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Likelihood of rural practice in medical school entrants with prior tertiary experience

机译：具有先前高等教育经验的医学学院进入者农村实践的可能性

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摘要

Background: Workforce decisions of medical students with prior tertiary education, relative to those without, are not known.Methods: Rural workforce outcomes for three separate streams of medical students were compared: school leaver entry (SLE) entered medical school direct (N=682), non-standard entry (NSE) had some prior tertiary education (N=123), and graduate entry (GE) (N=317), had a prior completed degree. All students were at least in postgraduate year 3 in 2018, when current urban or rural medical workforce participation was ascertained.Results: Multivariate logistic regression allowing for the influences of rural background, rural clinical school participation, gender, being born overseas, socioeconomic status, and being a bonded rural scholar, showed that NSE students and GE students had increased odds of being in rural practice relative to SLE students. This increase was more than three-fold for NSE students (OR=3.41, 95% CI 1.94, 5.99, p<0.001) and greater than two-fold for GE students (OR=2.54, 95% CI 1.57, 4.10, p<0.001).Conclusion: Graduates with prior tertiary education were more likely to enter the rural medical workforce than direct school entrants. This suggests that increasing graduate entry programs may augment the rural medical workforce and that undergraduate programs allowing non-standard entry may have the same benefit.
机译：背景：相对于那些未经证实的，医学生的医学生与现有高等教育的决定。 ），非标准条目（NSE）有一些先前的高等教育（N = 123），毕业进入（GE）（GE）（N = 317），有先前的完成程度。所有学生至少在2018年的研究生3年3日，当时都有所指的城市或农村医疗劳动力参与。结果：多变量逻辑回归，允许农村背景，农村临床学校参与，性别，海外出生，社会经济地位的影响并成为一个保税农村学者，表明，NSE学生和GE学生的学生与SLE学生相比，在农村实践中增加了几率。对于NSE学生（或= 3.41,95％CI 1.94,5.99，P <0.001）而言，这种增加超过了三倍以上，GE学生大于两倍（或= 2.54,95％CI 1.57,4.10，P < 0.001）。结论：具有先前高等教育的毕业生比直接学校进入者更有可能进入农村医疗劳动力。这表明增加毕业生进入计划可能会增加农村医疗劳动力，并且允许非标准条目的本科课程可能具有相同的益处。

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  • 来源
    《Medical teacher》 |2019年第7期|共8页
  • 作者

    Playford Denese E.; Mercer Annette; Carr Sandra E.; Puddey Ian B.;

  • 作者单位

    Univ Western Australia Rural Clin Sch Western Australia Sch Med 35 Stirling Hwy Crawley WA;

    Univ Western Australia Fac Hlth &

    Med Sci Sch Allied Hlth Div Hlth Profess Educ Crawley WA;

    Univ Western Australia Fac Hlth &

    Med Sci Sch Allied Hlth Div Hlth Profess Educ Crawley WA;

    Univ Western Australia Fac Hlth &

    Med Sci Sch Med Crawley WA Australia;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医药、卫生;
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