Tisseghem Ellen, Fleer Joke, Horlait Melissa, Pype Peter, Lauwerier Emelien
Department of Public Health, Vrije Universiteit Brussel, Brussel, Belgium.
Department of Health Sciences, Section Health Psychology, University Medical Centre Groningen, University of Groningen, The Netherlands.
Eur J Gen Pract. 2025 Dec;31(1):2443603. doi: 10.1080/13814788.2024.2443603. Epub 2025 Jan 7.
The transition from trainee to professional marks a key milestone in a family doctor's career, bringing both emotional and mental challenges. This critical period of specialisation shapes how young doctors adapt and influences their future career choices.
We explored trainees' experiences during their first year of advanced medical training in family medicine/general practice, including barriers and facilitators.
Using qualitative methodology, we conducted ten focus group interviews with 111 trainees. These group interviews were held as part of small-group sessions integrated into a self-guided reflection course. All interviews were held between February 2021 and March 2021, conducted online via MS Teams, recorded, and transcribed verbatim for analysis.
Our analysis uncovered two adaptational processes during this transition period: personal adaptation and professional socialisation. We interpreted this as a complex balancing act, with impact on mental health aspects such as energy, exhaustion, and self-confidence. Multiple elements at different levels influenced these processes, including the workplace (e.g. interactions with colleagues and patients), the educational program (e.g. assignments, courses), and societal expectations (e.g. role expectations, support).
The findings highlight the importance of understanding both personal adaptation and professional socialisation to support trainees effectively during their transition into practice. Future studies should validate these findings and explore their evolution over time, particularly in relation to adaptation and career choices.
从实习生转变为专业人员是家庭医生职业生涯中的一个关键里程碑，带来了情感和心理上的挑战。这个专业化的关键时期塑造了年轻医生的适应方式，并影响他们未来的职业选择。
我们探讨了实习生在家庭医学/全科医学高级医学培训第一年的经历，包括障碍和促进因素。
采用定性方法，我们对111名实习生进行了10次焦点小组访谈。这些小组访谈是作为融入自我引导反思课程的小组会议的一部分进行的。所有访谈均在2021年2月至2021年3月期间通过微软团队在线进行，录音并逐字转录以供分析。
我们的分析揭示了这个过渡时期的两个适应过程：个人适应和职业社会化。我们将此解释为一种复杂的平衡行为，对精力、疲惫和自信等心理健康方面产生影响。不同层面的多个因素影响了这些过程，包括工作场所（例如与同事和患者的互动）、教育计划（例如作业、课程）以及社会期望（例如角色期望、支持）。
研究结果强调了理解个人适应和职业社会化对于在实习生向实践过渡期间有效支持他们的重要性。未来的研究应该验证这些发现，并探索它们随时间的演变，特别是与适应和职业选择相关的方面。
