title: Comparative academic performance of medical students in rural and urban clinical settings.
abstract: OBJECTIVE
  To determine whether the academic performance of medical students learning in rural settings differs from those learning in urban settings.
  
  
  METHODS
  Comparison of results of assessment for 2 full cohorts and 1 part cohort of medical students learning in rural and urban settings in 2002 (209 students), 2003 (226 students) and 2004 (220 students), including results for each specialist rotation in the 3rd year and end-of-year examinations in the 2nd and 4th years.
  
  
  METHODS
  University of Queensland School of Medicine, Brisbane. Students spent the whole 3rd year (of a 4-year graduate entry programme) conducting 5 specialist 8-week rotations in either the rural clinical division (rural students) or in Brisbane (urban students), all following the same curriculum and taking the same examinations.
  
  
  RESULTS
  For the 2002 cohort there were no statistically significant differences in academic performance between rural and urban students. For the 2003 cohort the only significant difference was a higher score for rural students in the end of the 4th-year clinical skills examination (65.7 versus 62.3%, P = 0.025). For the 2004 cohort, rural students scored higher in the 3rd-year mental health rotation (79.3 versus 76.2%, P = 0.038) and lower in the medicine rotation (65.5 versus 68.6%, P = 0.037).
  
  
  CONCLUSIONS
  Academic performance among students studying in rural and urban settings is comparable.
authors.affiliation: School of Medicine, University of Queensland, Herston Road, Brisbane, QLD 4006, Australia.
authors.forename: Barb
authors.initials: B
authors.lastname: Waters
authors.forename: John
authors.initials: J
authors.lastname: Hughes
authors.forename: Kevin
authors.initials: K
authors.lastname: Forbes
authors.forename: David
authors.initials: D
authors.lastname: Wilkinson
mesh_terms: D002983:Clinical Competence / Q000592:standards; D015510:Clinical Medicine / Q000193:education*; D015331:Cohort Studies; D004504:Education, Medical, Undergraduate / Q000379:methods*; D006801:Humans; D011793:Queensland; D012423:Rural Health; D013337:Students, Medical; D014504:Urban Health