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Positive placement experience and future rural practice intentions: findings from a repeated cross-sectional study

Authors Fatima Y, Kazmi S, King S, Solomon S, Knight S

Received 25 June 2018

Accepted for publication 24 July 2018

Published 5 November 2018 Volume 2018:11 Pages 645—652

DOI https://doi.org/10.2147/JMDH.S178138

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Yaqoot Fatima,1 Sarvat Kazmi,2 Stephanie King,1 Shaun Solomon,1 Sabina Knight1

1Centre for Rural and Remote Health (Mount Isa), James Cook University, Mount Isa, QLD, Australia; 2School of Health Science, Massey University, Wellington, New Zealand

Objective: To identify the constituents of positive placement experience and explore the association between positive placement experiences and rural and remote practice intentions.
Methods: A repeated cross-sectional study was conducted between January 2014 and December 2017. Medical, nursing, dentistry, and allied health students who completed a rural/remote placement were invited to complete a survey questionnaire on placement experience. Information on students’ sociodemographic factors, discipline, placement experience, placement satisfaction, and rural/remote practice intentions was collected. Modified Poisson regression was performed to determine the relationships between placement satisfaction and future rural practice intentions. Qualitative data were analyzed by thematic analysis.
Results: A total of 873 students responded. The majority of the survey respondents were females (70.06%), with a median age of 22 years (IQR 21–25 years), and 44.46% of respondents were medical students. Students satisfied with their placement were 2.10 times more likely to have rural/remote practice intention than their counterparts. Of all components of rural/remote placement experience, satisfaction with the placement supervision had the highest impact on changing students’ rural/remote practice intentions from negative to positive. The major themes from qualitative analysis were as follows: “wide variety of experience and hands-on learning opportunities,” “multidisciplinary exposure at home and workplace,” “support from the local University Department of Rural Health (UDRH),” “learning of indigenous culture,” and “experiencing challenges of rural health care services.”
Conclusion: There is a strong association between positive placement experience and future rural/remote practice intentions. Therefore, facilitation of positive placement experiences in remote and rural locations could be a key strategy in addressing rural health workforce maldistribution.

Keywords: rural health workforce, student placement, postplacement practice intentions

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