Moving into Medical Practice in a New Community: The Transition Experience

Autor/inn/en	Lockyer, Jocelyn; Wycliffe-Jones, Keith; Raman, Maitreyi; Sandhu, Amonpreet; Fidler, Herta
Titel	Moving into Medical Practice in a New Community: The Transition Experience
Quelle	In: Journal of Continuing Education in the Health Professions, 31 (2011) 3, S.151-156 (6 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0894-1912
DOI	10.1002/chp.20120
Schlagwörter	Foreign Countries; Physicians; Internal Medicine; Family Practice (Medicine); Occupational Mobility; Geographic Location; Career Development; Quality of Life; Family Work Relationship; Physical Environment; Social Networks; Urban Areas; Economic Development; Life Satisfaction; Context Effect; Adjustment (to Environment); Canada + Suchen Sie Ihr Suchwort? Ausland; Physician; Doctor; Arzt; Berufliche Mobilität; Berufsentwicklung; Lebensqualität; Natürliche Umwelt; Social network; Soziales Netzwerk; Urban area; Stadtregion; Wirtschaftsentwicklung; Lebensvollendung; Kanada
Abstract	Introduction: Physicians undertake many transitions during the course of a medical career. The purpose of this study was to explore the experiences of physicians who moved to a new community. Methods: A semistructured interview format was used to explore transitional experiences, including reasons for moving; the role of colleagues, learning, and organizational structures; how various mediating factors affected perceptions; and how the experience affected the physicians personally. We used qualitative methods in which data were collected, coded, and analyzed concurrently. Results: 20 physicians from family medicine, internal medicine, and pediatrics described their experiences. Both the professional context and the geographic location affected physicians' perceptions of the move. Both internal and external mediating factors appeared to influence how physicians experienced and adjusted to the move. Physicians who joined functioning units appeared to have fewer problems. The physicians who had more difficulty were physicians who did not come to a specific job, often coming as the result of a spousal move; did not have a professional network in the city; had not sorted out licensure requirements; and were entering community (not institutional) practice. Discussion: This study demonstrates the critical nature of institutional support structures to integrate the newcomer, collegial relationships within the workplace, and the importance of family and friends in mediating the adjustment period. Consideration should be given to structured mentorship or peer-buddy programs and longitudinal educational programs (eg, rounds) that may enable physicians to establish networks and gain practical local knowledge quickly. (Contains 1 figure.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10