Evidence map›Paper›PMID 36707116›Full record

ArticleBMJ open2023

The value of extended short-term medical training placements in smaller rural and remote locations on future work location: a cohort study.

Matthew R McGrail, Bushra F Nasir, Alan Bruce Chater, Bahram Sangelaji, Srinivas Kondalsamy-Chennakesavan

Abstract read
In one paragraph

Article in BMJ open, 2023. 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.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
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

5 authors.

Matthew R McGrailRural Clinical School, Faculty of Medicine, The University of Queensland, Rockhampton, Queensland, Australia.
Bushra F NasirRural Clinical School, The University of Queensland Faculty of Medicine, Toowoomba, Queensland, Australia.ORCID 0000-0002-8372-4877
Alan Bruce ChaterMayne Academy of Rural and Remote Medicine, The University of Queensland Faculty of Medicine, Theodore, Queensland, Australia a.chater@uq.edu.au.
Bahram SangelajiMayne Academy of Rural and Remote Medicine, The University of Queensland Faculty of Medicine, Theodore, Queensland, Australia.
Srinivas Kondalsamy-ChennakesavanRural Clinical School, The University of Queensland Faculty of Medicine, Toowoomba, Queensland, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the effects of extended short-term medical training placements in small rural and remote communities on postgraduate work location. DESIGN AND

settingCohort study of medical graduates of The University of Queensland, Australia.

participantsGraduating medical students from 2012 to 2021 who undertook a minimum of 6 weeks training in a small rural or remote location. Some participants additionally undertook either or both an extended short-term (12-week) placement in a small rural or remote location and a long-term (1 or 2 years) placement in a large regional centre. PRIMARY OUTCOME MEASURE: Work location was collected from the Australian Health Practitioner Regulation Agency in 2022, classified as either rural, regional or metropolitan and measured in association with rural placement type(s).

resultsFrom 2806 eligible graduates, those participating in extended small rural placements (n=106, 3.8%) were associated with practising rurally or regionally postgraduation (42.5% vs 19.9%; OR: 2.2, 95% CI: 1.1 to 4.6), for both those of rural origin (50% vs 30%; OR: 4.9, 95% CI: 2.6 to 9.2) or metropolitan origin (36% vs 17%; OR: 2.8, 95% CI: 1.7 to 4.8). Those undertaking both an extended small rural placement and 2 years regional training were most likely to be practising in a rural or regional location (61% vs 16%; OR: 8.6, 95% CI: 4.5 to 16.3). Extended small rural placements were associated with practising in smaller rural or remote locations in later years (15% vs 6%, OR: 2.7, 95% CI: 1.3 to 5.3).

conclusionThis work location outcome evidence supports investment in rural medical training that is both located in smaller rural and remote settings and enables extended exposure with rural generalists. The evaluated 12-week programme positively related to rural workforce outcomes when applied alone. Outcomes greatly strengthened when the 12-week programme was combined with a 2-year regional centre training programme, compared with either alone. These effects were independent of rural origin.

Indexed as

Rural Health ServicesStudents, MedicalAustraliaCareer ChoiceCohort StudiesHumansProfessional Practice LocationWorkforceEDUCATION & TRAINING (see Medical Education & Training)Health policyHEALTH SERVICES ADMINISTRATION & MANAGEMENTMEDICAL EDUCATION & TRAINING

Identifiers

PMID36707116
PMCPMC9884882

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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.