Predictors of remote practice location in the first ... - Semantic Scholar
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ORIGINAL RESEARCH
Predictors of remote practice location in the first seven cohorts of James Cook University MBBS graduates T Woolley, T Sen Gupta, M Bellei James Cook University College of Medicine and Dentistry, Townsville, Queensland, Australia Submitted: 18 April 2016; Revised: 23 September 2016; Accepted: 3 October 2016; Published: 13 February 2017 Woolley T, Sen Gupta T, Bellei M Predictors of remote practice location in the first seven cohorts of James Cook University MBBS graduates Rural and Remote Health 17: 3992. (Online) 2017 Available: http://www.rrh.org.au
ABSTRACT Introduction: This article describes factors predicting James Cook University (JCU) medical graduates undertaking at least 1 year of remote practice. The cross-sectional design involved point-in-time (2015) analysis of the JCU medical school’s ongoing longitudinal graduate tracking database. Participants were the first seven cohorts of graduates from the JCU medical school who had completed at least their postgraduate year (PGY) 4 in Australia (n=529); that is, PGY 4 to PGY 10 graduates. Methods: Multiple logistic regression and Classification and Regression Tree (CART) analysis of medical graduate application data (age, gender, hometown, interview score, ethnicity), undergraduate data (scholarships awarded, clinical school location) and postgraduation data (internship location, specialty training) was performed. Analysis identified independent predictors of having practised for at least 1 year in a ‘remote’ Australian town (Australian Standard Geographic Classification Remoteness Area 4–5). Results: Forty-seven (9%) of JCU Bachelor of Medicine and Bachelor of Surgery graduates in the first seven cohorts had practised for at least 1 year in a remote location between PGY 4 and 10. Practice in a ‘remote’ town was predicted by undertaking rural generalist training (p
