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扩展初级医生职业决策和农村职业的概念框架:探索者与规划者以及寻找“合适”的职业。

Extending a Conceptual Framework for Junior Doctors' Career Decision Making and Rural Careers: Explorers versus Planners and Finding the 'Right Fit'.

机构信息

Rural Clinical School of Western Australia, Faculty of Health and Medical Sciences, University of Western Australia, 6280 West Busselton, Australia.

Western Australia Country Health Service, 6000 Perth, Australia.

出版信息

Int J Environ Res Public Health. 2020 Feb 20;17(4):1352. doi: 10.3390/ijerph17041352.

DOI:10.3390/ijerph17041352
PMID:32093138
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7068271/
Abstract

This study uses data from a Rural Clinical School of Western Australia (RCSWA) and WA Country Health (WACHS) study on rural work intentions among junior doctors to explore their internal decision-making processes and gain a better understanding of how junior doctors make decisions along their career pathway. This was a qualitative study involving junior doctor participants in postgraduate years (PGY) 1 to 5 undergoing training in Western Australia (WA). Data was collected through semi-structured telephone interviews. Two main themes were identified: career decision-making as an on-going process; and early career doctors' internal decision-making process, which fell broadly into two groups ('explorers' and 'planners'). Both groups of junior doctors require ongoing personalised career advice, training pathways, and career development opportunities that best "fit" their internal decision-making processes for the purposes of enhancing rural workforce outcomes.

摘要

本研究使用了来自澳大利亚西部农村临床学院(RCSWA)和西澳农村卫生(WACHS)一项关于初级医生农村工作意愿的研究数据,旨在探讨他们的内部决策过程,并更好地了解初级医生如何在职业道路上做出决策。这是一项定性研究,涉及在西澳大利亚州(WA)接受培训的 PGY1 至 5 年级的初级医生参与者。数据通过半结构化电话访谈收集。确定了两个主要主题:职业决策是一个持续的过程;以及早期职业医生的内部决策过程,大致分为两组(“探索者”和“规划者”)。这两组初级医生都需要持续的个性化职业建议、培训途径和职业发展机会,以满足他们内部决策过程的需求,从而提高农村劳动力的成果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166d/7068271/be83831743b0/ijerph-17-01352-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166d/7068271/be83831743b0/ijerph-17-01352-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166d/7068271/be83831743b0/ijerph-17-01352-g001.jpg

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本文引用的文献

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Understanding the Factors Influencing Junior Doctors' Career Decision-Making to Address Rural Workforce Issues: Testing a Conceptual Framework.理解影响初级医生职业决策以解决农村劳动力问题的因素:检验概念框架。
Int J Environ Res Public Health. 2020 Jan 15;17(2):537. doi: 10.3390/ijerph17020537.
2
Rural clinical school students do come back: But it may take time.农村临床学校学生确实会回来:但这可能需要时间。
Aust J Gen Pract. 2018 Nov;47(11):812-814. doi: 10.31128/AJGP-02-18-4505.
3
The Australian Rural Clinical School (RCS) program supports rural medical workforce: evidence from a cross-sectional study of 12 RCSs.
医学生队列职业意向的动态变化:一项为期四年的纵向研究。
BMC Med Educ. 2023 Feb 27;23(1):131. doi: 10.1186/s12909-023-04102-w.
4
Experiences of working as early career allied health professionals and doctors in rural and remote environments: a qualitative systematic review.作为早期职业的医疗辅助专业人员和医生在农村和偏远环境中的工作体验:一项定性系统评价。
BMC Health Serv Res. 2022 Jul 26;22(1):951. doi: 10.1186/s12913-022-08261-2.
5
Exploring Doctors' Emerging Commitment to Rural and General Practice Roles over Their Early Career.探讨医生在职业生涯早期对农村和全科医生角色的新兴承诺。
Int J Environ Res Public Health. 2021 Nov 11;18(22):11835. doi: 10.3390/ijerph182211835.
澳大利亚农村临床医学院(RCS)项目助力农村医疗劳动力队伍建设:来自对12所农村临床医学院的横断面研究的证据
Rural Remote Health. 2019 Mar;19(1):4971. doi: 10.22605/RRH4971. Epub 2019 Mar 4.
4
'Just a GP': a mixed method study of undermining of general practice as a career choice in the UK.“只是个全科医生”:英国对破坏全科医生职业选择的混合方法研究。
BMJ Open. 2017 Nov 3;7(11):e018520. doi: 10.1136/bmjopen-2017-018520.
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Determinants of rural practice: positive interaction between rural background and rural undergraduate training.农村实践的决定因素:农村背景与农村本科培训之间的积极互动。
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