ArticleHuman resources for health2017
Impact of the rural pipeline in medical education: practice locations of recently graduated family physicians in Ontario.
Article in Human resources for health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Effects of public hospital clerkship in rural and underserved areas in South Korea on medical students' perceptions and career intentions: a pre-post study.Korean journal of medical education · 2026Article
- Cultivating a rural nursing workforce: the impact of rural vs. urban education on nursing students' intentions for rural practice in Nepal.BMC nursing · 2026Article
- Draw to Practice: A Qualitative Study Examining Factors Attracting Physicians to Rural Northern Ontario.Cureus · 2024Article
- Family physicians' moral distress when caring for patients experiencing social inequities: a critical narrative inquiry in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Educating future physicians for francophone official language minority communities in Canada: a case study.Canadian medical education journal · 2023Article
- A geographic-location-based medical school admissions process does not influence pre-clerkship and licensing examination academic performance.Canadian medical education journal · 2023Article
- Characteristics of Canadian physicians and their associations with practice patterns: a scoping review.Canadian medical education journal · 2023Article
- Attracting, Recruiting, and Retaining Medical Workforce: A Case Study in a Remote Province of Indonesia.International journal of environmental research and public health · 2023Article
- Article
- Family Medicine Residencies: How Rural Training Exposure in GME Is Associated With Subsequent Rural Practice.Journal of graduate medical education · 2022Article
- Commitments, Conditions and Corruption: An Interpretative Phenomenological Analysis of Physician Recruitment and Retention Experiences in Indonesia.International journal of environmental research and public health · 2022Article
- Prevalence and associations of rural practice location in early-career general practitioners in Australia: a cross-sectional analysis.BMJ open · 2022Article
- Medical education interventions influencing physician distribution into underserved communities: a scoping review.Human resources for health · 2022Article
- Ten years of graduates: A cross-sectional study of the practice location of doctors trained at a socially accountable medical school.PloS one · 2022Article
- Article
- Rurality and Origin-Destination Trajectories of Medical School Application and Matriculation in the United States.ISPRS international journal of geo-information · 2021Article
- Human resources for health interventions in high- and middle-income countries: findings of an evidence review.Human resources for health · 2020Review
- It takes a community to train a future physician: social support experienced by medical students during a community-engaged longitudinal integrated clerkship.Canadian medical education journal · 2019Article
- Rural pipeline and willingness to work in rural areas: Mixed method study on students in midwifery and obstetric nursing in Mali.PloS one · 2019Article
- Trajectories of physicians in Manitoba, Canada: the influence of contact points of rural-focused professional learning.Canadian medical education journal · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe "rural pipeline" suggests that students educated in rural, or other underserviced areas, are more likely to establish practices in such locations. It is upon this concept that the Northern Ontario School of Medicine (NOSM) was founded. Our analysis answers the following question: Are physicians who were educated at NOSM more likely to practice in rural and northern Ontario compared with physicians who were educated at other Canadian medical schools?
methodsWe used data from the College of Physicians and Surgeons of Ontario. We compared practice locations of certified Ontario family physicians who had graduated from NOSM vs. other Canadian medical schools in 2009 or later. We categorized the physicians according to where they completed their undergraduate (UG) and postgraduate (PG) training, either at NOSM or elsewhere. We used logistic regression models to determine if the location of UG and PG training was associated with rural or northern Ontario practice location.
resultsOf the 535 physicians examined, 67 had completed UG and/or PG medical education at NOSM. Over two thirds of physicians with any NOSM education were practicing in northern areas and 25.4% were practicing in rural areas of Ontario compared with those having no NOSM education, with 4.3 and 10.3% in northern and rural areas, respectively. Physicians who graduated from NOSM-UG were more likely to have practices located in rural Ontario (OR = 2.57; p = 0.014) whereas NOSM-PG physicians were more likely to have practices in northern Ontario (OR = 57.88; p < 0.001).
conclusionsNOSM education was associated with an increased likelihood of practicing in rural (NOSM-UG) and northern (NOSM-PG) Ontario.
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