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Effectiveness of regional medical schools in attracting and retaining students for early‐career practice in the local area: The James Cook University experience
Author(s) -
Woolley Torres,
Ray Robin Adelle
Publication year - 2019
Publication title -
australian journal of rural health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.48
H-Index - 49
eISSN - 1440-1584
pISSN - 1038-5282
DOI - 10.1111/ajr.12498
Subject(s) - internship , curriculum , bachelor , medical education , indigenous , workforce , medicine , rurality , reputation , medical school , rural area , nursing , family medicine , psychology , sociology , pedagogy , political science , ecology , social science , pathology , law , biology
Objective The regionally based James Cook University medical school in northern Australia has focused its selection processes and curriculum on recruiting, training and graduating doctors to address local workforce needs. This study investigates if James Cook University's regionally based medical school model promotes graduates undertaking internship in local regional hospitals. Design, setting & participants Cross‐sectional survey of final year James Cook University Bachelor of Medicine, Bachelor of Surgery graduates towards the end of the 2016 and 2017 academic years (n = 207; response rate = 58%). Main outcome measure Multivariate (binary outcomes) logistic regression analysis identified the personal and curriculum factors predicting students' choice to do their internship in northern Australia supported by content analysis of free text responses to expand on quantitative associations. Results Students applied to medicine at James Cook University because there was: “an undergraduate program” (62%); “reputation for a good course/quality graduates” (59%); and “interest in rural medicine or Indigenous health” (39%). Internship in northern Australian hospitals was predicted by: “familiarity with the hospital in Years 5 and 6”; “having a northern Australia hometown at time of application to medical school”; “an interest in rural medicine or Indigenous health”; and “interns have better learning experiences in regional teaching hospitals”. Conclusion The findings suggest regionally based medical schools can promote early‐career rural practice by incorporating purposive selection, a rurally focused curriculum supported by quality clinical training experiences in local hospitals and a sufficient number of locally available intern places. However, it is likely regionally based medical schools also require locally available specialty training pathways to support rural practice in the longer term.