Widening access to medicine may improve general practitioner recruitment in deprived and rural communities: Survey of GP origins and current place of work Career choice, professional education and development

BMC Medical Education

Volumn 15, Issue 1, 2015, Pages

  Dowell, J ^a,c   Norbury, M ^b   Steven, K ^a   Guthrie, B ^a  

^a UNIVERSITY OF DUNDEE   (United Kingdom)

^b Raven Song Community Health Centre   (Canada)

^c UNIVERSITY OF DUNDEE   (United Kingdom)

Author keywords

General Practice; Manpower; Social class; Student selection; Widening access; Workforce

Indexed keywords

ADULT; COMPARATIVE STUDY; CONFIDENCE INTERVAL; CROSS-SECTIONAL STUDY; DECISION MAKING; DEMOGRAPHY; EDUCATION; FEMALE; GENERAL PRACTICE; GENERAL PRACTITIONER; HEALTH CARE PLANNING; HEALTH PERSONNEL ATTITUDE; HUMAN; MALE; MANPOWER; MEDICAL SCHOOL; MIDDLE AGED; PERSONNEL MANAGEMENT; PROCEDURES; PROFESSIONAL PRACTICE; RISK FACTOR; RURAL POPULATION; SCOTLAND; SOCIOECONOMICS; STATISTICS AND NUMERICAL DATA;

ADULT; ATTITUDE OF HEALTH PERSONNEL; CAREER CHOICE; CONFIDENCE INTERVALS; CROSS-SECTIONAL STUDIES; FEMALE; GENERAL PRACTICE; GENERAL PRACTITIONERS; HUMANS; MALE; MEDICALLY UNDERSERVED AREA; MIDDLE AGED; PERSONNEL SELECTION; PROFESSIONAL PRACTICE LOCATION; RESIDENCE CHARACTERISTICS; RISK FACTORS; RURAL POPULATION; SCHOOLS, MEDICAL; SCOTLAND; SOCIOECONOMIC FACTORS;

EID: 84942990786     PISSN: None     EISSN: 14726920     Source Type: Journal    
DOI: 10.1186/s12909-015-0445-8     Document Type: Article

References (40)

1. Cleland J, Dowell J, McLachlan J, Nicholson S, Patterson F. Identifying best practice in the selection of medical students. GMC Res Report. 2012 Pub 12/02/2012.
2. McManus IC. Measuring participation in UK medical schools: Social class data are problematic to interpret. Br Med J. 2004;329(7469):800-1. doi: 10.1136/bmj.329.7469.800-c.
3. Tiffin PA, Dowell JS, McLachlan JC. Widening access to UK medical education for under-represented socioeconomic groups: modelling the impact of the UKCAT in the 2009 cohort. Br Med J. 2012;344. doi: 10.1136/bmj.e1805.
4. Seyan K, Greenhalgh T, Dorling D. The standardised admission ratio for measuring widening participation in medical schools: analysis of UK medical school admissions by ethnicity, socioeconomic status, and sex. Br Med J. 2004;328(7455):1545-6. doi: 10.1136/bmj.328.7455.1545.
5. Do PC, Parry J, Mathers J, Richardson M. Monitoring the widening participation initiative for access to medical school: are present measures sufficient? Med Educ. 2006;40(8):750-8. doi: 10.1111/j.1365-2929.2006.02535.x.
6. Greenhalgh T, Russell J, Boynton P, Lefford F, Chopra N, Dunkley L. "We were treated like adults" - development of a pre-medicine summer school for 16 year olds from deprived socioeconomic backgrounds: action research study. Br Med J. 2006;332(7544):762-7. doi: 10.1136/bmj.38755.582500.55.
7. McHarg J, Mattick K, Knight LV. Why people apply to medical school: implications for widening participation activities. Med Educ. 2007;41(8):815-21. doi: 10.1111/j.1365-2923.2007.02798.x.
8. Mullen F. Widening Access to Higher Education: Policy in Scotland. Online report. http://www.scottish.parliament.uk/parliamentarybusiness/15744.aspx: The Scottish Parliament.2010.
9. Selecting for Excellence Group. Selecting for Excellence Final Report. London: Medical Schools Council, 2014.
10. Mathers J, Sitch A, Marsh JL, Parry J. Widening access to medical education for under-represented socioeconomic groups: population based cross sectional analysis of UK data, 2002-6. Br Med J. 2011;342. doi: 10.1136/bmj.d918.
11. James D, Ferguson E, Powis D, Symonds I, Yates J. Graduate entry to medicine: widening academic and socio-demographic access. Med Educ. 2008;42(3):294-300. doi: 10.1111/j.1365-2923.2008.03006.x.
12. Grumbach K, Mendoza R. Disparities in human resources: addressing the lack of diversity in the health professions. Health Aff (Project Hope). 2008;27(2):413-22. doi: 10.1377/hlthaff.27.2.413.
13. Hoare A, Johnston R. Widening participation through admissions policy - a British case study of school and university performance. Stud Higher Educ. 2011;36:21-41. doi: 10.1080/03075070903414297.
14. McManus I, Dewberry C, Nicholson S, Dowell J. The UKCAT-12 study: educational attainment, aptitude test performance, demographic and socio-economic contextual factors as predictors of first year outcome in a cross-sectional collaborative study of 12 UK medical schools. BMC Med. 2013;11(1):244.
15. Crawford C. The link between secondary school characteristics and university participation and outcomes. University of Warwick: Centre for Analysis of Youth Transitions; 2014.
16. Guiton G, Chang MJ, Wilkerson L. Student body diversity: relationship to medical students' experiences and attitudes. Acad Med. 2007;82(10 Suppl):S85-8.
17. Hung R, McClendon J, Henderson A, Evans Y, Colquitt R, Saha S. Student perspectives on diversity and the cultural climate at a U.S. medical school. Acad Med. 2007;82(2):184-92.
18. Saha S, Guiton G, Wimmers PF, Wilkerson L. Student body racial and ethnic composition and diversity-related outcomes in US medical schools. J Am Med Assocation. 2008;300(10):1135-45. doi: 10.1001/jama.300.10.1135.
19. Whitla DK, Orfield G, Silen W, Teperow C, Howard C, Reede J. Educational benefits of diversity in medical school: a survey of students. Acad Med. 2003;78(5):460-6.
20. Walker KO, Moreno G, Grumbach K. The association among specialty, race, ethnicity, and practice location among California physicians in diverse specialties. J Natl Med Assoc. 2012;104(1-2):46-52.
21. Komaromy M, Grumbach K, Drake M, Vranizan K, Lurie N, Keane D, et al. The Role of Black and Hispanic Physicians in Providing Health Care for Underserved Populations. N Engl J Med. 1996;334(20):1305-10. doi: 10.1056/NEJM199605163342006.
22. Brown T, Liu JX, Scheffler RM. Does the under- or overrepresentation of minority physicians across geographical areas affect the location decisions of minority physicians? Health Serv Res. 2009;44(4):1290-308. doi: 10.1111/j.1475-6773.2009.00978.x.
23. Jones M, Humphreys J, Prideaux D. Predicting medical students' intentions to take up rural practice after graduation. Med Educ. 2009;43(10):1001-9. doi: 10.1111/j.1365-2923.2009.03506.x.
24. McGrail M, Humphreys J, Joyce C. Nature of association between rural background and practice location: A comparison of general practitioners and specialists. BMC Health Serv Res. 2011;11(1):63.
25. Walker JH, Dewitt DE, Pallant JF, Cunningham CE. Rural origin plus a rural clinical school placement is a significant predictor of medical students' intentions to practice rurally: a multi-university study. Rural Remote Health. 2012;12:1908.
26. Henry JA, Edwards BJ, Crotty B. Why do medical graduates choose rural careers? Rural Remote Health. 2009;9(1):1083.
27. Robinson M, Slaney GM. Choice or chance! The influence of decentralised training on GP retention in the Bogong region of Victoria and New South Wales. Rural Remote Health. 2013;13(2):2231.
28. Ranmuthugala G, Humphreys J, Solarsh B, Walters L, Worley P, Wakerman J, et al. Where is the evidence that rural exposure increases uptake of rural medical practice? Aust J Rural Health. 2007;15(5):285-8. doi: 10.1111/j.1440-1584.2007.00915.x.
29. Chan BTB, Degani N, Crichton T, Pong RW, Rourke JT, Goertzen J, et al. Factors influencing family physicians to enter rural practice: Does rural or urban background make a difference? Can Fam Physician. 2005;51(9):1247.
30. World Health Organisation. Improving access to healthcare workers in remote and rural areas throughincreased retention. Global Policy Recommendations. Geneva: World Health Organisation Publications; 2010.
31. Cooter R, Erdmann JB, Gonnella JS, Callahan CA, Hojat M, Xu G. Economic diversity in medical education: the relationship between students' family income and academic performance, career choice, and student debt. Eval Health Prof. 2004;27(3):252-64. doi: 10.1177/0163278704267041.
32. Goddard M, Gravelle H, Hole A, Marini G. Where did all the GPs go? Increasing supply and geographical equity in England and Scotland. Health Serv Res Policy. 2010;15(1):28-35. doi: 10.1258/jhsrp.2009.009003.
33. Tackling inequalities in life expectancy in areas with the worst health and deprivatio. The Stationery Office. London: National Audit Office; 2010.
34. Corbett S. Literature review to examine the impact of isolation and rurality on patient safety in primary health care setting in Europe: EURIPA 2012. Available from http://euripa.woncaeurope.org/sites/euripa/files/documents/Literature%20review%20final.pdf.
35. Griffin B, Hu W. The interaction of socio-economic status and gender in widening participation in medicine. Med Educ. 2015;49(1):103-13. doi: 10.1111/medu.12480.
36. Baxter C, Baxter D, Baxter M. Widening participation in medicine: moving beyond the numbers. Med Educ. 2015;49(1):15-7. doi: 10.1111/medu.12613.
37. Lupton K, Vercammen-Grandjean C, Forkin J, Wilson E, Grumbach K. Specialty choice and practice location of physician alumni of University of California premedical postbaccalaureate programs. Acad Med. 2012;87(1):115-20. doi: 10.1097/ACM.0b013e31823a907f.
38. Beale N. Unequal to the task: deprivation, health and UK general practice at the millennium. Br J Gen Pract. 2001;51(467):478-85.
39. Watt IS, Franks AJ, Sheldon TA. Health and health care of rural populations in the UK: is it better or worse? J Epidemiol Community Health. 1994;48(1):16-21.
40. Goldacre M, Davidson J, Maisonneuve J, Lambert T. Geographical movement of doctors from education to training and eventual career post: UK cohort studies. J R Soc Med. 2013;106(3):96-104. doi: 10.1177/0141076812472617.