{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:23:50Z","timestamp":1787761430266,"version":"build-2784847793"},"reference-count":63,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Following evidence that participation in rural clinical training during medical school is associated with later rural work, there is a growing literature comparing the effectiveness of different approaches to training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To map literature examining the effectiveness of rural clinical training for graduates of Australian medical schools, accounting for differences in training design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A scoping review was conducted using literature searches performed across five academic databases from January 1, 2000 to January 12, 2026, selecting literature reporting on outcomes related to rural practice intent, internship preferencing or acceptance, and practice location at any point following participation in rural training during medical school.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      A total of 413 unique records were screened, with 43 satisfying the inclusion criteria. Most studies examined outcomes of practice location spanning postgraduate years 1\u201317 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200933), with a smaller number examining internship preferencing and\/or location (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910), rural practice intent (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096) and choice of rural vocational training (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091). Studies examined the effects of training duration, remoteness of placements, timing and use of longitudinal integrated clerkships (LICs) or other pedagogical approaches.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Existing literature has focused on duration\u2010related effects, consistently identifying that rural training of \u2265\u20091\u2009year duration is associated with positive rural workforce outcomes in a dose\u2010dependent manner, and established evidence for the effectiveness of rural LICs, particularly when combined with additional rural training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There are opportunities to extend from existing literature to establish the effectiveness of core design elements within longer\u2010duration rural training and LICs within more remote contexts, accounting for interaction with contextual variables.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajr.70243","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:37:47Z","timestamp":1787031467000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rural Clinical Training for Australian Medical Students: A Scoping Review of Rural Workforce Outcomes"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0406-9406","authenticated-orcid":false,"given":"Heath","family":"Pillen","sequence":"first","affiliation":[{"name":"Broken Hill University Department of Rural Health, Faculty of Medicine and Health The University of Sydney  Broken Hill Australia"},{"name":"Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3014-3849","authenticated-orcid":false,"given":"Debra","family":"Jones","sequence":"additional","affiliation":[{"name":"Broken Hill University Department of Rural Health, Faculty of Medicine and Health The University of Sydney  Broken Hill Australia"},{"name":"Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9951-7745","authenticated-orcid":false,"given":"Justin","family":"Gladman","sequence":"additional","affiliation":[{"name":"Adelaide University Rural Health Adelaide University  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1322-1895","authenticated-orcid":false,"given":"Lucie","family":"Walters","sequence":"additional","affiliation":[{"name":"Adelaide University Rural Health Adelaide University  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7847-9734","authenticated-orcid":false,"given":"Rowena","family":"Ivers","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Faculty of Science, Medicine &amp; Health University of Wollongong  Wollongong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8650-5509","authenticated-orcid":false,"given":"Stuart","family":"Lane","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5975-2843","authenticated-orcid":false,"given":"Annemarie","family":"Hennessy","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2015-3579","authenticated-orcid":false,"given":"Xiang\u2010Yu","family":"Hou","sequence":"additional","affiliation":[{"name":"Broken Hill University Department of Rural Health, Faculty of Medicine and Health The University of Sydney  Broken Hill Australia"},{"name":"Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"ABS \u201cRural and Remote Health [Internet] \u201d (2024) https:\/\/www.aihw.gov.au\/reports\/rural\u2010remote\u2010australians\/rural\u2010and\u2010remote\u2010health."},{"key":"e_1_2_10_3_1","unstructured":"AIHW \u201cAustralian Burden of Disease Study 2018: Interactive Data on Disease Burden [Internet] \u201d (2021) https:\/\/www.aihw.gov.au\/reports\/burden\u2010of\u2010disease\/abds\u20102018\u2010interactive\u2010data\u2010disease\u2010burden\/contents\/remoteness\u2010areas."},{"issue":"2","key":"e_1_2_10_4_1","first-page":"1","article-title":"Prolonging a Sustainable Working Life Among Older Rural GPs: Solutions From the Horse's Mouth","volume":"13","author":"Hansen V.","year":"2013","journal-title":"Rural and Remote Health"},{"key":"e_1_2_10_5_1","unstructured":"National Rural Health Alliance \u201cEvidence Base for Additional Investment in Rural Health in Australia \u201d (2023)."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1584.1994.tb00114.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12470"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203851005"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-018-0271-2"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2923.2012.04331.x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.70071"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-021-00678-w"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.46658\/JBIMES-20-12"},{"key":"e_1_2_10_15_1","volume-title":"Independent Evaluation of the Rural Health Multidisciplinary Training Program: Final Report to the Commonwealth Department of Health","author":"Battye K.","year":"2020"},{"issue":"3","key":"e_1_2_10_16_1","first-page":"100","article-title":"Outcomes of Australian Rural Clinical Schools: A Decade of Success Building the Rural Medical Workforce Through the Education and Training Continuum","volume":"15","author":"Greenhill J. 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