OUTCOME THEMES | STUDY CLASSIFICATION | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
RCP (CLASS 1 Total) | References (CLASS 1) | RCP + EDU (CLASS 2 Total) | References (CLASS 2) | RCSP (CLASS 3 Total) | References (CLASS 3) | TOTAL ALL CLASSIFICATIONS (Removed duplicates) | |||||||
Study Quality | Study Quality | Study Quality | |||||||||||
Weak | Mod | Strg | Weak | Mod | Strg | Weak | Mod | Strg | |||||
Workforce Intentions/Outcomes | |||||||||||||
Increased association with graduates working in a rural location (reported numbers of graduates going onto work in a rural location) | 21 | [82] | [36] | [74] | 9 | [94] | [50] | [76] | 15 | [39] | [77] | 43 | |
[83] | [46] | [75] | [51] | [40] | [78] | ||||||||
[84] | [54] | [52] | [41] | [79] | |||||||||
[86] | [56] | [53] | [43] | ||||||||||
[91] | [58] | [61] | [57] | ||||||||||
[93] | [59] | [62] | [58] | ||||||||||
[95] | [64] | [65] | [60] | ||||||||||
[65] | [63] | ||||||||||||
[66] | [67] | ||||||||||||
[68] | [69] | ||||||||||||
[70] | |||||||||||||
[72] | |||||||||||||
Increased Rural Intentions/likelihood to work rurally | 13 | [35] | [75] | 3 | 13 | [85] | [39] | 28 | |||||
[36] | [61] | [87] | [40] | ||||||||||
[37] | [88] | [42] | |||||||||||
[38] | [92] | [44] | |||||||||||
[44] | [93] | [47] | |||||||||||
[71] | [48] | ||||||||||||
[49] | |||||||||||||
[70] | |||||||||||||
Increased student interest in rural health medicine | 10 | [81] | [35] | [75] | 4 | [80] | [12] | [76] | 5 | [85] | [42] | 20 | |
[82] | [37] | [57] | [92] | [45] | |||||||||
[84] | [70] | [49] | |||||||||||
[86] | |||||||||||||
[87] | |||||||||||||
[88] | |||||||||||||
[89] | |||||||||||||
Long term retention of graduates reported | 3 | [56] | [74] | 3 | [50] | 1 | [72] | 7 | |||||
[57] | [54] | ||||||||||||
[62] | |||||||||||||
Reported low retention rates of rural employed grads and a highly mobile workforce | 0 | 0 | 1 | [67] | 1 | ||||||||
Intervention did not show a positive association with graduates choosing rural employment | 2 | [81] | [64] | 0 | – | 4 | [47] | 5 | |||||
[64] | |||||||||||||
The Impact of Rural Background | |||||||||||||
Rural Background is an important predictor toward rural intentions or rural employment | 10 | [82] | [74] | 6 | [51] | [76] | 11 | [42] | [77] | 25 | |||
[84] | [52] | [43] | [79] | ||||||||||
[91] | [54] | [49] | |||||||||||
[55] | [58] | ||||||||||||
[61] | [60] | ||||||||||||
[64] | |||||||||||||
[69] | |||||||||||||
[70] | |||||||||||||
[72] | |||||||||||||
Rural background of a participant is a more predictive factor of rural intentions than an educational clinical placement intervention | 3 | 0 | 5 | [43] | [77] | 7 | |||||||
[64] | [49] | ||||||||||||
[64] | |||||||||||||
[70] | |||||||||||||
Intervention outcomes independent of the rural background and therefore clinical rural experience more significant | 4 | [91] | 3 | [76] | 6 | [39] | [78] | 13 | |||||
[73] | [88] | [41] | |||||||||||
Other Identified Factors/Predictors of Rural Employment | |||||||||||||
Intentions at the start of medical training is a greater predictor of rural intentions than a rural intervention | 4 | [81] | 2 | [53] | [76] | 3 | [40] | 9 | |||||
[86] | [42] | ||||||||||||
[43] | |||||||||||||
Increased period of exposure (placement or RCS) led to an increased association with rural intentions/employment | 7 | [81] | 0 | 9 | [92] | [39] | [79] | 15 | |||||
[40] | |||||||||||||
[42] | |||||||||||||
[49] | |||||||||||||
[58] | |||||||||||||
[60] | |||||||||||||
[69] | |||||||||||||
Generalist intentions were a key predictor of rural intentions/rural work | 3 | [81] | 0 | – | 5 | [48] | [79] | 8 | |||||
[49] | |||||||||||||
[67] | |||||||||||||
[70] | |||||||||||||
Family medicine associated with rural clinical interest/employment | 2 | [59] | [75] | 8 | 2 | [58] | 12 | ||||||
[60] | |||||||||||||
Primary care associated with rural clinical interest/employment | 0 | 5 | 5 | [67] | [75] | 10 | |||||||
[72] | [76] | ||||||||||||
[62] | [77] | ||||||||||||
Scholarship (Bonded) | 1 | [71] | 0 | 2 | [69] | [79] | 3 | ||||||
Being in graduate entry program negatively associated with working rurally | 1 | [71] | 1 | ||||||||||
Having dependent children negatively associated with working rurally | 1 | [71] | 1 | ||||||||||
Further Research | |||||||||||||
Long term follow-up of the study required | 9 | [82] | 3 | [94] | 11 | [40] | 22 | ||||||
[86] | [88] | [42] | |||||||||||
[90] | [71] | [43] | |||||||||||
[91] | [44] | ||||||||||||
[45] | |||||||||||||
[49] | |||||||||||||
[57] | |||||||||||||
[70] | |||||||||||||
Exploration is needed of the specific characteristics of RPs that are associated with students’ intended location of future medical practice. | 3 | [90] | [38] | 2 | [54] | 4 | [39] | 9 | |||||
[91] | [55] | [41] | |||||||||||
[42] | |||||||||||||
[43] |