Psychosomatic Factors Impinge on the Medical Students’ Choice of Rural Practice – A Systematic Review


  • J. Shanmugapriya



There will be a great shortage of 4.3 million Doctors in 2030 in world level stated by WHO, their shortage in remote areas is an immense challenge. This review examines the evidence base of factors and preferences influencing medical students towards rural placements as they are the future workforce. The study adopted the PRISMA protocol. The factors reasoned for their aversion were formed into the framework of Alderfer’s ERG needs and classified based on positively and negatively perceived. Poor living conditions and social isolation is the major cause for the aversion of rural placements. But the proximity of the village and less competition were positively perceived in terms of existential needs. Family relationship, administrative hurdles and communication with rural people were perceived negatively perceived relationship needs, except availability of more support staff. The growth needs such as serving for poor, social status, Knowledge on rural diseases in an altruistic way, but only by rural background/rural upbringing students, Yet the urban origin students have a strong dislike for the reasons of professional stagnation, fewer career advancements, insufficient learning, and research opportunities in rural placements.