Characteristics of Queensland physicians and the influence of rural exposure on practice location

Runge, Catherine; MacKenzie, Avery; Loos, Colleen; Waller, Michael; Gabbett, Michael T.; Mills, Ryan; Eley, Diann

doi:10.1111/imj.13156

Cited by 10 publications

(13 citation statements)

References 9 publications

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“…Our study also confirms the increased likelihood of rural practice among physicians who either had a rural childhood background or were trained overseas, consistent with other studies 8,9 . However, increasing evidence suggests the importance of rural training immersion experiences to improving geographic distribution of the post‐Fellowship workforce 32,33 .…”

Section: Discussionsupporting

confidence: 90%

“…Encouragingly, however, it suggests that work location does not affect their professional satisfaction. A 2013 Queensland report provides further positive evidence of the professional satisfaction of rural specialist physicians 9 . Professional satisfaction, the extent to which a workplace matches a worker’s aspirations or expectations, is associated with individual and organisational outcomes and has important implications for medical workforce planning 10,11 .…”

Section: Chapter 1 Characterising Australia’s Rural Specialist Physician Workforce: the Professional Profile And Professional Satisfactiomentioning

confidence: 99%

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Building a sustainable rural physician workforce

Ostini¹,

McGrail²,

Kondalsamy‐Chennakesavan³

et al. 2021

Medical Journal of Australia

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c4b-796f-49bd-87eb-5a111 35956 f5/16934.pdf. aspx?inlin e=true (viewed May 2021). ■Understanding the professional experience of both the rural physician workforce and junior physician trainees and the impact of their training or working location is vital. Given the lack of empirical evidence on the experience of rural physicians across all career stages, the aim of our study was to assess differences in the demographic characteristics, professional profile and professional satisfaction of rural and metropolitan junior physicians and physician consultants in Australia. MethodsOur study used data from the Medicine in Australia: Balancing Employment and Life (MABEL) study, a large longitudinal (annual cohort) survey of the Australian medical workforce. Specialty was self-identified, with only "physicians" included, using the Royal Australasian College of Physicians (RACP) definition (adult internal medicine, paediatric and child health) (Box 1). For junior doctors, due to small annual counts in MABEL, cross-sectional data were pooled between wave 1 (2008) and wave 9 (2016); however, only the first record (at each career stage) over the 9 years was included for analysis. In contrast, cross-sectional

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Section: Discussionsupporting

confidence: 90%

Section: Chapter 1 Characterising Australia’s Rural Specialist Physician Workforce: the Professional Profile And Professional Satisfactiomentioning

confidence: 99%

Building a sustainable rural physician workforce

Ostini¹,

McGrail²,

Kondalsamy‐Chennakesavan³

et al. 2021

Medical Journal of Australia

View full text Add to dashboard Cite

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“…A 10 year longitudinal cohort study from Australia showed that rural exposure during medical training related to rural work. 51 Another important factor reported elsewhere as a determinant of RR practice uptake is rural background [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] , but in this study it was not associated with or predictive for rural practice location. However, rural born and rural living experiences were associated with the preference of future rural practice location also intention to remain in RR practice.…”

Section: Discussionmentioning

confidence: 60%

Determinant factors to the rural and remote medical workforce in Maluku Islands of Indonesia: A cross-sectional study

Noya

Thompson

et al. 2021

Preprint

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Background Many factors contribute to engagement in rural and remote medical practice but little is known about the determinant factors of rural and remote medical practice in the such remote locations as the Maluku Province of Indonesia. This study describes determinants, preferences and intentions of doctors in the rural and remote practice. Methods An online survey of work-related experience and intentions for future rural work was administered to 410 doctors working in the Maluku province of Indonesia. Participant characteristics were described using descriptive statistics, associations between the independent variables with the location of workforce, preference for rural practice and intention to remain in rural and remote Maluku were analysed using Chi-square tests and logistic regression. Results A total of 324 responses (79% response rate) were recorded comprising 70% females and 30% Pattimura University graduates of doctors employed in Maluku. Graduating from Pattimura University was associated with a nearly twofold rate of current rural practice and preference for future rural practice compared to graduates of other universities, and also predicted intention to stay rural. Those with rural background were twice as likely to prefer future rural practice and intend to stay rural. Younger age was associated with twofold odds of current rural practice, preferred future rural practice, and intention to stay rural. Smaller salary was associated with current rural practice. Smaller take home pay predicted current rural practice, but negatively impacted preference for future rural practice and intention to remain rural (OR < 1). Being in their early career was associated with current rural practice, and with preferred future rural practice and intention to stay rural. Being currently in a rural practice strongly predicted preferred future rural practice and intention to remain in rural practice (OR 15). Conclusion This study provides evidence that rural background predicts rural preference and intention, and shows the importance of a regional medical school in supplying doctors to a rural and remote region of Indonesia with persistent medical workforce shortage. Sustained collaboration between medical schools and local government to implement relevant strategies is needed to improve the recruitment and retention of rural doctors.

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“…Improved coordination of rurally interested medical graduates with rural training capacity and pathways to specialty colleges is a key objective of university‐based RTHs 40 . These address evidence demonstrating that low selection rates of rurally experienced or rural‐focused graduates in a specialty strongly correlates with the expected geographical distribution of that workforce 41 …”

Section: Discussionmentioning

confidence: 85%

Critically reviewing the policies used by colleges to select doctors for specialty training: A kink in the rural pathway

McGrail

O’Sullivan

Gurney

2021

Australian J Rural Health

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Objective To review the selection policies and models used by speciality colleges to select candidates for entry to vocational training, exploring whether these processes are rural‐focused. Design A systematic desktop audit of college selection processes and criteria was done via college websites (Australian Medical Council (AMC) requires selection information to be publicly available). Setting and main outcomes Material was extracted into a structured template, in 2020. Information extracted related to (i) training entry and selection steps; (ii) selection criteria and elements; (iii) rural‐focused components; and (iv) rural outcomes. Findings were critically reviewed to explore their degree of rural focus. Results Of 14 specialist colleges included, rural‐focused selection mostly related to college‐led selection models rather than employer‐led. Six colleges had rural‐focused selection criteria (four college‐led), with the Australian College of Rural and Remote Medicine strongest, utilising a ‘suitability assessment’ for rural practice. Of the remaining five, childhood background or rural work experience contributed between 5% and 20% of the curriculum vitae assessment. Of eight specialist colleges without rural‐focused selection, six used employer‐led selection models. Conclusions The majority of specialty colleges have no rural‐focused selection criteria and colleges using employer‐led models are weakest. Given that the colleges are required to adhere to the AMC's accreditation standards, it follows that the best way to mobilise change is by including rural selection policies within the AMC standards and requiring reporting of selection outcomes, regardless of the selection models used. This will substantially strengthen ongoing rural pathways in medicine.

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Characteristics of Queensland physicians and the influence of rural exposure on practice location

Cited by 10 publications

References 9 publications

Building a sustainable rural physician workforce

Building a sustainable rural physician workforce

Determinant factors to the rural and remote medical workforce in Maluku Islands of Indonesia: A cross-sectional study

Critically reviewing the policies used by colleges to select doctors for specialty training: A kink in the rural pathway

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