Evidence map›Paper›PMID 35473723›Full record

ArticleBMJ open2022

Prevalence and associations of rural practice location in early-career general practitioners in Australia: a cross-sectional analysis.

Alison Fielding, Dominica Moad, Amanda Tapley, Andrew Davey, Elizabeth Holliday, Jean Ball, Michael Bentley, Kristen FitzGerald, Catherine Kirby, Allison Turnock and 3 more

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
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

13 authors.

Alison FieldingNSW & ACT Research and Evaluation Unit, GP Synergy, Regional Training Organisation (RTO), Mayfield West, New South Wales, Australia.ORCID 0000-0001-5884-3068
Dominica MoadNSW & ACT Research and Evaluation Unit, GP Synergy, Regional Training Organisation (RTO), Mayfield West, New South Wales, Australia.ORCID 0000-0002-2593-6038
Amanda TapleyNSW & ACT Research and Evaluation Unit, GP Synergy, Regional Training Organisation (RTO), Mayfield West, New South Wales, Australia.ORCID 0000-0002-1536-5518
Andrew DaveyNSW & ACT Research and Evaluation Unit, GP Synergy, Regional Training Organisation (RTO), Mayfield West, New South Wales, Australia.ORCID 0000-0002-7547-779X
Elizabeth HollidaySchool of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.ORCID 0000-0002-4066-6224
Jean BallClinical Research Design and Statistical Support Unit (CReDITSS), University of Newcastle Hunter Medical Research Institute, New Lambton, New South Wales, Australia.
Michael BentleyAustralian General Practice Training, General Practice Training Tasmania (GPPT), Regional Training Organisation, Hobart, Tasmania, Australia.
Kristen FitzGeraldAustralian General Practice Training, General Practice Training Tasmania (GPPT), Regional Training Organisation, Hobart, Tasmania, Australia.
Catherine KirbyAustralian General Practice Training, Eastern Victoria General Practice Training (EVGPT), Regional Training Organisation, Hawthorn, Victoria, Australia.
Allison TurnockTasmanian School of Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Neil SpikeAustralian General Practice Training, Eastern Victoria General Practice Training (EVGPT), Regional Training Organisation, Hawthorn, Victoria, Australia.
Mieke L van DrielPrimary Care Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0003-1711-9553
Parker MaginNSW & ACT Research and Evaluation Unit, GP Synergy, Regional Training Organisation (RTO), Mayfield West, New South Wales, Australia parker.magin@newcastle.edu.au.ORCID 0000-0001-8071-8749

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo: (1) establish the prevalence of urban, regional, rural and remote practice location of early-career general practitioners (GPs); and (2) examine demographic and training-related characteristics associated with working in regional, rural or remote areas post attainment of vocational general practice qualifications.

designCross-sectional, questionnaire-based study, combined with contemporaneously collected data from participants' prior vocational training.

settingAustralian general practice.

participantsNewly vocationally qualified GPs (ie, within 6 months-2 years post fellowship) who had completed vocational training with regional training organisations in New South Wales, Australian Capital Territory, eastern Victoria, and Tasmania between January 2016 and July 2018. PRIMARY OUTCOME MEASURE: Rurality of post-fellowship practice location, as defined by Modified Monash Model (MMM) geographical classifications, based on current practice postcode. Prevalence of regional/rural/remote ('rural') practice was described using frequencies, and associations of rural practice were established using multivariable logistic regression, considering a range of demographic factors and training characteristics as independent variables.

resultsA total of 354 participants completed the questionnaire (response rate 28%) with 319 providing information for their current practice location. Of these, 100 (31.4%) reported currently practising in a rural area (MMM2-7). Factors most strongly associated with practising in a rural area included having undertaken vocational GP training in a rural location OR 16.0 (95% CI 6.79 to 37.9); p<0.001; and undertaking schooling in rural area prior to university OR 4.21 (1.98, 8.94); p<0.001.

conclusionsThe findings suggest that vocational training experience may have a role in rural general practice location post fellowship, attenuating the previously demonstrated 'leakage' from the rural practice pipeline.

Indexed as

General PractitionersRural Health ServicesCareer ChoiceCross-Sectional StudiesHumansPrevalenceVictoriaeducation & training (see medical education & training)medical education & trainingprimary care

Identifiers

PMID35473723
PMCPMC9045092

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.