The challenges faced by early-career international medical graduates in general practice and the opportunities for support: a mixed methods study.

IF 1.5 Q3 PRIMARY HEALTH CARE

Education for Primary Care Pub Date : 2025-01-30 DOI:10.1080/14739879.2024.2435012

Alexandra Jager, Rohini Terry, Michael Harris

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引用次数: 0

Abstract

Background: Recruiting and retaining International Medical Graduates (IMGs) has been identified as a key component in addressing the ongoing workforce crisis in general practice. However, research shows IMG General Practitioners (GPs) face unique challenges compared to their UK-trained counterparts, impacting their welfare, retention in the workforce, and ability to provide patient care.

Aim: This study examined the challenges facing early-career IMG GPs, the help and support they access and want to access, and their perceptions and utilisation of the help and support available.

Design and setting: A mixed-methods study that collected primary data in an online survey and interviews between March and May 2023.

Method: Early-career IMG GPs based in South West England were invited to complete an online survey consisting of 5-point Likert-scale and free-text questions. Interviews were completed with key informants and some survey respondents. Qualitative data were analysed thematically. Data from the survey and interviews were analysed and merged using a convergent parallel design.

Results: Based on 29 survey replies and 9 interviews, four interrelated themes were identified: (i) communication and language, (ii) racism, unequal treatment, and developing coping mechanisms (iii), exclusion and being 'othered', and (iv) adapting to new ways of living and working. Although some IMG GPs access help and support, many feel this is insufficient and poorly accessible.

Conclusion: IMG GPs face interrelated and unique challenges in their personal and professional lives and do not feel adequately supported by the NHS. Addressing this disconnect will be vital to sustaining the general practice workforce.

查看原文本刊更多论文

早期国际医学毕业生在全科实践中面临的挑战和获得支持的机会：一项混合方法研究。

背景：招聘和留住国际医学毕业生（IMGs）已被确定为解决全科医生持续劳动力危机的关键组成部分。然而，研究表明，与英国培训的全科医生相比，IMG全科医生面临着独特的挑战，影响了他们的福利、劳动力的保留以及提供患者护理的能力。目的：本研究调查了早期职业IMG gp面临的挑战，他们获得和希望获得的帮助和支持，以及他们对现有帮助和支持的看法和利用。设计和环境：一项混合方法研究，收集了2023年3月至5月期间在线调查和访谈的原始数据。方法：邀请位于英格兰西南部的早期职业IMG gp完成一项在线调查，该调查由李克特量表和自由文本问题组成。与主要线人和部分调查对象的访谈完成。对定性数据进行专题分析。从调查和访谈的数据进行分析和合并使用趋同并行设计。结果：基于29份调查回复和9次访谈，确定了四个相互关联的主题：(i)沟通和语言；（ii）种族主义、不平等待遇和发展应对机制；（iii）排斥和被“他者”；（iv）适应新的生活和工作方式。尽管一些IMG gp获得了帮助和支持，但许多人认为这是不够的，而且很难获得。结论：IMG全科医生在他们的个人和职业生活中面临着相互关联和独特的挑战，并且没有得到NHS的充分支持。解决这种脱节对于维持全科医生队伍至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Education for Primary Care PRIMARY HEALTH CARE-

CiteScore

2.30

自引率

15.40%

发文量

期刊介绍： Education for Primary Care aims to reflect the best experience, expertise and innovative ideas in the development of undergraduate, postgraduate and continuing primary care education. The journal is UK based but welcomes contributions from all over the world. Readers will benefit from the broader perspectives on educational activities provided through the contributions of all health professionals, including general practitioners, nurses, midwives, health visitors, community nurses and managers. This sharing of experiences has the potential for enhancing healthcare delivery and for promoting interprofessional working.