Haematology, Aberdeen Royal Infirmary, Aberdeen, UK
Institute of Education in Medical and Dental Sciences, University of Aberdeen, Aberdeen, UK.
BMJ Open. 2024 Nov 28;14(11):e087779. doi: 10.1136/bmjopen-2024-087779.
A more sustainable work-life balance is desired by trainees, and increasing access to flexibility in training may improve staff morale and retention. Although a number of less than full-time (LTFT) trainees are increasing, only a minority identify as men. This study aimed to explore the perception and experience of LTFT training among postgraduate medical trainees (PMTs) identifying as men in Scotland.
We carried out a qualitative study using semistructured interviews with 26 male trainees who had current or previous personal experience of training LTFT in Scotland. Interviews were audio recorded, transcribed verbatim, and data was analysed inductively and iteratively using thematic analysis.
Our work identified four main themes: (1) , (2) , (3) and (4) . Being an 'ideal worker' was felt to gain respect among peers and enhance masculine identity. Participants described the persistence of implicit and explicit gender norms and felt, at best, unusual and, at worst, stigmatised by their decision to train LTFT. Personal and professional benefits to LTFT training were highlighted; however, experience was varied and influenced by personal circumstances and departmental support. Both perceptual and practical barriers for male LTFT applicants were identified.
Our study demonstrates the influence of training environment and culture on LTFT applications in Scotland. Multifaceted interventions targeting medical culture, the LTFT application process, workforce planning and communication with trainees are recommended.
受训者希望工作与生活更加平衡，增加培训灵活性的机会可能会提高员工的士气和留任率。尽管越来越多的兼职培训生（LTFT）出现，但其中只有少数是男性。本研究旨在探索苏格兰男性研究生医学受训者（PMT）对 LTFT 培训的看法和体验。
我们采用半结构化访谈方法对 26 名曾在苏格兰接受过 LTFT 培训或正在接受培训的男性受训者进行了定性研究。访谈进行了录音，并逐字转录，使用主题分析方法进行了归纳和迭代数据分析。
我们的工作确定了四个主要主题：（1） ；（2） ；（3） ；（4） 。被视为“理想的工人”被认为可以赢得同行的尊重并增强男性身份认同。参与者描述了隐性和显性性别规范的持续存在，他们觉得自己做出 LTFT 培训的决定是不寻常的，甚至是有污名的。强调了 LTFT 培训的个人和职业收益；然而，经验因人而异，受到个人情况和部门支持的影响。还确定了男性 LTFT 申请人在感知和实践方面的障碍。
本研究表明培训环境和文化对苏格兰 LTFT 申请的影响。建议针对医疗文化、LTFT 申请流程、劳动力规划和与受训者沟通等方面采取多方面的干预措施。
