Document Detail


Preparedness for rural community leadership and its impact on practice location of family medicine graduates.
MedLine Citation:
PMID:  15720307     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To identify non-clinical dimensions of preparedness for rural practice and to determine whether preparedness for rural practice is predictive of rural practice location. DESIGN: Cross-sectional postal survey mailed in 2001. SETTING: Communities across Canada where graduates were practising. SUBJECTS: Graduates (n = 369) of the family medicine residency program at the universities of Alberta (U of A) and Calgary (U of C) between 1996 and 2000, inclusive. INTERVENTIONS: Using a 4-point scale, graduates rated the extent to which the residency program prepared them for eight dimensions of rural practice: clinical demands of rural practice, understanding rural culture, small community living, balancing work and personal life, establishing personal/professional boundaries, becoming a community leader, handling a 'fish bowl' lifestyle, and choosing a suitable community. MAIN OUTCOME MEASURE: Identification of non-clinical dimensions of preparedness for rural practice and whether scores on preparedness scales are predictive of rural practice location. RESULTS: The overall response rate was 76.4%. Factor analysis of the eight preparedness items produced two factors, 'rural culture' and 'rural community leader' which explained 72% of the variance. The alpha coefficient for each factor was 0.87. Odds ratios revealed that family medicine graduates prepared for rural community leadership roles were 1.92 (CI = 1.03-3.61) times more likely to be in rural practice. Rural physicians were also 2.14 (CI = 1.13-4.03) times as likely to have a rural background. CONCLUSIONS: Preparedness to be a rural community leader and having a rural background were predictive of rural practice. Educators should consider this in both family medicine residency admissions policy and practice and when designing and implementing family medicine residency curricula.
Authors:
Wayne Woloschuk; Rodney Crutcher; Olga Szafran
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Australian journal of rural health     Volume:  13     ISSN:  1038-5282     ISO Abbreviation:  Aust J Rural Health     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-02-21     Completed Date:  2005-06-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9305903     Medline TA:  Aust J Rural Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  3-7     Citation Subset:  N    
Affiliation:
Undergraduate Medical Education, University of Calgary, Calgary, Alberta, Canada. woloschu@ucalgary.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Attitude of Health Personnel*
Canada
Career Choice
Cross-Sectional Studies
Culture
Family Practice / education,  statistics & numerical data*
Female
Health Knowledge, Attitudes, Practice*
Humans
Internship and Residency / statistics & numerical data
Leadership*
Male
Professional Practice Location / statistics & numerical data*
Regression Analysis
Rural Health Services / organization & administration,  statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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