Rural training pathways: the return rate of doctors to work in the same region as their basic medical training

Table 4 Multinomial logistic regression predictive model of medical graduates working in same region as trained when 1–9 years post-graduation in 2017, for those who trained for 12 months or more in the Loddon Mallee or Gippsland region^a (n = 702)

Ref outcome: Metropolitan	Same rural region	Other rural region
Ref outcome: Metropolitan	Relative risk ratio 95% CI	Relative risk ratio 95% CI
Ref group 1–2 YPG
3–4 YPG	0.64 (0.34–1.22)	1.53 (0.77–3.02)
5+ YPG^b	0.49 (0.27–0.90) *	1.21 (0.63–2.34)
Prefer rural at entry (ref = No)
Yes	1.28 (0.61–2.69)	0.89 (0.44–1.83)
Unknown	1.81 (0.69–4.77)	0.72 (0.28–1.85)
Rural bonded	1.49 (0.85–2.59)	2.26 (1.33–3.84)**
Graduate entry	1.37 (0.79–2.38)	1.10 (0.62–1.96)
Female	1.18 (0.71–1.97)	1.33 (0.80–2.23)
Rural origin	1.89 (1.05–3.43)*	4.08 (2.26–7.36)**
Medical training in the region^a for 18–24 months (ref = 12 months)	3.38 (1.91–5.98)**	1.22 (0.72–2.06)
School location (ref = Schooled in other region)
Both schooling and training (and working) in same region	4.47 (2.13–9.35)**	n/a
Both schooling and working (not training) in same region	n/a	2.62 (0.85–8.05)
Missing school information	0.91 (0.39–2.12)	2.23 (1.01–4.91)

n/a not applicable, YPG years post-graduate
*p < 0.05, **p < 0.01
^aWork regions are shown in Fig. 1; ‘Same rural’ includes either Loddon Mallee or Gippsland regions; ‘Other rural’ includes both Victorian and non-Victorian rural locations; ‘Metropolitan’ additionally includes metropolitan locations outside of Victoria
^bYPG 5–6 and YPG 7+ were collapsed together because few observations with school location were available for YPG 7+ (see Table 1)

ISSN: 1478-4491