Szafran Olga, Myhre Douglas, Torti Jacqueline, Schipper Shirley
Department of Family Medicine, University of Alberta, Alberta, Canada.
Department of Family Medicine, Cumming School of Medicine and at the time of the study was Associate Dean, Distributed Learning and Rural Initiatives, University of Calgary, Alberta, Canada.
Can Med Educ J. 2020 Jul 15;11(3):e21-e30. doi: 10.36834/cmej.56976. eCollection 2020 Jul.
Urban background physicians are the main source of physician supply for rural communities across Canada. The purpose of this study was to describe factors that are perceived to influence rural career choice and practice location of urban background family medicine graduates.
We conducted a qualitative, descriptive study employing telephone interviews with 9 urban background family physicians practicing in rural locations. Those who completed residency training between 2006 and 2011, were in rural practice, and had an urban upbringing were asked: when the decision for rural practice was made; factors that influenced rural career choice; and factors that influenced choice of a particular rural location. Emerging themes were identified through content analysis of interview data.
We identified four themes as factors perceived to influence rural career choice - variety/broad scope of rural practice, rural lifestyle, personal relationships, and positive rural experience/physician role models. We also identified factors in four areas perceived to influence the choice of a particular rural practice location - having lived in the rural community, spousal influence, personal lifestyle, and comfort with practice expectations.
Decisions for rural career choice and rural practice location by practicing urban background family medicine graduates are based on clinical practice considerations, training experience, as well as personal and lifestyle factors.
城市背景的医生是加拿大农村社区医生供应的主要来源。本研究的目的是描述被认为会影响城市背景家庭医学毕业生农村职业选择和执业地点的因素。
我们进行了一项定性描述性研究，通过电话采访了9名在农村执业的城市背景家庭医生。那些在2006年至2011年期间完成住院医师培训、在农村执业且在城市长大的医生被问及：何时做出农村执业的决定；影响农村职业选择的因素；以及影响特定农村地点选择的因素。通过对访谈数据的内容分析确定了新出现的主题。
我们确定了四个被认为会影响农村职业选择的主题——农村执业的多样性/广泛范围、农村生活方式、人际关系以及积极的农村经历/医生榜样。我们还确定了四个领域中被认为会影响特定农村执业地点选择的因素——曾在农村社区生活、配偶的影响、个人生活方式以及对执业期望的适应程度。
城市背景的在职家庭医学毕业生对农村职业选择和农村执业地点的决定基于临床实践考虑、培训经历以及个人和生活方式因素。
