ArticlePloS one2017
The rural pipeline to longer-term rural practice: General practitioners and specialists.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Interventions for health workforce retention in rural and remote areas: a systematic review.Human resources for health · 2021Pooled it
- The impact of rural outreach programs on medical students' future rural intentions and working locations: a systematic review.BMC medical education · 2018Pooled it
- Rural Clinical Training for Australian Medical Students: A Scoping Review of Rural Workforce Outcomes.The Australian journal of rural health · 2026Article
- The role of preparation in implementation for rural healthcare innovation: a multi method evaluation of a virtual medical officer model of inpatient care in Australia.Implementation science communications · 2026Article
- Factors contributing to 25-year-long retention of South Australian general practitioners in rural practice: a cross-sectional survey.BMC health services research · 2026Article
- Identifying the experience of geographical narcissism during medical education and training.Advances in health sciences education : theory and practice · 2026Article
- Where do our students go? A blueprint for quantifying the local retention effect and its reach by tracking the career paths of medical students.GMS journal for medical education · 2026Article
- Article
- Better Together? A Mediation Analysis of French General Practitioners' Performance in Multi Professional Group Practice.Health services insights · 2025Article
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- Exploring recent trends (2014-21) in preferencing and accepting Queensland medical internships in rural hospitals.BMC health services research · 2024Article
- Obstetrics care in Indonesia: Determinants of maternal mortality and stillbirth rates.PloS one · 2024Article
- Professional care workforce: a rapid review of evidence supporting methods of recruitment, retention, safety, and education.Human resources for health · 2023Review
- The Rural Integrated Community Clerkship: a vital stretch in the Alberta rural physician workforce pipeline.Canadian medical education journal · 2023Article
- Recruiting rural youth to healthcare careers: a scoping review protocol.Canadian medical education journal · 2023Article
- From Identity to Ambugity: Exploring Interprofessional Collaboration Opportunities for Pharmacists in Rural and Remote Australia.Pharmacy (Basel, Switzerland) · 2023Article
- Rural medical workforce pathways: exploring the importance of postgraduation rural training time.Human resources for health · 2023Article
- Article
- Attracting, Recruiting, and Retaining Medical Workforce: A Case Study in a Remote Province of Indonesia.International journal of environmental research and public health · 2023Article
- Characteristics of Medical Deserts and Approaches to Mitigate Their Health Workforce Issues: A Scoping Review of Empirical Studies in Western Countries.International journal of health policy and management · 2023Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRural medical workforce shortage contributes to health disadvantage experienced by rural communities worldwide. This study aimed to determine the regional results of an Australian Government sponsored national program to enhance the Australian rural medical workforce by recruiting rural background students and establishing rural clinical schools (RCS). In particular, we wished to determine predictors of graduates' longer-term rural practice and whether the predictors differ between general practitioners (GPs) and specialists.
methodsA cross-sectional cohort study, conducted in 2012, of 729 medical graduates of The University of Queensland 2002-2011. The outcome of interest was primary place of graduates' practice categorised as rural for at least 50% of time since graduation ('Longer-term Rural Practice', LTRP) among GPs and medical specialists. The main exposures were rural background (RB) or metropolitan background (MB), and attendance at a metropolitan clinical school (MCS) or the Rural Clinical School for one year (RCS-1) or two years (RCS-2).
resultsIndependent predictors of LTRP (odds ratio [95% confidence interval]) were RB (2.10 [1.37-3.20]), RCS-1 (2.85 [1.77-4.58]), RCS-2 (5.38 [3.15-9.20]), GP (3.40 [2.13-5.43]), and bonded scholarship (2.11 [1.19-3.76]). Compared to being single, having a metropolitan background partner was a negative predictor (0.34 [0.21-0.57]). The effects of RB and RCS were additive-compared to MB and MCS (Reference group): RB and RCS-1 (6.58[3.32-13.04]), RB and RCS-2 (10.36[4.89-21.93]). Although specialists were less likely than GPs to be in LTRP, the pattern of the effects of rural exposures was similar, although some significant differences in the effects of the duration of RCS attendance, bonded scholarships and partner's background were apparent.
conclusionsAmong both specialists and GPs, rural background and rural clinical school attendance are independent, duration-dependent, and additive, predictors of longer-term rural practice. Metropolitan-based medical schools can enhance both specialist and GP rural medical workforce by enrolling rural background medical students and providing them with long-term rural undergraduate clinical training. Policy settings to achieve optimum rural workforce outcomes may differ between specialists and GPs.
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Registered trials
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