Department of Family Medicine, University of Calgary, Health Sciences Centre, 3330 Hospital Dr NW, Calgary, AB T2N 4N1.
Can Fam Physician. 2010 May;56(5):e183-90.
To explore the demographic characteristics of recent Alberta family medicine residency graduates choosing locum practice, as well as their reasons for choosing and leaving locum practice and the frustrations and rewards of locum placements.
Web-based and mailed cross-sectional survey and interviews.
The family medicine residency training programs at the University of Calgary and the University of Alberta.
A total of 152 graduates who had completed family medicine training between 2001 and 2005, inclusive, and who had either done locums in the past or were doing locums at the time of the survey. Interviews were conducted with a subsample of this group (n = 10).
Duration of locum practice, reasons for choosing and leaving locum practice, and frustrations and rewards of locum practice.
Of the 377 graduates surveyed, 242 (64.2%) responded. Among the respondents, 155 (64.0%) had in the past practised or were at the time practising as locum physicians (complete data were available for 152 respondents). Most (71.7%) had arranged locum placements independently. The average duration of a locum placement was 9.1 months. Female and younger family physicians were more likely to practise as locum tenentes. The most common reason for doing a locum placement was as a practice exploration to increase experience or competence (46.7%). The primary reason for leaving locum practice was to settle into permanent practice (52.1%); interview data revealed that this reflected a desire for stability, a desire for continuity with patients, personal life changes, financial considerations, and the end of a perceived need for exploration. Locum tenentes were frustrated with negotiating locum contracts, low patient volumes, lack of patient continuity, and working with difficult staff. Rewards of locum practice included flexibility and freedom in practice, gaining experience, and the rewards that come from seeing patients. In total, 44.6% of family medicine graduates joined practices in which they had done locum placements.
Locum practice is a common early career choice for Alberta family medicine graduates. The most common reason for doing a locum placement was to gain experience, not to delay commitment. Locum practice tends to appeal more to female and younger family physicians. Rewards of locum practice were also cited as reasons for participation. Locum tenentes tend to be frustrated with the business aspects of arranging placements and with the generally low patient volumes. Long-term recruitment efforts by community physicians should be initiated within the first week of locum engagement.
探索最近选择临时行医的艾伯塔省家庭医学住院医师毕业生的人口统计学特征，以及他们选择和离开临时行医的原因，以及临时行医的挫折和回报。
基于网络和邮寄的横断面调查和访谈。
卡尔加里大学和阿尔伯塔大学的家庭医学住院医师培训计划。
总共 152 名毕业生，他们在 2001 年至 2005 年之间完成了家庭医学培训，并且过去或在调查时正在做临时医生。对该组的一个样本（n=10）进行了访谈。
临时行医的持续时间、选择和离开临时行医的原因，以及临时行医的挫折和回报。
在接受调查的 377 名毕业生中，有 242 名（64.2%）做出了回应。在回答者中，有 155 名（64.0%）过去或当时作为临时医生行医（完整数据可用于 152 名回答者）。大多数（71.7%）独立安排了临时安置。临时安置的平均持续时间为 9.1 个月。女性和年轻的家庭医生更有可能作为临时医生行医。进行临时安置的最常见原因是作为实践探索，以增加经验或能力（46.7%）。离开临时行医的主要原因是安定下来从事永久性行医（52.1%）；访谈数据显示，这反映了对稳定的渴望、与患者保持连续性的愿望、个人生活的变化、经济考虑以及认为不再需要探索的结束。临时医生对协商临时合同、患者数量低、缺乏患者连续性以及与困难员工合作感到沮丧。临时行医的回报包括在实践中获得的灵活性和自由、获得经验以及从看病人中获得的回报。总的来说，44.6%的家庭医学毕业生加入了他们做过临时安置的实践。
临时行医是艾伯塔省家庭医学毕业生的常见早期职业选择。进行临时安置的最常见原因是获得经验，而不是推迟承诺。临时行医往往更吸引女性和年轻的家庭医生。临时行医的回报也被认为是参与的原因。临时医生往往对安排安置的业务方面以及一般较低的患者数量感到沮丧。社区医生应在临时行医的第一周内开始进行长期招聘工作。
