Sydney Medical School, University of Sydney, Sydney, NSW, Australia.
School of Rural Health, University of Sydney, Sydney, NSW, Australia.
Med J Aust. 2013 Dec 16;199(11):779-82. doi: 10.5694/mja13.10036.
To determine whether recruitment of rural students and uptake of extended rural placements are associated with students' expressed intentions to undertake rural internships and students' acceptance of rural internships after finishing medical school, and to compare any associations.
DESIGN, SETTING AND PARTICIPANTS: Longitudinal study of three successive cohorts (commencing 2005, 2006, 2007) of medical students in the Sydney Medical Program (SMP), University of Sydney, New South Wales, using responses to self-administered questionnaires upon entry to and exit from the Sydney Medical School and data recorded in rolls.
Students' expressed intentions to undertake rural internships, and their acceptance of rural internships after finishing medical school.
Data from 448 students were included. The proportion of students preferring a rural career dropped from 20.7% (79/382) to 12.5% (54/433) between entry into and exit from the SMP. A total of 98 students took extended rural placements. Ultimately, 8.1% (35/434) accepted a rural internship, although 14.5% (60/415) had indicated a first preference for a rural post. Students who had undertaken an extended rural placement were more than three times as likely as those with rural backgrounds to express a first preference for a rural internship (23.9% v 7.7%; χ(2) = 7.04; P = 0.008) and more than twice as likely to accept a rural internship (21.3% v 9.9%; χ(2) = 3.85; P = 0.05).
For the three cohorts studied, rural clinical training through extended placements in rural clinical schools had a stronger association than rural background with a preference for, and acceptance of, rural internship.
确定招收农村学生和延长农村实习机会是否与学生表达的从事农村实习的意愿以及医学生毕业后接受农村实习的意愿相关，并比较任何关联。
设计、设置和参与者：对悉尼医学课程（SMP）的三批连续医学生（2005 年、2006 年和 2007 年入学）进行的纵向研究，使用入学时和离开悉尼医学院时的自我管理问卷以及记录在名册中的数据进行回答。
学生表达的从事农村实习的意愿，以及毕业后接受农村实习的意愿。
共纳入 448 名学生的数据。入学和离开 SMP 之间，选择农村职业的学生比例从 20.7%（79/382）降至 12.5%（54/433）。共有 98 名学生参加了延长农村实习。最终，只有 8.1%（35/434）接受了农村实习，尽管有 14.5%（60/415）首选农村职位。参加过延长农村实习的学生比有农村背景的学生更有可能表达对农村实习的第一选择（23.9%比 7.7%；χ²=7.04；P=0.008），也更有可能接受农村实习（21.3%比 9.9%；χ²=3.85；P=0.05）。
对于所研究的三个队列，通过在农村临床学校延长实习时间进行农村临床培训，与农村背景相比，与对农村实习的偏好和接受度的关联更强。
