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This scoping review synthesizes evidence on selection strategies used by medical schools in low- and middle-income countries (LMICs) to support an equitable, fit-for-purpose medical workforce. 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The association between medical student selection and a fit-forpurpose medical workforce in low-and middle-income countries in the Asia–Pacific region: a scoping review. Rural and Remote Health 2026; 26: 10393. [https://doi.org/10.22605/RRH10393](https://doi.org/10.22605/RRH10393)  \nThis work is licensed under a Creative Commons Attribution 4.0 International Licence  \nAbstract  \nIntroduction: Medical schools worldwide have struggled for decades to determine the most effective strategy for selecting students to meet the needs of their healthcare systems. Despite recent changes in the direction of medical education, most medical schools have been slow to respond and adapt their selection. Applying a standard admission strategy across dissimilar contexts, such as the Asia-Pacific region, is challenging due to differing school missions, contexts and health priorities. In addition to academic achievements, several selection approaches have been implemented across the globe, with the hope of selecting those who are ‘best’ suited to be doctors. An equitable and fit-forpurpose selection approach is crucial for meeting priority community needs and ensuring institutional accountability. This scoping review aims to explore the selection strategies used by medical schools in low-and middle-income countries (LMICs) within the Asia-Pacific region to contribute to a fit-for-purpose workforce.  \nMethods: This scoping review was conducted between July 2024 and December 2024 using the methodology outlined by Arksey and O’Malley. Inclusion and exclusion criteria were developed to meet the objectives of this review. SCOPUS, EMCARE, OVID Medline, ERIC and CINAHL databases were searched. Only documents in the English language were considered eligible for inclusion. There was no date restriction applied for the reviewed documents. Grey literature was searched, and unpublished theses, policy documents, abstracts of conference materials, technical reports and guidelines were extracted using the inclusion criteria. The study population consisted of medical students and graduates from LMICs within the Asia-Pacific region. Key concepts searched included selection, recruitment, admission and matriculation. The outcomes of interest were health workforce, medical workforce, fit-  \nfor-purpose, medical graduates, doctors and physicians. Five other team members worked independently and collaboratively to assess the el","cbCailvxQYCcoCsh","https://ap.wps.com/l/cbCailvxQYCcoCsh","pdf",1492911,23,"English","# Introduction\n## Background and rationale\n# Methods\n## Review approach and data sources\n## Eligibility criteria and outcomes\n# Results\n## Included studies and key themes\n# Conclusion\n## Proposed framework for selection","[{\"question\":\"What is the main objective of this scoping review?\",\"answer\":\"To explore selection strategies used by medical schools in low- and middle-income countries in the Asia-Pacific region and how these contribute to a fit-for-purpose workforce.\"},{\"question\":\"How were relevant studies identified and selected?\",\"answer\":\"The review searched SCOPUS, EMCARE, OVID Medline, ERIC, and CINAHL, plus grey literature, using inclusion and exclusion criteria based on the review objectives.\"},{\"question\":\"What major themes emerged from the included studies?\",\"answer\":\"Key themes included engaging stakeholders to support political validity, prioritizing community health needs for social accountability, responding to local context, ensuring sustainability, and using a mission-driven selection strategy.\"}]","The association between medical student selection and a fit-for-purpose medical workforce in low- and middle-income countries in the Asia-Pacific region - a scoping review | PDF",58]