Starting out rural: a qualitative study of the experiences of family physician graduates transitioning to practice in rural Ontario.

CMAJ open Pub Date : 2023-10-17 Print Date: 2023-09-01 DOI:10.9778/cmajo.20230041
Kathleen Walsh, Kara Passi, Nicola Shaw, Kerry Reed, Sarah Newbery
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引用次数: 0

Abstract

Background: New family medicine graduates are a promising group to recruit to underserved rural areas. This study aimed to understand the experiences of this group as they transitioned to practice in rural Ontario.

Methods: We used a hermeneutic phenomenology approach. Purposive sampling was used to recruit participants who graduated from a Canadian family medicine residency program and worked in a rural community in Ontario (Rurality Index for Ontario score ≥ 40) for at least 1 year within the past 5 years. Participants completed an online demographic survey followed by a virtual semistructured interview (May-August 2022). Interviews were video recorded and transcribed. Two researchers reviewed transcripts for codes, and then codes were reviewed in an iterative process to create themes. Transcripts, codes and themes were reviewed by an independent researcher, and final themes were shared with participants to ensure reliability.

Results: We included 18 family physicians in the study. We identified 8 themes and 18 subthemes. The themes identified as important to the experience of new graduates were as follows: choosing rural practice, preparedness for practice, navigating work-life balance, navigating transition to practice, challenges during transition to practice, successes during transition to practice, locuming and emergency medicine as part of rural generalist practice.

Interpretation: Most physicians interviewed felt prepared for rural practice and enjoyed their work; however, they faced unique challenges associated with being an early-career physician in rural practice. This study identifies opportunities for improvements, which can guide medical educators, rural communities and their recruiters, new graduates and policy-makers.

从农村起步:对家庭医生毕业生在安大略省农村实习经历的定性研究。
背景:新的家庭医学毕业生是一个有希望招聘到服务不足的农村地区的群体。本研究旨在了解这一群体在安大略省农村过渡到实践的经历。方法:采用解释学现象学方法。目的性抽样用于招募从加拿大家庭医学住院项目毕业并在过去5年内在安大略省农村社区工作至少1年(安大略省Rurality指数得分≥40)的参与者。参与者完成了一项在线人口统计调查,然后进行了一次虚拟的半结构化采访(2022年5月至8月)。访谈是录像和转录的。两名研究人员审查了代码的转录本,然后在迭代过程中审查代码以创建主题。转录本、代码和主题由一名独立研究人员审查,最终主题与参与者分享,以确保可靠性。结果:我们将18名家庭医生纳入研究。我们确定了8个主题和18个子主题。被确定为对应届毕业生的经验很重要的主题如下:选择农村实践、为实践做好准备、平衡工作与生活、引导向实践过渡、向实践过渡期间的挑战、向实践转型期间的成功、作为农村全科实践一部分的代理和急诊医学。解读:大多数接受采访的医生都觉得自己已经为乡村实践做好了准备,并很享受自己的工作;然而,作为一名早期乡村医生,他们面临着独特的挑战。这项研究确定了改进的机会,可以指导医学教育工作者、农村社区及其招聘人员、应届毕业生和政策制定者。
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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