Finding solutions to the rural doctor shortage: the roles of selection versus undergraduate medical education at Newcastle

Australian and New Zealand Journal of Medicine
I E RolfeJ A Dickinson

Abstract

Australia has a rural doctor shortage. Proposed solutions have included both increasing the medical student admissions from rural areas and modifying the curriculum content of rural medicine. To examine the differences between doctors who chose to practise in rural areas and those who chose urban areas after graduation from the University of Newcastle medical school. A cross-sectional survey of 331 graduates who had completed at least their intern year was undertaken in 1990, using a mailed self-report questionnaire. A 75% response rate was achieved from those completing their degree before 1987 (N = 217). Twenty-two per cent of respondents were employed in a rural area and the great majority of these doctors were in general practice. Those from earlier graduating years, those from rural backgrounds (relative risk [RR]2.5, 95% confidence interval [CI]: 1.4-4.4), and those who chose an undergraduate rural general practice attachment in their final year (RR = 3.0, 95% CI: 1.3-7.3) were more likely to become rural doctors. However, there was a tendency for those who chose an undergraduate rural rotation in year 3 not to be more likely to become rural doctors (RR = 0.7, 95% CI: 0.4-1.2). The most frequent reasons given for working ...Continue Reading

References

Jul 15, 1978·The Medical Journal of Australia·G A Colditz, C J Elliott
Feb 2, 1976·JAMA : the Journal of the American Medical Association·S CullisonJ M Colwill
Sep 23, 1992·JAMA : the Journal of the American Medical Association·R A RosenblattL G Hart
Nov 4, 1991·The Medical Journal of Australia·L Piterman, C Silagy
Jan 21, 1991·The Medical Journal of Australia·J M Hickner
Nov 5, 1990·The Medical Journal of Australia·R B Hays
Dec 1, 1988·Current Problems in Pediatrics·H L Needleman
Mar 12, 1988·British Medical Journal·D A PowisL B Murphy
Jul 1, 1988·Medical Education·J G Bligh
May 1, 1988·Medical Education·M C ShapiroD S Anderson

❮ Previous
Next ❯

Citations

Dec 12, 2001·The Australian Journal of Rural Health·D Mak, A J Plant
Jul 18, 2002·The Australian Journal of Rural Health·Caroline LaurenceDavid Wilkinson
Jun 5, 2003·The Australian Journal of Rural Health·Shane R DurkinJohn Marley
May 28, 2011·Australian Journal of Primary Health·Durga Shrestha, Catherine M Joyce
Dec 18, 2003·The Australian Journal of Rural Health·Gillian Laven, David Wilkinson
Nov 30, 2005·The Australian Journal of Rural Health·Donnetta M CharlesDerrick G Lopez
Sep 24, 2008·The Australian Journal of Rural Health·Ryan J SpencerBarbara Solarsh
Jan 24, 2009·The Australian Journal of Rural Health·Deborah SchofieldBill Tyrell
Mar 29, 2011·The Australian Journal of Rural Health·George T SomersRoger P Strasser
Nov 22, 2011·The Australian Journal of Rural Health·Cristen A Fleming, M Joy Spark
Feb 22, 2005·The Australian Journal of Rural Health·Wayne WoloschukOlga Szafran
Oct 1, 1996·Australian and New Zealand Journal of Medicine·S KanagarajahR F Heller
Apr 12, 2001·Australian and New Zealand Journal of Public Health·G Johnston, D Wilkinson
Jan 5, 2002·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·P SolomonS Berry
Aug 19, 2009·Human Resources for Health·Deborah SchofieldSue Page
Mar 13, 2013·Health Policy and Planning·Michael A MungaOttar Mæstad
Dec 1, 2009·The Surgical Clinics of North America·Martin H Bruening, Guy J Maddern
Dec 14, 2004·The Australian Journal of Rural Health·Susan E HeaneySurinder K Baines
Apr 21, 2007·Journal of Advanced Nursing·Jillian IrelandJan Caldow
Apr 28, 2007·International Journal of Surgery·R A AghaI S Benjamin
May 7, 2015·Human Resources for Health·Jane FarmerRichard D Huysmans
Apr 28, 2007·International Journal of Surgery·R A AghaI S Benjamin
Jul 6, 2016·The Australian Journal of Rural Health·Premala SureshkumarMarcia Grant
Dec 3, 2003·Human Resources for Health·Suwit Wibulpolprasert, Paichit Pengpaibon
Jun 5, 2007·The Australian Journal of Rural Health·Robert McDonald, Vino Sathianathan
Jun 24, 2008·Medical Teacher·R W Sanson-FisherS Outram
May 1, 2001·Journal of Paediatrics and Child Health·S M Gorton, P G Buettner
Nov 24, 2017·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·G JohnsonA Blinkhorn
Jun 3, 1999·Medical Education·J Marley, I Carman
Jul 7, 1999·The Australian and New Zealand Journal of Surgery·G Kiroff
Jan 21, 2006·Cancer Causes & Control : CCC·Monika JandaJoanne F Aitken
Jan 22, 2003·ANZ Journal of Surgery·Martin H BrueningGuy J Maddern
Apr 1, 1997·The Australian and New Zealand Journal of Surgery·I Faris

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

BMJ : British Medical Journal
Bryan Christie
Australian and New Zealand Journal of Medicine
I Jensen, P M Finucane
The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
J Reamy
© 2021 Meta ULC. All rights reserved