PMID- 32012331
OWN - NLM
STAT- MEDLINE
DCOM- 20210623
LR  - 20210623
IS  - 1365-2923 (Electronic)
IS  - 0308-0110 (Linking)
VI  - 54
IP  - 6
DP  - 2020 Jun
TI  - Medical student well-being during rural clinical placement: A cross-sectional 
      national survey.
PG  - 547-558
LID - 10.1111/medu.14078 [doi]
AB  - CONTEXT: Understanding rural student well-being is essential to inform the 
      development and training of the future rural medical workforce so as to ensure a 
      pipeline of rural doctors to meet rural communities' needs. However, little is 
      known about the well-being of students who are on rural placement. This study 
      aims to identify the predictors of well-being amongst a national sample of 
      medical students on rural clinical placement. METHODS: The Federation of Rural 
      Australian Medical Educators (FRAME) 2015 national exit survey of medical 
      students, completed at the end of rural terms, was used (n = 644) to test the 
      associations between well-being and demographic, financial, academic, supervisor, 
      placement and clinical skills factors, and attitude to future rural work. 
      Univariate and logistic regression were used. RESULTS: Students aged 18-24 years 
      (odds ratio [OR], 8.07 [95% confidence interval CI, 2.07-31.46]) and 
      25-34 years (OR, 4.06 [95% CI, 1.35-12.18]) reported higher levels of well-being 
      compared to students aged over 35 years. Academic support from the rural clinical 
      school (OR, 5.74 [95% CI, 2.59-12.73]), perceived respect from supervisors (OR, 
      3.13 [95% CI, 1.23-7.99]), not feeling socially isolated (OR, 2.7 [95% CI, 
      1.40-5.20]), access to counselling services (OR, 2.05 [95% CI, 1.10-3.83]), rural 
      placement being a first choice (OR, 3.04 [95% CI, 1.58-5.86]) and positive 
      attitudes to being part of a rural workforce in the future (OR, 4.0 [95% CI, 
      2.0-8.3]) were associated with higher odds of well-being compared to students who 
      felt the opposite. Gender, rural background, financial support, clinical skills 
      and role clarity were not found to be associated with well-being (P > .5). 
      CONCLUSIONS: This study may provide guidance to rural clinical schools, 
      policymakers and medical educators in developing rural placement programmes that 
      enhance student well-being so we can address workforce shortages in rural areas.
CI  - (c) 2020 John Wiley & Sons Ltd and The Association for the Study of Medical 
      Education.
FAU - Saikal, Aiasha
AU  - Saikal A
AD  - School of Medicine, Faculty of Science, Medicine and Health, University of 
      Wollongong, Wollongon, New South Wales, Australia.
FAU - Pit, Sabrina Winona
AU  - Pit SW
AUID- ORCID: 0000-0003-2410-0703
AD  - Western Sydney University, School of Medicine, University Centre for Rural 
      Health, Lismore, New South Wales, Australia.
AD  - The University of Sydney, University Centre for Rural Health, Lismore, New South 
      Wales, Australia.
FAU - McCarthy, Louella
AU  - McCarthy L
AD  - School of Medicine, Faculty of Science, Medicine and Health, University of 
      Wollongong, Wollongon, New South Wales, Australia.
LA  - eng
PT  - Journal Article
DEP - 20200403
PL  - England
TA  - Med Educ
JT  - Medical education
JID - 7605655
SB  - IM
MH  - Australia
MH  - Career Choice
MH  - Cross-Sectional Studies
MH  - Humans
MH  - Professional Practice Location
MH  - *Rural Health Services
MH  - Rural Population
MH  - *Students, Medical
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Australia
OT  - medical student
OT  - rural health
OT  - rural medical education
OT  - rural placement
OT  - well-being
OT  - workforce
OT  - workforce planning
EDAT- 2020/02/06 06:00
MHDA- 2021/06/24 06:00
CRDT- 2020/02/04 06:00
PHST- 2019/11/22 00:00 [received]
PHST- 2020/01/24 00:00 [revised]
PHST- 2020/01/31 00:00 [accepted]
PHST- 2020/02/06 06:00 [pubmed]
PHST- 2021/06/24 06:00 [medline]
PHST- 2020/02/04 06:00 [entrez]
AID - 10.1111/medu.14078 [doi]
PST - ppublish
SO  - Med Educ. 2020 Jun;54(6):547-558. doi: 10.1111/medu.14078. Epub 2020 Apr 3.