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Rural Work and Specialty Choices of International Students Graduating from Australian Medical Schools: Implications for Policy

Almost 500 international students graduate from Australian medical schools annually, with around 70% commencing medical work in Australia. If these Foreign Graduates of Accredited Medical Schools (FGAMS) wish to access Medicare benefits, they must initially work in Distribution Priority Areas (mainl...

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Autores principales: McGrail, Matthew R., O’Sullivan, Belinda G., Russell, Deborah J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950190/
https://www.ncbi.nlm.nih.gov/pubmed/31835846
http://dx.doi.org/10.3390/ijerph16245056
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author McGrail, Matthew R.
O’Sullivan, Belinda G.
Russell, Deborah J.
author_facet McGrail, Matthew R.
O’Sullivan, Belinda G.
Russell, Deborah J.
author_sort McGrail, Matthew R.
collection PubMed
description Almost 500 international students graduate from Australian medical schools annually, with around 70% commencing medical work in Australia. If these Foreign Graduates of Accredited Medical Schools (FGAMS) wish to access Medicare benefits, they must initially work in Distribution Priority Areas (mainly rural). This study describes and compares the geographic and specialty distribution of FGAMS. Participants were 18,093 doctors responding to Medicine in Australia: Balancing Employment and Life national annual surveys, 2012–2017. Multiple logistic regression models explored location and specialty outcomes for three training groups (FGAMS; other Australian-trained (domestic) medical graduates (DMGs); and overseas-trained doctors (OTDs)). Only 19% of FGAMS worked rurally, whereas 29% of Australia’s population lives rurally. FGAMS had similar odds of working rurally as DMGs (OR 0.93, 0.77–1.13) and about half the odds of OTDs (OR 0.48, 0.39–0.59). FGAMS were more likely than DMGs to work as general practitioners (GPs) (OR 1.27, 1.03–1.57), but less likely than OTDs (OR 0.74, 0.59–0.92). The distribution of FGAMS, particularly geographically, is sub-optimal for improving Australia’s national medical workforce goals of adequate rural and generalist distribution. Opportunities remain for policy makers to expand current policies and develop a more comprehensive set of levers to promote rural and GP distribution from this group.
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spelling pubmed-69501902020-01-16 Rural Work and Specialty Choices of International Students Graduating from Australian Medical Schools: Implications for Policy McGrail, Matthew R. O’Sullivan, Belinda G. Russell, Deborah J. Int J Environ Res Public Health Article Almost 500 international students graduate from Australian medical schools annually, with around 70% commencing medical work in Australia. If these Foreign Graduates of Accredited Medical Schools (FGAMS) wish to access Medicare benefits, they must initially work in Distribution Priority Areas (mainly rural). This study describes and compares the geographic and specialty distribution of FGAMS. Participants were 18,093 doctors responding to Medicine in Australia: Balancing Employment and Life national annual surveys, 2012–2017. Multiple logistic regression models explored location and specialty outcomes for three training groups (FGAMS; other Australian-trained (domestic) medical graduates (DMGs); and overseas-trained doctors (OTDs)). Only 19% of FGAMS worked rurally, whereas 29% of Australia’s population lives rurally. FGAMS had similar odds of working rurally as DMGs (OR 0.93, 0.77–1.13) and about half the odds of OTDs (OR 0.48, 0.39–0.59). FGAMS were more likely than DMGs to work as general practitioners (GPs) (OR 1.27, 1.03–1.57), but less likely than OTDs (OR 0.74, 0.59–0.92). The distribution of FGAMS, particularly geographically, is sub-optimal for improving Australia’s national medical workforce goals of adequate rural and generalist distribution. Opportunities remain for policy makers to expand current policies and develop a more comprehensive set of levers to promote rural and GP distribution from this group. MDPI 2019-12-11 2019-12 /pmc/articles/PMC6950190/ /pubmed/31835846 http://dx.doi.org/10.3390/ijerph16245056 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
McGrail, Matthew R.
O’Sullivan, Belinda G.
Russell, Deborah J.
Rural Work and Specialty Choices of International Students Graduating from Australian Medical Schools: Implications for Policy
title Rural Work and Specialty Choices of International Students Graduating from Australian Medical Schools: Implications for Policy
title_full Rural Work and Specialty Choices of International Students Graduating from Australian Medical Schools: Implications for Policy
title_fullStr Rural Work and Specialty Choices of International Students Graduating from Australian Medical Schools: Implications for Policy
title_full_unstemmed Rural Work and Specialty Choices of International Students Graduating from Australian Medical Schools: Implications for Policy
title_short Rural Work and Specialty Choices of International Students Graduating from Australian Medical Schools: Implications for Policy
title_sort rural work and specialty choices of international students graduating from australian medical schools: implications for policy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950190/
https://www.ncbi.nlm.nih.gov/pubmed/31835846
http://dx.doi.org/10.3390/ijerph16245056
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