Health Career Promotion in the New England Area of New South Wales: A Program to Support High School Career Advisers

Fraser, John D.; Alexander, Christian; Simpkins, Berniece; Temperley, John

doi:10.1046/j.1440-1584.2003.00511.x

Cited by 6 publications

(4 citation statements)

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“…The impact of components of the rural pipeline on choice of a rural medical career is strongly supported by the literature [27][28][29][30] . The first stage of the rural pipeline, structured contact between rural secondary schools and the medical profession or medical schools, has been implemented in a variety of ways [31][32][33][34] . For example, American Health Education Centres have operated health career promotion activities through their 'Pipeline to Practice' program with years K-12 and college students for many years 35 .…”

Section: Phase 1: Condensed Review Of Background Literaturementioning

confidence: 99%

Why do medical graduates choose rural careers?

Henry¹,

Edwards²,

Crotty³

2009

RRH

129

125

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Section: Phase 1: Condensed Review Of Background Literaturementioning

confidence: 99%

Why do medical graduates choose rural careers?

Henry¹,

Edwards²,

Crotty³

2009

RRH

129

125

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“…A major component of the school's rural and remote mission has been the establishment of a selection process that is orientated towards attracting and preferentially selecting applicants from rural, remote and Indigenous backgrounds, often targeting secondary school students, as suggested by a sizeable body of rural literature [8][9][10][11] . For example, 73% of the student intake from 2000 to 2008 is from northern Australia, with 61% from locations classified as outer regional, remote or very remote on the Australian Standard Geographical Classification Remoteness Area (ASGC-RA) index (based on population size and distance from the nearest urban centre in relation to access to goods and services) 12 .…”

Section: Introductionmentioning

confidence: 99%

James Cook University's rurally orientated medical school selection process: quality graduates and positive workforce outcomes

Ray¹,

Woolley²,

Gupta³

2015

RRH

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Introduction: The regionally based James Cook University (JCU) College of Medicine and Dentistry aims to meet its mission to address the health needs of the region by using a selection policy favouring rural origin applicants and providing students with early and repeated exposure to rural experiences during training. This study seeks to determine if the JCU medical school's policy of preferentially selecting rural and remote background students is associated with differing patterns of undergraduate performance or graduate practice location. Methods: Data at application to medical school and during the undergraduate years was retrieved from administrative databases held by the university and the medical school. Postgraduate location data were obtained either from personal contact via email, telephone or Facebook or electronically from the Australian Health Practitioner Regulation Authority website. Practice location was described across Australian Standard Geographical Classification Remoteness Area (ASGC-RA) categories, with 1 being a major city and 5 being a very remote location. Results: The 856 Australian-based students accepted into the JCU medical program between 2000 and 2008 came from all geographical regions across Australia: 20% metropolitan (ASGC-RA 1), 20% inner regional (ASGC-RA 2), 56% outer regional (ASGC-RA 3), and 5% from remote or very remote locations (ASGC-RA 4 and 5). Having a rural or remote hometown at application (ASGC-RA 3-5) was significantly associated with a lower tertiary entrance score (p<0.001), a lower interview score in the medical school selection process (p<0.001), being less likely to be admitted into the Honours program (p=0.001), being an advanced standing student (p=0.025), being awarded a Medical Rural Bonded Scholarship (p=0.005), taking longer to complete the 6-year course (p=0.009) and having a lower academic achievement across years 1 to 3 (p=0.002, p=0.005 and p=0.025, © RA Ray, T Woolley, T Sen Gupta, 2015. A licence to publish this material has been given to James Cook University, http://www.rrh.org.au 2 respectively). Graduates having either a rural or a remote home town at application were more likely to practise in rural (RA 3-5) towns than graduates from metropolitan/inner regional centre across all postgraduate years. For example, the prevalence odds ratios (POR) for graduates practising in a rural town at postgraduate year 1 (PGY 1) having either a rural or remote hometown were 2.6 and 1.8, respectively, times that of graduates having a metropolitan/inner regional hometown, while at PGY 9 the PORs had increased to 4.2 and 9.5, respectively. Bonded medical place students showed many similar trends to rural students in both their pre-medical school and undergraduate performance indicators but lower engagement in rural practice in the 5 years of data available. Conclusions: Some significant differences were noted between rural and remote origin students and metropolitan or inner regional origin students in terms of academic achievement in the first 3 years of the ...

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“…Rural underrepresentation in higher education will remain a continuing problem 8,9 unless rural students see higher education as a realistic option. It is therefore important that school career advisers make students aware of pathways to university and corresponding support arrangements at a time when they are beginning to think and/or make decisions about their future careers, including the selection of subjects that do not limit university or other tertiary study options 10–13 . By Year 10, according to Gottfredson's theory of the development of career aspirations, most students can relate occupations to their own values, interests and abilities, and are influenced by both parents and teachers, and by their perceptions of people at university 14 .…”

Section: Introductionmentioning

confidence: 99%