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Understanding the Factors Influencing Junior Doctors’ Career Decision-Making to Address Rural Workforce Issues: Testing a Conceptual Framework

Medical graduates’ early career is known to be disorienting, and career decision-making is influenced by a complex set of factors. There is a strong association between rural background and rural undergraduate training and rural practice, and personal and family factors have been shown to influence...

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Autores principales: Cuesta-Briand, Beatriz, Coleman, Mathew, Ledingham, Rebekah, Moore, Sarah, Wright, Helen, Oldham, David, Playford, Denese
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7013936/
https://www.ncbi.nlm.nih.gov/pubmed/31952128
http://dx.doi.org/10.3390/ijerph17020537
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author Cuesta-Briand, Beatriz
Coleman, Mathew
Ledingham, Rebekah
Moore, Sarah
Wright, Helen
Oldham, David
Playford, Denese
author_facet Cuesta-Briand, Beatriz
Coleman, Mathew
Ledingham, Rebekah
Moore, Sarah
Wright, Helen
Oldham, David
Playford, Denese
author_sort Cuesta-Briand, Beatriz
collection PubMed
description Medical graduates’ early career is known to be disorienting, and career decision-making is influenced by a complex set of factors. There is a strong association between rural background and rural undergraduate training and rural practice, and personal and family factors have been shown to influence workplace location, but the interaction between interest, training availability, and other work-relevant factors has not yet been fully explored. A qualitative study conducted by the Rural Clinical School of Western Australia (RCSWA) and WA Country Health Service (WACHS) explored factors influencing the decision to pursue rural work among junior doctors. Data collection and analysis was iterative. In total, 21 junior doctors were recruited to participate in semi-structured telephone interviews. Two main themes relating to the systems of influence on career decision-making emerged: (1) The importance of place and people, and (2) the broader context. We found that career decision-making among junior doctors is influenced by a complex web of factors operating at different levels. As Australia faces the challenge of developing a sustainable rural health workforce, developing innovative, flexible strategies that are responsive to the individual aspirations of its workforce whilst still meeting its healthcare service delivery needs will provide a way forward.
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spelling pubmed-70139362020-03-09 Understanding the Factors Influencing Junior Doctors’ Career Decision-Making to Address Rural Workforce Issues: Testing a Conceptual Framework Cuesta-Briand, Beatriz Coleman, Mathew Ledingham, Rebekah Moore, Sarah Wright, Helen Oldham, David Playford, Denese Int J Environ Res Public Health Article Medical graduates’ early career is known to be disorienting, and career decision-making is influenced by a complex set of factors. There is a strong association between rural background and rural undergraduate training and rural practice, and personal and family factors have been shown to influence workplace location, but the interaction between interest, training availability, and other work-relevant factors has not yet been fully explored. A qualitative study conducted by the Rural Clinical School of Western Australia (RCSWA) and WA Country Health Service (WACHS) explored factors influencing the decision to pursue rural work among junior doctors. Data collection and analysis was iterative. In total, 21 junior doctors were recruited to participate in semi-structured telephone interviews. Two main themes relating to the systems of influence on career decision-making emerged: (1) The importance of place and people, and (2) the broader context. We found that career decision-making among junior doctors is influenced by a complex web of factors operating at different levels. As Australia faces the challenge of developing a sustainable rural health workforce, developing innovative, flexible strategies that are responsive to the individual aspirations of its workforce whilst still meeting its healthcare service delivery needs will provide a way forward. MDPI 2020-01-15 2020-01 /pmc/articles/PMC7013936/ /pubmed/31952128 http://dx.doi.org/10.3390/ijerph17020537 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cuesta-Briand, Beatriz
Coleman, Mathew
Ledingham, Rebekah
Moore, Sarah
Wright, Helen
Oldham, David
Playford, Denese
Understanding the Factors Influencing Junior Doctors’ Career Decision-Making to Address Rural Workforce Issues: Testing a Conceptual Framework
title Understanding the Factors Influencing Junior Doctors’ Career Decision-Making to Address Rural Workforce Issues: Testing a Conceptual Framework
title_full Understanding the Factors Influencing Junior Doctors’ Career Decision-Making to Address Rural Workforce Issues: Testing a Conceptual Framework
title_fullStr Understanding the Factors Influencing Junior Doctors’ Career Decision-Making to Address Rural Workforce Issues: Testing a Conceptual Framework
title_full_unstemmed Understanding the Factors Influencing Junior Doctors’ Career Decision-Making to Address Rural Workforce Issues: Testing a Conceptual Framework
title_short Understanding the Factors Influencing Junior Doctors’ Career Decision-Making to Address Rural Workforce Issues: Testing a Conceptual Framework
title_sort understanding the factors influencing junior doctors’ career decision-making to address rural workforce issues: testing a conceptual framework
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7013936/
https://www.ncbi.nlm.nih.gov/pubmed/31952128
http://dx.doi.org/10.3390/ijerph17020537
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