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Rural longitudinal integrated clerkships and medical workforce outcomes

A scoping review

Bibliographic Data

ID21448375
AuthorsJessica Beattie (0000-0003-3339-1418, Deakin University, corresponding author), Marley J Binder (0000-0002-3527-2765, Deakin University), Marley Binder (School of Medicine, University Department of Rural Health, Deakin University), Lara Fuller (0000-0002-1678-0916, Deakin University)
Year2024
Volume46
Issue4
Pages545-555
Publication date2024-04-02
Open AccessYes
TypeARTICLE
VenueMedical Teacher (JOURNAL)
Journal identifiersISSN: 0142-159X • E-ISSN: 1466-187X
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/0142159x.2023.2260082
PMID37769044
OpenAlexW4387129363
LanguageEN
Citations received2
References cited42

INTRODUCTION: Internationally the medical workforce is suffering from a persistent geographic and specialist maldistribution. Longitudinal models of rural medical education such as longitudinal integrated clerkships (LIC) have been one of the strategies employed to redress this issue. AIM: To map and synthesise the evidence on the medical workforce outcomes of rural LIC graduates, identifying gaps in the literature to inform future research. METHODS: This review followed Arksey and O'Malley's methodological steps. Databases searched included Medline, CINAHL Complete (EBSCOhost), Scopus, Embase (Elsevier), and ISI Web of Science. RESULTS: A total of 9045 non-duplicate articles were located, 112 underwent a full review, with 25 articles meeting the inclusion criteria. Studies were commonly cohort-based (84%), with data collected by database tracking and data linkage (52%). Five themes were identified to summarise the studies: (i) Overall geographic workforce outcomes (ii) influence of non-LIC medical training, (iii) remaining in region and level of rurality, (iv) medical speciality choice and rurality, and (v) selection and preferences. CONCLUSION: Synthesis of the evidence related to workforce outcomes of rural LIC graduates provides directions for future rural medical workforce planning and research. While rural LIC graduates were found to be more likely to work rurally and in primary care specialities compared to graduates from other training pathways there is evidence to suggest this can be enhanced by strategically aligning selection and training factors

CINAHL · Inclusion (mineral) · Longitudinal study · Medical education · MEDLINE · Political science · Psychological intervention · Rural area · Rurality · Scopus · Workforce · Workforce planning · Global Health Workforce Issues · Innovations in Medical Education · Medical Education and Admissions · Medicine · Nursing · Psychology

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Citations per year1
Citation span2024 - 2026 (3)
Highly citedNo

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