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The impact after 50 years of a new medical education programme with a regional workforce mission

Hays, R ORCID: 0000-0002-3875-3134, Bowles, S, Brown, T, Lawler, A and Vickers, J ORCID: 0000-0001-5671-4879 2017 , 'The impact after 50 years of a new medical education programme with a regional workforce mission' , The Australian journal of rural health, vol. 25, no. 6 , pp. 332-337 , doi: 10.1111/ajr.12360.

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Abstract

Background: Tasmania established its medical programmein 1965 to produce graduates to addressmedical workforce recruitment challenges. Many Tasmaniangraduates work in Tasmania, but workforceproblems continue. This paper reports the workforceoutcomes of the first 42 graduating cohorts.Methods: A database for all University of Tasmaniamedical graduates from the years 1970 to 2011 wasdeveloped by combining information from university,registration and local workforce survey databases.Results: A total of 2012 doctors graduated from 1971to 2011 and 1707 (85%) were registered, most commonlyin general practice (45.8%), medicine (13%),anaesthetics (7.9%), surgery (7.5%), psychiatry(4.3%), emergency medicine (35, 3.5%), paediatrics(3.4%) and pathology (3.3%). While 41.9% workedin Tasmania, they comprised 35.6% of the local workforceand were clustered around the two larger cities.The proportion entering general practice has fallensince 1980s.Discussion: The contribution of the Tasmanian medicalprogramme is substantial but appears less thanother regional medical schools. Relatively few work insmaller communities, particularly in specialties otherthan general practice. Lifestyle choices and the availabilityof training opportunities and career positionsmight be contributing factors. The medical school hasestablished clinical schools in rural communities, promotedadmission of rural applicants and increasedrural clinical placement opportunities, with some earlysigns of success.

Item Type: Article
Authors/Creators:Hays, R and Bowles, S and Brown, T and Lawler, A and Vickers, J
Keywords: medical education, programme evaluation, rural workforce issues, rural/remote services, rurality
Journal or Publication Title: The Australian journal of rural health
Publisher: Association for Australian Rural Nurses
ISSN: 1038-5282
DOI / ID Number: 10.1111/ajr.12360
Copyright Information:

© 2017 National Rural Health Alliance

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