Self-efficacy reduces the impact of social isolation on medical student’s rural career intent
Abstract Background Social isolation in medical students is a subjective experience that may influence medical career decision making. Rural self-efficacy has been shown to influence rural career intentions following a rural clinical placement, however its impact on social isolation during a rural c...
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| Format: | Article |
| Language: | English |
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BMC
2018-03-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12909-018-1142-1 |
| _version_ | 1811222506426597376 |
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| author | Vivian Isaac Sabrina Winona Pit Craig S. McLachlan |
| author_facet | Vivian Isaac Sabrina Winona Pit Craig S. McLachlan |
| author_sort | Vivian Isaac |
| collection | DOAJ |
| description | Abstract Background Social isolation in medical students is a subjective experience that may influence medical career decision making. Rural self-efficacy has been shown to influence rural career intentions following a rural clinical placement, however its impact on social isolation during a rural clinical placement has not been previously modeled. The objective of this study is to explore whether self-perception of social isolation is associated with rural career intent in rural medical students. Secondly, to determine whether self-efficacy influences the association between social isolation and rural career intent. Methods 2015 data, from a cross-sectional survey of the National Federation of Rural Australian Medical Educators (FRAME) study. Among 619 medical students attending rural clinical schools (RCS), rural career intent was assessed. This included intended rural location for either postgraduate medical specialist or generalist training or completion of that training. Self-efficacy beliefs in rural medical practice were based on a validated scale consisting of six questions. Social isolation was measured asking students whether they felt socially isolated during their RCS placement. Results 31.3% of surveyed students self-reported feeling socially isolated during their rural placement. Social isolation was associated with reduced rural career intent after controlling for gender, rural background, RCS preference, RCS support and wellbeing. In step-wise logistic regression the association between social isolation and rural intent disappeared with the inclusion of rural self-efficacy. Conclusions Social isolation during a rural clinical placement is commonly reported and is shown to reduce rural career intent. High levels of rural clinical self-efficacy reduce the effects of social isolation on future rural workforce intentions. |
| first_indexed | 2024-04-12T08:17:02Z |
| format | Article |
| id | doaj.art-ced0ba8102534f898e623a36327954a6 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-04-12T08:17:02Z |
| publishDate | 2018-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-ced0ba8102534f898e623a36327954a62022-12-22T03:40:45ZengBMCBMC Medical Education1472-69202018-03-011811610.1186/s12909-018-1142-1Self-efficacy reduces the impact of social isolation on medical student’s rural career intentVivian Isaac0Sabrina Winona Pit1Craig S. McLachlan2Flinders Rural Health South Australia, Flinders UniversityUniversity Centre for Rural Health, School of Medicine, Western Sydney UniversityRural Clinical School, Faculty of Medicine, University of New South WalesAbstract Background Social isolation in medical students is a subjective experience that may influence medical career decision making. Rural self-efficacy has been shown to influence rural career intentions following a rural clinical placement, however its impact on social isolation during a rural clinical placement has not been previously modeled. The objective of this study is to explore whether self-perception of social isolation is associated with rural career intent in rural medical students. Secondly, to determine whether self-efficacy influences the association between social isolation and rural career intent. Methods 2015 data, from a cross-sectional survey of the National Federation of Rural Australian Medical Educators (FRAME) study. Among 619 medical students attending rural clinical schools (RCS), rural career intent was assessed. This included intended rural location for either postgraduate medical specialist or generalist training or completion of that training. Self-efficacy beliefs in rural medical practice were based on a validated scale consisting of six questions. Social isolation was measured asking students whether they felt socially isolated during their RCS placement. Results 31.3% of surveyed students self-reported feeling socially isolated during their rural placement. Social isolation was associated with reduced rural career intent after controlling for gender, rural background, RCS preference, RCS support and wellbeing. In step-wise logistic regression the association between social isolation and rural intent disappeared with the inclusion of rural self-efficacy. Conclusions Social isolation during a rural clinical placement is commonly reported and is shown to reduce rural career intent. High levels of rural clinical self-efficacy reduce the effects of social isolation on future rural workforce intentions.http://link.springer.com/article/10.1186/s12909-018-1142-1Social cognitionsRural medical educationSocial isolationSelf-efficacyMedical studentCareer intention |
| spellingShingle | Vivian Isaac Sabrina Winona Pit Craig S. McLachlan Self-efficacy reduces the impact of social isolation on medical student’s rural career intent BMC Medical Education Social cognitions Rural medical education Social isolation Self-efficacy Medical student Career intention |
| title | Self-efficacy reduces the impact of social isolation on medical student’s rural career intent |
| title_full | Self-efficacy reduces the impact of social isolation on medical student’s rural career intent |
| title_fullStr | Self-efficacy reduces the impact of social isolation on medical student’s rural career intent |
| title_full_unstemmed | Self-efficacy reduces the impact of social isolation on medical student’s rural career intent |
| title_short | Self-efficacy reduces the impact of social isolation on medical student’s rural career intent |
| title_sort | self efficacy reduces the impact of social isolation on medical student s rural career intent |
| topic | Social cognitions Rural medical education Social isolation Self-efficacy Medical student Career intention |
| url | http://link.springer.com/article/10.1186/s12909-018-1142-1 |
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