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.
BMJ Open
; 14(6): e086850, 2024 Jun 17.
Article
en En
| MEDLINE
| ID: mdl-38889942
ABSTRACT
OBJECTIVE:
This 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 ANDSETTING:
A cohort study of medicine graduates from nine Australian universities.PARTICIPANTS:
1220 domestic medicine graduates from the class of 2011. OUTCOMEMEASURES:
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).RESULTS:
At 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.CONCLUSIONS:
There 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.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Ubicación de la Práctica Profesional
País/Región como asunto:
Oceania
Idioma:
En
Revista:
BMJ Open
Año:
2024
Tipo del documento:
Article