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Table 2 Rural practice at internship and later postgraduate stages by duration of rural immersion during undergraduate medical training

From: A review of characteristics and outcomes of Australia’s undergraduate medical education rural immersion programs

Duration of immersion

Rural internship (PGY1)a

Rural practice at mixed or later postgraduate stagesa

1 year

21% (n = 20/94) rurally immersed versus 4% (n = 15/342) (metropolitan-trained) [16]

 

18% (n = 13/72) rurally immersed (no control group) [23]

28% (n = 16/58) rurally immersed in rural practice in PGY2 (no control group) [23]

17% (n = 63/367) rurally immersed (no control group) [24]

16% (n = 42/258) rurally immersed versus 5% (n = 36/759) wholly metropolitan-trained worked rurally when surveyed (spanning PGY3–10) (#) (multivariate analysis, adjusted for rural background, sex, age) [26]

79% (n = 48/61) rurally immersed working in outer regional/remote versus inner regional locations in PGY3–10, versus 46% (n = 91/200) historical controls and 52% (n = 33/63) metropolitan-trained (#) (multivariate analysis, adjusted for rural background, sex) [27]

1 year (town of population 25,000 versus whole course in large regional centre)

 

57% (n = 106/185) rurally immersed versus 49% (n = 333/684) regional-trained worked rurally when surveyed (spanning PGY1–11) (#) (univariate analysis only) [28]

Up to 2 years

 

42% (n = 115/276) rurally immersed versus 19% (n = 90/478) wholly metropolitan trained when surveyed (spanning PGY1–10) (#) (multivariate analysis, adjusted for most key confounders) [29]

Wholly rural

67% (n = 194/292) rurally immersed compared with 32% (n = 222/720) from medical schools in same state and 17% (n = 374/2174) from other Australian medical schools (#) (univariate level only) [15]

54% (n = 95/175) rurally immersed working in rural location by PGY3 (no control group) [25]

  1. See Additional file 1: Appendix 1 for description of studies and their limitations. PGY1 is the internship year in Australia, when doctors have provisional registration and work under supervision to gain their general registration by PGY2
  2. PGY postgraduate year following the completion of the medical course
  3. a(#)Statistically significantly associated, see Additional file 1: Appendix 1 for P values and respective odds ratios and confidence intervals