Determinants of rural practice: positive interaction between rural background and rural undergraduate training

Geoffrey C Nicholson and Srinivas Kondalsamy-Chennakesavan
Med J Aust 2015; 202 (9): . || doi: 10.5694/mja15.00198
Published online: 18 May 2015

In reply: We agree that institutional differences may limit the generalisability of the findings of our recent study.1 However, direct comparison of the results of our study with those of earlier studies2,3 is problematical because the studies differ in many ways, including definition of rural background, outcome measures, adjustment for confounders, and statistical methods and power. Importantly, neither study collected and tested for interactions among all variables that could potentially confound the results. However, the Western Australian study did note that the dual exposure of rural background and rural clinical school (RCS) placement was the strongest predictor of rural practice.2 The Sydney study did not show an association between rural background and their rural workforce outcome,3 a result inconsistent with most extant data.

  • Geoffrey C Nicholson
  • Srinivas Kondalsamy-Chennakesavan

  • University of Queensland, Toowoomba, QLD.


Competing interests:

No relevant disclosures.


remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.