The regional medical campus model and rural family medicine practice in British Columbia: a retrospective longitudinal cohort study.

Journal

CMAJ open
ISSN: 2291-0026
Titre abrégé: CMAJ Open
Pays: Canada
ID NLM: 101620603

Informations de publication

Date de publication:
Historique:
entrez: 23 6 2019
pubmed: 23 6 2019
medline: 23 6 2019
Statut: epublish

Résumé

Regional medical campuses have been implemented across North America to address gaps in the physician workforce. We report findings from a study that examined the association between a combined model of regional medical campuses and students' decision to enter rural family medicine practice. In 2004, the University of British Columbia added 2 regional medical campuses, 1 in a large population centre in a rural and coastal context and 1 in a medium-sized population centre in an isolated northern and rural context. Data were extracted from the University of British Columbia's Medical Education Database. Multivariable logistic regression examined the relationship of age, sex, rural background and campus location to students' choice of rural family medicine practice. There was an association between campus location and choice of family medicine versus other specialties. A rural background (odds ratio [OR] 2.59, 95% confidence interval [CI] 1.08-6.21) and training at either of the 2 regional medical campuses (OR 3.24, 95% CI 1.19-8.83 and OR 5.38, 95% CI 2.24-12.91) predicted rural family practice. Choosing to practise family medicine in a rural location was associated with having a rural background and having trained at a regional medical campus. These early results suggest that a combined regional campus model in medical education contributes to the rural family practice workforce.

Sections du résumé

BACKGROUND BACKGROUND
Regional medical campuses have been implemented across North America to address gaps in the physician workforce. We report findings from a study that examined the association between a combined model of regional medical campuses and students' decision to enter rural family medicine practice.
METHODS METHODS
In 2004, the University of British Columbia added 2 regional medical campuses, 1 in a large population centre in a rural and coastal context and 1 in a medium-sized population centre in an isolated northern and rural context. Data were extracted from the University of British Columbia's Medical Education Database. Multivariable logistic regression examined the relationship of age, sex, rural background and campus location to students' choice of rural family medicine practice.
RESULTS RESULTS
There was an association between campus location and choice of family medicine versus other specialties. A rural background (odds ratio [OR] 2.59, 95% confidence interval [CI] 1.08-6.21) and training at either of the 2 regional medical campuses (OR 3.24, 95% CI 1.19-8.83 and OR 5.38, 95% CI 2.24-12.91) predicted rural family practice.
INTERPRETATION CONCLUSIONS
Choosing to practise family medicine in a rural location was associated with having a rural background and having trained at a regional medical campus. These early results suggest that a combined regional campus model in medical education contributes to the rural family practice workforce.

Identifiants

DOI: 10.9778/cmajo.20180205 PMID: 31227483 PMC: PMC6588542
pubmed: 31227483
pii: 7/2/E415
doi: 10.9778/cmajo.20180205
pmc: PMC6588542
doi:

Types de publication

Journal Article

Langues

eng

Pagination

E415-E420

Informations de copyright

Copyright 2019, Joule Inc. or its licensors.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Références

Aust J Rural Health. 2003 Dec;11(6):277-84
pubmed: 14678410
CMAJ. 2005 Sep 13;173(6):589-90
pubmed: 16157718
Med Educ. 2005 Nov;39(11):1146
pubmed: 16262815
BMC Health Serv Res. 2011 Jan 31;11:20
pubmed: 21281470
Acad Med. 2012 Apr;87(4):493-7
pubmed: 22361786
Can J Rural Med. 2013 Winter;18(1):13-23
pubmed: 23259963
Acad Med. 2014 Aug;89(8):1140-3
pubmed: 24826857
Hum Resour Health. 2015 May 06;13:27
pubmed: 25943870
CMAJ. 2015 Aug 11;187(11):791-792
pubmed: 26054607
Cochrane Database Syst Rev. 2015 Jun 30;(6):CD005314
pubmed: 26123126
CMAJ Open. 2015 Apr 02;3(2):E217-22
pubmed: 26389100
Rural Remote Health. 2016 Jan-Mar;16(1):3611
pubmed: 26992830
Med Educ. 2016 Aug;50(8):807-16
pubmed: 27402041
Can Fam Physician. 2016 Mar;62(3):e138-45
pubmed: 27427565
PLoS One. 2017 Jul 7;12(7):e0180394
pubmed: 28686628
Can Fam Physician. 2018 Aug;64(8):588-596
pubmed: 30108078

Auteurs

Chris Y Lovato (CY)

School of Population and Public Health (Lovato), Evaluation Studies Unit (Hsu), Department of Family Practice (Bates, Snadden), Centre for Health Education Scholarship (Bates, Casiro, Towle), Department of Pediatrics (Casiro) and Department of Medicine (Towle), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Northern Medical Program, Prince George, BC.

Helen C H Hsu (HCH)

School of Population and Public Health (Lovato), Evaluation Studies Unit (Hsu), Department of Family Practice (Bates, Snadden), Centre for Health Education Scholarship (Bates, Casiro, Towle), Department of Pediatrics (Casiro) and Department of Medicine (Towle), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Northern Medical Program, Prince George, BC.

Joanna Bates (J)

School of Population and Public Health (Lovato), Evaluation Studies Unit (Hsu), Department of Family Practice (Bates, Snadden), Centre for Health Education Scholarship (Bates, Casiro, Towle), Department of Pediatrics (Casiro) and Department of Medicine (Towle), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Northern Medical Program, Prince George, BC.

Oscar Casiro (O)

School of Population and Public Health (Lovato), Evaluation Studies Unit (Hsu), Department of Family Practice (Bates, Snadden), Centre for Health Education Scholarship (Bates, Casiro, Towle), Department of Pediatrics (Casiro) and Department of Medicine (Towle), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Northern Medical Program, Prince George, BC.

Angela Towle (A)

School of Population and Public Health (Lovato), Evaluation Studies Unit (Hsu), Department of Family Practice (Bates, Snadden), Centre for Health Education Scholarship (Bates, Casiro, Towle), Department of Pediatrics (Casiro) and Department of Medicine (Towle), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Northern Medical Program, Prince George, BC.

David Snadden (D)

School of Population and Public Health (Lovato), Evaluation Studies Unit (Hsu), Department of Family Practice (Bates, Snadden), Centre for Health Education Scholarship (Bates, Casiro, Towle), Department of Pediatrics (Casiro) and Department of Medicine (Towle), Faculty of Medicine, University of British Columbia, Vancouver, BC; Department of Family Practice (Snadden), Northern Medical Program, Prince George, BC david.snadden@ubc.ca.

Classifications MeSH