to rural practice. Using an evidence-based review of the literature and data from the Canadian Residency Matching Service (CaRMS) this investigation will examine the profiles of IMGs who voluntarily pursue rural practice in hopes of identifying trends and future directions for recruitment and retention efforts.

scholarly journals Exploring Doctors’ Emerging Commitment to Rural and General Practice Roles over Their Early Career

2021 ◽  
Vol 18 (22) ◽  
pp. 11835
Author(s):  
Matthew McGrail ◽  
Belinda O’Sullivan ◽  
Tiana Gurney ◽  
Diann Eley ◽  
Srinivas Kondalsamy-Chennakesavan
Keyword(s):  
General Practice ◽  
Specialty Choice ◽  
Early Career ◽  
Rural Practice ◽  
Medical Graduates ◽  
Career Intent ◽  
Pass Through ◽  
The University ◽  
New Evidence ◽  
Registrar Training

Producing enough doctors working in general practice or rural locations, or both, remains a key global policy focus. However, there is a lack of evidence about doctors’ emerging commitment to these decisions. This study aimed to explore changes in the level of certainty about career interest in working in general practice and working rurally, as doctors pass through various early career stages. The participants were 775 eligible respondents to a 2019 survey of medical graduates of The University of Queensland from 2002–2018. Certainty levels of specialty choice were similar between GPs and specialists up until the beginning of registrar training. At that point, 65% of GPs compared with 80% of other specialists had strong certainty of their specialty field. Consistently (and significantly) less of those working rurally had strong certainty of the location where they wanted to practice medicine at each career time point. At the start of registrar training, a similar gap remained (strong certainty: 51% rural versus 63% metropolitan). This study provides new evidence that career intent certainty is more delayed for the cohort choosing general practice and rural practice than the other options. The low level of certainty in early career highlights the importance of regular positive experiences that help to promote the uptake of general practice and rural practice.

Foreign medical graduates

1976 ◽  
Vol 136 (10) ◽  
pp. 1194-1194
Author(s):  
S. S. Bergen
Keyword(s):  
Medical Graduates ◽  
Foreign Medical Graduates
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