Evidence map›Paper›PMID 31227483›Full record

ArticleCMAJ open

The regional medical campus model and rural family medicine practice in British Columbia: a retrospective longitudinal cohort study.

Chris Y Lovato, Helen C H Hsu, Joanna Bates, Oscar Casiro, Angela Towle, David Snadden

Abstract read
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chris Y LovatoSchool of Population and Public Health (Lovato), Evaluation Studies Unit (Hsu), Department of Family Practice (Bates, Snadden), Centre for Health Education Scholarship (Bates, Casiro, Towle), Department of Pediatrics (Casiro) and Department of Medicine (Towle), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Northern Medical Program, Prince George, BC.
Helen C H HsuSchool of Population and Public Health (Lovato), Evaluation Studies Unit (Hsu), Department of Family Practice (Bates, Snadden), Centre for Health Education Scholarship (Bates, Casiro, Towle), Department of Pediatrics (Casiro) and Department of Medicine (Towle), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Northern Medical Program, Prince George, BC.
Joanna BatesSchool of Population and Public Health (Lovato), Evaluation Studies Unit (Hsu), Department of Family Practice (Bates, Snadden), Centre for Health Education Scholarship (Bates, Casiro, Towle), Department of Pediatrics (Casiro) and Department of Medicine (Towle), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Northern Medical Program, Prince George, BC.
Oscar CasiroSchool of Population and Public Health (Lovato), Evaluation Studies Unit (Hsu), Department of Family Practice (Bates, Snadden), Centre for Health Education Scholarship (Bates, Casiro, Towle), Department of Pediatrics (Casiro) and Department of Medicine (Towle), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Northern Medical Program, Prince George, BC.
Angela TowleSchool of Population and Public Health (Lovato), Evaluation Studies Unit (Hsu), Department of Family Practice (Bates, Snadden), Centre for Health Education Scholarship (Bates, Casiro, Towle), Department of Pediatrics (Casiro) and Department of Medicine (Towle), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Northern Medical Program, Prince George, BC.
David SnaddenSchool of Population and Public Health (Lovato), Evaluation Studies Unit (Hsu), Department of Family Practice (Bates, Snadden), Centre for Health Education Scholarship (Bates, Casiro, Towle), Department of Pediatrics (Casiro) and Department of Medicine (Towle), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Northern Medical Program, Prince George, BC david.snadden@ubc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegional medical campuses have been implemented across North America to address gaps in the physician workforce. We report findings from a study that examined the association between a combined model of regional medical campuses and students' decision to enter rural family medicine practice.

methodsIn 2004, the University of British Columbia added 2 regional medical campuses, 1 in a large population centre in a rural and coastal context and 1 in a medium-sized population centre in an isolated northern and rural context. Data were extracted from the University of British Columbia's Medical Education Database. Multivariable logistic regression examined the relationship of age, sex, rural background and campus location to students' choice of rural family medicine practice.

resultsThere was an association between campus location and choice of family medicine versus other specialties. A rural background (odds ratio [OR] 2.59, 95% confidence interval [CI] 1.08-6.21) and training at either of the 2 regional medical campuses (OR 3.24, 95% CI 1.19-8.83 and OR 5.38, 95% CI 2.24-12.91) predicted rural family practice.

interpretationChoosing to practise family medicine in a rural location was associated with having a rural background and having trained at a regional medical campus. These early results suggest that a combined regional campus model in medical education contributes to the rural family practice workforce.

Identifiers

PMID31227483
PMCPMC6588542

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.