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

Cheek, Colleen; Hays, Richard; Allen, Penny; Walker, G. P. L.; Shires, Lizzi

doi:10.22605/rrh4292

Cited by 7 publications

(7 citation statements)

References 4 publications

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“…As detailed below it is likely that most IMS who graduate succeed in obtaining a permanent residence skill visa. This outcome is consistent with student surveys which indicate that the majority seek to live in Australia permanently . It is also consistent with a government workforce planning committee's assumption that 70% of IMS will remain here…”

supporting

confidence: 86%

“…This medical education industry has evolved with little or no community awareness, community debate or consideration of the underlying issues. The current numbers of IMS represent a 242% increase since 1999 and a 26% increase since 2011…”

mentioning

confidence: 99%

“…In addition, it is claimed that by training IMS who come here at their own expense, the nation may be able to reduce its reliance on recruiting medical graduates from other countries to fill workforce gaps in unpopular locations . The latter seems a vain hope as the clear preference for IMS is to work and reside in our large cities . In addition, if we as a nation are truly intent on recruiting the brightest international students to enrol in our medical schools we need to be open and honest about our intentions.…”

mentioning

confidence: 99%

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Selling medical education to international students: time for review

Breen

Birrell²

2020

Internal Medicine Journal

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Over 600 international medical students commence training in Australian medical schools each year. Government funding policies are driving medical schools to recruit more international students. The need to lobby for intern positions for domestic graduates and for international students has placed Australia's medical schools in conflicted positions. It is time for a thorough re-examination of all aspects of medical education in Australia.

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supporting

confidence: 86%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Selling medical education to international students: time for review

Breen

Birrell²

2020

Internal Medicine Journal

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“…Studies identified a range of challenges related to classifying the geographical distribution of medical workforce, which were as follows: uptake of rural internships by domestic graduates being insufficient to meet rural workforce demands [76]; movement of graduates who were international fee-paying students to metropolitan areas after the first few years of practice [82]; and the lack of availability of specialty training in non-metropolitan areas [57]. The sensitivity of AHPRA principal place of practice data was also examined in one study, which found that the most accurate method of tracking medical graduates longitudinally was through personal contact [32], as long as that remains possible.…”

Section: Medicinementioning

confidence: 99%

Approaches Used to Describe, Measure, and Analyze Place of Practice in Dentistry, Medical, Nursing, and Allied Health Rural Graduate Workforce Research in Australia: A Systematic Scoping Review

Beks

Walsh

Alston

et al. 2022

IJERPH

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Redressing the maldistribution of the health workforce in regional, rural, and remote geographical areas is a global issue and crucial to improving the accessibility of primary health care and specialist services. Geographical classification systems are important as they provide an objective and quantifiable measure of access and can have direct policy relevance, yet they are not always consistently applied in rural health research. It is unclear how research focusing on the graduate health workforce in Australia has described, measured, and analyzed place of practice. To examine approaches used, this review systematically scopes Australian rural studies focusing on dentistry, medicine, nursing, and allied health graduates that have included place of practice as an outcome measure. The Joanna Brigg’s Institute Scoping Review Methodology was used to guide the review. Database searches retrieved 1130 unique citations, which were screened, resulting in 62 studies for inclusion. Included studies were observational, with most focusing on the practice locations of medical graduates and predicators of rural practice. Variations in the use of geographical classification approaches to define rurality were identified and included the use of systems that no longer have policy relevance, as well as adaptations of existing systems that make future comparisons between studies challenging. It is recommended that research examining the geographical distribution of the rural health workforce use uniform definitions of rurality that are aligned with current government policy.

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“…A 2017 study of FGAMS who had graduated in Tasmania, a wholly rural state, found that 33% were working rurally 1-15 years post-graduation). [19] However, no Tasmanian or other comparison data were applied to this study. Evidence from Victoria found that FGAMS had an odds ratio of 5.8 (95% CI 4.0-8.4) for working rurally 1-9 years post-graduation, compared to DMGs [20].…”

Section: Year Of Graduationmentioning

confidence: 99%

Rural Work and Specialty Choices of International Students Graduating from Australian Medical Schools: Implications for Policy

McGrail

O’Sullivan

Russell

2019

IJERPH

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Almost 500 international students graduate from Australian medical schools annually, with around 70% commencing medical work in Australia. If these Foreign Graduates of Accredited Medical Schools (FGAMS) wish to access Medicare benefits, they must initially work in Distribution Priority Areas (mainly rural). This study describes and compares the geographic and specialty distribution of FGAMS. Participants were 18,093 doctors responding to Medicine in Australia: Balancing Employment and Life national annual surveys, 2012-2017. Multiple logistic regression models explored location and specialty outcomes for three training groups (FGAMS; other Australian-trained (domestic) medical graduates (DMGs); and overseas-trained doctors (OTDs)). Only 19% of FGAMS worked rurally, whereas 29% of Australia's population lives rurally. FGAMS had similar odds of working rurally as DMGs (OR 0.93, 0.77-1.13) and about half the odds of OTDs (OR 0.48, 0.39-0.59). FGAMS were more likely than DMGs to work as general practitioners (GPs) (OR 1.27, 1.03-1.57), but less likely than OTDs (OR 0.74, 0.59-0.92). The distribution of FGAMS, particularly geographically, is sub-optimal for improving Australia's national medical workforce goals of adequate rural and generalist distribution. Opportunities remain for policy makers to expand current policies and develop a more comprehensive set of levers to promote rural and GP distribution from this group.

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

Cited by 7 publications

References 4 publications

Selling medical education to international students: time for review

Selling medical education to international students: time for review

Approaches Used to Describe, Measure, and Analyze Place of Practice in Dentistry, Medical, Nursing, and Allied Health Rural Graduate Workforce Research in Australia: A Systematic Scoping Review

Rural Work and Specialty Choices of International Students Graduating from Australian Medical Schools: Implications for Policy

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