ArticleThe Medical journal of Australia2022
Influence of rural clinical school experience and rural origin on practising in rural communities five and eight years after graduation.
Article in The Medical journal of Australia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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26 citing papers in PubMed, 42 citations in OpenAlex.
- Rural Clinical Training for Australian Medical Students: A Scoping Review of Rural Workforce Outcomes.The Australian journal of rural health · 2026Article
- Prioritising Health Workforce Solutions for Rural and Regional Queensland: A Delphi Study.The Australian journal of rural health · 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
- If you build it who will come? Widening access through a place-based Rural Training Stream to address local medical workforce shortages.BMC medical education · 2026Article
- Time Spent in Rural Placements and Working Rurally After Graduation: A Retrospective Cohort Study of University of Adelaide Medical Graduates, 2010-2021.The Australian journal of rural health · 2026Article
- Beyond the Rural Placement: Considerations for Supporting Rural Origin Health Professions Students During Their Entire University Experience.The Australian journal of rural health · 2026Article
- Predictors of rural medical practice in Aotearoa New Zealand: a national outcomes prospective cohort study.BMJ open · 2026Article
- Rural health care workforce retention measures: A rapid scoping review.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Choosing regional, rural, and remote practice: what attracts or deters early-career doctors?BMC health services research · 2025Article
- Beyond the urban lure: factors associated with medical students' intentions to practice in LMICs disadvantaged areas.BMC medical education · 2025Article
- The Need for a Rural Surgeon Speciality Pathway in Australia and New Zealand.The Australian journal of rural health · 2025Article
- The Wrong Fix: Why America Doesn't Need More Medical Schools to Solve the Physician Shortage.Cureus · 2025Article
- Rural nursing and allied health placements during the latter stage of the COVID-19 public health emergency: A national study.The Australian journal of rural health · 2025Article
- Building a rural medical workforce: the foundations of a place-based approach to program evaluation.Frontiers in medicine · 2025Article
- Rural secondary school leaver attainment inequities for students entering medical programmes in Aotearoa New Zealand.Journal of the Royal Society of New Zealand · 2025Article
- Immersion to impact: does one or three years of rural immersion influence graduate clinical practice intentions and locations?Frontiers in medicine · 2025Article
- Place-based rural health professional pre-registration education programs: a scoping review.Frontiers in medicine · 2025Review
- Regional, rural and remote medicine attracts students with a similar approach to learning in both the Northern and Southern hemisphere.International journal of circumpolar health · 2024Article
- Evaluating the importance of rural internships to subsequent medical workforce distribution outcomes: an Australian cohort study.BMJ open · 2024Article
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Authors and funding
11 authors at 11 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine associations between extended medical graduates' rural clinical school (RCS) experience and geographic origins with practising in rural communities five and eight years after graduation. DESIGN,
participantsCohort study of 2011 domestic medical graduates from ten Australian medical schools with rural clinical or regional medical schools.
main outcome measuresPractice location types eight years after graduation (2019/2020) as recorded by the Australian Health Practitioner Regulation Agency, classified as rural or metropolitan according to the 2015 Modified Monash Model; changes in practice location type between postgraduate years 5 (2016/2017) and 8 (2019/2020).
resultsData were available for 1321 graduates from ten universities; 696 were women (52.7%), 259 had rural backgrounds (19.6%), and 413 had extended RCS experience (31.3%). Eight years after graduation, rural origin graduates with extended RCS experience were more likely than metropolitan origin graduates without this experience to practise in regional (relative risk [RR], 3.6; 95% CI, 1.8-7.1) or rural communities (RR, 4.8; 95% CI, 3.1-7.5). Concordance of location type five and eight years after graduation was 92.6% for metropolitan practice (84 of 1136 graduates had moved to regional/rural practice, 7.4%), 26% for regional practice (56 of 95 had moved to metropolitan practice, 59%), and 73% for rural practice (20 of 100 had moved to metropolitan practice, 20%). Metropolitan origin graduates with extended RCS experience were more likely than those without it to remain in rural practice (RR, 2.0; 95% CI, 1.3-2.9) or to move to rural practice (RR, 1.9; 95% CI, 1.2-3.1).
conclusionThe distribution of graduates by practice location type was similar five and eight years after graduation. Recruitment to and retention in rural practice were higher among graduates with extended RCS experience. Our findings reinforce the importance of longitudinal rural and regional training pathways, and the role of RCSs, regional training hubs, and the rural generalist training program in coordinating these initiatives.
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