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    
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.
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    
Undergraduate Medical Education, University of Calgary, Calgary, Alberta, Canada.
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MeSH Terms
Attitude of Health Personnel*
Career Choice
Cross-Sectional Studies
Family Practice / education,  statistics & numerical data*
Health Knowledge, Attitudes, Practice*
Internship and Residency / statistics & numerical data
Professional Practice Location / statistics & numerical data*
Regression Analysis
Rural Health Services / organization & administration,  statistics & numerical data*

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