Factors associated with satisfaction of the australian rural resident medical officer cadetship program: results from a cross-sectional study

Article

Kensit, Phillipa, Islam, Md Irteja, Ramsden, Robyn, Geddes, Louise, Guisard, Yann, Russell, Chris and Martiniuk, Alexandra. 2024. "Factors associated with satisfaction of the australian rural resident medical officer cadetship program: results from a cross-sectional study." BMC Medical Education. 24 (1). https://doi.org/10.1186/s12909-024-05737-z
Article Title

Factors associated with satisfaction of the australian rural resident medical officer cadetship program: results from a cross-sectional study

ERA Journal ID13446
Article CategoryArticle
AuthorsKensit, Phillipa, Islam, Md Irteja, Ramsden, Robyn, Geddes, Louise, Guisard, Yann, Russell, Chris and Martiniuk, Alexandra
Journal TitleBMC Medical Education
Journal Citation24 (1)
Article Number816
Number of Pages11
Year2024
PublisherBioMed Central Ltd.
Place of PublicationUnited Kingdom
ISSN1472-6920
Digital Object Identifier (DOI)https://doi.org/10.1186/s12909-024-05737-z
Web Address (URL)https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-024-05737-z
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.

Conclusion
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.

KeywordsCadetship
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420699. Public health not elsewhere classified
Byline AffiliationsUniversity of Notre Dame Australia
NSW Rural Doctors Network, Australia
Centre for Health Research
University of Sydney
Charles Sturt University
Deakin University
George Institute for Global Health, Australia
University of Toronto, Canada
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