Evidence map›Paper›PMID 38889942›Full record

ArticleBMJ open2024

Association between rural exposure/experience and practice location 10 years postgraduation, stratified by specialty: evidence from a cohort study of graduates from nine Australian universities.

Alexa Seal, Matthew R McGrail, Suzanne Bain-Donohue, Lara Fuller, Andrew Kirke, David Garne, Georgina Luscombe, Penny Allen, Julian Wright, Julie M Burrows

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2024. 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. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Do Medical Graduates from a Rural Longitudinal Integrated Clerkship Work in Similar Rural Communities?International journal of environmental research and public health · 2024
    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

10 authors.

Alexa SealSchool of Medicine Sydney, Rural Clinical School, The University of Notre Dame Australia, Wagga Wagga, New South Wales, Australia Alexa.seal@nd.edu.au.ORCID 0000-0001-8629-4406
Matthew R McGrailRural Clinical School, University of Queensland, Rockhampton, Queensland, Australia.ORCID 0000-0002-6901-8845
Suzanne Bain-DonohueRural Clinical School, School of Medicine and Psychology, The Australian National University, Canberra, Australian Capital Territory, Australia.
Lara FullerRural Community Clinical School, Deakin University Faculty of Health Medicine Nursing and Behavioural Sciences, Colac, Victoria, Australia.
Andrew KirkeRural Clinical School of Western Australia, The University of Western Australia, Perth, Western Australia, Australia.
David GarneGraduate School of Medicine, University of Wollongong, Wollongong, New South Wales, Australia.
Georgina LuscombeThe School of Rural Health, Sydney Medical School, The University of Sydney, Orange, New South Wales, Australia.
Penny AllenRural Clinical School, University of Tasmania, Burnie, Tasmania, Australia.
Julian WrightDepartment of Rural Health, Rural Clinical School, The University of Melbourne, Shepparton, Victoria, Australia.
Julie M BurrowsThe University of Newcastle, Tamworth, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to determine the associations between specialty type and practice location at postgraduate year 10 (PGY10), matched with PGY5 and PGY8 work locations, and earlier rural exposure/experience. DESIGN AND

settingA cohort study of medicine graduates from nine Australian universities.

participants1220 domestic medicine graduates from the class of 2011. OUTCOME MEASURES: Practice location recorded by the Australian Health Practitioner Regulation Agency in PGY10; matched graduate movement between PGYs 5, 8 and 10 as classified by the Modified Monash Model, stratified by specialty type (predominantly grouped as general practitioner (GP) or non-GP).

resultsAt PGY10, two-thirds (820/1220) had achieved fellowship. GPs were 2.8 times more likely to be in non-metropolitan practice (28% vs 12%; 95% CI 2.0 to 4.0, p<0.001) than graduates with non-GP (all other) specialist qualifications. More than 70% (71.4%) of GPs who were in non-metropolitan practice in PGY5 remained there in both PGY8 and PGY10 versus 29.0% of non-GP specialists and 36.4% of non-fellowed graduates (p<0.001). The proportion of fellowed graduates observed in non-metropolitan practice was 14.9% at PGY5, 16.1% at PGY8 and 19.0% at PGY10, with this growth predominantly from non-GP specialists moving into non-metropolitan locations, following completion of metropolitan-based vocational training.

conclusionsThere are strong differences in practice location patterns between specialty types, with few non-GP specialists remaining in non-metropolitan practice between PGY5 and PGY10. Our study reinforces the importance of rural training pathways to longer-term work location outcomes and the need to expand specialist vocational training which supports more rural training opportunities for trainees outside general practice.

Indexed as

Professional Practice LocationAdultAustraliaCareer ChoiceCohort StudiesEducation, Medical, GraduateFemaleGeneral PractitionersHumansMaleRural Health ServicesSpecializationUniversitieshealth services accessibilityhealth workforcemedical education & training

Identifiers

PMID38889942
PMCPMC11191762

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.