Medical electives: exploring the determinants of placement and access variables between 2010 and 2016 at the University of Auckland.

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dc.contributor.author McCool, Judith en
dc.contributor.author Bagg, Warwick en
dc.contributor.author MacCormick, Andrew en
dc.contributor.author Cavadino, Alana en
dc.contributor.author Curtis, E en
dc.contributor.author Smith, M en
dc.date.accessioned 2019-11-20T22:03:01Z en
dc.date.issued 2019-11-01 en
dc.identifier.citation BMC medical education 19(1):398 29 Oct 2019 en
dc.identifier.issn 1472-6920 en
dc.identifier.uri http://hdl.handle.net/2292/48954 en
dc.description.abstract Background: Medical electives undertaken during sixth year at medical school provide an opportunity for students to work in an overseas or New Zealand health facility to gain exposure to a health system outside their training facility. Previous work suggests that the elective experience can be profound, exposing global health inequities, or influencing future career decisions. This study assessed patterns within elective choice by students’ socio demographic and programme entry characteristics. Methods: A retrospective analysis of student elective records from 2010 to 2016 was undertaken using a Kaupapa Māori research framework, an approach which prioritises positive benefits for Māori (and Pacific) participants and communities. A descriptive analysis of routinely collected de-identified aggregate secondary data included demographic variables (gender, age group, ethnicity, secondary school decile, year and route of entry), and elective site. Route of entry (into medical school) is via general, MAPAS (Māori and Pacific Admissions Scheme) and RRS (Regional and Rural Scheme). Multivariable logistic regression analysis determined the odd ratios for predictors of going overseas for elective and electives taking place in a “High” (HIC) compared to “Low- and middle-income countries” (LMIC). Results: Of the 1101 students who undertook an elective (2010–2016) the majority undertook their elective overseas; the majority spent their elective within a high-income country. Age (younger), route of entry (general) and high school decile (high) were associated with going overseas for an elective. Within the MAPAS cohort, Pacific students were more likely (than Māori) were to go overseas for their elective; Māori students were more likely to spend their elective in a HIC. Conclusion: The medical elective holds an important, pivotal opportunity for medical students to expand their clinical, professional and cultural competency. Our results suggest that targeted support may be necessary to ensure equitable access, particularly for MAPAS students the benefit of an overseas elective. en
dc.publisher BioMed Central en
dc.relation.ispartofseries BMC Medical Education en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.title Medical electives: exploring the determinants of placement and access variables between 2010 and 2016 at the University of Auckland. en
dc.type Journal Article en
dc.identifier.doi 10.1186/s12909-019-1784-7 en
pubs.issue 398 en
pubs.volume 19 en
dc.rights.holder Copyright: The authors en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 785088 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Epidemiology & Biostatistics en
pubs.org-id School of Medicine en
pubs.org-id Medicine Department en
pubs.org-id Surgery Department en
pubs.record-created-at-source-date 2019-11-03 en
pubs.online-publication-date 2019-11-01 en
pubs.dimensions-id 31665079 en


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