Research Unit for General Practice, NORCE Norwegian Research Centre, Bergen, Norway.
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Scand J Prim Health Care. 2020 Jun;38(2):184-191. doi: 10.1080/02813432.2020.1753348. Epub 2020 May 12.
To explore experiences motivating doctors to become and remain GPs. Qualitative analysis of written responses from an open-ended question about motivational experiences posted on an internet discussion list for GPs in Norway. Texts from 25 contributors were analysed with Systematic Text Condensation, supported by theories about calling as motivation. Analysis revealed numerous aspects of motivation to become and remain a general practitioner. Inspirations from early experiences and skilled role models had conveyed values and offered insight into a fascinating world of care, gratitude and respect. Close and continuous relationships with patients provided GPs with humbling experiences and learning moments. Contributors described how these encounters became rewarding sources of insight and mutual trust, improving interpersonal skills. Also, the extensive variety of tasks during the workday and the space for autonomy and independence was emphasised. Understanding motivational experiences influencing GPs' choice of medical career is necessary to develop strategies for recruitment and stability and contribute to prevention of burn-out and improper work-life balance. GPs' professional identities and commitments should be recognized and developed in dialogues between authorities and GPs to enhance communication, improve the structural frames of work environment and thereby sustainable recruitment.Key pointsGPs regard their choice of medical career as strongly influenced by motivational experiences in childhood, adolescence and as medical studentsRole models, diversity of work, feelings of being able to contribute and rewarding and continuous relationships with patients were mentioned to activate and maintain general practice commitmentKnowledge about motivational influences, professional identities and commitment for GPs is crucial for medical education and dialogue to promote general practice as a career choice and prevent dangers of work overload and burnout.
探索激励医生成为和保持全科医生的经验。对挪威全科医生互联网讨论列表上发布的关于激励经验的开放式问题的书面回答进行定性分析。使用系统文本浓缩法分析 25 位贡献者的文本，辅以关于召唤作为动机的理论。分析揭示了成为和保持全科医生的动机的许多方面。早期经历和熟练的榜样所带来的灵感传达了价值观，并深入了解了一个令人着迷的关怀、感激和尊重的世界。与患者的密切和持续的关系为全科医生提供了谦逊的体验和学习的时刻。贡献者描述了这些相遇如何成为有价值的洞察力和相互信任的来源，提高了人际交往能力。此外，工作中任务的广泛多样性以及自主权和独立性的空间也得到了强调。了解影响全科医生选择医疗职业的动机经验对于制定招聘和稳定性策略以及预防倦怠和不当工作与生活平衡至关重要。应在当局和全科医生之间的对话中认可和发展全科医生的专业身份和承诺，以加强沟通，改善工作环境的结构框架，从而实现可持续招聘。要点全科医生认为他们对医疗职业的选择受到童年、青少年和医学生时期的激励经验的强烈影响。榜样、工作的多样性、能够做出贡献的感觉以及与患者的有益和持续关系被提及，以激发和维持全科医生的承诺。了解激励因素、专业身份和承诺对全科医生的医学教育和对话至关重要，以促进全科医学作为职业选择，并预防工作超负荷和倦怠的危险。
