PDF(Pubmed)
Abstract：
BACKGROUND: Australian Rural Resident Medical Officer Cadetships are awarded to medical students interested in a rural medical career. The Rural Residential Medical Officer Cadetship Program (Cadetship Program) is administered by the Rural Doctors Network on behalf of the NSW Ministry of Health. This study aimed to assess the overall experience of medical students and key factors that contributed to their satisfaction with the Cadetship Program.
METHODS: A quantitative cross-sectional study was conducted among 107 former cadets who had completed the Cadetship Program. Data on medical students\' experience with the Cadetship Program (outcome variable) and potential explanatory variables were collected using a structured self-administered questionnaire. Explanatory variables included gender, geographical location, rural health club membership, rural clinical school attendance, financial support, mentorship benefits, networking opportunities, influence on career decisions, opportunity for preferential placements, and relocation. Both bivariate (Pearson\'s chi-squared test) and multiple logistic regression analysis were employed to identify the factors associated with medical students\' overall experience with the Cadetship Program. The non-linear analysis was weighted to represent the rural/remote health workforce, in Stata/SE 14.1.
RESULTS: Our results indicate that 91% of medical students were satisfied with the Cadetship Program. The logistic regression model identified two significant predictors of a positive experience with the Cadetship Program. Medical students who perceived financial support as beneficial were significantly more likely to report a satisfactory program experience (aOR = 6.22, 95% CI: 1.36-28.44, p = 0.019) than those who perceived financial support as not beneficial. Similarly, those who valued networking opportunities were more likely to have a positive view of their cadetship experience (aOR = 10.06, 95% CI: 1.11-91.06, p = 0.040) than their counterparts.
CONCLUSIONS: Our study found that students who valued financial support and networking opportunities had the most positive views of the Cadetship Program. These findings demonstrate that the Cadetship Program may be most helpful for those who need financial support and for students who seek networking opportunities. These findings increase our knowledge about the characteristics of medical students who have the most positive experiences with the Cadetship Program. They help us to understand the mechanisms of influence of such programs on individuals\' decisions to be part of the future rural health workforce.
METHODS: A quantitative cross-sectional study was conducted among 107 former cadets who had completed the Cadetship Program. Data on medical students\' experience with the Cadetship Program (outcome variable) and potential explanatory variables were collected using a structured self-administered questionnaire. Explanatory variables included gender, geographical location, rural health club membership, rural clinical school attendance, financial support, mentorship benefits, networking opportunities, influence on career decisions, opportunity for preferential placements, and relocation. Both bivariate (Pearson\'s chi-squared test) and multiple logistic regression analysis were employed to identify the factors associated with medical students\' overall experience with the Cadetship Program. The non-linear analysis was weighted to represent the rural/remote health workforce, in Stata/SE 14.1.
RESULTS: Our results indicate that 91% of medical students were satisfied with the Cadetship Program. The logistic regression model identified two significant predictors of a positive experience with the Cadetship Program. Medical students who perceived financial support as beneficial were significantly more likely to report a satisfactory program experience (aOR = 6.22, 95% CI: 1.36-28.44, p = 0.019) than those who perceived financial support as not beneficial. Similarly, those who valued networking opportunities were more likely to have a positive view of their cadetship experience (aOR = 10.06, 95% CI: 1.11-91.06, p = 0.040) than their counterparts.
CONCLUSIONS: Our study found that students who valued financial support and networking opportunities had the most positive views of the Cadetship Program. These findings demonstrate that the Cadetship Program may be most helpful for those who need financial support and for students who seek networking opportunities. These findings increase our knowledge about the characteristics of medical students who have the most positive experiences with the Cadetship Program. They help us to understand the mechanisms of influence of such programs on individuals\' decisions to be part of the future rural health workforce.
摘要：
背景：澳大利亚农村居民医疗官协会被授予对农村医疗事业感兴趣的医学生。农村居民医疗官协会计划（协会计划）由农村医生网络代表新南威尔士州卫生部管理。这项研究旨在评估医学生的整体经验以及有助于他们对骑士计划满意度的关键因素。
方法：对107名完成了士官计划的前学员进行了定量横断面研究。使用结构化的自我管理问卷收集了有关医学生使用Cadetship计划（结果变量）和潜在解释变量的经验的数据。解释变量包括性别，地理位置,农村健身俱乐部会员资格,农村临床学校出勤率，财政支持,导师福利，网络机会，对职业决策的影响，优惠配售的机会，和搬迁。采用双变量（Pearson卡方检验）和多元logistic回归分析来确定与医学生的整体经验相关的因素。对非线性分析进行了加权，以代表农村/偏远卫生劳动力，在Stata/SE14.1中。
结果：我们的研究结果表明，91%的医学生对骑士精神课程感到满意。逻辑回归模型确定了两个重要的预测因素，这些预测因素是使用Cadetship计划的积极经验。认为经济支持有益的医学生比认为经济支持有益的医学生更有可能报告令人满意的课程体验（aOR=6.22，95％CI：1.36-28.44，p=0.019）。同样，那些重视交流机会的人比他们的同龄人更有可能对他们的学员经历有正面看法(aOR=10.06,95%CI:1.11-91.06,p=0.040).
结论：我们的研究发现，重视经济支持和交流机会的学生对骑士计划的看法最积极。这些发现表明，骑士计划可能对那些需要经济支持的人和寻求交流机会的学生最有帮助。这些发现增加了我们对医学生的特征的知识，这些医学生在Cadetship计划中拥有最积极的经验。它们帮助我们了解此类计划对个人决定成为未来农村卫生劳动力的一部分的影响机制。
方法：对107名完成了士官计划的前学员进行了定量横断面研究。使用结构化的自我管理问卷收集了有关医学生使用Cadetship计划（结果变量）和潜在解释变量的经验的数据。解释变量包括性别，地理位置,农村健身俱乐部会员资格,农村临床学校出勤率，财政支持,导师福利，网络机会，对职业决策的影响，优惠配售的机会，和搬迁。采用双变量（Pearson卡方检验）和多元logistic回归分析来确定与医学生的整体经验相关的因素。对非线性分析进行了加权，以代表农村/偏远卫生劳动力，在Stata/SE14.1中。
结果：我们的研究结果表明，91%的医学生对骑士精神课程感到满意。逻辑回归模型确定了两个重要的预测因素，这些预测因素是使用Cadetship计划的积极经验。认为经济支持有益的医学生比认为经济支持有益的医学生更有可能报告令人满意的课程体验（aOR=6.22，95％CI：1.36-28.44，p=0.019）。同样，那些重视交流机会的人比他们的同龄人更有可能对他们的学员经历有正面看法(aOR=10.06,95%CI:1.11-91.06,p=0.040).
结论：我们的研究发现，重视经济支持和交流机会的学生对骑士计划的看法最积极。这些发现表明，骑士计划可能对那些需要经济支持的人和寻求交流机会的学生最有帮助。这些发现增加了我们对医学生的特征的知识，这些医学生在Cadetship计划中拥有最积极的经验。它们帮助我们了解此类计划对个人决定成为未来农村卫生劳动力的一部分的影响机制。
