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Perceived preparedness for family practice: does rural background matter?

Olga Szafran¹, Rodney A Crutcher, Wayne Woloschuk

¹Department of Family Medicine, University of Alberta, Edmonton, Alta, Canada. olga.szafran@ualberta.ca

Canadian Journal of Rural Medicine : the Official Journal of the Society of Rural Physicians of Canada = Journal Canadien De La Medecine Rurale : Le Journal Officiel De La Societe De Medecine Rurale Du Canada

|April 10, 2013

Summary

Physicians with a rural background reported feeling more prepared for nonclinical aspects of rural practice. Increased exposure to rural culture may improve recruitment and retention of rural family physicians.

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Area of Science:

Medical Education
Rural Health
Physician Workforce

Background:

Rural background and adaptability are key predictors for rural physician recruitment and retention.
Understanding the interplay between rural background and practice readiness can inform strategies to increase the rural physician supply.

Purpose of the Study:

To investigate the association between family medicine graduates' rural or urban upbringing and their self-assessed preparedness for practice.

Main Methods:

A retrospective, cross-sectional survey of family medicine graduates (2001-2005) from the University of Alberta and University of Calgary.
Self-rated preparedness assessed using a 4-point Likert scale across clinical, interdisciplinary, practice management, and nonclinical aspects.
Rural background defined as upbringing in a community with < 25,000 population; urban background defined as upbringing in a community with ≥ 25,000 population.

Main Results:

A higher percentage of rural-background graduates felt prepared for nonclinical aspects of rural practice.
Specifically, rural graduates reported greater preparedness for time demands (95.0% vs. 79.3%), understanding rural culture (92.5% vs. 70.2%), and small-community living (92.5% vs. 70.2%).

Conclusions:

Rural background is linked to perceived preparedness in nonclinical and cultural facets of rural family practice.
This suggests that targeted rural exposure enhances cultural understanding.
Urban-background physicians reported lower preparedness for nonclinical rural practice; increased exposure may boost rural physician recruitment and retention.