Association between self-efﬁcacy, career interest and rural career intent in Australian medical students with rural clinical school experience Vivian Isaac,1 Lucie Walters,2 Craig S McLachlan1
To cite: Isaac V, Walters L, McLachlan CS. Association between self-efficacy, career interest and rural career intent in Australian medical students with rural clinical school experience. BMJ Open 2015;5:e009574. doi:10.1136/bmjopen-2015009574 ▸ Prepublication history for this paper is available online. To view these files please visit the journal online (http://dx.doi.org/10.1136/ bmjopen-2015-009574). Received 31 July 2015 Revised 25 September 2015 Accepted 20 October 2015
Rural Clinical School, University of New South Wales, Sydney, New South Wales, Australia 2 Rural Clinical School, Flinders University, Adelaide, South Australia, Australia Correspondence to Dr Craig S McLachlan; [email protected]
ABSTRACT Objectives: To investigate medical student’s selfefficacy at the time of finishing their rural clinical school (RCS) placement and factors associated with self-efficacy. Secondary aims are to explore whether interest levels or self-efficacy are associated with rural or remote career intentions. Design, setting and participants: A crosssectional study of medical students who had completed their RCS term in 17 Australian universities. Data were derived from the 2013 Federation of Rural Australian Medical Educators (FRAME) evaluation survey. Questionnaire responses were analysed from 653 medical students from regional Australia. All 732 students who completed their RCS term in 2013 were invited to participate.
Primary and secondary outcome measures: Rural self-efficacy: Six questions to measure selfefficacy beliefs in rural medical practice, based on the sources of self-efficacy described by Bandura. Rural career intention: Students were asked to identify their preferred location for future practice. The options were, Capital or Major City; Inner regional city or large town; Smaller town and very remote area. Results: Questionnaire responses were analysed from 653 medical students from regional Australia (response rate 89.2%). 83.8% of all students recalled an increase in their interest levels for rural medicine as a result of their RCS experience. Actual career intention to work in a regional area or rural area was 60.2%. Bivariate analyses showed female gender ( p=0.003), rural background ( p
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