- Title
- Practice intentions at entry to and exit from medical schools aspiring to social accountability: findings from the Training for Health Equity Network Graduate Outcome Study
- Creator
- Iputo, Jehu
- Creator
- Sarah Larkins , Karen Johnston, John C. Hogenbirk, Sara Willems, Salwa Elsanousi, Marykutty Mammen, Kaatje Van Roy, Jehu Iputo , Fortunato L. Cristobal , Jennene Greenhill, Charlie Labarda11 and Andre-Jacques Neusy
- Date Issued
- 2018
- Date
- 2018
- Type
- text
- Type
- article
- Identifier
- http://hdl.handle.net/11260/5415
- Identifier
- vital:44567
- Identifier
- https://pubmed.ncbi.nlm.nih.gov/30424760/
- Description
- Background: Understanding the impact of selection and medical education on practice intentions and eventual practice is an essential component of training a fit-for-purpose health workforce distributed according to population need. Existing evidence comes largely from high-income settings and neglects contextual factors. This paper describes the practice intentions of entry and exit cohorts of medical students across low and high income settings and the correlation of student characteristics with these intentions. Methods: The Training for Health Equity Network (THEnet) Graduate Outcome Study (GOS) is an international prospective cohort study tracking learners throughout training and ten years into practice as part of the longitudinal impact assessment described in THEnet’s Evaluation Framework. THEnet is an international community of practice of twelve medical schools with a social accountability mandate. Data presented here include cross-sectional entry and exit data obtained from different cohorts of medical students involving eight medical schools in six countries and five continents. Binary logistic regression was used to create adjusted odds ratios for associations with practice intent. Results: Findings from 3346 learners from eight THEnet medical schools in 6 countries collected between 2012 and 2016 are presented. A high proportion of study respondents at these schools come from rural and disadvantaged backgrounds and these respondents are more likely than others to express an intention to work in underserved locations after graduation at both entry and exit from medical school. After adjusting for confounding factors, rural and low income background and regional location of medical school were the most important predictors of intent to practice in a rural location. For schools in the Philippines and Africa, intention to emigrate was more likely for respondents from high income and urban backgrounds.
- Format
- 7 pages
- Format
- Publisher
- BiomedCentral
- Language
- English
- Relation
- BMC Medical Education
- Relation
- Larkins S, Johnston K, Hogenbirk JC, Willems S, Elsanousi S, Mammen M, Van Roy K, Iputo J, Cristobal FL, Greenhill J, Labarda C, Neusy AJ. Practice intentions at entry to and exit from medical schools aspiring to social accountability: findings from the Training for Health Equity Network Graduate Outcome Study. BMC Med Educ. 2018 Nov 13;18(1):261. doi: 10.1186/s12909-018-1360-6. PMID: 30424760; PMCID: PMC6234627.
- Relation
- BMC Medical Education volume 18 number 261 2018
- Rights
- © Larkins et al., 2018
- Rights
- This open access article is distributed under a Creative Commons Attribution (CC-BY) 4.0 license
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