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Original Research

James Cook University抯 decentralised medical training model: an important part of the rural workforce pipeline in northern Australia

Submitted: 28 May 2015
Revised: 26 October 2015
Accepted: 23 November 2015
Published: 19 March 2016

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Author(s) : Woolley T, Sen Gupta T, Murray R.

Torres WoolleyTarun Sen GuptaRichard Murray

Citation: Woolley T, Sen Gupta T, Murray R.  James Cook University抯 decentralised medical training model: an important part of the rural workforce pipeline in northern Australia. Rural and Remote Health (Internet) 2016; 16: 3611. Available: http://www.rrh.org.au/articles/subviewnew.asp?ArticleID=3611 (Accessed 20 October 2017)

ABSTRACT

Introduction:There has been much recent investment to improve the recruitment and retention of medical graduates in rural Australia. This paper describes the different outcomes of the strategies used at the James Cook University (JCU) medical school to improve the recruitment and retention of medical graduates in northern Australian towns: the decentralised model of four rural clinical schools, selecting students with a rural home town, enrolling students under the Bonded Medical Placements (BMP) scheme, and providing rurally orientated scholarships.
Methods:牋Home town at application to medical school, clinical school location, scholarship, BMP and postgraduate practice location data for JCU medical graduates were retrieved from an ongoing longitudinal cohort study.燤ultivariate logistic regression analysis was used to identify independent predictors of intern practice location from 2006 to 2013, and current (2014) practice location for postgraduate year񂠋爂raduates for each of the four rural clinical school sites of Townsville, Cairns, Darwin and Mackay.
Results:The strongest predictor of JCU Bachelor of Medicine, Bachelor of Surgery (MBBS) graduates undertaking their internship in Townsville, Cairns, Mackay or Darwin hospitals was attending the JCU clinical school in that location (p<0.001, prevalence odds ratios (POR)=7.1; p<0.001, POR=11.5; p<0.001, POR=19.4; p<0.001, POR=85.7; respectively). Attending the JCU clinical school in the main town was also a strong predictor of JCU MBBS graduates currently practising (2014) in the Townsville, Cairns and Mackay health service districts (p<0.001, POR=2.9; p<0.001, POR=3.8; p=0.033, POR=3.6; respectively).
Conclusions:While this study supports the effectiveness of improving the rural medical workforce via the targeted selection of students with a rural background, the JCU medical school抯 decentralised medical education program also appears to be significantly associated with rural recruitment and retention, including in districts of workforce shortage and/or geographically remote locations. These findings support other evidence that decentralised medical training can assist recruitment to underserved regions, and have implications for other jurisdictions looking to invest in a decentralised training model.

Key words: Australia, graduate, medical, recruitment, retention, workforce.

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