Attracting healthcare professionals to remote and rural medicine: Learning from doctors in training in the north of Scotland
Attracting healthcare professionals to remote and rural medicine: Learning from doctors in training in the north of Scotland
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DOI：
10.3109/0142159x.2012.668635
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发表时间：
2012-01-01
期刊：
影响因子：
4.7
通讯作者：
Needham, G.
中科院分区：
文献类型：
--
作者：
Cleland, J.;Johnston, P. W.;Needham, G.
背景：探索偏远和农村地区见习医生经验的研究很少。目的：了解苏格兰北部边远农村地区基础计划(FP)医生培训的经验和感悟。方法：对苏格兰边远地区和农村地区的FP医生培训进行了定性研究(焦点小组和个人访谈)，探讨他们的培训经验和职业规划。为了理解潜在的众多因素，我们选择了社会认知职业理论(SCCT)作为数据收集和分析的基础。结果：共有20名学员参与。利用数据驱动的分析，出现了与南南合作相关的三个主题。这些因素包括教育经历(例如，发展技能的机会、较大的责任感)、地理隔离因素(例如，人员短缺、住宿条件差、旅行的影响)和个人因素(例如，社会隔离、对体验的态度)。结论：许多因素影响学员在偏远和乡村医疗(R&R)环境中的学习和生活体验。这些体验对一些人来说可能是非常积极的，但教育环境之外的因素会影响对整体体验的看法。SCCT有助于澄清职业决策中个人因素和背景因素之间的相互作用。
Background: Research exploring the experiences of trainee doctors in remote and rural locations is scarce. Our aim was to gain an understanding of the experiences and perceptions of Foundation Programme (FP) doctors training in placements in remote and rural areas of the north of Scotland.Methods: FP doctors training in remote and rural areas in Scotland took part in a qualitative study (focus groups and individual interviews) exploring their training experiences and career plans. To make sense of a potential multitude of factors, we selected social cognitive careers theory (SCCT) to underpin data collection and analysis.Results: A total of 20 trainees participated. Using data-driven analysis, three themes relevant to the SCCT emerged. These are the educational experience (e. g., opportunities to develop skills, greater responsibility), geographical isolation factors (e. g., the impact of staff shortages, poor accommodation, travel) and personal factors (e. g., social isolation, attitudes towards the experience).Conclusion: Many factors impact on trainees' experience of learning and living in remote and rural medicine (R&R) environments. These experiences can be very positive for some individuals but factors external to the educational environment influence the perception of the overall experience. SCCT helps clarify the interaction between individual and contextual factors in career decision making.