Rural work outcomes of medical students participating in a contracted Extended Rural Cohort (ERC) program by course-entry preference

Research output: Contribution to journalArticleResearchpeer-review

Abstract

This paper evaluates rural work location outcomes of an Extended Rural Cohort (ERC) program in medical school. Students nominate a preference and are contracted to the program at entry to the medical course, involving 2–3 years continuous rural training. Data included 2412 graduates from a large university medical school cohort study. Regression modeling compared 2017 work location of ERC participants, by their level of preference for the ERC and students who had other (similar or shorter duration) rural training with a metropolitan-only trained group. Students who entered medicine with ERC as their first preference commonly had rural background (95.5%) compared with second or lower preferences (61.5% and 40.4%, respectively). Multivariate regression modeling identified ERC participants were more likely to work rurally (OR: 2.69–3.27, compared with metropolitan-trained), though higher odds were associated with lower preference for ERC. However, non-ERC students undertaking a similar duration rural training by opting for this “year by year” after course entry, had the strongest odds of rural work (OR: 4.62, 95%CI: 3.00–7.13) and work in smaller rural towns (RRR: 4.08, 95%CI: 2.36–7.06). The ERC attracts rural background students and increases rural work outcomes. However, students choosing a rural training path of equivalent duration after course entry may be more effective and improve rural workforce distribution.

Original languageEnglish
Number of pages9
JournalMedical Teacher
DOIs
Publication statusAccepted/In press - 1 Jan 2019

Cite this

@article{009b6cbf6d98484884a096f4edab6500,
title = "Rural work outcomes of medical students participating in a contracted Extended Rural Cohort (ERC) program by course-entry preference",
abstract = "This paper evaluates rural work location outcomes of an Extended Rural Cohort (ERC) program in medical school. Students nominate a preference and are contracted to the program at entry to the medical course, involving 2–3 years continuous rural training. Data included 2412 graduates from a large university medical school cohort study. Regression modeling compared 2017 work location of ERC participants, by their level of preference for the ERC and students who had other (similar or shorter duration) rural training with a metropolitan-only trained group. Students who entered medicine with ERC as their first preference commonly had rural background (95.5{\%}) compared with second or lower preferences (61.5{\%} and 40.4{\%}, respectively). Multivariate regression modeling identified ERC participants were more likely to work rurally (OR: 2.69–3.27, compared with metropolitan-trained), though higher odds were associated with lower preference for ERC. However, non-ERC students undertaking a similar duration rural training by opting for this “year by year” after course entry, had the strongest odds of rural work (OR: 4.62, 95{\%}CI: 3.00–7.13) and work in smaller rural towns (RRR: 4.08, 95{\%}CI: 2.36–7.06). The ERC attracts rural background students and increases rural work outcomes. However, students choosing a rural training path of equivalent duration after course entry may be more effective and improve rural workforce distribution.",
author = "Belinda O’Sullivan and Matthew McGrail and Laura Major and Mark Woodfield and Christian Holmes",
year = "2019",
month = "1",
day = "1",
doi = "10.1080/0142159X.2019.1569755",
language = "English",
journal = "Medical Teacher",
issn = "0142-159X",
publisher = "Taylor & Francis",

}

TY - JOUR

T1 - Rural work outcomes of medical students participating in a contracted Extended Rural Cohort (ERC) program by course-entry preference

AU - O’Sullivan, Belinda

AU - McGrail, Matthew

AU - Major, Laura

AU - Woodfield, Mark

AU - Holmes, Christian

PY - 2019/1/1

Y1 - 2019/1/1

N2 - This paper evaluates rural work location outcomes of an Extended Rural Cohort (ERC) program in medical school. Students nominate a preference and are contracted to the program at entry to the medical course, involving 2–3 years continuous rural training. Data included 2412 graduates from a large university medical school cohort study. Regression modeling compared 2017 work location of ERC participants, by their level of preference for the ERC and students who had other (similar or shorter duration) rural training with a metropolitan-only trained group. Students who entered medicine with ERC as their first preference commonly had rural background (95.5%) compared with second or lower preferences (61.5% and 40.4%, respectively). Multivariate regression modeling identified ERC participants were more likely to work rurally (OR: 2.69–3.27, compared with metropolitan-trained), though higher odds were associated with lower preference for ERC. However, non-ERC students undertaking a similar duration rural training by opting for this “year by year” after course entry, had the strongest odds of rural work (OR: 4.62, 95%CI: 3.00–7.13) and work in smaller rural towns (RRR: 4.08, 95%CI: 2.36–7.06). The ERC attracts rural background students and increases rural work outcomes. However, students choosing a rural training path of equivalent duration after course entry may be more effective and improve rural workforce distribution.

AB - This paper evaluates rural work location outcomes of an Extended Rural Cohort (ERC) program in medical school. Students nominate a preference and are contracted to the program at entry to the medical course, involving 2–3 years continuous rural training. Data included 2412 graduates from a large university medical school cohort study. Regression modeling compared 2017 work location of ERC participants, by their level of preference for the ERC and students who had other (similar or shorter duration) rural training with a metropolitan-only trained group. Students who entered medicine with ERC as their first preference commonly had rural background (95.5%) compared with second or lower preferences (61.5% and 40.4%, respectively). Multivariate regression modeling identified ERC participants were more likely to work rurally (OR: 2.69–3.27, compared with metropolitan-trained), though higher odds were associated with lower preference for ERC. However, non-ERC students undertaking a similar duration rural training by opting for this “year by year” after course entry, had the strongest odds of rural work (OR: 4.62, 95%CI: 3.00–7.13) and work in smaller rural towns (RRR: 4.08, 95%CI: 2.36–7.06). The ERC attracts rural background students and increases rural work outcomes. However, students choosing a rural training path of equivalent duration after course entry may be more effective and improve rural workforce distribution.

UR - http://www.scopus.com/inward/record.url?scp=85063263643&partnerID=8YFLogxK

U2 - 10.1080/0142159X.2019.1569755

DO - 10.1080/0142159X.2019.1569755

M3 - Article

JO - Medical Teacher

JF - Medical Teacher

SN - 0142-159X

ER -