PMID- 26671960
OWN - NLM
STAT- MEDLINE
DCOM- 20160915
LR  - 20181202
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 5
IP  - 12
DP  - 2015 Dec 15
TI  - Association between self-efficacy, career interest and rural career intent in 
      Australian medical students with rural clinical school experience.
PG  - e009574
LID - 10.1136/bmjopen-2015-009574 [doi]
LID - e009574
AB  - OBJECTIVES: To investigate medical student's self-efficacy at the time of 
      finishing their rural clinical school (RCS) placement and factors associated with 
      self-efficacy. Secondary aims are to explore whether interest levels or 
      self-efficacy are associated with rural or remote career intentions. DESIGN, 
      SETTING AND PARTICIPANTS: A cross-sectional study of medical students who had 
      completed their RCS term in 17 Australian universities. Data were derived from 
      the 2013 Federation of Rural Australian Medical Educators (FRAME) evaluation 
      survey. Questionnaire responses were analysed from 653 medical students from 
      regional Australia. All 732 students who completed their RCS term in 2013 were 
      invited to participate. PRIMARY AND SECONDARY OUTCOME MEASURES: Rural 
      self-efficacy: Six questions to measure self-efficacy beliefs in rural medical 
      practice, based on the sources of self-efficacy described by Bandura. Rural 
      career intention: Students were asked to identify their preferred location for 
      future practice. The options were, Capital or Major City; Inner regional city or 
      large town; Smaller town and very remote area. RESULTS: Questionnaire responses 
      were analysed from 653 medical students from regional Australia (response rate 
      89.2%). 83.8% of all students recalled an increase in their interest levels for 
      rural medicine as a result of their RCS experience. Actual career intention to 
      work in a regional area or rural area was 60.2%. Bivariate analyses showed female 
      gender (p=0.003), rural background (p<0.001), an RCS preference for clinical 
      training (p<0.001) and general practice intentions (p=0.004) were factors 
      associated with higher levels of self-efficacy. Logistic regression analyses 
      showed that self-efficacy was independently associated with increased interest in 
      rural medicine (OR 1.4 (95% CI 1.3 to 1.5)) and rural career intent (OR 1.2 (95% 
      CI 1.1 to 1.3)). (Model included gender, rural background, preference for RCS, 
      generalist intent, rural practice interest and self-efficacy). CONCLUSIONS: 
      Self-efficacy is associated with increased interest levels for rural medicine and 
      rural medical career intent.
CI  - Published by the BMJ Publishing Group Limited. For permission to use (where not 
      already granted under a licence) please go to 
      http://www.bmj.com/company/products-services/rights-and-licensing/
FAU - Isaac, Vivian
AU  - Isaac V
AD  - Rural Clinical School, University of New South Wales, Sydney, New South Wales, 
      Australia.
FAU - Walters, Lucie
AU  - Walters L
AD  - Rural Clinical School, Flinders University, Adelaide, South Australia, Australia.
FAU - McLachlan, Craig S
AU  - McLachlan CS
AD  - Rural Clinical School, University of New South Wales, Sydney, New South Wales, 
      Australia.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20151215
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - *Attitude of Health Personnel
MH  - Australia
MH  - *Career Choice
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Interviews as Topic
MH  - Male
MH  - *Rural Health Services
MH  - Rural Population
MH  - *Self Efficacy
MH  - Students, Medical/*psychology
MH  - Surveys and Questionnaires
MH  - Universities
MH  - Workforce
MH  - Workplace
PMC - PMC4680002
OTO - NOTNLM
OT  - HEALTH SERVICES ADMINISTRATION & MANAGEMENT
OT  - MEDICAL EDUCATION & TRAINING
EDAT- 2015/12/17 06:00
MHDA- 2016/09/16 06:00
PMCR- 2015/12/15
CRDT- 2015/12/17 06:00
PHST- 2015/12/17 06:00 [entrez]
PHST- 2015/12/17 06:00 [pubmed]
PHST- 2016/09/16 06:00 [medline]
PHST- 2015/12/15 00:00 [pmc-release]
AID - bmjopen-2015-009574 [pii]
AID - 10.1136/bmjopen-2015-009574 [doi]
PST - epublish
SO  - BMJ Open. 2015 Dec 15;5(12):e009574. doi: 10.1136/bmjopen-2015-009574.